2021-05-17T13:04:20-05:00 2020-06-30 410746749 CLIFTONLARSONALLEN LLP TWO INTERNATIONAL PLACE 22ND FLOOR BOSTON MA 02110 990 2019-07-01 042496563 ASCENTRIA CARE ALLIANCE INC ASCE 7742433900 14 EAST WORCESTER STREET NO 300 WORCESTER MA 01604 ANGELA BOVILL PRESIDENT & CEO 7742433900 2021-05-13 1 LAURA J KENNEY P00202198 6177170831 2021-05-13 2019 2022-09-23 18:48:47Z ANGELA BOVILL 14 EAST WORCESTER STREET NO 300 WORCESTER MA 01604 6772292 0 6011 X WWW.ASCENTRIA.ORG X 1872 MA WE ARE CALLED TO STRENGTHEN COMMUNITIES BY EMPOWERING PEOPLE TO RESPOND TO LIFE'S CHALLENGES. 14 13 65 23 0 0 333650 565406 5776159 6158969 56028 45132 4052 2785 6169889 6772292 0 0 0 0 4692968 4701043 0 0 733499 2910178 2870081 7603146 7571124 -1433257 -798832 10352798 10286184 3627646 3804142 6725152 6482042 WE ARE CALLED TO STRENGTHEN COMMUNITIES BY EMPOWERING PEOPLE TO RESPOND TO LIFE'S CHALLENGES. 0 0 6158969 THE ORGANIZATION PROVIDES BOARD DEVELOPMENT, PUBLIC RELATIONS, CHURCH RELATIONS, HUMAN RESOURCE MANAGEMENT, WORKER'S COMPENSATION AND UNEMPLOYMENT CLAIMS MANAGEMENT, GROUP PURCHASING, DEBT MANAGEMENT, ACCOUNTING, COMPLIANCE, AND BENEFITS MANAGEMENT TO ITS RELATED ORGANIZATIONS. 1 1 0 0 0 0 0 0 0 1 1 0 1 1 1 0 0 1 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 1 1 1 0 0 1 14 0 1 65 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 MA X ANGELA BOVILL 7742433900 14 EAST WORCESTER STREET SUITE 300 WORCESTER MA 01604 ANGELA BOVILL PRESIDENT/CEO 13.60 26.40 X X 314682 0 12257 TIMOTHY JOHNSTONE EXECUTIVE VP/COO 13.60 26.40 X 201779 0 14536 NANCY MEEGAN EXECUTIVE VP/CHRO 13.60 26.40 X 162001 0 14493 JEANETTE WADE EXECUTIVE VP/CFO 13.60 26.40 X 161719 0 0 NICHOLAS RUSSO TREASURER 13.60 26.40 X 130812 0 5626 MICHAEL ALDEN VP AND GENERAL MANAGER OF SOCIAL ENTERPRISE 13.60 26.40 X 123676 0 12127 STACIE LABOSSIERE SENIOR DIRECTOR OF FINANCE 13.60 26.40 X 117447 0 8420 ANN DANCY VP FOR NH OPERATIONS 13.60 26.40 X 0 110779 14452 PATRICK WILLIAMS VP OF QUALITY AND COMPLIANCE 13.60 26.40 X 117964 0 108 PAUL HALSTEAD SENIOR DIRECTOR OF IT 13.60 26.40 X 105719 0 123 JEFFREY KINNEY EXECUTIVE VP/CERO 13.60 26.40 X 96312 0 2836 TARA BROWNE CLERK/EXECUTIVE ASSISTANT 13.60 26.40 X 65607 0 0 WILLIAM MAYO CHAIR 0.30 4.20 X X 0 0 0 THE REV ROSS GOODMAN VICE CHAIR 0.30 4.20 X X 0 0 0 KAREN GAYLIN SECRETARY 0.30 4.20 X X 0 0 0 GARTH GREIMANN FINANCIAL SECRETARY 0.30 4.20 X X 0 0 0 FREDERICK JENOURE DIRECTOR 0.30 4.20 X 0 0 0 SCOTT HAMILTON DIRECTOR 0.30 4.20 X 0 0 0 STACEY LUSTER DIRECTOR 0.30 4.20 X 0 0 0 SHERRI PITCHER DIRECTOR 0.30 4.20 X 0 0 0 KEITH ROBERTSON DIRECTOR 0.30 4.20 X 0 0 0 BARBARA RUHE DIRECTOR 0.30 4.20 X 0 0 0 KIMBERLY SALMON DIRECTOR 0.30 4.20 X 0 0 0 PETER SCHMIDT DIRECTOR 0.30 4.20 X 0 0 0 THE REV LAURA EVERETT DIRECTOR 0.30 4.20 X 0 0 0 1597718 110779 84978 9 0 1 0 DEK ASSOCIATES INC 168 ADAMS AVENUE NEWTON MA 02465 CONSULTING 122858 CLIFTONLARSONALLEN LLP PO BOX 829709 PHILADELPHIA PA 19182 AUDIT 105864 2 565406 565406 PROGRAM SERVICE REVENUE 561000 6158969 6158969 6158969 45132 45132 OTHER REVENUE 561000 2785 2785 2785 6772292 6158969 0 47917 1360711 1197426 163285 2712135 2382410 329725 304618 268953 35665 323579 283940 39639 99732 99567 165 65631 65631 73425 73425 737597 649139 88458 20980 6277 14703 229340 214964 14376 369833 351153 18680 915819 915819 46551 42125 4426 19330 19018 312 97207 97207 54681 54681 39035 28722 10313 OTHER EXPENSES 100641 86889 13752 BAD DEBTS 279 279 7571124 0 6837625 733499 248835 3503064 1923746 7096 22315 2982 0 382869 479183 2575713 2420272 171098 155441 1415852 1417909 9542 9542 4860295 6029213 10352798 10286184 696179 882990 3435 383 2517169 2505860 410863 414909 3627646 3804142 X 1145265 1029832 5579887 5452210 6725152 6482042 10352798 10286184 X -798832 -15131 570853 X 0 1 X 1 0 X 244218 430022 144460 333650 565406 1717756 6438688 6885339 7301793 5776159 6158969 32560948 6682906 7315361 7446253 6109809 6724375 34278704 13596 14940 29883 43689 102108 0 13596 14940 29883 43689 102108 34176596 66925 70279 14051 56028 45132 252415 66925 70279 14051 56028 45132 252415 86479 10060 1606 4052 2785 104982 6836310 7395700 7461910 6169889 6772292 34636101 0.98670 0.98640 0.00730 0.00780 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2015 AMOUNT: $ 86,479. 2016 AMOUNT: $ 10,060. 2017 AMOUNT: $ 1,606. 2018 AMOUNT: $ 4,052. 2019 AMOUNT: $ 2,785. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 933880 933880 933880 933880 906134 27746 933880 664415 200000 41719 906134 710815 -46400 664415 1.00000 0 1 0 1 1 303344 241704 61640 824893 780102 44791 1447475 1398466 49009 155441 ELCA ENDOWMENT FUND 730123 C INVESTMENT HELD IN TRUST 687786 F 1417909 DUE FROM RELATED PARTIES 5655520 PENSION ASSET 297532 SECURITY DEPOSITS 30893 BENEFICIAL INTEREST IN LIFE INSURANCE 45268 6029213 TRAVELERS PENSION PLAN 414909 414909 PART V, LINE 4: IN ACCORDANCE WITH THE DONOR REQUIREMENTS THE ENDOWMENT FUNDS ARE HELD IN PERPETUITY UNTIL APPROPRIATED FOR EXPENDITURE TO BE USED FOR GENERAL PURPOSES OF THE ORGANIZATION. X X X 1 0 0 0 0 0 0 0 0 ANGELA BOVILL PRESIDENT/CEO 314682 0 0 0 0 0 0 0 12257 0 326939 0 0 0 TIMOTHY JOHNSTONE EXECUTIVE VP/COO 201779 0 0 0 0 0 0 0 14536 0 216315 0 0 0 NANCY MEEGAN EXECUTIVE VP/CHRO 162001 0 0 0 0 0 0 0 14493 0 176494 0 0 0 JEANETTE WADE EXECUTIVE VP/CFO 161719 0 0 0 0 0 0 0 0 0 161719 0 0 0 PART I, LINE 4A PATRICK WILLIAMS, HIGHEST COMPENSATED EMPLOYEE, RECEIVED A SEVERANCE PAYMENT OF $25,000 UPON TERMINATION OF EMPLOYMENT. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY A NATIONAL INDEPENDENT ACCOUNTING FIRM FROM INFORMATION PROVIDED BY MANAGEMENT. FINANCIAL MANAGEMENT WILL REVIEW THE FORM 990 WHEN IT IS COMPLETED. ASCENTRIA CARE ALLIANCE, INC.'S (ACA) AUDIT COMMITTEE PROVIDES SECONDARY REVIEW AND APPROVAL PRIOR TO SUBMISSION TO THE IRS. THE COMPLETE FORM 990 IS POSTED TO THE BOARD INTRANET FOR REVIEW BY THE ACA FINANCE COMMITTEE AS WELL AS ALL BOARD MEMBERS PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ANY DIRECTOR, OFFICER, EMPLOYEE, COMMITTEE MEMBER, OR VOLUNTEER OF ACA OR ITS SUBSIDIARIES, WHETHER BECAUSE OF HIS/HER EMPLOYMENT, BUSINESS INTERESTS, INVESTMENTS, OR OTHERWISE, WHO HAS INTERESTS THAT DO OR MAY, DIRECTLY OR INDIRECTLY, COMPETE WITH OR BE IN CONFLICT WITH THE INTERESTS OF ACA SHALL PROMPTLY DISCLOSE ALL MATERIAL FACTS OF SUCH CONFLICT OF INTEREST IN WRITING TO THE CHAIRPERSON OF THE BOARD OF DIRECTORS AND/OR TO THE PRESIDENT OF ACA. SUCH PERSON SHALL ALSO ANNOUNCE THE SAME AT ANY MEETING OR DISCUSSION IN WHICH HE/SHE IS A PARTICIPANT AND AT WHICH SUCH CONFLICT ARISES AND SHALL REFRAIN FROM ACTING THEREON. AFTER DISCLOSURE OF A FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE GOVERNING BOARD OR COMMITTEE MEETING WHILE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE GOVERNING BOARD OR COMMITTEE MEETING, BUT AFTER THE PRESENTATION HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT OF INTEREST. THE CHAIRPERSON OF THE GOVERNING BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER EXERCISING DUE DILIGENCE, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE WHETHER ACA CAN OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN ACA'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE. IN CONFORMITY WITH THE ABOVE DETERMINATION IT SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. FORM 990, PART VI, SECTION B, LINE 15A THE EXECUTIVE COMMITTEE WILL OBTAIN RESEARCH TO MAKE A RECOMMENDATION FOR THE COMPENSATION OF THE CEO. A REVIEW OF COMPARABILITY DATA MAY INCLUDE THE FOLLOWING: COMPENSATION STUDIES BY INDEPENDENT SOURCES, WRITTEN JOB OFFERS FOR POSITIONS AT SIMILAR ORGANIZATION, DOCUMENTED PHONE CALLS ABOUT SIMILAR CEO POSITIONS, AND INFORMATION OBTAINED FROM THE IRS FORM 990 FILING OF SIMILAR ORGANIZATION. THE EXECUTIVE COMMITTEE WILL DOCUMENT ITS DECISIONS IN THE MINUTES OF THE MEETING. THE DOCUMENTATION OF THE CEO'S COMPENSATION INCLUDES: A DISCUSSION OF THE CEO'S RESPONSIBILITIES; ANNUAL PERFORMANCE REVIEW, DESCRIPTION OF THE COMPENSATION, BENEFITS, AND APPROVAL DATE; LIST OF COMMITTEE MEMBERS PRESENT DURING THE DISCUSSION; ACTIONS TAKEN WITH RESPECT TO THE DECISION OF THE COMPENSATION; AND A RECORD OF THE RESULT OF THE COMPENSATION VOTE. COMPENSATION OF THE ORGANIZATION'S OFFICERS OR KEY EMPLOYEES INCLUDE A SIMILAR PROCESS HOWEVER, AMOUNTS ARE APPROVED BY THE CEO. A REVIEW OF COMPARABILITY DATA MAY INCLUDE THE FOLLOWING: COMPENSATION STUDIES BY INDEPENDENT SOURCES, WRITTEN JOB OFFERS FOR POSITIONS AT SIMILAR ORGANIZATION, DOCUMENTED PHONE CALLS ABOUT SIMILAR POSITIONS, AND INFORMATION OBTAINED FROM THE IRS FORM 990 FILING OF SIMILAR ORGANIZATION. THE DOCUMENTATION OF THE OFFICERS AND KEY EMPLOYEES COMPENSATION INCLUDES: A DISCUSSION OF RESPONSIBILITIES; ANNUAL PERFORMANCE REVIEW, DESCRIPTION OF THE COMPENSATION, BENEFITS, AND APPROVAL DATE; ACTIONS TAKEN WITH RESPECT TO THE DECISION OF THE COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: TRANSFER OF EQUITY TO RELATED ORGANIZATIONS 570,853. 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