TAS-CGSMC INC FKA CARITAS GOOD: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
TAS-CGSMC INC FKA CARITAS GOOD (EIN 04-3207333)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-11
IRS object ID
201102239349302155
Schema version
2009v1.7
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)
Timestamp2011-08-11T12:57:08-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1FEELEY & DRISCOLL PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1200 Portland STREETAddressLine1
CityBOSTONCity
StateMAState
ZIP Code02114ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN043207333EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Caritas GOOD SAMARITAN MEDICAL CENTER incBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCARINameControl
Phone6174194700Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1c/o STEWARD HEALTH CARE INC 500AddressLine1
Address Line2BOYLSTON STAddressLine2
CitybostonCity
StateMAState
ZIP Code02116ZIPCode

Officer Officer

FieldValueIRS element (for citing)
Namej bryan hehirName
TitleofficerTitle
Phone6174194700Phone
Date Signed2011-08-09DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJeffrey T RogersName
Phone6177427788Phone
Date Prepared2011-08-09DatePrepared
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Name Of Principal Officer Personsteve gordonNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1235 NORTH PEARL STREETAddressLine1
CityBrocktonCity
StateMAState
ZIP Code02301ZIPCode
FieldValueIRS element (for citing)
Gross Receipts197517876GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.caritaschristi.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1993YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionGood Samaritan Medical Center is committed to serving the physical and spiritual needs of our community by delivering the highest quality care with compassion and respect as well as improving the overall health of people in our community, providing accessible, and high quality care services. The Medical Center provides our community with outreach efforts such as reducing barriers to access, preventative health education, screening and wellness programs.ActivityOrMissionDescription
Nbr Voting Members Governing Body26NbrVotingMembersGoverningBody
Nbr Independent Voting Members21NbrIndependentVotingMembers
Total Nbr Employees2018TotalNbrEmployees
Total Nbr Volunteers168TotalNbrVolunteers
Total Gross UBI-8621TotalGrossUBI
Net Unrelated Business Txbl Income-116584NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year535815ContributionsGrantsPriorYear
Contributions Grants Current Year324347ContributionsGrantsCurrentYear
Program Service Revenue Prior Year189024073ProgramServiceRevenuePriorYear
Program Service Revenue CY189891914ProgramServiceRevenueCY
Investment Income Prior Year343990InvestmentIncomePriorYear
Investment Income Current Year678898InvestmentIncomeCurrentYear
Other Revenue Prior Year6642387OtherRevenuePriorYear
Other Revenue Current Year6525544OtherRevenueCurrentYear
Total Revenue Prior Year196546265TotalRevenuePriorYear
Total Revenue Current Year197420703TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year75000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY251220GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year99680052SalariesEtcPriorYear
Salaries Etc Current Year100204482SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year83389369OtherExpensePriorYear
Other Expenses Current Year84037584OtherExpensesCurrentYear
Total Expenses Prior Year183144421TotalExpensesPriorYear
Total Expenses Current Year184493286TotalExpensesCurrentYear
Revenues Less Expenses Prior Year13401844RevenuesLessExpensesPriorYear
Revenues Less Expenses CY12927417RevenuesLessExpensesCY
Total Assets BOY101050742TotalAssetsBOY
Total Assets EOY99507898TotalAssetsEOY
Total Liabilities BOY84130310TotalLiabilitiesBOY
Total Liabilities EOY73353636TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY16920432NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY26154262NetAssetsOrFundBalancesEOY
Mission DescriptionCaritas Christi is a Catholic Health Care System rooted in the history of the Archdiocese of Boston. As a community of health care providers, we affirm Christ's healing ministry, foster excellence in care and commit ourselves to those in need in accordance with the principles of the Catholic Church.Through our programs and services, which cover the spectrum of health care, we affirm the sanctity of life, advocate for the poor and disenfranchised and exercise responsibility for the common good.With just stewardship of our human and material resources, we pledge to strengthen this health care ministry through sound health care practice, research, education and innovation.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense103627624Expense
Revenue113234066Revenue
DescriptionInpatient healthcare services - Providing inpatient community-based medicine and tertiary care to the surrounding region consistent with our core values of compassion, accountability, respect and excellence. During FY10, Caritas Good Samaritan Medical Center provided 67,928 patient days of inpatient services, with 15,990 discharges.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense33639472Expense
Revenue48550597Revenue
DescriptionOutpatient healthcare services - Providing outpatient clinical services to the surrounding region consistent with our core values of compassion, accountability, respect and excellence. During FY10, Caritas Good Samaritan Medical Center had 24,293 outpatient visits.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense20369752Expense
Revenue29398906Revenue
DescriptionEmergency room services - Providing emergency room services to the surrounding region consistent with our core values of compassion, accountability, respect and excellence. During FY10, Caritas Good Samaritan Medical Center had 52,376 emergency room visits.Description
FieldValueIRS element (for citing)
Total Program Service Expense157636848TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Grants To Organizations1GrantsToOrganizations
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 Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096162NumberFormsTransmittedWith1096
Number W2 G Included3NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees2018NumberOfEmployees
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
Form8899 Filed0Form8899Filed
Nbr Voting Governing Body Members26NbrVotingGoverningBodyMembers
Number Independent Voting Members21NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
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 CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
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 Line1heidi taylorBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5084272446TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1235 NORTH PEARL STREETAddressLine1
CityBrocktonCity
StateMAState
ZIP Code02301ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (37 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
STEVE GORDON
ceo/PRESIDENT (from 9/09)40.00XX01495656181
ROBERT GUSTAFSON
TREASURER2.00X000
MARK RICH
ASST. TREASURER2.00X068942632535
RALPH DE LA TORRE MD
SECRETARY2.00X0225670213374
JANE ES HAYES
ASST. SECRETARY/clerk2.00X8070102786
JOSEPH C MAHER JR ESQ
ASST. SECRETARY2.00X072768920916
ARTHUR WYMAN
CHAIRMAN2.00X000
JEAN WILLIAMS
VICE-CHAIRMAN2.00X000
CALVIN BOURNE
director2.00X000
JOSEPH N CIFFOLILLO
director2.00X000
MARK CREGAN
director2.00X000
JOHN CROWE
director2.00X000
ROBERT DIMATTEO
director2.00X000
PETER GORDON
director2.00X000
KATHLEEN HAYES
director2.00X000
SUSAN JOSS
director2.00X000
JOHN KELLEHER
director2.00X000
JOHN LEARNARD
director2.00X000
RICHARD MCARDLE
director2.00X000
DAVID MUDD MD
director2.00X000
MARK OLIARI
director2.00X000
CHRISTOPHER SHEPPARD
director2.00X000
ROBERT F SULLIVAN
director2.00X000
MARY PATRICIA TRANTER PHD
director2.00X000
WILLIAM TURNER
director2.00X000
LEES YUNITS
director2.00X000
Donna Rubinate
coo (interim ceo 3/09-9/09)40.00X28111607513
thomas whalen
vp of finance40.00X205752014879
john holiver
ceo/president (until 3/09)40.00X073708428171
jerilyn Thomas
VP of Patient Care services & cno40.00172864025214X
Victor A Munger
VP of Human Resources40.00239195019596X
Monique Aleman
VP of Communication & marketing40.00153058018287X
Rogelio D Bayog
Physician40.0019011402853X
paul overstreet
rn MNA40.00141006022011X
Maureen T McGann
RN MNA40.00163478018587X
eric joubert
RN MNA40.00140541011206X
Darlene M Gareri
Director of Patient Care40.00144821022072X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1912646TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs4560466TotalReportableCompFrmRltdOrgs
Total Other Compensation266181TotalOtherCompensation
Number Individuals GT100 K123NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Sodexho inc & affiliates
po box 360170pittsburghPA152516170Dietary Department Services2352778
medical care of boston management compan
464 hillsdie ave suite 304needhamMA02494Physician Services-Hospitalist2138714
american red cross
po box 33093newarkNJ071880093blood services1707948
angelica textile services
po box 823283philadelphiaPA191823283laundry/housekeeping services901131
childrens hospital boston
300 longwood avebostonMA02115PHYSICIAN SERVICES - neonatology788157
FieldValueIRS element (for citing)
Number Of Contractors GT100 K33NumberOfContractorsGT100K
Fundraising Events179607FundraisingEvents
Government Grants127348GovernmentGrants
All Other Contributions17392AllOtherContributions
Total Contributions324347TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Net Patient Service Re623000109980208109980208
Medicare/Medicaid Paym6230007991170679911706
FieldValueIRS element (for citing)
Total Program Service Revenue189891914TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column593377TotalRevenueColumn
Exclusion$593,377ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1636368Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real1636368Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1636368TotalRevenueColumn
Exclusion$1,636,368ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities85521Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities85521Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column85521TotalRevenueColumn
Related Or Exempt Function Income85521RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Income Fundraising Events93834GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events179607CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses97173FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-3339TotalRevenueColumn
Exclusion-$3,339ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountUnrelated Business RevenueUnrelatedBusinessRevenue
one pearl street incom9000991625184$1,625,184
interpreter services6213001118911189
bnhc lab revenue621500-19810-19810

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column3275952TotalRevenueColumn
Related Or Exempt Function Income1291655RelatedOrExemptFunctionIncome
Exclusion$1,984,297ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue4892515TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column197420703TotalRevenueColumn
Related Or Exempt Function Income191269090RelatedOrExemptFunctionIncome
Unrelated Business Revenue-8621UnrelatedBusinessRevenue
Exclusion$5,835,887ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total251220Total
Program Services251220ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1052702Total
Program Services894797ProgramServices
Management And General157905ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total80102834Total
Program Services67275853ProgramServices
Management And General12826981ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2614277Total
Program Services2195993ProgramServices
Management And General418284ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total10428369Total
Program Services8759830ProgramServices
Management And General1668539ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total6006300Total
Program Services5045292ProgramServices
Management And General961008ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total16206512Total
Program Services12965210ProgramServices
Management And General3241302ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total-412624Total
Management And General-412624ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total74100Total
Management And General74100ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total118815Total
Program Services95052ProgramServices
Management And General23763ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total341730Total
Program Services287053ProgramServices
Management And General54677ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3557557Total
Program Services2988348ProgramServices
Management And General569209ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total42019Total
Program Services35296ProgramServices
Management And General6723ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total8616Total
Program Services7237ProgramServices
Management And General1379ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1675143Total
Program Services1407120ProgramServices
Management And General268023ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total-3031683Total
Program Services-2425346ProgramServices
Management And General-606337ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total6987171Total
Program Services5869224ProgramServices
Management And General1117947ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total777770Total
Program Services777770ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
supplies26933926255872301346696
physician fees12901127103209022580225
purchased services753269260261541506538
PROV. BAD DEBT42909584290958
equipment rental & main32465142727072519442

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2787241Total
Program Services2254583ProgramServices
Management And General532658ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total184493286Total
Program Services157636848ProgramServices
Management And General26856438ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY17857965BOY
EOY8916215EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY290416BOY
EOY177077EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY15659663BOY
EOY15910449EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2448743BOY
EOY3198538EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY658900BOY
EOY639405EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis141185551LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec93957623LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY46084789BOY
EOY47227928EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY9963312BOY
EOY13375227EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY8086954BOY
EOY10063059EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY101050742BOY
EOY99507898EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY36185565BOY
EOY22666168EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY22581453BOY
EOY20213868EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY9626424BOY
EOY8049643EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY15736868BOY
EOY22423957EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY84130310BOY
EOY73353636EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY13183107BOY
EOY24742667EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2948597BOY
EOY622867EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY788728BOY
EOY788728EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16920432BOY
EOY26154262EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY101050742BOY
EOY99507898EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

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

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance1002000BeginningOfYearBalance
Investment Earnings Or Losses9000InvestmentEarningsOrLosses
Other Expenditures89000OtherExpenditures
End Of Year Balance922000EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance991000BeginningOfYearBalance
Investment Earnings Or Losses11000InvestmentEarningsOrLosses
End Of Year Balance1002000EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.86000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.14000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis573084OtherCostOrOtherBasis
Book Value573084BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis18546696OtherCostOrOtherBasis
Depreciation5283714Depreciation
Book Value13262982BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2707883OtherCostOrOtherBasis
Depreciation1485636Depreciation
Book Value1222247BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis64452388OtherCostOrOtherBasis
Depreciation49724062Depreciation
Book Value14728326BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis54905500OtherCostOrOtherBasis
Depreciation37464211Depreciation
Book Value17441289BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings47227928TotalOfBookValueLandBuildings

Other Securities OtherSecurities (7 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
Donor Restricted Investments85538F
PERM. RESTRICTED INVESTMENTS788728F
PET Scan Investements289818C
Other investments335948C
board designated investments7509469F
Short term BDF Investments3399556F
CURRENT PORTION OF ASSETS WHOSE USE IS LIMITED966170F
FieldValueIRS element (for citing)
Total Of Book Value Securities13375227TotalOfBookValueSecurities

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
DEFERRED FINANCING COSTS, NET182292
assets held in trust, bond agreements4080153
DUE FROM AFFILIATES4047750
INVESTMENT IN AFFILIATE629100
other accounts receivable1123764
FieldValueIRS element (for citing)
Total Book Value Other Assets10063059TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
ACCRUED PENSION COSTS$9,397,466
DUE TO THIRD-PARTY PAYORS$5,484,610
Due to Affiliated Entities$6,165,661
Other Liabilities$595,160
estimated malpractice liability$781,060
FieldValueIRS element (for citing)
Total Of Amounts22423957TotalOfAmounts
Total Revenue197420703TotalRevenue
Total Expenses184493286TotalExpenses
Excess Or Deficit For Year12927417ExcessOrDeficitForYear
Other-$3,693,587OtherAmount
Total Adjustments-3693587TotalAdjustments
Excess Or Deficit Per FS9233830ExcessOrDeficitPerFS

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part V, Line 4:Description of Intended Use of Endowment Funds:The intended use of the organization's endowment funds are directed in accordance with the donor's intent including the preservation of the original gift and various purposes
Part X:Description of Uncertain Tax Positions Under FIN 48:FIN 48 Footnote from Caritas Christi's audited financial statements - On October 1, 2007, Caritas Christi adopted ASC 740-10, Accounting for Uncertainty in Income Taxes - an Interpretation of FASB Statement No. 109. ASC 740-10 prescribes a recognition threshold and measurement attribute for the financial statement recognition and measurement of a tax position taken, or expected to be taken, in a tax return. This interpretation also provides guidance on derecognition, classification, interest and penalties, accounting in interim periods, and disclosure requirements for uncertain tax positions. The adoption of ASC 740-10 did not have a material impact on Caritas Christi's consolidated financial statements.
Part XI, Line 8 - Other Adjustments:net change in UR Gains/Losses on investments - unrestricted: -28339. Net change in UR Gains/Losses on investments - temp: 49849. net asset released from restrictions used for PP&E - unrestricted: 2576438. Net asset released from restrictions used for PP&E - temp: -2576438. AOCI Pension Adjustment: -778997. Transfer to Affiliates: -2936100. release from restrictions - temp restricted: -127271. release from restrictions - unrestricted restricted: 127271.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1golf tournamentNameOfEvent1
Gross Receipts Event1122134GrossReceiptsEvent1
Charitable Contributions Event189267CharitableContributionsEvent1
Gross Revenue Event132867GrossRevenueEvent1
Non Cash Prizes Event11945NonCashPrizesEvent1
Rent Facility Costs Event117303RentFacilityCostsEvent1
Food And Beverage Event110147FoodAndBeverageEvent1
Other Direct Expenses Event16811OtherDirectExpensesEvent1
Name Of Event2money tree raffleNameOfEvent2
Gross Receipts Event2124050GrossReceiptsEvent2
Charitable Contributions Event268638CharitableContributionsEvent2
Gross Revenue Event255412GrossRevenueEvent2
Cash Prizes Event227225CashPrizesEvent2
Non Cash Prizes Event21250NonCashPrizesEvent2
Food And Beverage Event214598FoodAndBeverageEvent2
Entertainment Event23500EntertainmentEvent2
Other Direct Expenses Event28839OtherDirectExpensesEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events27257GrossReceiptsOtherEvents
Charitable Contrib Other Events21702CharitableContribOtherEvents
Gross Revenue Other Events5555GrossRevenueOtherEvents
Non Cash Prizes Other Events517NonCashPrizesOtherEvents
Rent Facility Costs Other Events2637RentFacilityCostsOtherEvents
Food And Beverage Other Events798FoodAndBeverageOtherEvents
Other Direct Expenses Other Events1603OtherDirectExpensesOtherEvents
Gross Receipts Total273441GrossReceiptsTotal
Charitable Contributions Total179607CharitableContributionsTotal
Gross Revenue Total Events93834GrossRevenueTotalEvents
Cash Prizes Total Events27225CashPrizesTotalEvents
Non Cash Prizes Total Events3712NonCashPrizesTotalEvents
Rent Facility Costs Total Events19940RentFacilityCostsTotalEvents
Food And Beverage Total Events25543FoodAndBeverageTotalEvents
Entertainment Total Events3500EntertainmentTotalEvents
Other Direct Expenses Total Events17253OtherDirectExpensesTotalEvents
Direct Expense Summary Events97173DirectExpenseSummaryEvents
Net Income Summary-3339NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense6239781TotalCommunityBenefitExpense
Direct Offsetting Revenue4023556DirectOffsettingRevenue
Net Community Benefit Expense2216225NetCommunityBenefitExpense
Percent Of Total Expense0.01200PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense24734588TotalCommunityBenefitExpense
Direct Offsetting Revenue23006748DirectOffsettingRevenue
Net Community Benefit Expense1727840NetCommunityBenefitExpense
Percent Of Total Expense0.00940PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense30974369TotalCommunityBenefitExpense
Direct Offsetting Revenue27030304DirectOffsettingRevenue
Net Community Benefit Expense3944065NetCommunityBenefitExpense
Percent Of Total Expense0.02140PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense290491TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense290491NetCommunityBenefitExpense
Percent Of Total Expense0.00160PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense221213TotalCommunityBenefitExpense
Direct Offsetting Revenue64255DirectOffsettingRevenue
Net Community Benefit Expense156958NetCommunityBenefitExpense
Percent Of Total Expense0.00090PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense60360TotalCommunityBenefitExpense
Net Community Benefit Expense60360NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense572064TotalCommunityBenefitExpense
Direct Offsetting Revenue64255DirectOffsettingRevenue
Net Community Benefit Expense507809NetCommunityBenefitExpense
Percent Of Total Expense0.00280PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense31546433TotalCommunityBenefitExpense
Direct Offsetting Revenue27094559DirectOffsettingRevenue
Net Community Benefit Expense4451874NetCommunityBenefitExpense
Percent Of Total Expense0.02420PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense410310TotalCommunityBuildingExpense
Net Community Building Expense410310NetCommunityBuildingExpense
Percent Of Total Expense0.00220PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Total Community Building Expense223101TotalCommunityBuildingExpense
Net Community Building Expense223101NetCommunityBuildingExpense
Percent Of Total Expense0.00120PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense633411TotalCommunityBuildingExpense
Net Community Building Expense633411NetCommunityBuildingExpense
Percent Of Total Expense0.00340PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$2,110,751BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare67607032AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare64286853CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall3320179MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

FieldValueIRS element (for citing)
Business Name Line1caritas good samaritan medical centerBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1235 north pearl stAddressLine1
CitybrocktonCity
StateMAState
ZIP Code02301ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Costing Method UsedPart I, Line 7: The cost to charge ratio as derived from worksheet 2 was used as the costing methodology used to calculate the amount used to calculate the amounts in the table of line 7.CostingMethodUsed
Subsidized Health Services ExplnPart I, Line 7g: N/ASubsidizedHealthServicesExpln
Percent Of Total Expense ExplnPart I, Line 7f: N/APercentOfTotalExpenseExpln
Bad Debt FootnotePart III, Line 4: The Hospital provides a wide variety of health care services to patients within the community in order to ensure access to appropriate care for populations in need. The Hospital, grant credit without collateral to their patients, many of whom are local residents and are insured under third-party payor agreements. The Hospital provides care without charge or at amounts less than established rates to patients who meet certain criteria under the Hospital's charity care policies. Because the Hospital does not pursue collection of amounts determined to qualify as charity care, they are not reported as revenue.BadDebtFootnote
Shortfall As Community BenefitPart III, Line 8: Cost reporting principles are used to determine allowable and non-allowable costs based on rule and regulations. The Medicare shortfall is the subsidized amount of care provided to patients and should be considered a community benefit.ShortfallAsCommunityBenefit
Debt Collection PolicyPart III, Line 9b: The Hospital provides care without charge or at amounts less than established rates to patients who meet certain criteria under the Hospital's charity care policies. The Hospital's collection policy exempts these individuals and patients from any collection or billing procedures pursuant to the Commonwealth of Massachusetts regulations and policies.The Commonwealth of Massachusetts operates a 'health safety net' to reimburse hospitals for the cost of uncompensated care, defined as charity care, and bad debts associated with emergency services. Amounts are paid to the health safety net based on a percentage of private sector charges. Reimbursement from the health safety net is a flat amount per visit or discharge, determined prospectively from a Medicare-based reimbursement model.DebtCollectionPolicy
Needs AssessmentPart VI, Line 2: In accordance with the Massachusetts Attorney General's Community Benefits Guidelines for Non-Profit Hospitals, The Hospital conducted a Needs Assessment. Massachusetts law also requires that all non-profit hospitals and health plans submit an annual Community Benefits Report that details the extent to which these institutions provide charity care and support community health activities in their service areas. The Hospital conducts a periodic community health needs assessments that clarify the leading health concerns, service gaps, and barriers to access for their patients. The primary aim of these needs assessments are to help ensure that hospital and health plan community benefit activities are targeted appropriately.In the Spring of 2009, The Hospital engaged an outside consulting firm to assist with the community health needs assessment. The needs assessment compiled and analyzed secondary data drawn from existing federal, state, and local sources as well as analyzed primary data that the Hospital collected through surveys administered to patients in clinic waiting rooms. The needs assessment process explored issues related to: health care access and preventive services; maternal and child health status; the prevalence of chronic disease, mental illness, and substance abuse, and the extent to which patients are involved in risky behaviors. Then the information collected was analyzed and reported. The goal of the needs assessment was to address both quantitative and qualitative health care needs of the community.NeedsAssessment
Patient Education AssistancePart VI, Line 3: The Hospital's policy is that no individual will ever be refused care. Care is provided regardless of age, race, sex, religion, nationality, or ability to pay. The policy is posted on signs throughout the Hospital along with signs informing patients of the availability Public Assistance & MassHealth programs are posted at all Registration points, the Emergency Department, Cashier's Window, and Financial Counselor offices. All signs are large enough that they are clearly visible and legible by patients visiting these areas. Signs are in both English and any other language spoken by more then 10% of the population in the Hospital's service area. The Hospital also provides care to the elderly and the indigent under the Medicare and Medicaid programs, granted at a discount, which is generally less than cost. The proportion of services provided to Medicaid patients approximates the proportion of Medicaid beneficiaries living in the medical center's service areas. In addition, the Hospital pays into the Health Safety Net for hospitals within the Commonwealth of Massachusetts. Throughout 2010, the Hospital continued to enroll and provide referral and health care services for the indigent, underinsured and uninsured in our community. The Hospital recognizes the delivery of care to those in need as an integral part of our mission and we will continue to focus on meeting the health care needs of this population going forward.PatientEducationAssistance
Community InformationPart VI, Line 4: Good Samaritan Medical Center's service area consists of: Brockton, Easton, Norton, Stoughton, Sharon, Canton, Avon, Holbrook, Randolph, Whitman, Abington, Rockland, Hanson, Halifax, East Bridgewater, Bridgewater, West Bridgewater, Raynham, Taunton, Berkley, Middleboro, and Lakeville. The population is both urban and suburban.Brockton has one of the most diverse populations in the state (i.e. 28% speak a language other than English at home). Brockton also has one of the youngest populations in the Commonwealth. The catchment area for Good Samaritan Hospital includes 19 towns. In terms of population size, Brockton is the largest town and Avon is the smallest town.- Abington population 16,305 - Avon population 4,345 - Berkley population 6,352 - Brockton population 100,366 - Canton population 21,481 - East Bridgewater population 13,832 - Easton population 22,995 - Halifax population 7,805 - Hanson population 9,915 - Holbrook population 10,765 - Lakeville population 10,618 - Middleboro population 21,153 - Norton population 19,106 - Randolph population 32,552 - Raynham population 13,428 - Rockland population 17,842 - Sharon population 17,269 - Stoughton population 26,782 - Taunton population 56,348 - Whitman population 14,424Brockton, Taunton and Middleboro were identified as the highest risk areas. Brockton and Taunton had the highest poverty rates.31% of Brockton population identifies as African American, 8% as Hispanic, and 56% as White non-Hispanic. 18% is foreign born; 28% speaks language other than English at home.CommunityInformation
Community Building ActivitiesPart VI, Line 5: Transportation assistance can contribute to healthy pregnancies and deliveries, ensure a safe discharge from the hospital, or help with the many hidden costs associated with cancer treatment,Interpreter services allow limited English proficiency individuals to participate in hospital outreach, such as wellness screenings and support groups. Cultural competency education is an essential component in providing care to a diverse patient population. Community funding enable the OB/Gynecology patient population by helping with transportation, education, and other items that contribute to healthy pregnancies and deliveries. It employs a full time registered nurse to fulfill the health and safety needs of 530 elementary and junior high students at Trinity Catholic Academy. It funds Helpline, the largest information and referral service in Southeastern Massachusetts, providing valuable advocacy and programs that positively affect the lives of thousands in the region.CommunityBuildingActivities
Other InformationPart VI, Line 6: In furtherance of its charitable purpose, the Hospital provides a wide variety of services to the community in order to ensure access to appropriate care for populations in need. The Hospital, Caritas Christi and its members support services which target not only the general population in each member's respective service area, but also particular populations with special health care needs, including the poor, the elderly, children, and minority populations. Supported services include various clinics, health screening programs, health education programs, and support area groups operated in the local area. The Organization and its members work actively with other service providers to ensure the development of an effective community health network. The Organization and its members also participate in activities designed to foster a vital local economic and civic environment.Several of the member organizations provide care without charge or at amounts less thanestablished rates to patients who meet certain criteria under the organizations' charity care policies. Because the member organizations do not pursue collection of amounts determined to qualify as charity care, they are not reported as revenue. Mission Statement:Being part of a Catholic Health Care System means that ours is a ministry with roots in the teachings of the Church and the Gospel message of Jesus. At Caritas Christi we are not just another provider of health care. We are a continuation of the healing ministry of Jesus. Our Mission and Values are the forces that drive us toward achieving Exceptional Care.Our Mission is our reason for being:Caritas Christi Health Care, rooted in the healing ministry of Jesus, is committed to serving the physical and spiritual needs of our community by delivering the highest quality care with compassion and respect.Our Vision describes a set of ideals and picture for the future:We envision an exceptional Catholic healthcare ministry which will lead to the transformation of healthcare.Our Values are the principles or beliefs that guide our work:CompassionAccountabilityRespectExcellenceAs women and men working in healthcare, everyday we come to work we have an opportunity to effect change. It is our way of offering service that makes us different. Our identity as a Catholic health care system is reflected in who we are and how we act. It is reflected in who we serve and how we care for those we serve. It is reflected in how we treat one another, and it is reflected in how we contribute to the common good. Our identity and our integrity are a result of using our time, our talents, our compassion and making concrete efforts to work for the dignity of every person.OtherInformation
Affiliated Health Care SystemPart VI, Line 7: Caritas Christi is a Catholic health care system organized by the Roman Catholic Archdiocese of Boston (RCAB). Member hospital organizations of Caritas Christi include St. Anne's Health Care System, Inc. and affiliates, including St. Anne's Hospital Corporation; Caritas St. Elizabeth's Medical Center of Boston, Inc.; Caritas Valley Regional Health System, Inc. and affiliates, including Caritas Holy Family Hospital, Inc.; Caritas Carney Hospital, Inc.; Caritas Norwood Hospital, Inc. and Caritas Good Samaritan Medical Center, Inc. Caritas Christi serves as the sole corporate member of each of these organizations.Caritas Christi and its members support services which target not only the general population in each member's respective service area, but also particular populations with special health care needs, including the poor, the elderly, children, and minority populations. Supported services include various clinics, health screening programs, health education programs, and support area groups operated in the local area. Caritas Christi and its members work actively with other service providers to ensure the development of an effective community health network. Caritas Christi and its members also participate in activities designed to foster a vital local economic and civic environment.Caritas Christi is an affiliated health care system, New England's largest community hospital network. Effective November 6, 2010, Caritas Christi transferred substantially all of its assets to Steward Health Care System, LLC. Steward is a comprehensive, integrated health care delivery network, providing community-based medicine and tertiary care in eastern Massachusetts, southern New Hampshire, and Rhode Island.AffiliatedHealthCareSystem
Reports Filed With StatesMAReportsFiledWithStates

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
brockton neighborhood health center
63 main stbrocktonMA02301043165044501(c)375000To support needs of uninsured patients in the community
brockton neighborhood health center
63 main stbrocktonMA02301043165044501(c)3100000to help recruit and employ a certified nurse midwife
trinity catholic academy of brockton
37 erie avenuebrocktonMA02302510638517501(c)338110to fund the school nurse of the 2009/2010 school year
trinity catholic academy of brockton
37 erie avenuebrocktonMA02302510638517501(c)338110to fund the school nurse of the 2010/2011 school year

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, Part I, Line 2: Good Samaritan Medical Center provided two grants to Trinity Catholic Academy during FY10 to help support the shools health & safety program for students from the Greater Brockton area. Good Samaritan is in contact with Trinity Catholic Academy regularly to monitor the use of grant funds. Trinity Catholic Academy provides a report to Good Samaritan at the end of the year showing how the funds are used which is then reported in our Community Benefits Report. Good Samaritan Medical Center also provided two grants to Brockton Neighborhood Health Center during FY10. The grants aid in supporting the needs of unisured patients in the community. Good Samaritan is in contact with Brockton Neighborhood Health Center regularly to monitor the use of the funds.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
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 (15 entries)

Base 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
STEVE GORDON
0130248000193170006181015574600
MARK RICH
0472400012610009092609470023065072196100
RALPH DE LA TORRE MD
012944600500000046224207774056000227007600
JOSEPH C MAHER JR ESQ
04855710126100011601804288016628074860500
Donna Rubinate
281116000000075130288629000
thomas whalen
19575201000000000148790220631000
john holiver
05248470107250010498709470018701076525500
jerilyn Thomas
1728640000000252140198078000
Victor A Munger
48480000190715000195960258791000
Monique Aleman
1530580000000182870171345000
Rogelio D Bayog
190114000000028530192967000
paul overstreet
1410060000000220110163017000
Maureen T McGann
1634780000000185870182065000
eric joubert
1405410000000112060151747000
Darlene M Gareri
1448210000000220720166893000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePart I, Line 4a:ReturnReference
ExplanationVictor Munger received $190,715 in severence payments (reported on W-2) in calendar year 2009.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section A, line 6Caritas Christi is the sole member of the Organization and elects the board of directors. There are no classes of directors. Caritas Christi has the power to remove directors, to fill vacancies, and to increase or decrease the size of the board
Form 990, Part VI, Section A, line 7aCaritas Christi is the sole member of the Organization and elects the board of directors. There are no classes of directors. Caritas Christi has the power to remove directors, to fill vacancies, and to increase or decrease the size of the board
Form 990, Part VI, Section A, line 7bCaritas Christi is the sole member of the Organization and elects the board of directors. There are no classes of directors. Caritas Christi has the power to remove directors, to fill vacancies, and to increase or decrease the size of the board
Form 990, Part VI, Section B, line 11The organization prepares the Form 990 and the related disclosures with assistance and guidance from its individual tax advisors (CPA firm).The Form 990 is reviewed by the individual entities' and the parent organizations' management teams prior to submission to the board of directors and the IRS.
Form 990, Part VI, Section B, line 12cThe organization requires that key employees, members and officers of the board of directors and any member of any committee disclose in writing (and update annually) all business and other relationships which might potentially create a conflict of interest as defined by the policy. The written disclosure shall include an itemization of any substantive conflict of interest for such individual by virtue of his or her activities. The conflict of interest policy is reviewed and communicated to ensure individuals with outside relationships do not inappropriately participate in business decisions of the Organization in which they are not independent. The conflict of interest policy and procedures are currently under review and revision.
Form 990, Part VI, Section B, line 15All compensation for the CEO and senior executives throughout the system are governed and overseen by the Board of Director's of Caritas Christi, their sole member. The Board established a Compensation Committee, made up of disinterested trustees, who are given the authority to establish compensation for all senior executives. The Compensation Committee performs annual reviews and approves executive compensation. In order to assist the Committee in its responsibilities, the Compensation Committee hires independent, outside compensation consultants to advice the committee on the reasonableness of the overall executive compensation. The Committee works with these consultants to ensure that all compensation is reasonable, meets all regulatory requirements, and is competitive within the relevant market.
Form 990, Part VI, Section C, line 19The organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request. Additionally, the organization's financial statements are available on the public charities website maintained by the Commonwealth of Massachusetts Attorney General.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (37 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Caritas St Elizabeth's Medical Center of Boston Inc
736 Cambridge StreetBrightonMA021352997042103622Tertiary care hospital and institute of teachingMA501(c)(3)HospitalCaritas Christi
Caritas St Elizabeth's Realty Corporation
736 Cambridge StreetBrightonMA021352997043097185Real estate holding corporationMA501(c)(2)Supporter - Type ICaritas Christi
Caritas St Elizabeth's Hospital Foundation Inc
736 Cambridge StreetBrightonMA021352997042745312To provide fund-raising and developmentMA501(c)(3)Supporter - Type ICaritas Christi
Caritas Excell Clinical Laboratories Inc
736 Cambridge StreetBrightonMA021352997043428075Provide laboratory servicesMA501(c)(3)HospitalCaritas Christi
Caritas St John of God Hospital Inc
736 Cambridge StreetBrightonMA021352997042135767Non-acute hospital careMA501(c)(3)HospitalCaritas Christi
Saint Anne's Health Care System Inc
795 Middle StreetFall RiverMA027211798042868825Healthcare management servicesMA501(c)(3)Supporter - Type IICaritas Christi
Saint Anne's Hospital Corporation
795 Middle StreetFall RiverMA027211798042104868Acute care hospitalMA501(c)(3)HospitalCaritas Christi
Caritas Valley Regional Health System Inc
70 East StreetMethuenMA018444597042149321To operate a health system and assist hospitalsMA501(c)(3)Supporter - Type ICaritas Christi
Caritas Holy Family Hospital Inc
70 East StreetMethuenMA018444597222547376Acute care hospitalMA501(c)(3)HospitalCaritas Christi
Caritas Valley Regional Medical Services Corporation
70 East StreetMethuenMA018444597043256936Medical practice operationMA501(c)(3)Supporter - Type ICaritas Christi
Caritas Valley Regional Support Services Inc
70 East StreetMethuenMA018444597222546974Provides for healthcare delivery in the communityMA501(c)(3)HospitalCaritas Christi
Greater Lawrence Mental Health Center Inc
70 East StreetMethuenMA018444597042174895Provides outpatient mental health programsMA501(c)(3)Support OrganizationCaritas Christi
Caritas Holy Family Hospital Foundation Inc
70 East StreetMethuenMA018444597222961708Provides fund-raising and developmentMA501(c)(3)Supporter - Type ICaritas Christi
Caritas Carney Hospital Inc
2100 Dorchester AvenueDorchesterMA021245666043339664Acute care hospitalMA501(c)(3)HospitalCaritas Christi
Caritas Laboure College Inc
2100 Dorchester AvenueDorchesterMA021245666042134818Institution of higher learningMA501(c)(3)SchoolCaritas Christi
Caritas Carney Hospital Foundation Inc
2100 Dorchester AvenueDorchesterMA021245666222564685Hospital support organizationMA501(c)(3)Support OrganizationCaritas Christi
Caritas Norwood Hospital Inc
800 Washington StreetNorwoodMA020623487043397716Acute care hospitalMA501(c)(3)HospitalCaritas Christi
Caritas Southwood Hospital Inc
111 Dedham StreetNorfolkMA020561666043397713Acute care hospitalMA501(c)(3)HospitalCaritas Christi
Caritas Good Samaritan Medical Center Inc
235 North Pearl StreetBrocktonMA023011794043207333Acute care hospitalMA501(c)(3)HospitalCaritas Christi
Caritas Good Samaritan Occupational Health Services Inc
75 Stockwell Drive Unit 12AvonMA02322043270861Provide occupational health servicesMA501(c)(3)Supporter - Type ICaritas Christi
Caritas Good Samaritan Cancer Center Inc
75 Stockwell Drive Unit 12AvonMA02322262699726Cancer CenterMA501(c)(3)Caritas Christi
Caritas Christi Physician Network Inc
77 Warren StreetBrightonMA02135043121287Medical services organizationMA501(c)(3)SupportedCaritas Christi
Caritas Carney Medical Group Inc
2100 Dorchester AvenueDorchesterMA021245666043065553Medical services organizationMA501(c)(3)Supporter - Type IICaritas Christi
Caritas Good Samaritan Medical Practice Corporation Inc
235 North Pearl StreetBrocktonMA023011794043247817Medical services organizationMA501(c)(3)Supporter - Type ICaritas Christi
Caritas St Joseph Nursing Care Center Inc
321 Centre StreetDorchesterMA02122042106302Long-term nursing care facilityMA501(c)(3)SupportedCaritas Christi
Caritas Good Samaritan Hospice Inc
310 Allston StreetBrightonMA02146042786305Nursing and medical care for the terminally illMA501(c)(3)Community TrustCaritas Christi
Caritas Home Care Inc
3 Edgewater DriveNorwoodMA02760237258201Provides health care services to the terminally illMA501(c)(3)SupportedCaritas Christi
Neponset Valley Hospice Inc
3 Edgewater DriveNorwoodMA02760043167236Healthcare servicesMA501(c)(3)HospitalCaritas Christi
Norfolk-Bristol Homemaker Services Inc
3 Edgewater DriveNorwoodMA02760042935286Healthcare servicesMA501(c)(3)SupportedCaritas Christi
NVHS Management Services Inc
800 Washington StreetNorwoodMA020623487042762957Management services to affiliatesMA501(c)(3)Supporter - Type IICaritas Christi
NVHS Coverage Associates Inc
800 Washington StreetNorwoodMA020623487043174302Provides home care servicesMA501(c)(3)HospitalCaritas Christi
Caritas Christi Support Services Inc
77 Warren StreetBrightonMA02135043078091Therapeutic servicesMA501(c)(3)Supporter - Type ICaritas Christi
Caritas Christi Diagnostic Support Services Inc
77 Warren StreetBrightonMA02135043016178Mobile magnetic resonance imaging servicesMA501(c)(3)Supporter - Type ICaritas Christi
Caritas Por Cristo Inc
736 Cambridge StreetBrightonMA021352997042696339Volunteer medical services organizationMA501(c)(3)Support OrganizationCaritas Christi
St Margaret's Hospital for Women
77 Warren StreetBrightonMA02135042106333Acute care hospitalMA501(c)(3)HospitalCaritas Christi
Caritas Christi Inc
77 Warren StreetBrightonMA02135042864287Management services to affiliatesMA501(c)(3)SupportedCaritas Christi
ST ANNE'S HEALTH CARE MANAGEMENT SERVICES INC
795 Middle StreetFall RiverMA027211798042871297Healthcare management servicesMA501(c)(3)Supporter - Type IICaritas Christi

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Caritas PET Imaging LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line177 Warren StreetAddressLine1
CityBrightonCity
StateMAState
ZIP Code02135ZIPCode
FieldValueIRS element (for citing)
EIN421556663EIN
Primary ActivityMobile PET scann servicesPrimaryActivity
Legal Domicile StateMALegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Caritas ChristiBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRelatedPredominantIncomeType
Share Of Total Income334409ShareOfTotalIncome
Share Of EOY Assets289502ShareOfEOYAssets
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner0GeneralOrManagingPartner

Form990 Schedule R Part IV Form990ScheduleRPartIV (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
Caritas Medical Laboratories LLC
736 Cambridge StreetBrightonMA021352997043101611LaboratoryMACaritas ChristiC
Fall River Management Care Services
795 Middle StreetFall RiverMA027211798042869826Healthcare management servicesMACaritas ChristiC
Caritas Valley Regional Ventures Inc
70 East StreetMethuenMA018444597042835444Provides therapy and urgent care servicesMACaritas ChristiC
Caritas New England Initiatives Inc
800 Washington StreetNorwoodMA020623487042798835Provides cafeteria servicesMACaritas ChristiC
Healthcare Enterprises
77 Warren StreetBrightonMA02135043027096Management, billing, and collection services to healthcare providersMACaritas ChristiC
TRACO
Professional and comprehensive general liability insuranceCaritas ChristiCPO Box 1051Grand CaymanCJCJ
Caritas Christi Network Services Inc
77 Warren StreetBrightonMA02135043442072Healthcare management servicesMACaritas ChristiC
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
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 Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Caritas PET imaging inc
Q289816
Caritas Good Samaritan Occupational health services
Q629100
Caritas Good Samaritan Occupational health services
O484030
Caritas Good Samaritan Cancer Center
O171605

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