Spectrum Health Systems Inc in Worcester, Massachusetts (MA)

Spectrum Health Systems Inc
Employer Identification Number (EIN)	042478978
Name of Organization	Spectrum Health Systems Inc
Address	10 Mechanic St Ste 302, Worcester, MA 01608-2419
Activities	Health clinic, Fundraising, Combat juvenile delinquency
Subsection	Charitable Organization
Ruling Date	09/1971
Deductibility	Contributions are deductible
Foundation	Organization that normally receives no more than one third of its support from gross investment income and unrelated business income and at the same time more than one third of its support from contributions, fees, and gross receipts related to exempt purposes
Organization	Corporation
Exempt Organization Status	Unconditional Exemption
Tax Period	06/2013
Assets	$10,000,000 to $49,999,999
Income	$50,000,000 to greater
Filing Requirement	990 (all other) or 990EZ return
Asset Amount	$31,968,477
Amount of Income	$51,478,020
Form 990 Revenue Amount	$51,456,540
National Taxonomy of Exempt Entities (NTEE)	Mental Health, Crisis Intervention: Mental Health Treatment - Multipurpose and (Not Elsewhere Classified)

Non-representatives - add comments:

Financial snapshot ($)

Revenue for 2013

Assets at the end of 2013

Functional expenses for 2013

Support schedule

	2012	2013
Checklist
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)?	Yes	Yes
Is the organization required to complete Schedule B, Schedule of Contributors?	Yes	Yes
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office?	No	No
Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year?	Yes	Yes
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19?	No	No
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts?	No	No
Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures?	No	No
Did the organization maintain collections of works of art, historical treasures, or other similar assets?	No	No
Did the organization report an amount for escrow or custodial account liability; serve as a custodian or provide credit counseling, debt management, credit repair, or debt negotiation services?	No	No
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments?	No	No
Did the organization report an amount for land, buildings, and equipment?	Yes	Yes
Did the organization report an amount for investments-other securities that is 5% or more of its total assets?	No	No
Did the organization report an amount for investments-program related that is 5% or more of its total assets?	No	No
Did the organization report an amount for other assets that is 5% or more of its total assets?	No	Yes
Did the organization report an amount for other liabilities?	Yes	Yes
Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)?	Yes	Yes
Did the organization obtain separate, independent audited financial statements for the tax year?	Yes	Yes
Was the organization included in consolidated, independent audited financial statements for the tax year?	No	No
Is the organization a school described in section 170(b)(1)(A)(ii)?	No	No
Did the organization maintain an office, employees, or agents outside of the United States?	No	No
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more?	No	No
Did the organization report more than $5,000 of grants or other assistance to or for any foreign organization?	No	No
Did the organization report more than $5,000 of aggregate grants or other assistance to or for foreign individuals?	No	No
Did the organization report a total of more than $15,000 of expenses for professional fundraising services?	No	No
Did the organization report more than $15,000 total of fundraising event gross income and contributions?	Yes	Yes
Did the organization report more than $15,000 of gross income from gaming activities?	No	No
Did the organization operate one or more hospital facilities?	No	No
Did the organization attach a copy of its audited financial statements?	No	No
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government?	No	No
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals?	No	No
Did the organization answer 'Yes' about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees?	Yes	Yes
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002?	No	No
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?	No	No
Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds?	No	No
Did the organization act as an 'on behalf of' issuer for bonds outstanding at any time during the year?	No	No
Did the organization engage in an excess benefit transaction with a disqualified person during the year?	No	No
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ?	No	No
Did the organization report any amount for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons?	No	No
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons?	No	No
Was the organization a party to a business transaction with one of the following parties
A current or former officer, director, trustee, or key employee?	No	No
A family member of a current or former officer, director, trustee, or key employee?	Yes	Yes
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner?	No	No
Did the organization receive more than $25,000 in non-cash contributions?	No	No
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions?	No	No
Did the organization liquidate, terminate, or dissolve and cease operations?	No	No
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets?	No	No
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3?	No	No
Was the organization related to any tax-exempt or taxable entity?	Yes	Yes
Did the organization have a controlled entity within the meaning of section 512(b)(13)?	No	No
Did the organization make any transfers to an exempt non-charitable related organization?	No	No
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes?	No	No

	2011	2012	2013
Statements Regarding Other IRS Filings and Tax Compliance
The number reported in Box 3 of Form 1096		80	87
The number of Forms W-2G		0	0
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners?		No	Yes
The number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return		1,138	1,257
Did the organization file all required federal employment tax returns?		Yes	Yes
Did the organization have unrelated business gross income of $1,000 or more during the year?	No	No	No
Has it filed a Form 990-T for this year?		No	No
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?		No	No
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?		No	No
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?		No	No
Did the organization file Form 8886-T?		No	No
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?		No	No
Did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?		No	No
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?		Yes	Yes
Did the organization notify the donor of the value of the goods or services provided?		Yes	Yes
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?		No	No
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?		No	No
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?		No	No
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?		No	No
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?		No	No
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?		No	No
Did the sponsoring organization make any taxable distributions under section 4966?		No	No
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?		No	No
Initiation fees and capital contributions	$0	$0	$0
Gross receipts for public use of club facilities	$0	$0	$0
Gross income from members or shareholders	$0	$0	$0
Gross income from other sources	$0	$0	$0
Is the organization filing Form 990 in lieu of Form 1041?		No	No
The amount of tax-exempt interest received or accrued during the year		$0	$0
Is the organization licensed to issue qualified health plans in more than one state?		No	No
The amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans		$0	$0
The amount of reserves on hand		$0	$0
Did the organization receive any payments for indoor tanning services during the tax year?		No	No
Has it filed a Form 720 to report these payments?		No	No

	2012	2013
Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
Total reportable compensation from the organization	$1,275,366	$1,379,018
Total reportable compensation from related organizations	$0	$0
Total estimated amount of other compensation from the organization and related organizations	$114,487	$122,549
Total number of individuals who received more than $100,000 of reportable compensation from the organization	11	11
Total number of independent contractors who received more than $100,000 of compensation from the organization	12	17

	2011	2012	2013
Statement of Revenue
Total revenue	$46,389,273	$47,889,909	$51,456,540
Contributions, Gifts, Grants and Other Similar Amounts	$269,360	$353,944	$254,958
Program Service Revenue	$45,974,006	$47,280,761	$51,008,410
900099		$47,280,761	$51,008,410
All other program service revenue		$0	$0
Other Revenue
Investment income (including dividends, interest, and other similar amounts)	$41,310	$28,208	$14,863
Income from investment of tax-exempt bond proceeds	$0	$0	$0
Royalties	$0	$0	$0
Net rental income	$82,050	$60,969	$101,176
Gross rents (Real / Personal)	$82,050 / $0	$60,969 / $0	$101,176 / $0
Less: rental expenses (Real / Personal)	$0 / $0	$0 / $0	$0 / $0
Rental income or (loss) (Real / Personal)	$82,050 / $0	$60,969 / $0	$101,176 / $0
Net gain/loss from sales of assets other than inventory	$-17,015	$26,341	$1,404
Gross amount from sales of assets other than inventory (Securities / Other)	$0 / $235	$26,341 / $0	$0 / $3,110
Less: cost or other basis and sales expenses (Securities / Other)	$17,250 / $0	$0 / $0	$0 / $1,706
Gain or (loss) (Securities / Other)	$-17,250 / $235	$26,341 / $0	$0 / $1,404
Net income/loss from fundraising events	$-4,459	$17,279	$0
Gross income from fundraising events	$21,485	$41,200	$19,774
Less: direct expenses	$25,944	$23,921	$19,774
Net income/loss from gaming activities	$0	$0	$0
Net income/loss from sales of inventory	$0	$0	$0
Miscellaneous Revenue	$44,021	$122,407	$75,729
900099		$110,664	$34,821
900099		$11,743	$32,688
722210		$0	$8,220
All other revenue		$0	$0

	2011	2012	2013
Statement of Functional Expenses
Total functional expenses	$44,288,446	$46,183,184	$49,858,274
Grants and other assistance to domestic organizations and domestic governments		$0	$0
Grants and other assistance to domestic individuals		$0	$0
Grants and other assistance to foreign organizations, foreign governments, and foreign individuals		$0	$0
Benefits paid to or for members		$0	$0
Compensation of current officers, directors, trustees, and key employees	$659,917	$606,536	$459,110
Compensation not included above, to disqualified persons		$0	$0
Other salaries and wages	$28,358,730	$29,166,043	$32,604,143
Pension plan accruals and contributions		$137,469	$128,697
Other employee benefits		$3,642,893	$3,934,052
Payroll taxes	$2,758,168	$2,900,691	$3,233,115
Fees for services (non-employees)
Management		$0	$69,278
Legal		$365,193	$249,872
Accounting		$81,047	$90,000
Lobbying		$0	$0
Professional fundraising services	$0	$0	$0
Investment management fees		$0	$0
Other		$1,168,599	$1,132,543
Advertising and promotion		$40,704	$33,186
Office expenses		$756,029	$834,980
Information technology		$333,230	$372,751
Royalties		$0	$0
Occupancy		$2,104,313	$1,053,038
Travel		$729,207	$702,506
Payments of travel or entertainment expenses for any federal, state, or local public officials		$0	$0
Conferences, conventions, and meetings		$7,234	$51,257
Interest		$28,295	$40,518
Payments to affiliates		$0	$0
Depreciation, depletion, and amortization		$726,114	$777,557
Insurance		$302,312	$238,806
Other expenses		$975,552	$949,998
Other expenses		$897,592	$863,809
Other expenses		$768,165	$733,389
Other expenses		$72,144	$139,745
Other expenses		$373,822	$1,165,924

	2011	2012	2013
Balance Sheet
Total assets	$26,974,688	$29,012,914	$31,968,477
Cash - non-interest-bearing		$7,474,461	$7,366,537
Savings and temporary cash investments		$4,773,432	$5,553,762
Pledges and grants receivable, net		$0	$0
Accounts receivable, net		$5,837,229	$5,725,650
Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees		$0	$0
Loans and other receivables from other disqualified persons, persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations		$0	$0
Notes and loans receivable, net		$0	$0
Inventories for sale or use		$0	$0
Prepaid expenses and deferred charges		$452,178	$445,150
Land, buildings, and equipment: cost or other basis		$10,065,734	$10,096,108
Investments - publicly traded securities		$0	$0
Investments - other securities		$243,505	$415,807
Investments - program-related		$0	$0
Intangible assets		$0	$0
Other assets		$166,375	$2,365,463
Total liabilities	$3,194,694	$3,559,269	$4,897,170
Accounts payable and accrued expenses		$2,981,426	$3,302,210
Grants payable		$0	$0
Deferred revenue		$0	$0
Tax-exempt bond liabilities	$0	$0	$0
Escrow or custodial account liability		$0	$0
Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified persons		$0	$0
Secured mortgages and notes payable to unrelated third parties	$512,399	$370,845	$805,987
Unsecured notes and loans payable to unrelated third parties	$0	$0	$0
Other liabilities (including federal income tax, payables to related third parties, and other liabilities)		$206,998	$788,973
Total net assets or fund balances	$23,779,994	$25,453,645	$27,071,307
Unrestricted net assets		$25,221,426	$26,792,006
Temporarily restricted net assets		$232,219	$279,301
Permanently restricted net assets		$0	$0
Capital stock or trust principal, or current funds		$0	$0
Paid-in or capital surplus, or land, building, or equipment fund		$0	$0
Retained earnings, endowment, accumulated income, or other funds	$0	$0	$0

Reason for Public Charity Status (for 2013)
The organization is not a private foundation because it is:	An organization that normally receives: (1) more than 33 1/3 % of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions - subject to certain exceptions, and (2) no more than 33 1/3 % of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975
Number of organizations supported	0
Sum of amounts of support	$0

	2009 - 2013 Total
Support Schedule for Organizations Described in Section 509(a)(2) (for 2009 - 2013)
Public support	$232,803,976
Subtotal	$232,803,976
Gifts, grants, contributions, and membership fees received	$1,067,017
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose	$231,736,959
Gross receipts from activities that are not an unrelated trade or business under section 513	$0
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf	$0
The value of services or facilities furnished by a governmental unit to the organization without charge	$0
Less	$0
Amounts received from disqualified persons	$0
Amounts received from other than disqualified persons that exceed the greater of $5,000 or 1% of the total support	$0
Total support	$233,502,635
Public support	$232,803,976
Subtotal	$560,457
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources	$560,457
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975	$0
Net income from unrelated business activities, whether or not the business is regularly carried on	$0
Other income	$138,202

	2000	2001	2002	2003	2004	2005	2006
Revenue, Expenses, and Changes in Net Assets or Fund Balances
Total revenue	$35,942,241	$37,624,916	$35,359,637	$33,091,080	$35,150,796	$36,118,340	$42,969,472
Contributions, gifts, grants, and similar amounts received	$146,036	$134,263	$147,595	$171,085	$177,267	$147,510	$284,958
Contributions to donor advised funds							$0
Direct public support	$146,036	$134,263	$147,595	$147,253	$177,267	$147,510	$284,958
Indirect public support	$0	$0	$0	$0	$0	$0	$0
Government contributions (grants)	$0	$0	$0	$23,832	$0	$0	$0
Program service revenue including government fees and contracts	$35,793,428	$37,477,125	$35,206,818	$32,904,271	$34,531,782	$35,172,450	$40,099,532
Membership dues and assessments	$0	$0	$0	$0	$0	$0	$0
Interest on savings and temporary cash investments	$2,777	$13,528	$5,224	$5,304	$31,741	$111,685	$207,493
Dividends and interest from securities	$0	$0	$0	$0	$0	$0	$0
Net rental income or (loss)	$0	$0	$0	$0	$0	$0	$0
Gross rents	$0	$0	$0	$0	$0	$0	$0
Less: rental expenses	$0	$0	$0	$0	$0	$0	$0
Other investment income	$0	$0	$0	$0	$0	$0	$0
Gain or (loss) from sales of assets other than inventory	$0	$0	$0	$0	$265,745	$0	$2,344,631
Gross amount from sales of assets other than inventory	$0	$0	$0	$0	$380,000	$0	$2,458,790
Less: cost or other basis and sales expenses	$0	$0	$0	$0	$114,255	$0	$114,159
Net income or (loss) from special events and activities	$0	$0	$0	$0	$0	$0	$0
Gross revenue	$0	$0	$0	$0	$0	$0	$0
Less: direct expenses other than fundraising expenses	$0	$0	$0	$0	$0	$0	$0
Gross profit or (loss) from sales of inventory	$0	$0	$0	$0	$0	$0	$0
Gross sales of inventory, less returns and allowances	$0	$0	$0	$0	$0	$0	$0
Less: cost of goods sold	$0	$0	$0	$0	$0	$0	$0
Other revenue	$0	$0	$0	$10,420	$144,261	$686,695	$32,858
Total expenses	$35,957,319	$38,857,290	$36,614,603	$32,761,723	$33,803,196	$33,610,926	$38,610,760
Program services	$31,377,880	$33,136,576	$31,842,542	$28,359,304	$31,274,952	$30,725,707	$33,175,610
Management and general	$4,371,379	$5,553,879	$4,502,159	$4,050,161	$2,528,244	$2,737,710	$5,312,696
Fundraising	$208,060	$166,835	$269,902	$352,258	$0	$147,509	$122,454
Payments to affiliates	$0	$0	$0	$0	$0	$0	$0
Net assets or fund balances at end of year	$7,493,710	$7,039,759	$4,655,654	$5,124,885	$6,472,485	$6,129,519	$9,759,278
Excess or (deficit) for the year	$-15,078	$-1,232,374	$-1,254,966	$329,357	$1,347,600	$2,507,414	$4,358,712
Net assets or fund balances at beginning of year	$6,973,758	$7,493,710	$7,039,759	$4,655,654	$5,124,885	$6,472,485	$6,129,519
Other changes in net assets or fund balances	$535,030	$778,423	$-1,129,139	$139,874	$0	$-2,850,380	$-728,953

	Total	Program services	Management and general	Fundraising
Statement of Functional Expenses (for 2006)
Total functional expenses	$38,610,760	$33,175,610	$5,312,696	$122,454
Grants paid from donor advised funds		$0
Other grants and allocations		$52,843
Specific assistance to individuals		$0
Benefits paid to or for members		$0
Compensation of current officers, directors, key employees, etc.	$494,551	$110	$494,441	$0
Compensation of former officers, directors, key employees, etc.	$0	$0	$0	$0
Compensation and other distributions, not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)	$0	$0	$0	$0
Salaries and wages of employees not included above	$23,368,077	$21,862,633	$1,410,469	$94,975
Pension plan contributions not included above	$65,610	$55,366	$8,868	$1,376
Employee benefits not included above	$2,548,869	$2,409,433	$135,573	$3,863
Payroll taxes	$2,243,709	$2,077,192	$157,525	$8,992
Professional fundraising fees	$0	$0	$0	$0
Accounting fees	$86,209	$19,330	$66,879	$0
Legal fees	$226,528	$50,792	$175,736	$0
Supplies	$759,116	$756,997	$1,933	$186
Telephone	$293,703	$234,152	$59,551	$0
Postage and shipping	$57,812	$35,764	$21,347	$701
Occupancy	$1,040,510	$958,800	$81,710	$0
Equipment rental and maintenance	$920,724	$536,437	$384,287	$0
Printing and publications	$133,885	$71,087	$55,936	$6,862
Travel	$593,233	$516,557	$75,666	$1,010
Conferences, conventions, and meetings	$0	$0	$0	$0
Interest	$422,149	$0	$422,149	$0
Depreciation, depletion, etc.	$631,963	$408,652	$223,311	$0
Other expenses not covered above	$4,671,269	$3,129,465	$1,537,315	$4,489

	2000	2001	2002	2003	2004	2005	2006
Balance Sheets
Total assets	$15,491,812	$13,763,957	$10,525,798	$11,498,747	$12,373,709	$14,561,148	$18,173,005
Cash - non-interest-bearing	$0	$0	$0	$0	$1,732,773	$2,430,665	$6,357,648
Savings and temporary cash investments	$455,660	$286,431	$397,681	$845,918	$1,991,940	$3,080,351	$3,551,162
Accounts receivable less allowance for doubtful accounts	$6,725,014	$5,093,348	$3,063,170	$2,643,994	$2,831,693	$3,371,082	$3,424,669
Pledges receivable less allowance for doubtful accounts	$0	$3,185	$0	$0	$0	$0	$0
Grants receivable	$0	$0	$0	$0	$0	$0	$0
Receivables from current and former officers, directors, trustees, and key employees	$0	$0	$0	$0	$0	$0	$0
Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)							$0
Other notes and loans receivable less allowance for doubtful accounts	$0	$0	$0	$0	$92,406	$0	$0
Inventories for sale or use	$0	$0	$0	$0	$0	$0	$0
Prepaid expenses and deferred charges	$1,619,122	$385,733	$541,609	$643,696	$561,057	$495,878	$229,709
Investments - publicly-traded securities							$0
Investments - other securities	$0	$0	$0	$0	$0	$0	$0
Investments - land, buildings, and equipment less accumulated depreciation	$0	$0	$0	$0	$0	$0	$0
Investments - other	$0	$1,125,000	$500	$0	$0	$0	$15,000
Land, buildings, and equipment less accumulated depreciation	$3,485,037	$3,864,844	$4,078,585	$3,562,003	$3,168,294	$3,101,160	$4,519,379
Other assets, including program-related investments	$3,206,979	$3,005,416	$2,444,253	$3,803,136	$1,995,546	$2,082,012	$75,438
Total liabilities	$7,998,102	$6,724,198	$5,870,144	$6,373,862	$5,901,224	$8,431,629	$8,413,727
Accounts payable and accrued expenses	$2,522,733	$875,122	$2,809,096	$597,944	$2,663,505	$2,505,373	$3,263,501
Grants payable	$0	$0	$0	$0	$0	$0	$0
Deferred revenue	$0	$0	$0	$0	$1,770	$5,456	$0
Loans from officers, directors, trustees, and key employees	$0	$0	$0	$0	$0	$0	$0
Tax-exempt bond liabilities	$0	$0	$0	$0	$0	$0	$0
Mortgages and other notes payable	$4,834,636	$3,878,106	$2,857,640	$4,081,468	$3,235,949	$5,920,800	$5,150,226
Other liabilities	$640,733	$1,970,970	$203,408	$1,694,450	$0	$0	$0
Total liabilities and net assets/fund balances	$15,491,812	$13,763,957	$10,525,798	$11,498,747	$12,373,709	$14,561,148	$18,173,005
Total net assets or fund balances	$7,493,710	$7,039,759	$4,655,654	$5,124,885	$6,472,485	$6,129,519	$9,759,278

	2000	2001	2002	2003	2004	2005	2006
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
Total revenue	$35,942,241	$37,624,916	$35,359,637	$33,091,080	$35,150,796	$36,118,340	$42,969,472
Total revenue, gains, and other support per audited financial statements	$35,942,241	$37,624,916	$35,359,637	$33,091,080	$35,150,796	$36,118,340	$42,969,472
Other expenses	$0	$0	$0	$0	$0	$0	$0
Net unrealized gains on investments	$0	$0	$0	$0	$0	$0	$0
Donated services and use of facilities	$0	$0	$0	$0	$0	$0	$0
Recoveries of prior year grants	$0	$0	$0	$0	$0	$0	$0
Other	$0	$0	$0	$0	$0	$0	$0
Other revenue	$0	$0	$0	$0	$0	$0	$0
Investment expenses	$0	$0	$0	$0	$0	$0	$0
Other	$0	$0	$0	$0	$0	$0	$0

	2000	2001	2002	2003	2004	2005	2006
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
Total expenses	$35,957,319	$38,857,290	$36,614,603	$32,761,723	$33,803,196	$33,610,926	$38,610,760
Total expenses and losses per audited financial statements	$35,957,319	$38,857,290	$36,614,603	$32,761,723	$33,803,196	$36,461,306	$38,610,760
Other revenue	$0	$0	$0	$0	$0	$2,850,380	$0
Donated services and use of facilities	$0	$0	$0	$0	$0	$0	$0
Prior year adjustments	$0	$0	$0	$0	$0	$0	$0
Losses	$0	$0	$0	$0	$0	$0	$0
Other	$0	$0	$0	$0	$0	$2,850,380	$0
Other expenses	$0	$0	$0	$0	$0	$0	$0
Investment expenses	$0	$0	$0	$0	$0	$0	$0
Other	$0	$0	$0	$0	$0	$0	$0

Current Officers, Directors, Trustees, and Key Employees

Total number of officers, directors, and trustees permitted to vote on organization business at board meetings	11
Are any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, related to each other through family or business relationships?	No
Do any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, receive compensation from any other organizations, whether tax exempt or taxable, that are related to the organization?	No
Does the organization have a written conflict of interest policy?	Yes

Other Information
Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return, and has it filed a tax return on Form 990-T for this year?	No
Was there a liquidation, dissolution, termination, or substantial contraction during the year?	No
Is the organization related (other than by association with a statewide or nationwide organization) through common membership, governing bodies, trustees, officers, etc., to any other exempt or nonexempt organization?	Yes
Direct and indirect political expenditures	$0
Did the organization file Form 1120-POL for this year?	No
Were substantially all dues nondeductible by members?
Did the organization make only in-house lobbying expenditures of $2,000 or less?
Dues, assessments, and similar amounts from members	$0
Section 162(e) lobbying and political expenditures	$0
Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices	$0
Taxable amount of lobbying and political expenditures	$0
Does the organization elect to pay the section 6033(e) tax on the amount above?
If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount above to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year?
Initiation fees and capital contributions	$0
Gross receipts for public use of club facilities	$0
At any time during the year, did the organization, directly or indirectly, own a controlled entity within the meaning of section 512(b)(13)?	Yes
Amount of tax imposed on the organization during the year under: section 4911	$0
Amount of tax imposed on the organization during the year under: section 4912	$0
Amount of tax imposed on the organization during the year under: section 4955	$0
Did the organization engage in any section 4958 excess benefit transaction during the year or did it become aware of an excess benefit transaction from a prior year?	No
Amount of tax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958	$0
Amount of tax above, reimbursed by the organization	$0
At any time during the tax year, was the organization a party to a prohibited tax shelter transaction?	No
Did the organization acquire a direct or indirect interest in any applicable insurance contract?	No
Did the supporting organization, or a fund maintained by a sponsoring organization, have excess business holdings at any time during the year?	No
Number of employees employed in the pay period that includes March 12, 2006	729

	Unrelated business income		Excluded by section 512, 513, or 514		Related or exempt function income
Analysis of Income-Producing Activities (for 2006)
	Business code	Amount	Exclusion code	Amount	Related or exempt function income
Total		$0		$2,558,081	$40,126,433
Program service revenue
Program service revenue 1	000000	$0	00	$0	$40,099,532
Program service revenue 2	000000	$0	00	$0	$0
Program service revenue 3	000000	$0	00	$0	$0
Program service revenue 4	000000	$0	00	$0	$0
Program service revenue 5	000000	$0	00	$0	$0
Medicare/Medicaid payments	000000	$0	00	$0	$0
Fees and contracts from government agencies	000000	$0	00	$0	$0
Membership dues and assessments	000000	$0	00	$0	$0
Interest on savings and temporary cash investments	000000	$0	Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1)	$207,493	$0
Dividends and interest from securities	000000	$0	00	$0	$0
Net rental income or (loss) from real estate
debt-financed property	000000	$0	00	$0	$0
not debt-financed property	000000	$0	00	$0	$0
Net rental income or (loss) from personal property	000000	$0	00	$0	$0
Other investment income	000000	$0	00	$0	$0
Gain or (loss) from sales of assets other than inventory	000000	$0	Gain (or loss, to the extent allowed) from the sale of investments and other non-inventory property and from certain property acquired from financial institutions that are in conservatorship or receivership (sections 512(b)(5) and 512(b)(16)(A))	$2,344,631	$0
Net income or (loss) from special events	000000	$0	00	$0	$0
Gross profit or (loss) from sales of inventory	000000	$0	00	$0	$0
Other revenue	000000	$0	Section 501(c)(3) organization - Income from an activity carried on primarily for the convenience of the organization's members, students, patients, visitors, officers, or employees (hospital parking lot or museum cafeteria, for example) (section 513(a)(2))	$5,957	$26,901

EIN of corporation, partnership, or disregarded entity	Percentage of ownership interest	Total income	End-of-year assets
Information Regarding Taxable Subsidiaries and Disregarded Entities (for 2006)
000000000	0%	$0	$0
000000000	0%	$0	$0
000000000	0%	$0	$0
000000000	0%	$0	$0

Compensation	Contributions to employee benefit plans & deferred compensation	Expense account and other allowances
Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees (for 2006)
$130,673	$17,930	$0
$97,291	$864	$7,500
$89,150	$13,226	$0
$88,005	$4,406	$0
$83,641	$4,515	$0

Total number of other employees paid over $50,000	50

Total number of other employees paid over $50,000

Statements About Activities (for 2006)
Expenses paid or incurred in connection with the lobbying activities	$0
Did the organization receive or hold an easement for conservation purposes, including easements to preserve open space, the environment, historic land areas or historic structures?	No
Did the organization provide credit counseling, debt management, credit repair, or debt negotiation services?	No
Did the organization maintain any donor advised funds?	No
Did the organization make any taxable distributions under section 4966?	No
Did the organization make a distribution to a donor, donor advisor, or related person?	No
The total number of donor advised funds owned at the end of the tax year	$0
The aggregate value of assets held in all donor advised funds owned at the end of the tax year	$0
The total number of separate funds or accounts owned at the end of the tax year (excluding donor advised funds included above) where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts	$0
The aggregate value of assets held in all funds or accounts included above at the end of the tax year	$0

Reason for Non-Private Foundation Status
The organization is not a private foundation because it is	Organization that normally receives: less than 1/3 of its support from gross investment income and unrelated taxable business income and more than 1/3 of its support from contribution, membership fees

	1999	2000	2001	2002	2003	2004	2005
Support Schedule
Total	$26,823,692	$34,885,866	$39,253,397	$37,393,000	$33,091,080	$34,697,352	$35,578,951
Gifts, grants, and contributions received	$347,898	$148,780	$131,078	$150,780	$171,085	$177,267	$147,510
Membership fees received	$0	$0	$0	$0	$0	$0	$0
Gross receipts from admissions, merchandise sold or services performed, or furnishing of facilities in any activity that is related to the organization's charitable, etc., purpose	$26,475,718	$34,734,309	$39,108,791	$37,236,996	$32,904,271	$34,344,083	$34,633,061
Gross income from interest, dividends, amounts received from payments on securities loans (section 512(a)(5)), rents, royalties, and unrelated business taxable income (less section 511 taxes) from businesses acquired by the organization after June 30, 1975	$76	$2,777	$13,528	$5,224	$5,304	$31,741	$111,685
Net income from unrelated business activities not included above	$0	$0	$0	$0	$0	$0	$0
Tax revenues levied for the organization's benefit and either paid to it or expended on its behalf	$0	$0	$0	$0	$0	$0	$0
The value of services or facilities furnished to the organization by a governmental unit without charge. Do not include the value of services or facilities generally furnished to the public without charge	$0	$0	$0	$0	$0	$0	$0
Other income	$0	$0	$0	$0	$10,420	$144,261	$686,695

Lobbying Expenditures by Electing Public Charities (for 2006)
Total exempt purpose expenditures	$0
Total lobbying expenditures	$0
Total lobbying expenditures to influence public opinion (grassroots lobbying)	$0
Total lobbying expenditures to influence a legislative body (direct lobbying)	$0
Other exempt purpose expenditures	$0
Lobbying nontaxable amount	$0
Grassroots nontaxable amount	$0

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Id	Name	Address	State	Established	Total Income
Other organizations in Massachusetts
1	Cura Visiting Nurse Association Inc	Plymouth, MA 02360	MA		$6,005,350
2	Elder Services Of Worcester Area Inc	67 Millbrook St Ste 100, Worcester, MA 01606-2842	MA	1975-01	$26,407,190
3	Old Colony Elder Services Inc	144 Main St, Brockton, MA 02301-4046	MA	1974-11	$34,468,029
4	Tri-Valley Inc	10 Mill St, Dudley, MA 01571-3377	MA	1976-06	$21,183,973
5	Visiting Nurse Association Of Boston Inc	500 Rutherford Ave, Boston, MA 02129-1647	MA	1944-08	$35,311,026
6	Natick Visiting Nurse Assn	209 W Central St Ste 313, Natick, MA 01760-3716	MA	1941-01	$6,686,211
7	Visiting Nurse Association Of Boston Management Resources Inc	500 Rutherford Ave, Boston, MA 02129-1647	MA	1987-06	$7,879,937
8	Visiting Nurse Association Of Middlesex-East Inc	607 North Ave Ste 17, Wakefield, MA 01880-1322	MA	1967-09	$32,686,554
9	Center For Community Recovery Innovations Inc	One Beacon St, Boston, MA 02108-3107	MA	1994-10	$702,620
10	Adcare Educational Institute Inc	5 Northampton St, Worcester, MA 01605-3407	MA	1986-12	$3,269,035
11	Spectrum Health Systems Inc	10 Mechanic St Ste 302, Worcester, MA 01608-2419	MA	1971-09	$51,478,020
12	Austen Riggs Center Inc	PO BOX 962, Stockbridge, MA 01262-0962	MA	1953-08	$23,836,927
13	May Institute Inc	41 Pacella Park Dr, Randolph, MA 02368-1755	MA	1957-02	$100,459,120
14	Umass Memorial Health Care Inc, Community Health Link Inc	72 Jaques Ave, Worcester, MA 01610-2476	MA	2000-07	$32,624,121
15	Advocates Inc	1 Clarks Hl Ste 305, Framingham, MA 01702-8172	MA	1975-11	$71,122,392
16	Stevens-Childrens Home Inc	24 Main St, Swansea, MA 02777-4620	MA	1940-01	$5,722,204
17	Wellmet Project Inc	675 Massachusetts Ave, Cambridge, MA 02139-3309	MA	1962-08	$601,833
18	Cab Health And Recovery Services Inc	199 Rosewood Dr Ste 250, Danvers, MA 01923-1388	MA	1969-06	$4,977,641
19	American Association For Thoracic Surgery	500 Cummings Center Ste 4550, Beverly, MA 01915-6142	MA	1978-03	$14,569,353
20	Intl Scty For Cardiovascular Surgery North American Chapter	Beverly, MA 01915	MA		$592,890

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