2012-07-16T11:51:08-05:00 2011-12-31 020383073 WILLIAM STEELE & ASSOCIATES PC 40 STARK STREET MANCHESTER NH 03101 990 2011-01-01 043239593 YOUVILLE HOUSE INC YOUV 6174911234 1573 CAMBRIDGE STREET CAMBRIDGE MA 02138 JOANNE C PARSONS 6174911234 2012-07-09 1 MICHAEL A BARBARITA CPA P00801253 6036228881 2011 2016-02-24 21:20:13Z JOANNE C PARSONS 1573 CAMBRIDGE STREET CAMBRIDGE MA 02138 6306953 0 0928 X YOUVILLEHOUSE.ORG X 1997 MA WE ARE A COMMUNITY OF HOPE INSPIRED BY THE LIFE AND WORK OF SAINT MARGUERITE D'YOUVILE. IN HER SPIRIT WE COMMIT OURSELVES TO EXCELLENCE, RESPECT AND COMPASISON FOR ALL WE SERVE AND FOR ONE ANOTHER. 7 5 104 0 0 0 5395 3960 5818788 5994617 707063 308376 0 0 6531246 6306953 0 0 0 0 2569390 2584285 0 0 0 2734091 2781304 5303481 5365589 1227765 941364 23003786 23848837 15545636 15603851 7458150 8244986 WE ARE A COMMUNITY OF HOPE INSPIRED BY THE LIFE AND WORK OF SAINT MARGUERITE D'YOUVILLE. IN HER SPIRIT WE COMMIT OURSELVES TO EXCELLENCE, RESPECT AND COMPASSION FOR ALL WE SERVE FOR ONE ANOTHER. 0 0 5154346 5994617 THE ORGANIZATION PROVIDED 34,047 DAYS OF RESIDENTIAL ASSISTED LIVING SERVICES TO THE ELDERLY FROM ALL ECONOMIC, RELIGIOUS AND ETHNIC BACKGROUNDS YOUVILLE HOUSE FOLLOWS THE METHODOLOGY THAT IS RECOMMENDED BY THE CATHOLIC HEALTH ASSOCIATION FOR CALCULATING THE COST OF SUPPORT FOR THE BROADER COMMUNITY. IN THE METHODOLOGY, THE COST OF PROVIDING SERVICES IS REDUCED BY PAYMENTS RECEIVED FOR SERVICES RESULTING IN A NET COST. IT IS THE NET COST OF PROGRAMS DIRECTED TO THE NEEDY COMPARED TO THE ACTUAL REIMBURSEMENT FOR THOSE SERVICES. YOUVILLE HOUSE HAD A TOTAL COMMUNITY BENEFIT OF $239,598 OF WHICH $199,646 WERE RENTS SUBSIDIZED BY THE ORGANIZATION. THIS IS 3.7 PERCENT OF OPERATING EXPENSES FOR THE YEAR OF THIS RETURN. 5154346 1 0 0 0 0 0 0 0 0 1 1 1 0 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 0 0 0 0 1 23 0 1 104 1 0 0 0 0 0 0 0 0 0 0 X 7 5 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X X JOANNE C PARSONS EXECUTIVE DIRECTOR 6174911234 1573 CAMBRIDGE STREET CAMBRIDGE MA 02138 SR ELLA CHRISTIAN 1.00 X 0 0 0 JOSEPH E CONNARTON 1.00 X 0 0 0 KENNETH FERRON 1.00 X 0 285362 191638 CAROL FLYNN 1.00 X 0 0 0 MICHAEL MCHUGHESQ 3.00 X X 0 0 0 H WILLIAM ADAMS 1.00 X X 0 0 0 JOANNE C PARSONS 40.00 X X 141650 0 19256 JOANNE SCIANNA 1.00 X 0 125234 16900 141650 410596 227794 1 0 1 0 STRUCTURETONE 711 ATLANTIC AVENUE BOSTON MA 02111 GENERAL CONTRACTOR SERVICE 401323 BLUE CROSS BLUE SHIELD 401 PARK DRIVE BOSTON MA 02155 HEALTH AND DENTAL INSURANCE 343774 SPAULDING HOSPITAL CAMBRIDGE 1573 CAMBRIDGE STREET CAMBRIDGE MA 02138 UTILITY SERVICES 221276 RDK ENGINEERS 451 D ST 800 BOSTON MA 02210 ENGINEERING SERVICE 203205 4 3960 3960 RESIDENT ROOM & BOARD 623000 5790236 5790236 OTHER RESIDENT SERVICE 623000 204381 204381 5994617 308376 308376 6306953 5994617 0 308376 141650 141650 1969347 1969347 45070 45070 265492 265492 162726 162726 60239 60239 2331 2331 7023 7023 36866 36866 36665 36665 534499 534499 5395 5395 839742 839742 430754 430754 114805 114805 OPERATING SUPPLIES 437462 437462 OTHER SUPPLIES & EXPENS 149639 149639 REAL ESTATE TAXES 94372 94372 PURCHASE SERVICES 30312 30312 1200 1200 5365589 5154346 211243 0 1810700 2871782 53327 71860 146140 93970 14850867 4650515 9725868 10200352 5946419 5814625 5321332 4796248 23003786 23848837 897457 1017805 14648179 14586046 15545636 15603851 X 4423365 5397847 2446099 2258453 588686 588686 7458150 8244986 23003786 23848837 X 941364 -154528 X 0 1 1 X 0 X 925 26235 5395 3960 36515 5314823 5661814 1466247 5818787 5994617 24256288 5315748 5688049 1466247 5824182 5998577 24292803 0 0 0 24292803 122894 77373 19179 85897 308376 613719 122894 77373 19179 85897 308376 613719 5438642 5765422 1485426 5910079 6306953 24906522 0.97540 0.97890 0.02460 0.02110 X 3034785 -187646 2847139 3023949 10836 3034785 0.20680 0.79320 0 0 13050592 3920168 9130424 1151479 730347 421132 648796 648796 10200352 OTHER SECURITIES 5814625 C 5814625 DUE FROM AFFILIATES 626718 DEBT SERVICE SINKING FUND 43161 RESIDENT SECURITY DEPOSITS 395676 DEBT SERVICE INTEREST FUND 446184 DEBT SERVICE RESERVE FUND 1483072 BOND ISSUANCE COSTS 162450 BOARD DESIGNATED FUND - ENERGY PROJECT 1638987 4796248 RESIDENT SECURITY DEPOSIT AND INTEREST 378142 CURRENT PORTION OF LONG-TERM DEBT 86317 DUE TO AFFILIATES 815951 PRE 2003 TAX EXEMPT BONDS 13305636 14586046 6306953 5365589 941364 -157250 2722 -154528 786836 6152000 -157250 2722 -154528 6306528 425 425 6306953 5366000 411 411 5365589 0 5365589 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: A PERMANENTLY RESTRICTED AMOUNT OF $111,000 MUST REMAIN AND NEVER BE SPENT. AN ESTIMATED EARNINGS AMOUNT OF 2.5% MAY BE DRAWN DOWN ONCE A YEAR FROM THE REMAINING PERMANENTLY RESTRICTED FUNDS. THIS PORTION OF THE "CORPUS" MUST BE USED TO PROVIDE A SUBSIDY FOR RESIDENTS WHO HAVE EXHAUSTED THEIR FUNDS OR DO NOT HAVE THE INCOME TO PAY. THE TEMPORARILY RESTRICTED AMOUNT OF THE ENDOWMENT CAN BE USED FOR GENERAL CHARITABLE WORK APPROVED BY THE BOARD OF DIRECTORS. AN ESTIMATED PERCENTAGE OF 7% ON THE YEAR END TEMPORARILY RESTRICTED BALANCE MAY BE DRAWN DOWN FOR THESE GENERAL CHARITABLE WORKS. PART XI, LINE 8 - OTHER ADJUSTMENTS: NET ASSETS RELEASED FROM RESTRICTION 190,367. CHANGE IN TEMPORARILY RESTRICTED NET ASSETS -187,645. TOTAL TO SCHEDULE D, PART XI, LINE 8: 2,722. 1 X X X X X 0 0 0 0 0 0 0 0 0 KENNETH FERRON 0 258208 0 0 0 27154 0 166434 0 25204 0 477000 0 0 JOANNE C PARSONS 125213 0 9495 0 6942 0 3876 0 15380 0 160906 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 COVENANT HEALTH SYSTEMS IS THE SOLE MEMBER OF THE ORGANIZATION. AS SUCH IT RETAINS CERTAIN RESERVE RIGHTS CONCERNING CORPORATE DECISIONS AND BOARD COMPOSITION FORM 990, PART VI, SECTION A, LINE 7A COVENANT HEALTH SYSTEMS IS THE SOLE MEMBER OF THE ORGAINZATION. AS SUCH IT RETAINS CERTAIN RESERVE RIGHTS OVER CORPORATE DECISONS AND BOARD COMPOSITION. FORM 990, PART VI, SECTION A, LINE 7B COVENANT HEALTH SYSTEMS IS THE SOLE MEMBER OF THE ORGANIZATION. AS SUCH IT RETAINS CERTAIN RESERVE RIGHTS OVER CORPORATE DECISIONS AND BOARD COMPOSITION. FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION PROVIDES THE FORM 990 TO THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REGULARY DISTRIBUTES A CONFLICT OF INTEREST STATEMENT TO BOARD MEMBERS, EMPLOYEES AND OTHER PARTIES TO DETERMINE WHETHER THESE PARTIES HAVE A FINANCIAL OR OTHER INTEREST IN FIRMS IN WHICH THE ORGANIZATION HAS A BUSINESS RELATIONSHIP. THESE FORMS MUST BE SIGNED AND RETURNED TO THE ORGANNIZATION. FORM 990, PART VI, SECTION B, LINE 15 EVERY TWO TO THREE YEARS THE COMPENSATION COMMITTEE OF THE COVENANT HEALTH SYSTEM'S BOARD OF DIRECTORS ENGAGES AN EXTERNAL CONSULTANT TO PROVIDE COMPETITIVE MARKET DAATA FROM VARIOUS SURVEY SOURCES, WHICH IS USED TO DEVELOP RECOMMENDATIONS FOR CHANGES TO THE COMPENSATION PROGRAM. SINCE 2003, THE COMPENSATION COMMITTEE HAS ENGAGED MERCER HUMAN RESOURCES CONSULTING TO CONDUCT THIS ANALYSIS. OBJECTIVES ARE TO ASSESS THE COMPOSITENESS OF THE CURRENT TOTAL CASH COMPENSATION LEVELS OF THE SENIOR LEADERSHIP TEAM, DEVELOP MARKET BASED COMPETITIVE SALARY RANGES FOR ALL EXECUTIVE POSITIONS AND ENSURE THAT THE ANNUAL INCENTIVE OPPORTUNITIES, IF THERE ARE ANY, ARE COMPETITIVE AND REASONABLE. FORM 990, PART VI, SECTION C, LINE 19 THE ORANIZATION PROVIDES FORM 990 AND ACCESS TO GOVENING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST. THE FORM 990 IS ALSO POSTED ON COVENANT HEALTH SYSTEMS' WEBSITE. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: UNREALIZED LOSSES FROM INVESTMENTS -157,250. NET ASSETS RELEASED FROM RESTRICTION 190,367. CHANGE IN TEMPORARILY RESTRICTED NET ASSETS -187,645. TOTAL TO FORM 990, PART XI, LINE 5: -154,528. COVENANT HEALTH SYSTEMS 100 AMES POND SUITE 102 TEWKSBURY MA 018761293 222484505 MANAGEMENT AND HEAL RESOURCE ORGANIZATION MA 501(C)3 501(A)2 0 YOUVILLE HOSPITAL & REHABILITATION CENTER 1575 CAMBRIDGE STREET CAMBRIDGE MA 02138 043239563 HEALTHCARE PROVIDER MA 501(C)3 501(A)2 COVENANT HEALTH SYSTEM 0 YOUVILLE LIFECARE 1575 CAMBRIDGE STREET CAMBRIDGE MA 02138 043239582 HEALTHCARE SUPPORT SYSTEMS MA 501(C)3 501(A)2 COVENANT HEALTH SYSTEM 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 DUE FROM AFFILIATE-COVENANT HEALTH SYSTEMS INC D 626718 ACCRUAL LOAN FROM CONVENANT HEALTH SYSTEMS INC E 1324702 ACCRUAL MEMBERSHIP FEE-COVENANT HEALTH SYSTEMS INC Q 60239 ACCRUAL