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EMERSON HEALTH CARE FOUNDATION INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
EMERSON HEALTH CARE FOUNDATION INC (EIN 04-2770980)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-11
IRS object ID
201412239349301296
Schema version
2012v2.1
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)
Timestamp2014-08-11T13:03:26-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN042770980EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1EMERSON HEALTH CARE FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlEMERNameControl
Phone9782873233Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1OLD ROAD TO NINE ACRE CORNERAddressLine1
CityCONCORDCity
StateMAState
ZIP Code01742ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameROBERT TREMBLAYName
TitleSENIOR DIRECTOR OF FINANCETitle
Phone9782873233Phone
Date Signed2014-08-11DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonROBERT TREMBLAYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1OLD ROAD TO NINE ACRE CORNERAddressLine1
CityCONCORDCity
StateMAState
ZIP Code01742ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1709926GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteEMERSONHOSPITAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1992YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionCOORDINATE AND DEVELOP THE FUNDRAISING EFFORT FOR EMERSON HOSPITALActivityOrMissionDescription
Nbr Voting Members Governing Body25NbrVotingMembersGoverningBody
Nbr Independent Voting Members22NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1609114ContributionsGrantsPriorYear
Contributions Grants Current Year1638011ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year2673InvestmentIncomePriorYear
Investment Income Current Year1770InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year1611787TotalRevenuePriorYear
Total Revenue Current Year1639781TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year476251SalariesEtcPriorYear
Salaries Etc Current Year516491SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year801943TotalFundrsngExpCurrentYear
Other Expense Prior Year255986OtherExpensePriorYear
Other Expenses Current Year285452OtherExpensesCurrentYear
Total Expenses Prior Year732237TotalExpensesPriorYear
Total Expenses Current Year801943TotalExpensesCurrentYear
Revenues Less Expenses Prior Year879550RevenuesLessExpensesPriorYear
Revenues Less Expenses CY837838RevenuesLessExpensesCY
Total Assets BOY4130326TotalAssetsBOY
Total Assets EOY3800767TotalAssetsEOY
Total Liabilities BOY371283TotalLiabilitiesBOY
Total Liabilities EOY368960TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3759043NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3431807NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionEMERSON HEALTH CARE FOUNDATION INC PROVIDES PHILANTHROPIC RESOURCES TO ASSIST EMERSON HEALTH SYSTEM, INC AND EMERSON HOSPITAL IN FULFILLING THEIR MISSION OF IMPROVING THE HEALTH STATUS OF THE PEOPLE IN THE COMMUNITIES IT SERVES. THROUGH THE ON-GOING CULTIVATION OF RELATIONSHIPS, THE FOUNDATION LEADERSHIP WILL STRIVE TO CREATE THE WILLINGESS AS WELL AS THE MEANS THROUGH WHICH EMERSON HOSPITAL'S CONTITUENTS WILL FINANCIALLY SUPPORT THE FACILITY, EQUIPMENT, OPERATIONAL, EDUCATIONAL AND PROGRAMMATIC NEEDS OF THE HOSPITAL. THE FOUNDATION WILL STRIVE CONTINUALLY TO EXPAND THE BASE OF ANNUAL PHALANTHROPIC SUPPORT AND BUILD AN ENDOWMENT TO ENSURE THE COMMUNITY'S FUTURE HEALTH CARE NEEDS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionEMERSON HEALTH CARE FOUNDATION IS AN ORGANIZATION THAT SUPPORTS FUNDRAISING EFFORTS FOR EMERSON HOSPITAL.Description
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip0ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising1ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
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 With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members25NbrVotingGoverningBodyMembers
Number Independent Voting Members22NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
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 Venture0InvestmentInJointVenture
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 Line1ROBERT TREMBLAYBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9782873233TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1OLD ROAD TO NINE ACRE CORNERAddressLine1
CityCONCORDCity
StateMAState
ZIP Code01742ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
JOANNE ARMSTRONG
DIRECTOR4.00X000
JEFFREY S CAMPBELL
DIRECTOR4.00X000
PAUL BIRCH
DIRECTOR4.00X000
WILLIAM P BOGER III MD
DIRECTOR4.00X000
STEPHEN CARR
TREASURER4.00X000X
RICHARD H CHURCHILL
DIRECTOR4.00X000
GLORIA CLOUGH
CHAIR4.00X000X
BYRON E WOODMAN JR
DIRECTOR4.00X000
CYNTHIA DEYSHER
VICE CHAIR4.00X000X
MARTIN KAFINA MD
DIRECTOR4.00X000
DENISE HAARTZ
DIRECTOR4.00X000
HEIDI HARRING
DIRECTOR4.00X000
JOHN HICKLING
DIRECTOR4.00X000
WISNTON R HINDLE JR
DIRECTOR4.00X000
RONALD JOHNSON
DIRECTOR4.00X000
LYNN MARTIN
DIRECTOR4.00X000
BETTY ANN KILLIAN
SECRETARY4.00X000X
JEANNE S KANGAS
DIRECTOR4.00X000
BENJAMIN A TILLINGER MD
DIRECTOR4.00X038513219403
CHRISTINE SCHUSTER
PRESIDENT4.00X076458641030X
RODNEY G SPARROW
DIRECTOR4.00X000
SALLY SAVELLE
DIRECTOR4.00X000
CHARLES A DENAULT
DIRECTOR4.00X000
ANNA WINTER RASMUSSEN
DIRECTOR4.00X000
JOHN DRESSER
EXECUTIVE DIRECTOR50.00X024304730225
JOHN WILHELM
ASSISTANT TREASURER4.00046472418500X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1857489TotalReportableCompFrmRltdOrgs
Total Other Compensation109158TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events95415FundraisingEvents
All Other Contributions1542596AllOtherContributions
Total Contributions1638011TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1770TotalRevenueColumn
Exclusion$1,770ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events70145GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events95415CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses70145FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1639781TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,770ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total266450Total
Fundraising266450Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total189267Total
Fundraising189267Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total60774Total
Fundraising60774Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total16807Total
Fundraising16807Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2453Total
Fundraising2453Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalFundraisingFundraising
CONTRACTED SERVICES113284113284
FOOD & FUNCTION5850558505
OTHER ADMINISTRATIVE4088240882
PRINTING2934029340

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total24181Total
Fundraising24181Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total801943Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising801943Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1420650BOY
EOY1358550EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY848644BOY
EOY497090EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1861032BOY
EOY1945127EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4130326BOY
EOY3800767EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY371283BOY
EOY368960EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY371283BOY
EOY368960EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY894300BOY
EOY411990EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1410143BOY
EOY1513428EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1454600BOY
EOY1506389EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3759043BOY
EOY3431807EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4130326BOY
EOY3800767EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses837838ReconcilationRevenueExpenses
Reconciliation Unrealized Invest22816ReconciliationUnrealizedInvest
Reconcilation Other Changes-1187890ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Written IRS DeterminationXWrittenIRSDetermination
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1EMERSON HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
EIN042103565EIN
Type Of Organization3TypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$705,583Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts705583SumOfAmounts

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 Balance1454602BeginningOfYearBalance
Contributions49197Contributions
Investment Earnings Or Losses55471InvestmentEarningsOrLosses
Other Expenditures52881OtherExpenditures
End Of Year Balance1506389EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1399339BeginningOfYearBalance
Contributions45714Contributions
Investment Earnings Or Losses62557InvestmentEarningsOrLosses
Other Expenditures53008OtherExpenditures
End Of Year Balance1454602EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1322908BeginningOfYearBalance
Contributions71732Contributions
Investment Earnings Or Losses67070InvestmentEarningsOrLosses
Other Expenditures62371OtherExpenditures
End Of Year Balance1399339EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1214920BeginningOfYearBalance
Contributions105075Contributions
Investment Earnings Or Losses143410InvestmentEarningsOrLosses
Other Expenditures140497OtherExpenditures
End Of Year Balance1322908EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1101230BeginningOfYearBalance
Contributions119654Contributions
Investment Earnings Or Losses67442InvestmentEarningsOrLosses
Other Expenditures73406OtherExpenditures
End Of Year Balance1214920EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Other Securities OtherSecurities (4 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
BENEFICIAL INTEREST IN SPLIT-INTEREST217417F
UNRESTRICTED63504F
TEMPORARILY RESTRICTED157817F
PERMANENTLY RESTRICTED1506389F
FieldValueIRS element (for citing)
Total Of Book Value Securities1945127TotalOfBookValueSecurities
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt1639781TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal1639781RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9901639781TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt801943TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal801943ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990801943TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:THE PRINCIPAL BALANCE OF THE ENDOWMENT FUND IS PERMANENTLY RESTRICTED FROM USE. INCOME ON THE ENDOWMENT FUND THAT HAS BEEN DESIGNATED FOR A SPECIFIC PURPOSE BY THE DONOR IS USED AS SPECIFIED. OTHERWISE, THE INCOME IS USED TO ADVANCE THE ORGANIZATION'S GENERAL CHARITABLE PURPOSE.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:IN FISCAL 2013 THERE WAS NO FOOTNOTE IN THE AUDITED FINANCIAL STATEMENTS REFERENCING FIN48 BECAUSE THE ORGANIZATION DID NOT FILE UNCERTAIN TAX POSITIONS.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Email SolicitationsXEmailSolicitations
Phone SolicitationsXPhoneSolicitations
In Person SolicitationsXInPersonSolicitations
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref Fundraising0AgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation

Name Of Organization NameOfOrganization

FieldValueIRS element (for citing)
Business Name Line1TELECOMP INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13375 BRIGHTON HENRIETTA TOWNLINE RDAddressLine1
CityROCHESTERCity
StateNYState
ZIP Code14623ZIPCode
FieldValueIRS element (for citing)
ActivityTELEMARKETINGActivity
Fundraiser Control Of Funds0FundraiserControlOfFunds
Gross Receipts51528GrossReceipts
Amount Retained By Contractor35472AmountRetainedByContractor
Net To Organization16056NetToOrganization
FieldValueIRS element (for citing)
Total Gross Receipts51528TotalGrossReceipts
Total Retained By Contractors35472TotalRetainedByContractors
Total Net To Organization16056TotalNetToOrganization
Licensed StatesMALicensedStates

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1+GOLF TOURNAMENTNameOfEvent1
Gross Receipts Event1127605GrossReceiptsEvent1
Charitable Contributions Event172922CharitableContributionsEvent1
Gross Revenue Event154683GrossRevenueEvent1
Non Cash Prizes Event110011NonCashPrizesEvent1
Rent Facility Costs Event126653RentFacilityCostsEvent1
Food And Beverage Event116704FoodAndBeverageEvent1
Other Direct Expenses Event11315OtherDirectExpensesEvent1
Name Of Event2RUN WALKNameOfEvent2
Gross Receipts Event237955GrossReceiptsEvent2
Charitable Contributions Event222493CharitableContributionsEvent2
Gross Revenue Event215462GrossRevenueEvent2
Food And Beverage Event24925FoodAndBeverageEvent2
Other Direct Expenses Event210537OtherDirectExpensesEvent2
Gross Receipts Total165560GrossReceiptsTotal
Charitable Contributions Total95415CharitableContributionsTotal
Gross Revenue Total Events70145GrossRevenueTotalEvents
Non Cash Prizes Total Events10011NonCashPrizesTotalEvents
Rent Facility Costs Total Events26653RentFacilityCostsTotalEvents
Food And Beverage Total Events21629FoodAndBeverageTotalEvents
Other Direct Expenses Total Events11852OtherDirectExpensesTotalEvents
Direct Expense Summary Events70145DirectExpenseSummaryEvents
Net Income Summary0NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
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 (4 entries)

TitleTitleBase 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
BENJAMIN A TILLINGER MD
DIRECTOR034064701000003448502500016903040453500
CHRISTINE SCHUSTER
PRESIDENT05477120183532033342018500022530080561600
JOHN DRESSER
EXECUTIVE DIRECTOR01842670495400924005223025002027327200
JOHN WILHELM
ASSISTANT TREASURER0340315010649801791101850000048322400

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 4BReturnReference
ExplanationJOHN DRESSER, CHRISTINE SCHUSTER AND JOHN WILHELM ARE PAID THROUGH EMERSON HOSPITAL AND ARE ELIGIBLE TO PARTICIPATE IN THE FOLLOWING NONQUALIFIED RETIREMENT PLAN. EMERSON HOSPITAL OFFERS A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN TO A SELECT CLASS OF MANAGEMENT. SUPPLEMENTAL RETIREMENT INCOME IS ASSESSED BY AN INDEPENDENT ACTUARY TO DETERMINE ANNUAL CONTRIBUTION AMOUNTS BY EMERSON HOSPITAL. PLAN CONTRIBUTIONS BECOME INCOME TO THE PARTICIPANT BASED ON A CLIFF VESTING SCHEDULE, WHICH IS EVERY FIVE YEARS FROM THE DATE OF PLAN ENROLLMENT. THE FOLLOWING PERSONS PARTICIPATED IN A 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. CHRISTINE SCHUSTER JOHN O. WILHELM C. GREGORY MARTINExplanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2BOARD MEMBERS DENISE HAARTZ AND GLORIA CLOUGH SERVE TOGETHER ON THE BOARD OF DIRECTORS OF THE LOUISA MAY ALCOTT ORCHARD HOUSE OF CONCORD.
FORM 990, PART VI, SECTION A, LINE 6EMERSON HEALTH SYSTEM, INC ACTING THROUGH ITS BOARD OF DIRECTORS, IS THE MEMBER FOR EMERSON HEALTH CARE FOUNDATION.
FORM 990, PART VI, SECTION A, LINE 7ATHE NUMBER AND COMPOSITION OF THE BOARD OF DIRECTORS IS FIXED ANNUALLY BY THE MEMBER, EMERSON HEALTH SYSTEM.
FORM 990, PART VI, SECTION A, LINE 7BTHE NUMBER AND COMPOSITION OF THE BOARD OF DIRECTORS IS FIXED ANNUALLY BY THE MEMBER, EMERSON HEALTH SYSTEM.
FORM 990, PART VI, SECTION B, LINE 11THE COMPLETED FORM 990 WAS PRESENTED TO THE BOARD OF DIRECTORS DURING A REGULARLY SCHEDULED MEETING AND WAS OPEN FOR REVIEW, DISCUSSION, QUESTIONS AND COMMENTS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE BOARD OF DIERCTORS REQUIRES THAT ALL BOARD MEMBERS AND SENIOR MANAGERS COMPLETE AND SIGN THE CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. THE EXECUTIVE DIRECTOR REVIEWS THESE QUESTIONNAIRES AND SUMMARIZES ANY ISSUES THAT COULD CREATE A CONFLICT OF INTEREST. THIS SUMMARY IS REVIEWED BY THE GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS AND IS PRESENTED TO THE ENTIRE BOARD ANNUALLY SO THAT ALL BOARD MEMBERS ARE AWARE OF POTENTIAL CONFLICTS OF INTEREST AND HAVE INFORMATION THEY CAN RELY ON IF THEY FEEL AN INDIVIDUAL MAY HAVE DIVIDED LOYALTIES ON A DECISION COMING BEFORE THE BOARD OF DIRECTORS. THE BOARD CHAIR IS RESPONSIBLE FOR EVALUATING ANY CONFLICT OF INTEREST AND DETERMINING THE TREATMENT OF THE SITUATION ACCORDING TO BOARD POLICY.
FORM 990, PART VI, SECTION B, LINE 15THE CEO AND EXECUTIVE DIRECTOR OF EMERSON HEALTH CARE FOUNDATION ARE EMPLOYED BY EMERSON HOSPITAL. EMERSON HOSPITAL'S BOARD OF DIRECTORS HOLDS THE SOLE RESPONSIBILITY FOR ESTABLISHING THE COMPENSATION OF THE CEO. THE COMPENSATION COMMITTEE, A SUBCOMMITTEE OF THE BOARD OF DIRECTORS COMPRISED OF AT LEAST THREE INDEPENDENT BOARD MEMBERS, IS RESPONSIBLE FOR THE REVIEW AND RECOMMENDATION OF THE CEO'S COMPENSATION. THIS ANALYSIS INCLUDES AN ANNUAL INDEPENDENT REVIEW OF COMPARABLE INSTITUTIONS. THE VICE PRESIDENT OF HUMAN RESOURCES, ACTING AS STAFF SUPPORT FOR THE COMMITTEE, MAINTAINS WRITTEN RECORDS ON COMPENSATION AND THE COMMITTEE'S ACTIONS. MEETING MINUTES DOCUMENT THE COMMITTEE'S DECISION-MAKING PROCESS, THE TYPES OF COMPARABLE DATA THAT WAS USED TO DETERMINE THE FAIR MARKET VALUE FOR AN EXECUTIVE'S SERVICES AND THE NATURE OF ANY DECISIONS MADE SO AS TO ESTABLISH A REBUTTABLE PRESUMPTION OF REASONABLENESS FOR COMPENSATION FOR A DISQUALIFIED INDIVIDUAL. THE COMPENSATION COMMITTEE ALSO REVIEWS AND APPROVES THE CEO'S RECOMMENDATION OF COMPENSATION FOR KEY EMPLOYEES INCLUDING OFFICERS AND VICE PRESIDENTS. THIS ANALYSIS INCLUDES AND INDEPENDENT REVIEW OF COMPARABLE INSTITUTIONS. THE VICE PRESIDENT OF HUMAN RESOURCES, ACTING AS STAFF SUPPORT FOR THE COMMITTEE, MAINTAINS WRITTEN RECORDS ON COMPENSATION AND THE COMMITTEE'S ACTIONS. MEETING MINUTES DOCUMENT THE COMMITTEE'S DECISION-MAKING PROCESS, THE TYPES OF COMPARABLE DATA THAT WAS USED TO DETERMINE THE FAIR MARKET VALUE FOR AN EXECUTIVE'S SERVICES AND THE NATURE OF ANY DECISIONS MADE SO AS TO ESTABLISH A REBUTTABLE PRESUMPTION OF REASONABLENESS FOR COMPENSATION FOR A DISQUALIFIED INDIVIDUAL.
FORM 990, PART VI, SECTION C, LINE 18THE FORM 990 IS AVAILABLE ON THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITE. FORMS 1023 AND 990 ARE ALSO AVAILABLE UPON REQUEST TO THE FOUNDATION.
FORM 990, PART VI, SECTION C, LINE 19EMERSON HEALTH CARE FOUNDATION'S BY-LAWS ARE AVAILABLE ON THE MASSACHUSETTS SECRETARY OF STATE'S WEBSITE. CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:NET ASSETS RELEASED FOR PLANT AND EQUIPMENT -705,583. TRANSFER TO AFFILIATES -482,307.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART IX, LINES 5, 7 AND 9ALL PERSONNEL ARE EMPLOYEES OF EMERSON HOSPITAL, INC AND W-2S ARE ISSUED BY EMERSON HOSPITAL. THE EXPENSE FOR EMPLOYEES DOING THE WORK OF EMERSON HEALTH CARE FOUNDATION IS ALLOCATED TO EMERSON HEALTH CARE FOUNDATION VIA INTERCOMPANY ACCOUNTS. THE AMOUNTS ON LINES 5, 7, AND 9 REPRESENT THE EXPENSE ALLOCATED BY EMERSON HOSPITAL.SALARIES/WAGES AND BENEFITS REPORTED ON STATEMENT OF FUNTIONAL EXPENSES

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
EMERSON HEALTH SYSTEM INC
133 OLD ROAD TO NINE ACRE CORNERCONCORDMA01742042770977PROVIDES ITS SUBSIDIARIES WITH A MANAGEMENT TEAMMA501(C)3509(A)(3) TYPE IN/A0
EMERSON HOSPITAL INC
133 OLD ROAD TO NINE ACRE CORNERCONCORDMA01742042103565ACUTE CARE COMMUNITY HOSPITALMA501(C)3170(B)(1)(A)(III)0EMERSON HEALTH SYSTEM INC
EMERSON PRACTICE ASSOCIATES
133 OLD ROAD TO NINE ACRE CORNERCONCORDMA01742043111240HEALTH CARE SERVICES IN THE COMMUNITIES SERVED BY EMERSON HOSPITALMA501(C)3170(B)(1)(A)(III)0EMERSON HOSPITAL INC
EMERSON PRACTICE ASSOICATES II
133 OLD ROAD TO NINE ACRE CORNERCONCORDMA01742800482067HEALTH CARE SERVICES IN THE COMMUNITIES SERVED BY EMERSON HOSPITALMA501(C)3170(B)(1)(A)(III)0EMERSON HOSPITAL INC

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityControlled OrgControlledOrg
EMERSON OCCUPATIONAL HEALTH SERVICES INC
133 OLD ROAD TO NINE ACRE CORNERCONCORDMA01742042800607HEALTH SERVICESMAEMERSON HEALTH SYSTEMS INCC0
EMERSON PROPERTY DEVELOPMENT CORP
133 OLD ROAD TO NINE ACRE CORNERCONCORDMA01742042793599PROPERTY MANAGEMENTMAEMERSON HEALTH SYSTEMS INCC0
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
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
EMERSON HOSPITAL
L482307REPORTED AT FAIR VALUE
EMERSON HOSPITAL
O516492REPORTED AT FAIR VALUE
EMERSON HOSPITAL
P285452REPORTED AT FAIR VALUE