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EMERSON HEALTH CARE FOUNDATION INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
EMERSON HEALTH CARE FOUNDATION INC (EIN 04-2770980)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-08
IRS object ID
201212219349301021
Schema version
2010v3.4
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)
Timestamp2012-08-08T13:30:28-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

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
Phone9782873226Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameJOHN O WILHELMName
TitleSR VP & CFOTitle
Phone9782873226Phone
Date Signed2012-08-08DateSigned
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOHN O WILHELMNameOfPrincipalOfficerPerson

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 Receipts1449202GrossReceipts
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 Body26NbrVotingMembersGoverningBody
Nbr Independent Voting Members22NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3129923ContributionsGrantsPriorYear
Contributions Grants Current Year1378093ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year2706InvestmentIncomePriorYear
Investment Income Current Year2991InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year3132629TotalRevenuePriorYear
Total Revenue Current Year1381084TotalRevenueCurrentYear
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 Year472997SalariesEtcPriorYear
Salaries Etc Current Year468643SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year812241TotalFundrsngExpCurrentYear
Other Expense Prior Year208029OtherExpensePriorYear
Other Expenses Current Year343598OtherExpensesCurrentYear
Total Expenses Prior Year681026TotalExpensesPriorYear
Total Expenses Current Year812241TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2451603RevenuesLessExpensesPriorYear
Revenues Less Expenses CY568843RevenuesLessExpensesCY
Total Assets BOY6041133TotalAssetsBOY
Total Assets EOY4076070TotalAssetsEOY
Total Liabilities BOY591668TotalLiabilitiesBOY
Total Liabilities EOY386560TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5449465NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3689510NetAssetsOrFundBalancesEOY
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
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
Transaction Related Entity0TransactionRelatedEntity
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 Members26NbrVotingGoverningBodyMembers
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 Line1JOHN WILHELMBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9782873226TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployee
JOANNE ARMSTRONG
DIRECTOR2.00X000
ANTHONY BAUDANZA
DIRECTOR2.00X000
PAUL BIRCH
DIRECTOR2.00X000
WILLIAM P BOGER III MD
DIRECTOR2.00X000
STEPHEN CARR
TREASURER2.00X000X
RICHARD H CHURCHILL
DIRECTOR2.00X000
GLORIA CLOUGH
CHAIR2.00X000X
BYRON E WOODMAN JR
DIRECTOR2.00X000
CYNTHIA DEYSHER
VICE CHAIR2.00X000X
DAVID S GREEN MD
DIRECTOR2.00X0089978
DENISE HAARTZ
DIRECTOR2.00X000
HEIDI HARRING
DIRECTOR2.00X000
JOHN HICKLING
DIRECTOR2.00X000
WISNTON R HINDLE JR
DIRECTOR2.00X000
RONALD JOHNSON
DIRECTOR2.00X000
LYNN MARTIN
DIRECTOR2.00X000
ANNE LEHMANN
EX OFFICIO2.00X000
JEANNE S KANGAS
DIRECTOR2.00X000
JACK MCGRATH MD
DIRECTOR2.00X000
MARY S NEWMAN
DIRECTOR2.00X000
CHRISTINE SCHUSTER
PRESIDENT2.00X065505314791X
HENRY W VAILLANT MD
DIRECTOR2.00X0030000
DONAL G VOGHEL
DIRECTOR2.00X000
CHARLES A DENAULT
DIRECTOR2.00X000
CHIP ZIERING
SECRETARY2.00X000X
JOHN DRESSER
EXECUTIVE DIRECTOR50.00X023254221717X
JOHN WILHELM
ASSISTANT TREASURER2.0004078710X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1295466TotalReportableCompFrmRltdOrgs
Total Other Compensation156486TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events89129FundraisingEvents
All Other Contributions1288964AllOtherContributions
Total Contributions1378093TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2991TotalRevenueColumn
Exclusion$2,991ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events68118GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events89129CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses68118FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1381084TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2,991ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total254258Total
Fundraising254258Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total158119Total
Fundraising158119Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total56266Total
Fundraising56266Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total17567Total
Fundraising17567Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1233Total
Fundraising1233Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalFundraisingFundraising
OTHER ADMINISTRATIVE132889132889
CONTRACTED SERVICES8764287642
FOOD & FUNCTION5983259832
PRINTING2447324473
MISCELLANEOUS69956995

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total12967Total
Fundraising12967Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total812241Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising812241Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2913367BOY
EOY1925643EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1519532BOY
EOY524260EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1608234BOY
EOY1626167EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6041133BOY
EOY4076070EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY591668BOY
EOY386560EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY591668BOY
EOY386560EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY216112BOY
EOY574841EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3910446BOY
EOY1715331EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1322907BOY
EOY1399338EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5449465BOY
EOY3689510EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6041133BOY
EOY4076070EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses568843ReconcilationRevenueExpenses
Reconcilation Other Changes-2328798ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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$2,725,988Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts2725988SumOfAmounts

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 Balance1322908BeginningOfYearBalance
Contributions71732Contributions
Investment Earnings Or Losses67070InvestmentEarningsOrLosses
Other Expenditures62371OtherExpenditures
End Of Year Balance1399339EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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 (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
BENEFICIAL INTEREST IN SPLIT-INTEREST214888F
PERMANENTLY RESTRICTED1411279F
FieldValueIRS element (for citing)
Total Of Book Value Securities1626167TotalOfBookValueSecurities
Total Revenue1381084TotalRevenue
Total Expenses812241TotalExpenses
Excess Or Deficit For Year568843ExcessOrDeficitForYear
Net Unrealized GL On Investments38461NetUnrealizedGLOnInvestments
Other-$2,367,259OtherAmount
Total Adjustments-2328798TotalAdjustments
Excess Or Deficit Per FS-1759955ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt1381084TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal1381084RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9901381084TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt812241TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal812241ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990812241TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 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:IN FISCAL 2011 THERE WAS NO FOOTNOTE IN THE AUDITED FINANCIAL STATEMENTS REFERENCING FIN48 BECAUSE THE ORGANIZATION DID NOT FILE UNCERTAIN TAX POSITIONS.
PART XI, LINE 8 - OTHER ADJUSTMENTS:NET ASSETS RELEASED FOR PLANT AND EQUIPMENT -2,725,988. TRANSFER TO AFFILIATES 358,729.

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 Line1LESTER INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line119 BUSINESS PARK DRIVEAddressLine1
CityBRANFORDCity
StateCTState
ZIP Code06405ZIPCode
FieldValueIRS element (for citing)
ActivityTELEMARKETINGActivity
Fundraiser Control Of Funds0FundraiserControlOfFunds
Gross Receipts35640GrossReceipts
Amount Retained By Contractor15226AmountRetainedByContractor
Net To Organization20414NetToOrganization
FieldValueIRS element (for citing)
Total Gross Receipts35640TotalGrossReceipts
Total Retained By Contractors15226TotalRetainedByContractors
Total Net To Organization20414TotalNetToOrganization
Licensed StatesMALicensedStates

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF TOURNAMENTNameOfEvent1
Gross Receipts Event1108310GrossReceiptsEvent1
Charitable Contributions Event156727CharitableContributionsEvent1
Gross Revenue Event151583GrossRevenueEvent1
Non Cash Prizes Event12150NonCashPrizesEvent1
Rent Facility Costs Event125460RentFacilityCostsEvent1
Food And Beverage Event112240FoodAndBeverageEvent1
Other Direct Expenses Event111733OtherDirectExpensesEvent1
Name Of Event2WALK/RUNNameOfEvent2
Gross Receipts Event248937GrossReceiptsEvent2
Charitable Contributions Event232402CharitableContributionsEvent2
Gross Revenue Event216535GrossRevenueEvent2
Food And Beverage Event25010FoodAndBeverageEvent2
Other Direct Expenses Event211525OtherDirectExpensesEvent2
Gross Receipts Total157247GrossReceiptsTotal
Charitable Contributions Total89129CharitableContributionsTotal
Gross Revenue Total Events68118GrossRevenueTotalEvents
Non Cash Prizes Total Events2150NonCashPrizesTotalEvents
Rent Facility Costs Total Events25460RentFacilityCostsTotalEvents
Food And Beverage Total Events17250FoodAndBeverageTotalEvents
Other Direct Expenses Total Events23258OtherDirectExpensesTotalEvents
Direct Expense Summary Events68118DirectExpenseSummaryEvents
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 (3 entries)

Base 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
CHRISTINE SCHUSTER
0481299013034404341000014791066984400
JOHN DRESSER
017581503963201709500021717025425900
JOHN WILHELM
03228980679780169950000040787100

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 MARTIN KEVIN WHITNEY JOSEPH PIECHOCKI JEFFREY RILEY, M.D. EMERSON HOSPITAL RESUMED CONTRIBUTIONS TO THE 457(F) PLAN FOR THE 2011 FISCAL YEAR. DURING FISCAL 2011, 139,487 WAS FUNDED FOR THE 2010 CALENDAR YEAR.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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 HTE 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.
THE 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 12C
THE 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 B, LINE 15
THE 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 18
EMERSON 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 VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 38,461. NET ASSETS RELEASED FOR PLANT AND EQUIPMENT -2,725,988. TRANSFER TO AFFILIATES 358,729. TOTAL TO FORM 990, PART XI, LINE 5: -2,328,798.FORM 990, PART XI, LINE 5:
SALARIES/WAGES AND BENEFITS REPORTED ON STATEMENT OF FUNTIONAL EXPENSESALL 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.FORM 990, PART IX, LINES 5, 7 AND 9

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 EntityTypeOfEntity
EMERSON OCCUPATIONAL HEALTH SERVICES INC
133 OLD ROAD TO NINE ACRE CORNERCONCORDMA01742042800607HEALTH SERVICESMAEMERSON HEALTH SYSTEMS INCC
EMERSON PROPERTY DEVELOPMENT CORP
133 OLD ROAD TO NINE ACRE CORNERCONCORDMA01742042793599PROPERTY MANAGEMENTMAEMERSON HEALTH SYSTEMS INCC
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
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 Facilities0SharingOfFacilities
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 InvolvedAmountInvolved
EMERSON HOSPITAL
K358729
EMERSON HOSPITAL
N468643
EMERSON HOSPITAL
O210457