2023-05-11T13:51:06-05:00 2022-06-30 263753134 CBIZ MHM LLC 500 BOYLSTON STREET BOSTON MA 02116 990 2021-07-01 042502970 GOSNOLD INC GOSN 5085406550 200 TER HEUN DRIVE FALMOUTH MA 02540 RICHARD CURCURU CEO 5085406550 2023-05-10 1 RICHARD CURCURU 999009999 BRENDA L BOOTH P01342395 6177610600 2023-05-10 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z RICHARD CURCURU 200 TER HEUN DRIVE FALMOUTH MA 02540 30847554 0 X WWW.GOSNOLD.ORG X 1972 MA GOSNOLD, INC. WAS ESTABLISHED FOR THE REHABILITATION OF SUBSTANCE ABUSERS AND OFFERS ADDICTION AND MENTAL HEALTH TREATMENT ON AN IN-PATIENT AND OUT-PATIENT BASIS. 11 10 493 40 0 0 1646111 4367688 27405017 23771554 5193 908326 1074290 1326332 30130611 30373900 0 0 0 0 23627619 23199411 45000 45000 824104 6527634 7194478 30200253 30438889 -69642 -64989 11214398 12288456 5238943 6397785 5975455 5890671 X GOSNOLD, INC. WAS ESTABLISHED FOR THE REHABILITATION OF SUBSTANCE ABUSERS AND OFFERS ADDICTION AND MENTAL HEALTH TREATMENT ON AN IN-PATIENT AND OUT-PATIENT BASIS. 1 1 7268502 6906692 GOSNOLD OUTPATIENT PROGRAM - EXPENSE EXCLUDES ADMINISTRATIVE OVERHEAD. GOSNOLD OFFERS OUTPATIENT TREATMENT AT FOUR LOCATIONS ON CAPE COD, ONE LOCATION ON NANTUCKET, AND TWO OFF-CAPE LOCATIONS IN STOUGHTON AND N. DARTMOUTH. GOSNOLD'S OUTPATIENT LOCATIONS PROVIDE TREATMENT FOR MENTAL HEALTH, SUBSTANCE USE, AND CO-OCCURRING DISORDERS, THROUGH INDIVIDUAL, FAMILY, AND GROUP COUNSELING, PSYCHOPHARMACOLOGICAL SERVICE, MEDICATION ASSISTED TREATMENT, PARTIAL HOSPITALIZATION, AND DRIVER ALCOHOL EDUCATION. THE GOSNOLD STAFF INCLUDES QUALIFIED PSYCHIATRISTS, ADVANCED NURSE PRACTITIONERS, PSYCHOLOGISTS, MENTAL HEALTH COUNSELORS, PSYCHIATRIC NURSES, AND INTERVENTION SPECIALISTS. CERTIFIED AND LICENSED COUNSELORS WORK WITH PATIENTS ON THE DISEASE CONCEPT OF ADDICTION, RECOVERY MANAGEMENT SKILLS, THE TWELVE STEPS, RELAPSE PREVENTION, FAMILY COUNSELING AND RELATIONSHIP ISSUES. THE INTERVENTION SPECIALISTS CONDUCT STRUCTURED INTERVENTIONS TO HELP FAMILY MEMBERS COMMUNICATE THEIR CONCERNS ABOUT A LOVED ONES' ADDICTION IN ORDER TO MOTIVATE THEM TO ACCEPT TREATMENT. GROUP COUNSELING TREATMENT IS RECOGNIZED AS ONE OF THE BEST WAYS TO TREAT ADDICTION. GOSNOLD OFFERS A NUMBER OF GROUP EDUCATIONAL AND THERAPY SESSIONS TO HELP PEOPLE AT VARIOUS STAGES OF RECOVERY. DAY AND EVENING TREATMENT PROGRAMS ARE DESIGNED FOR PERSONS IN NEED OF INTENSIVE AND STRUCTURED TREATMENT, BUT WHO MAY NOT CURRENTLY REQUIRE A RESIDENTIAL OR INPATIENT PROGRAM. THESE TREATMENT PROGRAMS ADDRESS IMPORTANT RECOVERY CONCEPTS INCLUDING RECOVERY MANAGEMENT AND RELAPSE PREVENTION, TWELVE STEP WORK, IMPROVING UNDERSTANDING OF THE DISEASE CONCEPT OF ADDICTION, IDENTIFYING AND REDUCING EMOTIONAL AND BEHAVIORAL OBSTACLES TO RECOVERY, AND IMPROVING COMMUNICATIONS SKILLS. GOSNOLD'S PARTIAL HOSPITALIZATION PROGRAM PROVIDES AN EXCELLENT DIVERSION OPTION TO INPATIENT TREATMENT FOR CO-OCCURRING MENTAL HEALTH AND SUBSTANCE USE DISORDERS. GOSNOLD'S TREATMENT TEAM PROVIDES ADULT AND CHILD PSYCHIATRY, MEDICATION MANAGEMENT, ASSESSMENT, AND TREATMENT OF EMOTIONAL AND PSYCHOLOGICAL ILLNESSES AND DISORDERS. SPECIALISTS ARE AVAILABLE TO DIAGNOSE AND TREAT A FULL RANGE OF MENTAL ILLNESS AND EMOTIONAL DISORDERS, INCLUDING CO-DEPENDENCY, BIPOLAR ILLNESS, ADJUSTMENT DISORDERS, GRIEF AND LOSS, DUAL DIAGNOSES, ABUSE, DEPRESSION, POST-TRAUMATIC STRESS DISORDERS, AND OBSESSIVE-COMPULSIVE DISORDER. 7699003 6277948 GOSNOLD TREATMENT CENTER - EXPENSE EXCLUDES ADMINISTRATIVE OVERHEAD. GOSNOLD TREATMENT CENTER PROVIDES ACUTE ALCOHOL DETOXIFICATION SERVICES. GOSNOLD TREATS ADDICTION AS A CHRONIC DISEASE THAT REQUIRES LIFE-LONG MANAGEMENT, AND IS OFTEN COMPLICATED BY OTHER MEDICAL, EMOTIONAL AND SITUATIONAL CONDITIONS. WE BELIEVE THAT COMPLICATIONS ARE IMPROVED BY ABSTINENCE FROM OTHER SUBSTANCES; YET, EMPHASIZE A HARM REDUCTION MODEL OF TREATMENT WHEN APPROPRIATE TO PATIENT CONDITION AND PREFERENCE. THE PRIMARY CARE OFFERED IS MEDICAL DETOXIFICATION AND STABILIZATION. THE GOSNOLD TREATMENT CENTER, LOCATED ADJACENT TO FALMOUTH HOSPITAL IS A 50 BED FACILITY WHICH INCLUDES SEMI-PRIVATE BEDROOMS, LOUNGES, A DINING AREA, GROUP THERAPY ROOMS AND COUNSELING OFFICES. THE DETOXIFICATION PROGRAM IS STAFFED BY PHYSICIANS, NURSES, COUNSELORS AND RECOVERY AIDES WHO PROVIDE MEDICAL AND COUNSELING CARE TO PATIENTS UNDERGOING WITHDRAWAL OF TREATMENT. TREATMENT BEGINS WITH A MEDICAL ASSESSMENT AND EVALUATION. A VARIETY OF MEDICATIONS ARE USED TO REDUCE THE DISCOMFORT OF WITHDRAWAL. WE ADMINISTER BUPRENORPHINE (SUBOXONE) FOR OPIATE WITHDRAWAL TREATMENT. WHILE NOT PRESENTLY USING METHADONE AS MEDICATION ASSISTED TREATMENT, GOSNOLD IS IN THE PROCESS OF DOING SO. THE DETOXIFICATION PERIOD STAY VARIES, DEPENDING ON PATIENT NEEDS. MEDICAL AND COUNSELING STAFF MEETS REGULARLY TO REVIEW PROGRESS. PATIENTS ATTEND EDUCATIONAL SESSIONS, INDIVIDUAL AND GROUP COUNSELING AND 12 STEP GROUPS. COUNSELORS HELP PATIENTS TO UNDERSTAND THEIR DISEASE, ITS SYMPTOMS AND PROGRESSION AND TREATMENT OPTIONS AVAILABLE IN CONTINUING CARE. 6478103 6152559 GOSNOLD'S CLINICAL STABILIZATION SERVICES (CSS) PROGRAMS AT EMERSON HOUSE PROVIDE ACUTE REHABILITATION SERVICES TO THOSE SUFFERING FROM SUBSTANCE USE DISORDERS. OUR PROGRAM TAKES A PERSONALIZED APPROACH TO MEET EACH PATIENT'S NEEDS AND OUR MULTI-DISCIPLINARY TEAMS DEVELOP CUSTOMIZED TREATMENT PLANS AND CLINICAL SUPPORT THROUGHOUT THE COURSE OF THE PATIENTS' STAY. THE PROGRAMS UTILIZE A VARIETY OF DIFFERENT TREATMENT MODALITIES DESIGNED TO MAKE THE TREATMENT EXPERIENCE ENRICHING AND EDUCATIONAL SUCH AS; INDIVIDUAL AND GROUP COUNSELING, HEALTH EDUCATION, EVIDENCE-BASED THERAPIES INCLUDING COGNITIVE BEHAVIORAL THERAPY, MEDITATION AND MINDFULNESS, INTRODUCTION TO 12 STEP AND OTHER SELF-HELP PROGRAMS AND PLANNING FOR LONGER-TERM SUPPORT SERVICES. GOSNOLD UNDERSTANDS EVERY CASE IS DIFFERENT AND TREATMENT SHOULD BE TAILORED TO MEET THE INDIVIDUAL WHERE THEY ARE IN THEIR RECOVERY PROCESS. GOSNOLD AT EMERSON HOUSE IS A 41 BED INPATIENT RESIDENTIAL FACILITY LOCATED IN WEST FALMOUTH. 4600455 5697506 OTHER PROGRAMS - GOSNOLD RESIDENTIAL PROGRAMS. AS PART OF GOSNOLD'S CONTINUUM OF CARE MODEL, GOSNOLD PROVIDES RESIDENTIAL SERVICES TO MEN AND WOMEN SUFFERING FROM SUBSTANCE USE DISORDER. THE MILLER HOUSE IN FALMOUTH, MA HAS 23 BEDS FOR MEN WITH SUBSTANCE USE DISORDER WHERE INDIVIDUAL AND GROUP THERAPY IS PROVIDED. THE AVERAGE LENGTH OF STAY FOR A PATIENT SPANS 8-9 WEEKS. THE EMERSON HOUSE ALSO IN FALMOUTH, MA HAS 37 BEDS FOR WOMEN WITH SUBSTANCE USE DISORDER, INCLUDING 10 BEDS FOR WOMEN IN PREGNANCY OR POSTPARTUM. INDIVIDUAL AND GROUP THERAPY IS PROVIDED FOR EACH PATIENT IN ADDITION TO LIFE SKILLS. THE AVERAGE LENGTH OF STAY FOR A PATIENT SPANS 2-6 MONTHS.OTHER PROGRAMS - BEHAVIORAL HEALTH COMMUNITY PARTNERSHIP (BH CP). GOSNOLD VIA GOSNOLD FOUNDATION IS ONE OF THREE ORGANIZATIONS THAT COMPRISE SOUTHEAST COMMUNITY PARTNERSHIP, LLC (SECP). BH CPS PARTNER WITH ACCOUNTABLE CARE ORGANIZATION (ACO) AND MANAGED CARE ORGANIZATION (MCO) TO FACILITATE INTEGRATION OF MEMBERS' CARE, INCLUDING MEDICAL, BEHAVIORAL, SOCIAL, LONG TERM SERVICES AND SUPPORTS AND OTHER NEEDS. SECP HAS ESTABLISHED RELATIONSHIPS WITH NINE ACOS AND TWO MCOS. GOSNOLD HAS OVERSIGHT OF THREE OF THE FIVE GEOGRAPHICALLY BASED HUBSFALMOUTH (COVERING FALMOUTH, NANTUCKET AND MARTHA VINEYARD), NORTH DARTMOUTH (COVERING FALL RIVER AND NEW BEDFORD) AND STOUGHTON (COVERING BROCKTON, TAUNTON AND ATTLEBORO).LAUNCHED AS A PILOT PROGRAM IN 2019 AND IN OUR COUNTY IN FEBRUARY OF 2022, THE BEHAVIORAL HEALTH JUSTICE INVOLVED PROGRAM IS A PARTNERSHIP BETWEEN MASSHEALTH AND THE MASSACHUSETTS EXECUTIVE OFFICE OF THE TRIAL COURT. GOSNOLD WAS THE CHOSEN VENDOR FOR BARNSTABLE, DUKES AND NANTUCKET COUNTY IN 2022. REFERRALS TO BH-JI ARE PREDOMINANTLY RECEIVED FROM OUR LOCAL HOUSES OF CORRECTION, THE DEPARTMENT OF CORRECTIONS ACROSS THE STATE (FOR INDIVIDUALS RELEASING TO CAPE COD), PROBATION AND PAROLE DEPARTMENTS, AND OUR INPATIENT FACILITIES. THE GOAL OF THIS PROGRAM IS TO PAIR A TRAINED NAVIGATOR WITH PEOPLE WHO ARE LEAVING OR HAVE RECENTLY LEFT JAIL OR PRISON, PEOPLE ON PAROLE OR PROBATION, OR THOSE THAT ARE AWAITING TRIAL THAT SUFFER FROM SUBSTANCE USE DISORDER AND/OR MENTAL HEALTH DIAGNOSES. THE BH-JI NAVIGATORS HELP THE ENROLLEES FIND BEHAVIORAL HEALTH SERVICES AND SOCIAL SUPPORT IN THE COMMUNITY, INCLUDING SETTING UP INPATIENT OR OUTPATIENT SERVICES, HOUSING SEARCHES AND APPLICATIONS, DEPARTMENT OF TRANSITIONAL ASSISTANCE APPLICATIONS, COORDINATING REGISTRY OF MOTOR VEHICLE APPOINTMENTS AND HEARINGS, TRANSPORTATION, EMPLOYMENT, INSURANCE, IDS., FOOD INSECURITY SUPPORT, COMMUNICATION DEVICES AND ATTENDING COURT APPEARANCES. WHEN THIS POPULATION IS CONNECTED TO THE RIGHT HEALTH CARE AND COMMUNITY SERVICES IT CAN IMPROVE HEALTH, REDUCE OVERDOSES, AND HOPEFULLY PREVENT RE-INCARCERATION, HOSPITAL STAYS AND ADMISSION TO INPATIENT DETOXIFICATION FACILITIES. 4600455 5697506 26046063 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 1 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 65 0 1 493 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 10 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 MA X RICHARD CURCURU 5085406550 200 TER HEUN DRIVE FALMOUTH MA 02540 RICHARD CURCURU PRESIDENT AND CEO 40.00 X X 444410 0 39213 DONALD QUENNEVILLE CHAIRMAN 1.00 X X 0 0 0 CHARLES REIDY VICE CHAIRMAN 1.00 X X 0 0 0 JOHN SCHULTE TREASURER 1.00 X X 0 0 0 ROBERT KORWATCH SECRETARY 1.00 X X 0 0 0 ELIZABETH ANDREEV DIRECTOR 1.00 X 0 0 0 WILLIAM CAFFERKY DIRECTOR 1.00 X 0 0 0 JOHN COOK DIRECTOR 1.00 X 0 0 0 THOMAS MAXWELL MUNDY DIRECTOR 1.00 X 0 0 0 RACHEL NEWTON DIRECTOR 1.00 X 0 0 0 MEGAN ZOTTOLI DIRECTOR 1.00 X 0 0 0 JEFFREY MODESTINO CFO 40.00 X 243909 0 31672 ANDREW MANN MD OUTPATIENT MEDICAL DIRECTO 40.00 X 284655 0 42481 KEVIN RALPH CDERO 40.00 X 193436 0 22520 ALBERTA ANDERSON CHIEF CLINICAL OFFICER 40.00 X 260352 0 18831 MICHAEL CAWLEY CHRO 40.00 X 222388 0 3449 JAMES SULLIVAN IN-PT MEDICAL DIRECTOR 40.00 X 272570 0 13958 ERICA SCANLON NURSE PRACTITIONER 40.00 X 162007 0 12610 KIMBERLY KINSMAN NURSE PRACTITIONER 40.00 X 138745 0 14795 ALEXANDRA ARMITAGE NURSE PRACTITIONER 40.00 X 138128 0 14702 ROGER MARTINKUS JR NURSE PRACTITIONER 40.00 X 109556 0 0 2470156 0 214231 18 0 1 0 ALL COVERED A SUBSIDIARY OF KMBS USA IN DEPT LA 22988 PASADENA CA 91185 IT SERVICES 544231 PERSAM FALMOUTH LLC 118 KNICKERBOCKER AVENUE BROOKLYN NY 11237 RENT 324789 NETSMART TECHNOLOGIES INC PO BOX 713519 PHILADELPHIA PA 19171 IT SERVICES 321044 CROWN LINEN SERVICE INC 15 TECHNOLOGY WAY NASHUA NH 03060 LINEN SERVICE 172936 TOTALCOM SOLUTIONS INC 458 BOSTON STREET TOPSFIELD MA 01983 IT SERVICES 167132 9 2494216 1873472 400 4367688 GOSNOLD OUTPATIENT PROGRAM 900099 6906692 6906692 GOSNOLD TREATMENT CTR. 900099 6277948 6277948 CLINICAL STABILIZATION SERVICES 900099 6152559 6152559 BH COMMUNITY PARTNERSHIP 900099 2271065 2271065 COMMUNITY BASED PREVENTION 900099 1037206 1037206 1126084 1126084 23771554 5581 5581 299564 0 299564 299564 299564 681 1347682 0 445618 681 902064 902745 902745 91217 28036 63181 63181 MISCELLANEOUS 900099 963587 963587 963587 30373900 25034705 0 971507 1233326 545007 688319 17839254 16423698 1010844 404712 161633 145470 16163 1843954 1609475 200782 33697 2121244 1829045 254516 37683 92596 92596 84649 84649 45000 45000 2959 2959 1526458 766167 758443 1848 70585 69979 606 149013 102809 46204 609914 609914 412641 412641 OTHER ADMIN EXP 3355510 3053190 302320 PROGRAM SUPPORT 536005 537161 -1156 DIRECT CARE CONSULTANTS 306640 306640 MEALS 47508 47508 30438889 26046063 3568722 824104 2852099 2400100 5957 41061 3284528 4785271 464203 567472 16965562 12656408 4370688 4309154 236923 185398 11214398 12288456 1579497 2079442 1163407 1980000 2496039 2338343 5238943 6397785 X 5614872 5608510 360583 282161 5975455 5890671 11214398 12288456 -64989 -19795 0 X 0 1 X 1 0 X 913218 1539661 4115956 1646111 4367688 12582634 913218 1539661 4115956 1646111 4367688 12582634 12582634 10212 4783 3201 6142 5581 29919 798643 770612 900623 1040441 1263151 4773470 17386023 132996381 0.72370 0.69610 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 297800 297800 2993344 2752007 241337 7055400 4628500 2426900 5863808 5275901 587907 755210 755210 4309154 X 30394182 -19795 15000 28036 23241 30370941 2959 2959 30373900 30478966 15000 28036 43036 30435930 2959 2959 30438889 PART X, LINE 2: THE AGENCY ACCOUNTS FOR THE EFFECT OF ANY UNCERTAIN TAX POSITIONS BASED ON A "MORE LIKELY THAN NOT" THRESHOLD TO THE RECOGNITION OF THE TAX POSITIONS BEING SUSTAINED BASED ON THE TECHNICAL MERITS OF THE POSITION UNDER SCRUTINY BY THE APPLICABLE TAXING AUTHORITY. IF A TAX POSITION OR POSITIONS ARE DEEMED TO RESULT IN UNCERTAINTIES OF THOSE POSITIONS, THE UNRECOGNIZED TAX BENEFIT IS ESTIMATED BASED ON A "CUMULATIVE PROBABILITY ASSESSMENT" THAT AGGREGATES THE ESTIMATED TAX LIABILITY FOR ALL UNCERTAIN TAX POSITIONS. THE AGENCY HAS IDENTIFIED ITS TAX STATUS AS A TAX EXEMPT ENTITY AS ITS ONLY SIGNIFICANT TAX POSITION; HOWEVER, THE AGENCY HAS DETERMINED THAT SUCH TAX POSITION DOES NOT RESULT IN AN UNCERTAINTY REQUIRING RECOGNITION. THE AGENCY IS NOT CURRENTLY UNDER EXAMINATION BY ANY TAXING JURISDICTION. THE AGENCY'S FEDERAL AND STATE TAX RETURNS ARE GENERALLY OPEN FOR EXAMINATION FOR THREE YEARS FOLLOWING THE DATE FILED. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSES 28,036. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSES 28,036. X X 1 ONWARD CONSULTING LLC 3 RIDGE VIEW LANE DEERFIELD NH 03037 FUNDRASING EVENT AND SOLICITATION 0 0 45000 0 45000 MA GOLF TOURNAMENT 62375 62375 23855 POLAR PLUNGE 28842 28842 4181 91217 91217 28036 28036 63181 X X X X 1 0 0 0 0 0 0 1 0 RICHARD CURCURU PRESIDENT AND CEO 316409 0 115521 0 12480 0 6607 0 32606 0 483623 0 0 0 ANDREW MANN MD OUTPATIENT MEDICAL DIRECTO 284655 0 0 0 0 0 6000 0 36481 0 327136 0 0 0 JAMES SULLIVAN IN-PT MEDICAL DIRECTOR 272095 0 0 0 475 0 0 0 13958 0 286528 0 0 0 ALBERTA ANDERSON CHIEF CLINICAL OFFICER 207952 0 50000 0 2400 0 3323 0 15508 0 279183 0 0 0 JEFFREY MODESTINO CFO 193909 0 50000 0 0 0 4028 0 27644 0 275581 0 0 0 MICHAEL CAWLEY CHRO 167388 0 55000 0 0 0 2500 0 949 0 225837 0 0 0 KEVIN RALPH CDERO 136137 0 30000 0 27299 0 0 0 22520 0 215956 0 0 0 ERICA SCANLON NURSE PRACTITIONER 162007 0 0 0 0 0 2052 0 10558 0 174617 0 0 0 KIMBERLY KINSMAN NURSE PRACTITIONER 138745 0 0 0 0 0 2884 0 11911 0 153540 0 0 0 ALEXANDRA ARMITAGE NURSE PRACTITIONER 132777 0 5000 0 351 0 0 0 14702 0 152830 0 0 0 PART I, LINE 4A KEVIN RALPH RECEIVED A SEVERANCE PAYOUT IN CALENDAR 2021 IN THE AMOUNT OF $26,925. PART I, LINE 7 RICHARD CURCURU, JEFFREY MODESTINO, ALBERTA ANDERSON, MICHAEL CAWLEY AND KEVIN RALPH EACH RECEIVED A BONUS DURING 2021 CALENDAR YEAR UNDER THE MANAGEMENT INCENTIVE PROGRAM WHICH IS USED TO MAXIMIZE ALIGNMENT OF MANAGEMENT PERFORMANCE WITH ORGANIZATIONAL GOALS AND OBJECTIVES. ALEXANDRA ARMITAGE RECEIVED A SIGN ON BONUS OF $5,000 DURING CALENDAR 2021. FORM 990, PART III, LINE 2 GOSNOLD, INC. STARTED A NEW PROGRAM - BEHAVIORAL HEALTH FOR JUSTICE - DURING FISCAL 2022. FORM 990, PART III, LINE 3 GOSNOLD, INC. ENDED ITS RESIDENTIAL SERVICES PROGRAM DURING FISCAL 2022. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY OUR INDEPENDENT ACCOUNTING FIRM AND REVIEWED BY THE FINANCE COMMITTEE. THEY APPROVE THE DRAFT FORM 990 WHICH IS THEN PROVIDED TO THE FULL BOARD FOR APPROVAL PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO SIGN A CONFLICT OF INTEREST FORM ANNUALLY. IF A POTENTIAL CONFLICT IS FOUND TO EXIST, THAT INDIVIDUAL IS BARRED FROM PARTICIPATING IN ANY DELIBERATIONS OR DECISIONS REGARDING THE CONFLICTING MATTER. FORM 990, PART VI, SECTION B, LINE 15 THE FULL BOARD VOTES ON ADJUSTMENTS TO THE CEO'S COMPENSATION ON AN ANNUAL BASIS. COMPENSATION FOR OFFICERS IS REVIEWED BY THE CEO AND COMPARED TO SALARY BENCHMARKS FOR THE AREA. IN ALL CASES, REVIEW AND APPROVAL ARE DONE BY INDEPENDENT PERSONS AND THERE IS DOCUMENTATION OF THE DELIBERATIONS AND DECISIONS OF THE MATTER. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON WRITTEN REQUEST. THE AUDITED FINANCIAL STATEMENTS AND THE FORM 990 ARE AVAILABLE VIA THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITE.