2013-05-01T10:22:24-05:00 2012-06-30 010523282 Berry Dunn McNeil & Parker LLC PO Box 1100 Portland ME 041041100 990 2011-07-01 222561879 Yankee Alliance Inc YANK 9784702000 138 River Road Andover MA 018101083 Keith Hovan 9784702000 2013-04-16 1 Barbara J McGuan CPA P00219457 2077752387 2013-04-16 2011 2016-03-07 17:11:31Z James Oliver 138 River Road Andover MA 018101083 4722412 0 X www.yankeealliance.com X 1984 MA Regional hospital alliance providing education and knowledge transfer activities. 8 8 67 0 1550457 0 0 0 7493492 4670326 443310 52086 0 0 7936802 4722412 3058891 3726294 0 0 6693870 3468618 0 0 0 1065428 1287658 10818189 8482570 -2881387 -3760158 13655623 9877591 1401240 1383366 12254383 8494225 X Yankee Alliance, Inc. is a regional multihospital alliance whose founding members are either tax-exempt tertiary teaching hospitals or large tax-exempt community hospitals serving distinct geographies with primary, secondary and tertiary level medical services. The current membership of over 50 acute care hospitals benefit from best practice applications and knowledge transfer initiatives generated through the collaborative process Yankee has developed over the past two and one half decades. 0 1 878749 1137987 Research, develop and maintain joint venture, best practice applications and knowledge transfer initiatives. The current membership of over 50 acute care hospitals and thousands of alternate site facilities benefit from best-practice applications and knowledge transfer initiatives generated through the collaborative process Yankee has developed over the past two and one half decades.In addition beginning in January 2012, the Center for Medicare and Medicaid Innovation (CMMI) announced the availability of funding to help hospitals reduce preventable readmissions by twenty percent and reduce preventable hospital-acquired conditions by forty percent through the Partnership for Patients (PFP). To facilitate meeting these goals and spreading innovation across the hospital community, CMMI has approved Premier as a "Hospital Engagement Contractor" or HEC. Yankee Alliance is working with Premier as an Affinity Group to support our member hospitals in efforts regionally while utilizing the support of the Premier national member network. This is a two year program with an optional third year of funding if the goals are met. We currently have four separate hospital systems and a total of eight hospitals involved in the program. 2636247 3532339 In furtherance of its own tax-exempt purposes, Yankee Alliance, Inc. provides management services to related entities, which allow for transformational learning by connecting, collaborating and communicating activities through best practices applications and knowledge transfer initiatives to improve hospital operations and performance. 3726294 3726294 0 Yankee Alliance, Inc. provides funds in the form of annual grants to its tax-exempt member hospitals. The Organization was created to foster joint programs and ventures among its not-for-profit hospital members. The grant program helps to fund programs or projects that improve the quality of patient care, expand medical and health related services offered by member institutions, and/or lower the costs of services being provided by member institutions. Grant recipients are expected to share their "lessons learned" with the greater membership. During FY12, Yankee Alliance, Inc. also provided grants to its tax-exempt hospital members in the amount of $1,275,000 to support the Yankee Alliance Supply View Program. This program provides patron-hospitals with the insight into product utilization and price with the goal of implementing industry best practices that support quality of care and reduction of supply chain expense through the use of a data analytics software known as SUPPLYview. The SUPPLYview program provides analysis and recommendations in four specific areas: (1) Identifies opportunities for members to improve product prices by accessing available contracts, (2) Suggests areas to standardize products resulting in less variability of care and lower cost, (3) Benchmarks product prices against a national database to identify opportunities to improve product pricing and (4) Recommends best practices for product utilization that result in less variability and lower cost of care.During the fiscal year ended June 30, 2012, patron hospitals were able to document savings from the Supply View Program of $11,514,662 plus an additional $25,778,219 of related savings for implementation in the fiscal year of June 30, 2013. 7241290 1 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 6 0 1 67 1 1 1 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MA CA X James Oliver President 9784702000 138 River Road Andover MA 01810 Norman Dascher 0.50 X X 0 0 0 Dale Lodge 0.50 X X 0 0 0 David Kruczlnicki 0.50 X X 0 0 0 David Phelps 0.50 X 0 0 0 David Lincoln 0.50 X 0 0 0 Richard Silveria 0.50 X 0 0 0 Christopher O'Connor 0.50 X 0 0 0 Steve Guimond 0.50 X 0 0 0 Keith Hovan 0.50 X X 0 0 0 James Oliver 4.00 X 455549 0 32128 Charles Manning 2.00 X 237849 0 31299 Richard Berkman 40.00 X 227087 0 29108 John Evans 0.10 X 182716 0 27998 Cathy Spinney 0.10 X 216712 0 30217 Thomas Wright 0.10 X 225578 0 30371 Jody Daniels 2.00 X 228230 0 29529 1773721 0 210650 15 0 1 0 Global Healthcare Exchange LLC 1315 W Century Drive Louisville CO 80027 Consulting Services 484625 Meritage - Andover Holdings LLC 2 Overhill Road 425 Scarsdale NY 10583 Real Estate Lease 265633 Ropes & Gray LLP 800 Boylston Street Boston MA 02199 Legal Services 217746 PC Connection Route 101A 730 Milford Road Merrimack NH 03054 Consulting Services 130054 McGladrey 80 City Square Boston MA 02129 Consulting Services 100465 5 Management Services 900099 3532339 1981882 1550457 Membership Fees 900099 1045833 1045833 Other Misc. Income 900099 92154 92154 4670326 52086 52086 4722412 3119869 1550457 52086 3726294 3726294 756825 567619 189206 2159808 1619856 539952 73794 55345 18449 328405 246304 82101 149786 112339 37447 432828 324621 108207 57893 57893 11695 11695 177589 133192 44397 79376 59532 19844 81644 61213 20431 17259 12944 4315 131260 98445 32815 55515 41636 13879 19883 14912 4971 186988 140241 46747 22967 17225 5742 Training 5544 4158 1386 Dues & Subscriptions 4552 3414 1138 Taxes - Other 1844 1383 461 Promotional Donations 732 549 183 89 68 21 8482570 7241290 1241280 0 8108047 4207901 3145130 3165096 12700 62223 107426 48258 1167440 750101 333106 417339 1106939 1128766 842275 848008 13655623 9877591 910851 116636 27530 0 462859 1266730 1401240 1383366 X 12254383 8494225 12254383 8494225 13655623 9877591 -3760158 0 X X 0 1 1 X 0 X 13700457 6132511 6013546 6243741 3119869 35210124 13700457 6132511 6013546 6243741 3119869 35210124 0 3637619 5056155 4967278 5224827 1950162 20836041 3637619 5056155 4967278 5224827 1950162 20836041 14374083 632219 723201 932340 443310 52086 2783156 632219 723201 932340 443310 52086 2783156 14332676 6855712 6945886 6687051 3171955 37993280 0.37830 0.50420 0.07330 0.06120 X 116368 41619 74749 1051072 708482 342590 417339 Investments to Fund Deferred Compensation 316666 C Premier Inc. Investment 812100 C 1128766 Deposits 3609 CSV of Life Insurance 844399 848008 Due To Affiliates 950064 Deferred Compensation 316666 1266730 1 Glens Falls Hospital 100 Park Street Glens Falls NY 12801 141338413 501(c)(3) 523367 A grant to enhance the current Electronic Medical Record System by implementing three additional capabilities: e-prescribing, remote physician access and voice recognition. These capabilities will impact both quality of patient care and lower cost of care.Additionally, a grant was made to support the Yankee Alliance Supply View Program to improve supply chain management through a data analytics software utilized to reduce costs, improve quality and streamline operations. Berkshire Medical Center Inc 725 North Street Pittsfield MA 01201 042791396 501(c)(3) 443341 To fund the implementation of a clinical documentation improvement program with the purpose of comprehensively improving clinical documentation for inpatient care.Additionally, a grant was made to support the Yankee Alliance Supply View Program to improve supply chain management through a data analytics software utilized to reduce costs, improve quality and streamline operations. Boston Medical Center 88 East Newton Street PE Building Boston MA 02118 043314093 501(c)(3) 634967 A grant to complete funding of the BMC Scorecard project. The BMC Scorecard provides critically important, actionable information to managers and clinicians, allowing them to measure and improve patient safety and quality of care.Additionally, a grant was provided to fund the Safe Sign-Outs project. This initiative will create a form, IT-based process for residents shift hand offs, with the objective of reducing medical errors resulting from gaps in communication.Additionally, a grant was made to support the Yankee Alliance Supply View Program to improve supply chain management through a data analytics software utilized to reduce costs, improve quality and streamline operations. Covenant Health Systems Inc 100 Ames Pond Drive Suite 102 Tewksbury MA 018761293 222484505 501(c)(3) 420707 A grant to continue funding a clinical supply chain expert to help and support value analysis teams in acute care hospitals in long term care. A grant to utilize an environmental dashboard software for measuring water and other utility consumption, audit of bills and highlight ways to reduce costs.Additionally, a grant was provided to fund the purchase and installation of the EPSi Strategic Budget and Productivity Module to complete the 2011 installation with the goal to help identify cost variances and reduce these costs from the sponsored facilities. Saint Raphael Hospital 1450 Chapel Street New Haven CT 06511 060653171 501(c)(3) 480781 A grant to fund the implementation of an advance barcode and tracking application to improve patient identification, and safety.Additionally, a grant was provided to fund consulting and project management to support a number of Value Analysis Committees. Includes clinical support and benchmark data to achieve cost reduction opportunities through product utilization review and product contract conversion opportunities and implementation of a web-based value analysis management tool.Additionally, a grant was made to support the Yankee Alliance Supply View Program to improve supply chain management through a data analytics software utilized to reduce costs, improve quality and streamline operations. Saints Memorial Medical Center Inc One Hospital Drive Lowell MA 01852 042104885 501(c)(3) 15000 A grant to support the Yankee Alliance Supply View Program to improve supply chain management through a data analytics software utilized to reduce costs, improve quality and streamline operations. Southcoast Hospitals Group Inc 101 Page Street New Bedford MA 02740 222592333 501(c)(3) 613637 A grant to fund the preventable harm due to hospital acquired C Diff infections and device-related infections, while lowering the cost of care. C-Diff funding is a combination of additional environmental improvements combined with a pharmacist-led, formalized and multidisciplinary antibiotic stewardship program. Device-related funding includes advanced training and educational materials.Additionally, a grant was made to support the Yankee Alliance Supply View Program to improve supply chain management through a data analytics software utilized to reduce costs, improve quality and streamline operations. Winchester Hospital 41 Highland Avenue Winchester MA 01890 012104434 501(c)(3) 414494 A grant to fund services to incorporate hyperbaric oxygen therapy (HBOT). HBOT facilitates wound healing through increasing levels of oxygen in tissues, enhancing growth of reparative tissue and new blood vessels, destruction of harmful bacteria and enhancing cell activity to fight infection.Additionally, a grant was made to support the Yankee Alliance Supply View Program to improve supply chain management through a data analytics software utilized to reduce costs, improve quality and streamline operations. St Mary's Medical Center 45 Golder Street Lewiston ME 042406033 010211551 501(c)(3) 180000 A grant to support the Yankee Alliance Supply View Program to improve supply chain management through a data analytics software utilized to reduce costs, improve quality and streamline operations. 9 0 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: For Grants that are awarded to member Hospitals, Yankee Alliance, Inc. requires the submission of a quarterly report as well as a presentation of the results of the project or program that the grant funded. X X X X 0 0 0 0 0 0 0 0 0 James Oliver 319492 0 24760 0 111297 0 11025 0 21103 0 487677 0 0 0 Charles Manning 203150 0 16387 0 18312 0 9999 0 21300 0 269148 0 0 0 Richard Berkman 204090 0 20237 0 2760 0 9265 0 19843 0 256195 0 0 0 John Evans 167658 0 13757 0 1301 0 7677 0 20321 0 210714 0 0 0 Cathy Spinney 201024 0 15237 0 451 0 9124 0 21093 0 246929 0 0 0 Thomas Wright 209682 0 15869 0 27 0 9479 0 20892 0 255949 0 0 0 Jody Daniels 176877 0 16021 0 35332 0 9705 0 19824 0 257759 0 0 0 Changes in Program Services Form 990, Part III, line 3 Beginning January 1, 2012, the Organization went through a corporate restructure. As of that date, all of Yankee Alliance Inc.'s employees became employees of Yankee Alliance LLC. In addition, management services to related entities and operations are performed by Yankee Alliance LLC. Form 990, Part VI, Section A, line 6 Membership consists of hospitals, medical centers, multi-corporate health care delivery systems and other health-related organizations which are described in Section 501(c)(3) of the Internal Revenue Code and which are exempt from taxation under 501(a) of the Internal Revenue Code. Form 990, Part VI, Section A, line 7a The Board of Directors consists of one representative designated and appointed by each member institution, who shall be the chief executive officer of such member institution or such other senior executive officer of such member institution as the Board of Directors may approve. Form 990, Part VI, Section B, line 11 Form 990 is reviewed internally by the Organization's Financial Analyst, Senior Vice President of Finance and CEO. The return is compared to the current year audited financial statements, internal data and prior year tax return to insure that the information to be filed is complete and accurate. After the internal review is complete the return is forwarded to legal counsel for their review. Once the internal and legal review is complete the tax return is provided to all board members with the final review and approval resting with the Board Officers. Once the tax return is approved the Treasurer will sign and have the return filed electronically by the Organization's tax preparer. Form 990, Part VI, Section B, line 12c Yankee Alliance, Inc. monitors and enforces compliance with the Organization's conflict of interest policy by providing board members with a conflict of interest statement for their review and signature. If a conflict does exist the board member is required to disclose that conflict in the disclosure section of the document. Conflict of interest statements are presented to the board members at the Organization's annual meeting in October. The Organization monitors and enforces the conflict of interest policy by including a standing agenda item asking board members to self-disclose any conflicts of interest that may have arisen since the last disclosure document was signed. Form 990, Part VI, Section B, line 15 The compensation of all employees, with the exception of the CEO, is based on comparisons to an annual market survey which is performed by an outside firm, and in which the organization gears such salaries toward the 50th percentile of the survey. These salaries are managed through the Human Resources Department. The CEO's salary is reviewed annually and also compared to a market survey performed by an outside firm, and is geared toward the 50th percentile. The CEO's salary is determined by the compensation committee of the board of directors. Form 990, Part VI, Section C, line 19 The conflict of interest policy is available to the public on the Organization's website and upon request. Financial statements and governing documents are available to the public upon request and through the Massachusetts Attorney General's office. Oversight of Audit Form 990, Part XI, Line 2c: The process of overseeing the financial statement audit and selecting an independent accounting firm has not changed from the prior year. Relation to Yankee Alliance, LLC Schedule R Part III Eight of the nine founding members of Yankee Alliance, Inc. are all, and the only, partners of Yankee Alliance, LLC. Allocation of Hours Worked 990, Part VII, Section A: The employees listed on Form 990, Part VII, Section A are paid by Yankee Alliance, Inc. through December 31, 2011. Beginning January 1, 2012 the Organization went through a corporate restructure and all employees are now paid by Yankee Alliance, LLC. However, their time is allocated between Yankee Alliance, Yankee Alliance Supply Chain Cooperative Inc., and Yankee Alliance, LLC. In addition, the employing entity is reimbursed for the services performed. All employees work 40 hours per week, allocated as follows: James Oliver: Yankee Alliance: 4 hours/week Yankee Alliance Supply Chain Cooperative Inc.: 24 hours/week Yankee Alliance, LLC: 12 hours/week Charles Manning: Yankee Alliance: 2 hours/week Yankee Alliance Supply Chain Cooperative Inc.: 36 hours/week Yankee Alliance, LLC: 2 hours/week Richard Berkman: Yankee Alliance: 40 hours/week John Evans: Yankee Alliance Supply Chain Cooperative Inc.: 40 hours/week Cathy Spinney: Yankee Alliance Supply Chain Cooperative Inc.: 24 hours/week Yankee Alliance, LLC: 16 hours/week Thomas Wright: Yankee Alliance, LLC: 40 hours/week Jody Daniels: Yankee Alliance: 2 hours/week Yankee Alliance Supply Chain Cooperative Inc.: 36 hours/week Yankee Alliance, LLC: 2 hours/week Yankee Alliance Supply Chain Cooperative Inc 138 River Road Andover MA 018101083 043027064 Group Purchasing Services MA 501(c)(3) Line 3 N/A 0 Yankee Alliance LLC 138 River Road Andover MA 018101083 300486661 Group Purchasing Services DE N/A 0 0 0 0 1 0 0 0 0 0 1 0 1 1 1 1 0 0