STRATEGY STUDIO / PUBLIC DATA EXPLORER

BOSTONIAN FOUNDATION INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
BOSTONIAN FOUNDATION INC (EIN 20-1897201)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-15
IRS object ID
201123199349304787
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)
Timestamp2011-11-15T12:36:00-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1300 CROWN COLONY DRIVE SUITE 310AddressLine1
CityQUINCYCity
StateMAState
ZIP Code02169ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN201897201EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE BOSTONIAN FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBOSTNameControl
Phone6172652350Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1337 NEPONSET AVEAddressLine1
CityDORCHESTERCity
StateMAState
ZIP Code02122ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameA JASON GEISINGERName
TitleCHAIRMANTitle
Phone6172652350Phone
Date Signed2011-11-09DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBARBARA J MORRISONName
Phone6179848100Phone
Date Prepared2011-11-09DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonA JASON GEISINGERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1337 NEPONSET AVEAddressLine1
CityDORCHESTERCity
StateMAState
ZIP Code02122ZIPCode
FieldValueIRS element (for citing)
Gross Receipts930122GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2004YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionLEASING OF A NURSING HOME TO A NOT FOR PROFIT CHARITABLE FOUNDATION.ActivityOrMissionDescription
Nbr Voting Members Governing Body2NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year913064ProgramServiceRevenuePriorYear
Program Service Revenue CY929156ProgramServiceRevenueCY
Investment Income Prior Year1756InvestmentIncomePriorYear
Investment Income Current Year966InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year914820TotalRevenuePriorYear
Total Revenue Current Year930122TotalRevenueCurrentYear
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 Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1027850OtherExpensePriorYear
Other Expenses Current Year994386OtherExpensesCurrentYear
Total Expenses Prior Year1027850TotalExpensesPriorYear
Total Expenses Current Year994386TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-113030RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-64264RevenuesLessExpensesCY
Total Assets BOY8300220TotalAssetsBOY
Total Assets EOY8070419TotalAssetsEOY
Total Liabilities BOY10619310TotalLiabilitiesBOY
Total Liabilities EOY10453772TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-2319090NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-2383353NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE BOSTONIAN FOUNDATION, INC. IS A MASSACHUSETTS NOT-FOR-PROFIT CHARITABLE CORPORATION THAT OWNS & LEASES A 121 BED NURSING FACILITY, KNOWN AS THE BOSTONIAN NURSING AND REHABILITATION CENTER, TO METRO HEALTH FOUNDATION OF MASSACHUSETTS, INC., A GEORGIA NOT-FOR-PROFIT ORGANIZATION THAT PROVIDES LONG-TERM NURSING CARE TO THE ELDERLY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense994036Expense
Revenue929156Revenue
DescriptionOWNS AND LEASES A 121 BED NURSING FACILITY KNOWN AS THE BOSTONIAN NURSING AND REHABILITATION CTR, TO METRO HEALTH FOUNDATION OF MASS. INCDescription
Total Program Service Expense994036TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
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 Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members2NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy0ConflictOfInterestPolicy
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
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 Line1RON BRIDGEBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5089918600TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1389 ALDEN ROADAddressLine1
CityFAIRHAVENCity
StateMAState
ZIP Code02719ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (5 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
AJASON GEISINGER
CHAIRMAN1.00XX02427160
JONATHAN NEAGLE
COO1.00XX0844570
SAM MAGALETTA
DIRECTOR1.00X0424400
NANCY GEISINGER
SECRETARY1.00XX0428990
STEPHANIE COOPER
REHAB DIRECTOR40.0001153405767X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs527852TotalReportableCompFrmRltdOrgs
Total Other Compensation5767TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRENTAL INCOMEDescription
Business Code511110BusinessCode
Total Revenue Column929156TotalRevenueColumn
Related Or Exempt Function Income929156RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue929156TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column966TotalRevenueColumn
Exclusion$966ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column930122TotalRevenueColumn
Related Or Exempt Function Income929156RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$966ExclusionAmount

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total100Total
Management And General100ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total250Total
Management And General250ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total549252Total
Program Services549252ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total346587Total
Program Services346587ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total98197Total
Program Services98197ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total994386Total
Program Services994036ProgramServices
Management And General350ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY87988BOY
EOY2882EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY91550BOY
EOY83765EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis10789979LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3684635LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY7245958BOY
EOY7105344EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY453719BOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY421005BOY
EOY878428EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY8300220BOY
EOY8070419EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY62071BOY
EOY42465EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY10357925BOY
EOY10211993EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY199314BOY
EOY199314EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY10619310BOY
EOY10453772EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-2319090BOY
EOY-2383353EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-2319090BOY
EOY-2383353EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8300220BOY
EOY8070419EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-64264ReconcilationRevenueExpenses
Reconcilation Other Changes1ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type2XSupportingOrg509a3Type2
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1METRO HEALTH FOUNDATION OF MASSACHUSETTS INCBusinessNameLine1
FieldValueIRS element (for citing)
EIN582211053EIN
Type Of Organization9TypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis60382OtherCostOrOtherBasis
Book Value60382BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9044618OtherCostOrOtherBasis
Depreciation2958347Depreciation
Book Value6086271BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis732610OtherCostOrOtherBasis
Depreciation174895Depreciation
Book Value557715BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis801971OtherCostOrOtherBasis
Depreciation423768Depreciation
Book Value378203BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis150398OtherCostOrOtherBasis
Depreciation127625Depreciation
Book Value22773BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings7105344TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
SOFTWARE COSTS, NET361
DUE FROM RELATED PARTIES11375
DEFERRED FINANCING COSTS, NET395261
CONSTRUCTION IN PROGRESS7501
HUD ESCROWS463930
FieldValueIRS element (for citing)
Total Book Value Other Assets878428TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO RELATED PARTIESDescription
Amount$199,314Amount
FieldValueIRS element (for citing)
Total Of Amounts199314TotalOfAmounts
Total Revenue930122TotalRevenue
Total Expenses994386TotalExpenses
Excess Or Deficit For Year-64264ExcessOrDeficitForYear
Other$1OtherAmount
Total Adjustments1TotalAdjustments
Excess Or Deficit Per FS-64263ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt930122TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal930122RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990930122TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt994386TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal994386ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990994386TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPART XI, LINE 8 - OTHER ADJUSTMENTS:Identifier
ExplanationROUNDING 1.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
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

FieldValueIRS element (for citing)
Name PersonAJASON GEISINGERNamePerson
Base Compensation Filing Org0BaseCompensationFilingOrg
Comp Based On Related Orgs242716CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org0TotalCompensationFilingOrg
Total Compensation Related Orgs242716TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 2A. JASON GEISINGER AND NANCY GEISINGER HAVE A FAMILY RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 3MANAGEMENT OF THE OPERATIONS IS PERFORMED BY GORDON HEALTHCARE MANAGEMENT,INC.
FORM 990, PART VI, SECTION B, LINE 11PRIOR TO FILING WITH THE IRS, THE CFO AND BOARD CHAIR REVIEWS THE 990.
GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:ROUNDING 1. TOTAL TO FORM 990, PART XI, LINE 5: 1.FORM 990, PART XI, LINE 5:
THE BOARD OF DIRECTORS ASSUMES OVERSIGHT AND RESPONSIBILITY OF THE FINANCIAL STATEMENTS AND SELECTION OF THE AUDITOR.FORM 990, PART XII, LINE 2C

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
METRO HEALTH FOUNDATION OF MASSACHUSETTS INC
389 ALDEN ROADFAIRHAVENMA02719582211053NURSING FACILITYGA501(C)3509(A)(2)N/A0
THE ALDEN COURT INC
389 ALDEN ROADFAIRHAVENMA02719201897225REALTYMA501(C)3509(A)(3)N/A0
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 Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1METRO HEALTH FOUNDATION OF MASSACHUSETTS INCBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeITransactionType
Amount Involved929156AmountInvolved
Method Of Amt DeterminationLEASE AGREEMENTMethodOfAmtDetermination