2011-11-02T14:58:21-05:00 2010-12-31 BRAD BORBIDGE PA 197 LOUDON ROAD STE 350 CONCORD NH 03301 990 2010-01-01 222873792 HOSPICE OF THE NORTH SHORE INC HOSP 9787747566 75 SYLVAN STREET NO B-102 DANVERS MA 01923 CONNIE WOODWORTH 9787747566 2011-09-01 1 DIMITRIOS PANACOPOULOS CPA 6032240849 2010 2016-03-07 17:11:31Z CONNIE WOODWORTH 75 SYLVAN STREET NO B-102 DANVERS MA 01923 30049669 0 X WWW.HNS.ORG X 1988 MA HNS ENRICHES QUALITY OF LIFE BY PROVIDING EXPERT CARE, SUPPORT, EDUCATION AND CONSULTATION FOR THOSE AFFECTED BY LIFE LIMITING ILLNESS, DEATH AND LOSS. 18 17 319 300 0 0 2933359 2340578 22484971 26319630 1093141 831661 432079 450884 26943550 29942753 0 0 0 0 12314677 15066162 0 0 520823 11817474 11745437 24132151 26811599 2811399 3131154 29714236 33003803 5581408 5739821 24132828 27263982 HNS ENRICHES QUALITY OF LIFE BY PROVIDING EXPERT CARE, SUPPORT, EDUCATION AND CONSULTATION FOR THOSE AFFECTED BY LIFE LIMITING ILLNESS, DEATH AND LOSS. 0 0 21894761 26319630 HOSPICE PROVIDES PALLIATIVE HOME HEALTH, INPATIENT, BEREAVEMENT, AND COUNSELING SERVICES TO TERMINALLY ILL PATIENTS AND THEIR FAMILIES. 21894761 1 1 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 108 0 1 319 1 0 0 0 0 0 1 1 0 0 0 0 X 18 17 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 MA X CONNIE WOODWORTH VPCFO 9787747566 75 SYLVAN STREET DANVERS MA 01923 PETER SHERWOOD X 0 0 0 THOMAS FORD X 0 0 0 CHUCK BADAVAS X 0 0 0 SHELDON ARONSON X 0 0 0 LISA STERN TAYLOR X 0 0 0 CHRISTINA MCCANN X 0 0 0 MARY BETH DIFILIPPO X 0 0 0 JAMES DUNNE X 0 0 0 JUDY JACOBI X 0 0 0 BEATRICE THIBEDEAU X 0 0 0 TIMOTHY LIESCHING MD X 0 0 0 NANCY PALMER X 0 0 0 ALLEN SMITH MD X 0 0 0 REGINA VILLA X 0 0 0 THOMAS BUBIER X 0 0 0 JAMES STOKELY X 0 0 0 JAMES MCCARTHY X 0 0 0 DIANE STRINGER 40.00 X 513179 0 23715 CONNIE WOODWORTH 40.00 X 165833 0 19741 STEPHANIE PATEL 40.00 X 259673 0 27090 JUDITH CRANNEY 40.00 X 161935 0 27142 LISA ROME 40.00 X 179441 0 3589 LOUISE DEPODESTA 32.00 X 141004 0 12633 JULIE BOSCH 40.00 X 139523 0 7696 1560588 0 121606 7 0 1 0 SPECIALTY MEDICAL EQUIPMENT 50 KERRY PL 3 NORWOOD MA 02062 RENTAL OF EQUIPMENT 459115 HARBORSIDE REHABILITATION LP 155 FEDERAL ST SUITE 1100 BOSTON MA 02110 STAFF CONTRACTING SERVICES 249023 BROOKWOOD SYLVAN LLC 75 SYLVAN ST DANVERS MA 01923 LEASOR 191729 HR CONCEPTS LLC 111 CHARLES ST MANCHESTER NH 03101 MANAGEMENT SERVICES 140111 4 48896 2291682 2340578 HOSPICE 621610 26319630 26319630 26319630 266944 266944 564717 564717 564717 564717 557800 106916 450884 450884 29942753 26319630 0 1282545 1009232 1009232 11493397 9463981 1752210 277206 375488 291904 83584 1190758 893021 255707 42030 997287 757136 216797 23354 150401 150401 62500 62500 61130 47522 13608 597200 348604 248596 60098 46720 13378 67825 51131 14641 2053 193757 141380 40483 11894 716964 557368 159596 383344 266675 114498 2171 92320 65574 18776 7970 34946 27167 7779 568261 441766 126495 102115 79384 22731 ROOM & BOARD EXPENSES 5277023 5277023 PROGRAM SUPPLIES 2072702 2072702 INPATIENT EXPENSES 477078 477078 BAD DEBTS 169833 169833 FUNDRAISING EXPENSE 146120 146120 511820 418792 85003 8025 26811599 21894761 4396015 520823 7428933 6053858 36523 606517 2333815 3236819 274607 310750 15102317 3313079 9972133 11789238 6833588 10515680 2834637 490941 29714236 33003803 2907365 3566925 56512 51650 1800000 1346108 817531 775138 5581408 5739821 X 23405608 27263982 727220 0 24132828 27263982 29714236 33003803 3131154 0 X X 0 1 1 X 0 X 1626500 1763047 1524180 2933359 2340578 10187664 25123515 24156571 22599255 22484971 26319630 120683942 26750015 25919618 24123435 25418330 28660208 130871606 536000 705600 372500 1614100 0 536000 705600 372500 1614100 129257506 255854 572995 475993 260287 266944 1832073 255854 572995 475993 260287 266944 1832073 27005869 26492613 24599428 25678617 28927152 132703679 0.97400 0.97330 0.01380 0.01350 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1705415 1705415 9409124 1014320 8394804 3987778 2298759 1689019 11789238 DUE TO THIRD PARY PAYORS 737126 OTHER CURRENT LIABILITIES 23267 ANNUITIES PAYABLE 14745 775138 29942753 26811599 3131154 0 3131154 29360799 0 29360799 61130 520824 581954 29942753 26229645 0 26229645 61130 520824 581954 26811599 PART XII, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES PART XIII, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES THE AGENCY IS A PUBLIC CHARITY UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS A PUBLIC CHARITY, THE AGENCY IS EXEMPT FROM STATE AND FEDERAL INCOME TAXES ON INCOME EARNED IN ACCORDANCE WITH ITS TAX EXEMPT PURPOSE. UNRELATED BUSINESS INCOME IS SUBJECT TO STATE AND FEDERAL INCOME TAX. MANAGEMENT HAS EVALUATED THE AGENCY'S TAX POSITIONS AND CONCLUDED THAT THE AGENCY HAS NO UNRELATED BUSINESS INCOME OR UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS. REGATTA 209069 209069 43628 WALK 227017 227017 42021 1 121714 121714 21267 557800 557800 106916 106916 450884 1 X X X X X X 0 1 0 0 0 0 0 1 0 DIANE STRINGER 250651 0 56000 0 206528 0 11500 0 12215 0 536894 0 0 0 CONNIE WOODWORTH 142087 0 23746 0 0 0 18408 0 1333 0 185574 0 0 0 STEPHANIE PATEL 224318 0 35355 0 0 0 20804 0 6286 0 286763 0 0 0 JUDITH CRANNEY 137498 0 24437 0 0 0 17476 0 9666 0 189077 0 0 0 LISA ROME 174533 0 4908 0 0 0 0 0 3589 0 183030 0 0 0 LOUISE DEPODESTA 136944 0 4060 0 0 0 6696 0 5937 0 153637 0 0 0 PART I, LINE 4B DIANE STRINGER, CEO, RECEIVED PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN, TOTAL $206,528. PART I, LINE 7 PERFORMANCE BONUS AT BOARD DISCRETION MASSACHUSETTS DEVELOPMENT FINANCE AGENCY 043431814 NONEAVAIL 2009-10-16 3000000 CONSTRUCTION OF A HOSPICE FACILITY 0 0 0 3000000 60000 2940000 2010 0 0 0 1 0 0 0 0 0 1 1 0 0 0 1 BEATRICE THIBEDEAU BOARD MEMBER 117036 BOARD OF TRUSTEES NORTH SHORE MEDICAL CENTER, INPATIENT HOSPICE SERVICES AND OUTPATIENT MEDICAL SERVICES 0 JAMES DUNNE BOARD MEMBER 62712 NORTHEAST HEALTH SYSTEM, INPATIENT HOSPICE SERVICES AND OUTPATIENT MEDICAL SERVICES 0 PETER SHERWOOD BOARD MEMBER 487951 DANVERS BANK, LOAN PAYMENTS AND ANNUAL FEE 0 FORM 990, PART VI, SECTION B, LINE 11 PRESIDENT AND CEO AND EXECUTIVE COMMITTEE REVIEW 990 PRIOR TO SIGNING. FORM 990, PART VI, SECTION B, LINE 12C POLICY IS REVIEWED ANNUALLY WITH THE BOARD OF DIRECTORS. EACH MEMBER IS ASKED TO SIGN AN AFFIDAVIT ACKNOWLEDGING THEY HAVE READ THE POLICY, UNDERSTAND THE POLICY, AND ARE IN COMPLIANCE WITH THE POLICY. FORM 990, PART VI, SECTION B, LINE 15A EXECUTIVE COMMITTEE SOLICITED AND CONSIDERED COMPARIBILITY DATA, COMPENSATION STUDY, AND CONSULTATIVE INPUT. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST FORM 990. PART XII, LINE 2C. NO CHANGE FROM PRIOR YEAR.