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 043297834 YOUVILLE PLACE INC YOUV 7818613535 10 PELHAM ROAD LEXINGTON MA 02421 JOANNE PARSONS 7818613535 2012-07-09 1 MICHAEL A BARBARITA CPA P00801253 6036228881 2011 2016-02-24 21:20:13Z JOANNE PARSONS 10 PELHAM ROAD LEXINGTON MA 02421 5634139 0 0928 X YOUVILLEPLACE.ORG X 1997 MA THE MISSION OF YOUVILLE PLACE IS "TO BE A COMMUNITY OF ENDURING HOPE THAT CELEBRATES GOD'S LOVE THROUGH COMPASSIONATE CARE, WHILE FOSTERING THE INDIVIDUAL AND EMBRACING ALL". 7 5 114 0 0 0 4270 2470 5222465 5563299 1219 2234 52547 66136 5280501 5634139 0 0 0 0 2514056 2661949 0 0 0 2644418 2708660 5158474 5370609 122027 263530 13571458 13769497 13140803 13075741 430655 693756 THE MISSION OF YOUVILLE PLACE IS "TO BE A COMMUNITY OF ENDURING HOPE THAT CELEBRATES GOD'S LOVE THROUGH COMPASSIONATE CARE, WHILE FOSTERING THE INDIVIDUAL AND EMBRACING ALL". 0 0 5303965 5563299 YOUVILLE PLACE PROVIDED 33,032 DAYS OF SERVICE TO ITS RESIDENTS DURING CALENDAR YEAR 2011. YOUVILLE PLACE 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 PLACE HAD A TOTAL COMMUNITY BENEFIT OF $549,962, OF WHICH $530,562 WERE RENTS SUBSIDIZED BY THE ORGANIZATION. THIS IS 10.24% OF OPERATING EXPENSES FOR THE YEAR OF THIS RETURN. 5303965 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 17 0 1 114 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 PARSONS EXECUTIVE DIRECTOR 7818613535 10 PELHAM ROAD LEXINGTON MA 02421 MICHAEL MCHUGH 3.00 X X 0 0 0 H WILLIAM ADAMS 1.00 X X 0 0 0 SR ELLA CHRISTIAN SGM 1.00 X 0 0 0 KENNETH FERRON 1.00 X 0 285362 191638 JOSEPH CONNARTON 1.00 X 0 0 0 CAROL PLYNN 1.00 X 0 0 0 JOANNE C PARSONS 40.00 X X 0 141651 19256 JOANNA SCIANNA 40.00 X 125234 0 16900 125234 427013 227794 1 0 1 0 BLUE CROSS BLUE SHIELD 401 PARK DRIVE BOSTON MA 02155 HEALTH AND DENTAL INSURANCE 287149 PEPCO ENERGY SERVICES 1300 NORTH 17TH STREET SUITE 1600 ARLINGTON VA 22209 ELECTRICITY DISTRIBUTOR 100347 SPRAGUE ENERGY CORP TWO INTERNATIONAL DRIVE SUITE 200 PORTSMOUTH NH 03801 GAS DISTRIBUTOR 100158 3 2470 2470 NET PATIENT SERVICE RE 623000 5563299 5563299 5563299 2234 2234 66136 66136 66136 66136 5634139 5563299 0 68370 125234 125234 2090209 2090209 82987 82987 221671 221671 141848 141848 59784 59784 1480 1480 5380 5380 89772 89772 41464 41464 711298 711298 6226 6226 634562 634562 680114 680114 22865 22865 OPERATING SUPPLIES 446684 446684 LEASES AND RENTALS 9031 9031 5370609 5303965 66644 0 439322 924801 63614 82343 5707 7707 93627 110721 12866433 2240280 10987421 10626153 1981767 2017772 13571458 13769497 782952 916795 12357851 12158946 13140803 13075741 X 395032 658055 35623 35701 430655 693756 13571458 13769497 X 263530 -429 X 0 1 1 X 0 X 34843 120 1713 2548 39224 4955581 4868819 5076693 5222465 5563299 25686857 36208 52547 64203 152958 4990424 4868819 5113021 5276725 5630050 25879039 0 0 0 25879039 89894 20666 3119 1219 2234 117132 89894 20666 3119 1219 2234 117132 5080318 4889485 5116140 5277944 5632284 25996171 0.99550 0.99540 0.00450 0.00460 X 35623 78 35701 33066 2557 35623 35815 -2749 33066 34775 1040 35815 1.00000 0 0 750000 750000 10773119 1504681 9268438 1343314 735599 607715 10626153 DEBT SERVICE RESERVE FUND 1088533 BOND SINKING FUND 107504 BOND INTEREST FUND 309140 CD RESTRICTED FUND 6420 RESIDENT CHARITY FUND 23503 BOND UNDERWRITING COSTS 63067 BOND ISSUE COSTS 157879 RESTRICTED YOUVILLE FUND 2151 SECURITY DEPOSITS - RESIDENTS 259575 2017772 5634139 5370609 263530 -429 -429 263101 5634061 0 5634061 78 78 5634139 5370102 0 5370102 507 507 5370609 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: FUNDS ARE USED TO COVER COSTS OF RESIDENTS WHO ARE UNABLE TO PAY WITH THEIR OWN FUNDS. PART XI, LINE 8 - OTHER ADJUSTMENTS: FINANCIAL STATEMENT ROUNDING -429. PART XII, LINE 4B - OTHER ADJUSTMENTS: TEMPORARILY RESTRICTED DONATION 78. PART XIII, LINE 4B - OTHER ADJUSTMENTS: FINANCIAL STATEMENT ROUNDINGS 507. 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 0 125213 0 9495 0 6943 0 3876 0 15380 0 160907 0 0 MA HEALTH & EDUCATIONAL FACILITIES AUTHORITY 042456011 57586DBF9 2007-10-30 12891500 ACQUISITION OF YOUVILLE PLACE ASSETS, REFUND MA HEFA SERIES 2002 BONDS 1 0 0 12891500 1088527 167083 11635890 2007 0 1 1 1 0 0 0 0 0.00000 0.00000 0.00000 1 0 0 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 COVENANT HEALTH SYSTEMS, INC. IS THE SOLE MEMBER OF YOUVILLE PLACE AND AS SUCH HAS CERTAIN RESERVED RIGHTS. FORM 990, PART VI, SECTION A, LINE 7A COVENANT HEALTH SYSTEMS, INC. IS THE SOLE MEMBER OF YOUVILLE PLACE AND AS SUCH HAS CERTAIN RESERVED RIGHTS. FORM 990, PART VI, SECTION A, LINE 7B COVENANT HEALTH SYSTEMS, INC. IS THE SOLE MEMBER OF YOUVILLE PLACE AND AS SUCH HAS CERTAIN RESERVED RIGHTS TO APPROVE CERTAIN DECISIONS. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED IN DETAIL BY THE GOVERNING BODY PRIOR TO BEING FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS FORMAL CORPORATE INTEGRITY POLICIES MANAGED BY THE ON-SITE FACILITIES CORPORATE INTEGRITY OFFICER. FORM 990, PART VI, SECTION B, LINE 15 EVERY 2 TO 3 YEARS THE COMPENSATION COMMITTEE OF THE COVENANT HEALTH SYSTEMS' BOARD OF DIRECTORS ENGAGES AN EXTERNAL CONSULTANT TO PROVIDE COMPETITIVE MARKET DATA 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 RESOUCES CONSULTING TO CONDUCT THE 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 ALL POLICIES AND FORM 990'S ARE MAINTAINED AT THE FACILITY AND AVAILABLE TO THE PUBLIC FOR INSPECTION UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: CHANGE IN TEMPORARILY RESTRICTED ASSETS 78. PRIOR YEAR ROUNDING ADJUSTMENT -507. TOTAL TO FORM 990, PART XI, LINE 5: -429. COVENANT HEALTH SYSTEMS INC 100 AMES POND ROAD SUITE102 TEWKSBURY MA 01876 222484505 CATHOLIC HEALTHCARE MINISTRY MA 501C3 509(A)(2) 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 COVENANT HEALTH SYSTEMS INC L 59784 CASH