2011-08-10T14:00:31-05:00 2010-09-30 990 2009-10-01 042770980 EMERSON HEALTH CARE FOUNDATION INC EMER 9782873226 OLD ROAD TO NINE ACRE CORNER CONCORD MA 01742 John O Wilhelm 9782873226 2011-08-10 2009 2016-02-24 21:20:13Z JOHN O WILHELM OLD ROAD TO NINE ACRE CORNER CONCORD MA 01742 3132629 0 X emersonhospital.org X 1992 MA COORDINATE AND DEVELOP THE FUNDRAISING EFFORT FOR EMERSON HOSPITAL 25 17 0 0 0 0 1492558 3129923 715970 0 10081 2706 0 2218609 3132629 0 0 482241 472997 0 681026 243810 208029 726051 681026 1492558 2451603 3521857 6041133 223029 591668 3298828 5449465 EMERSON 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. 0 0 EMERSON HEALTH CARE FOUNDATION IS AN ORGANIZATION THAT SUPPORTS FUNDRAISING EFFORTS FOR EMERSON HOSPITAL. 1 1 0 0 0 0 0 0 1 1 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 1 0 0 0 0 0 0 0 0 0 0 0 0 25 17 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X JOHN WILHELM 9782873226 OLD ROAD TO NINE ACRE CORNER CONCORD MA 01742 X Joanne Armstrong 2.00 X 0 0 0 Anthony Baudanza 2.00 X 0 0 0 PAUL BIRCH 2.00 X 0 0 0 William P Boger III MD 2.00 X 0 0 0 steven carr 2.00 X 0 0 0 RICHARD H CHURCHILL 2.00 X 0 0 0 GLORIA CLOUGH 2.00 X 0 0 0 Paul D'Ambrosio MD 2.00 X 0 0 37780 CYNTHIA DEYSHER 2.00 X 0 0 0 David S Green MD 2.00 X 0 0 0 DENISE HAARTZ 2.00 X 0 0 0 HEIDI HARRING 2.00 X 0 0 0 JOHN HICKLING 2.00 X 0 0 0 Wisnton R Hindle Jr 2.00 X 0 0 0 RONALD JOHNSON 2.00 X X 0 0 0 JEANNE KANGAS 2.00 X 0 0 0 anne lehmann 2.00 X 0 0 0 Joan Burden Litle 2.00 X 0 0 0 jack mcgrath md 2.00 X 0 0 0 Mary S Newman 2.00 X 0 0 0 Christine Schuster 2.00 X X 0 734309 23822 Henry W Vaillant MD 2.00 X 0 0 40000 Alan C Woodward MD 2.00 X 0 0 0 Chip Ziering 2.00 X X 0 0 0 John Dresser 50.00 X X 0 259233 20268 Jack Wilhelm 2.00 X 0 431359 15500 0 1424901 137370 0 0 1 0 0 3129923 3129923 2706 2706 3132629 0 0 2706 256944 256944 137220 137220 78833 78833 7741 7741 1778 1778 CONTRACTED SERVICES 99419 99419 Food & Function 47546 47546 pRINTING 28483 28483 Other Administrative 7273 7273 fORMS 6193 6193 9596 9596 681026 0 0 681026 1233215 2913367 837188 1519532 1449394 1608234 2060 0 3521857 6041133 223029 591668 223029 591668 X 226286 216112 1857622 3910446 1214920 1322907 3298828 5449465 3521857 6041133 X 0 1 1 X 0 X X X 0 0 0 emerson hospital 042103565 3 1 358566 1 358566 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1214920 105075 143410 140497 1322908 1101230 119654 67442 73406 1214920 1.00000 0 0 0 Beneficial Interest in Split-interest 311830 F permanently restricted 1296404 F 1608234 3132629 681026 2451603 67776 -368742 -300966 2150637 3132629 0 3132629 0 3132629 681026 0 681026 0 681026 Part V, Line 4: Description of Intended Use of Endowment Funds: 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. Part X: Description of Uncertain Tax Positions Under FIN 48: in fiscal 2010 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 tranSfer to affiliates 0 0 0 0 0 0 0 0 0 Christine Schuster 0 532803 0 174596 0 26910 0 0 0 23822 0 758131 0 0 John Dresser 0 182691 0 59448 0 17094 0 0 0 20268 0 279501 0 0 Jack Wilhelm 0 315741 0 99000 0 16618 0 15500 0 0 0 446859 0 0 Form 990, Part VI, Section A, line 2 board 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 6 emerson health system, inc acting through its board of directors, is the member for emerson health care foundation. Form 990, Part VI, Section A, line 7a the number and composition of the board of directors is fixed annually by the member, emerson health system. Form 990, Part VI, Section A, line 7b the number and composition of hte board of directors is fixed annually by the member, emerson health system. Form 990, Part VI, Section B, line 11 THE 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 12c 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 15 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 COMPANSATION 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 18 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 19 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 IX, LINES 5, 7 AND 9 SALARIES/WAGES AND BENEFITS REPORTED ON STATEMENT OF FUNTIONAL EXPENSES ALL 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. EMERSON HEALTH SYSTEM INC 133 OLD ROAD TO NINE ACRE CORNER CONCORD MA 01742 042770977 PROVIDES ITS SUBSIDIARIES WITH A MANAGEMENT TEAM MA 501(C)3 509(A)(3) TYPE I N/A EMERSON HOSPITAL INC 133 OLD ROAD TO NINE ACRE CORNER CONCORD MA 01742 042103565 ACUTE CARE COMMUNITY HOSPITAL MA 501(C)3 170(B)(1)(A)(III) EMERSON HEALTH SYSTEM INC EMERSON PRACTICE ASSOCIATES 133 OLD ROAD TO NINE ACRE CORNER CONCORD MA 01742 043111240 HEALTH CARE SERVICES IN THE COMMUNITIES SERVED BY EMERSON HOSPITAL MA 501(C)3 170(B)(1)(A)(III) EMERSON HOSPITAL INC EMERSON PRACTICE ASSOICATES II 133 OLD ROAD TO NINE ACRE CORNER CONCORD MA 01742 800482067 HEALTH CARE SERVICES IN THE COMMUNITIES SERVED BY EMERSON HOSPITAL MA 501(C)3 170(B)(1)(A)(III) EMERSON HOSPITAL INC emerson occupational health services inc 133 old road to nine acre corner concord MA 01742 042800607 health services MA emerson health systems inc C emerson property development corp 133 old road to nine acre corner concord MA 01742 042793599 property management MA emerson health systems inc C 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 emerson hospital K 10175 emerson hospital N 472997 emerson hospital O 200237