Civic Intelligence

Caregroup Inc

990 • Fiscal year 2017 • EIN 22-2629185

Oct 01, 2016 to Sep 30, 2017 • Filed on Aug 08, 2018

109 Brookline Avenue No 300Boston, MA 02215

(617) 667-1700

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

50th percentile

0.21x

Higher debt load relative to assets than 50% of similar nonprofits.

2017 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2017

Liabilities / Revenue

48th percentile

0.21x

Higher debt load relative to revenue than 48% of similar nonprofits.

2017 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2017

Net Margin

10th percentile

-22%

Higher net margin than 10% of similar nonprofits.

2017 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2017

Top Officer Pay

98th percentile

$1,419,792

Higher top officer pay than 98% of similar nonprofits.

Top officer pay equals 10.5% of source-year revenue.

2017 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2017

Asset Growth

4th percentile

-16%

Faster asset growth than 4% of similar nonprofits.

2017 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2016 to 2017

Revenue Growth

11th percentile

-19%

Faster revenue growth than 11% of similar nonprofits.

2017 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2016 to 2017

Assets

Down

$13,828,930

Down $2,656,435 (-16%) from 2016

Net Assets

Down

$10,941,014

Down $2,078,460 (-16%) from 2016

Liabilities

Down

$2,887,916

Down $577,975 (-17%) from 2016

Revenue

Down

$13,501,694

Down $3,228,099 (-19%) from 2016

Expenses

Down

$16,441,083

Down $348,946 (-2.1%) from 2016

Net Income

Down

-$2,939,389

Down $2,879,153 (-4780%) from 2016

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$100M$50M$0Assets 2011: $86,384,943Liabilities 2011: $73,907,030Net Assets 2011: $12,477,9132011Assets 2012: $86,975,019Liabilities 2012: $73,638,754Net Assets 2012: $13,336,2652012Assets 2013: $87,250,456Liabilities 2013: $73,790,792Net Assets 2013: $13,459,6642013Assets 2014: $88,212,852Liabilities 2014: $74,472,326Net Assets 2014: $13,740,5262014Assets 2015: $87,700,576Liabilities 2015: $74,801,499Net Assets 2015: $12,899,0772015Assets 2016: $16,485,365Liabilities 2016: $3,465,891Net Assets 2016: $13,019,4742016Assets 2017: $13,828,930Liabilities 2017: $2,887,916Net Assets 2017: $10,941,0142017Assets 2018: $5,477,262Liabilities 2018: $2,606,690Net Assets 2018: $2,870,5722018Assets 2019: $0Liabilities 2019: $0Net Assets 2019: $02019

Highlighted filing

2017

Assets$13,828,930
Liabilities$2,887,916
Net Assets$10,941,014

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$30M$20M$10M$0-$10MRevenue 2011: $13,521,705Expenses 2011: $13,517,775Net Income 2011: $3,9302011Revenue 2012: $14,799,763Expenses 2012: $14,795,542Net Income 2012: $4,2212012Expenses 2013: $16,191,9962013Revenue 2014: $17,390,426Expenses 2014: $17,150,485Net Income 2014: $239,9412014Revenue 2015: $16,918,389Expenses 2015: $17,050,274Net Income 2015: -$131,8852015Revenue 2016: $16,729,793Expenses 2016: $16,790,029Net Income 2016: -$60,2362016Revenue 2017: $13,501,694Expenses 2017: $16,441,083Net Income 2017: -$2,939,3892017Revenue 2018: $13,229,018Expenses 2018: $21,494,448Net Income 2018: -$8,265,4302018Revenue 2019: $14,079,802Expenses 2019: $6,855,924Net Income 2019: $7,223,8782019

Highlighted filing

2017

Revenue$13,501,694
Expenses$16,441,083
Net Income-$2,939,389
Jump To
Filing Snapshot
Filing Period
Oct 1, 2016 to Sep 30, 2017
Signed
Aug 8, 2018
Return Version
2016v3.0
Gross Receipts
$13,501,694
Mission and Program Overview

Mission

SEE SCHEDULE O.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments Other Securities$11,150,686$9,561,870▼ $1,588,816
Accounts Receivable$1,848,607$1,670,523▼ $178,084
Cash and Non-Interest-Bearing Accounts$1,406,659$1,342,602▼ $64,057
Prepaid Expenses and Deferred Charges$1,174,683$1,230,574▲ $55,891
Total Assets$16,485,365$13,828,930▼ $2,656,435
Other Assets Total$904,730$23,361▼ $881,369
Liabilities
Accounts Payable and Accrued Expenses$3,465,891$2,887,916▼ $577,975
Total Liabilities$3,465,891$2,887,916▼ $577,975
Net Assets / Fund Balance
Unrestricted Net Assets$13,019,474$10,941,014▼ $2,078,460
Total Net Assets Fund Balance$13,019,474$10,941,014▼ $2,078,460
Total Liabilities and Net Assets / Fund Balance$16,485,365$13,828,930▼ $2,656,435

Asset Categories

AssetBook ValueDepreciationBasis
Other Securities$9,561,870--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Szum JohnCFO, Evp, TreasurerFT$460,553$959,239$1,419,792
Clough Jeanette GPres/CEO Mount Auburn HospitalFT$747,481$392,359$1,139,840
Moncreiff JaneSVP & CIOFT$592,304$304,204$896,508
Donovan ShawnInterim CIOFT$389,106$201,681$590,787
Samuels AlizaVP, Marketable SecuritiesFT$435,473$51,568$487,041
Schwab ValbonaVP, Marketable SecuritiesFT$316,220$168,385$484,605
Roble DanielVP, General Counsel, ClerkPT$310,009$58,438$368,447
Appleyard JosephCorp Director - Financial PlanningFT$164,984$73,324$238,308
Bowes GeoffreyInvestment AssociateFT$164,268$50,413$214,681

Board Members and Trustees

NameTitle
Norkus MichaelDirector & Board Chair
Barker Esq Thomas RDirector
Green Esq Karen FDirector
Strieder Helen RDirector
Wilkins John PDirector
Canepa John JDirector (ex-officio)
Jick Daniel JDirector (ex-officio)
Nichols Peter BDirector (ex-officio)

Highest Paid Contractors

ContractorServicesLocationCompensation
Beth Israel Deaconess Medical CenterPayroll & Benefits330 BROOKLINE AVENUE, Boston, MA 02215$8,435,558
Kpmg LLPAccounting550 SOUTH HOPE ST STE 1500, Los Angeles, CA 90071$789,645
Ernst & YoungAccounting/taxPO BOX 827006, Philadelphia, PA 19182$191,655
Deloitte & ToucheAccounting/taxPO BOX 844736, Dallas, TX 75284-4736$119,170
Foley HoagLegal155 SEAPORT BLVD, Boston, MA 02210$116,178
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$7,966,669
Investment Income
$183,692
Other Revenue
$5,351,333
Change in Net Assets
$-2,939,389

Audited Revenue Reconciliation

Revenue per Audited Statements
$13,502,000
Revenue Not Reported on Financial Statements
$-306
Revenue Not Reported on Form 990
$3,385,642,000
Other Revenue Adjustments
$-306
Total Revenue per Audited Statements
$3,399,144,000
Total Revenue per Form 990
$13,501,694
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$8,824,671
Salaries, Compensation, and Employee Benefits$7,616,412
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Insurance$4,146,576--$4,146,576
Other Salaries and Wages$3,135,715--$3,135,715
Current Officers, Directors, Trustees, and Key Employees$1,455,979$1,455,979-$2,911,958
Other Employee Benefits$1,109,564--$1,109,564
Fees for Services Other-$836,073-$836,073
Fees for Services Accounting-$759,900-$759,900
Occupancy$400,190--$400,190
Payroll Taxes$235,867--$235,867
Pension Plan Contributions$223,308--$223,308
Other Expenses-$147,786-$147,786
Travel$138,295--$138,295
Fees for Services Legal-$75,835-$75,835
Office Expenses$61,088--$61,088
All Other Expenses-$52,306-$52,306
Conferences and Meetings$17,703--$17,703
Total Functional Expenses$10,924,285$5,516,798$0$16,441,083

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$3,332,993,000
Expenses Not Reported on Form 990$3,316,552,000
Total Expenses per Form 990$16,441,083
Expenses per Audited Statements$16,441,000
Expenses Not Reported on Financial Statements$83
Other Expense Adjustments$83
International Activity

International Summary

Offices
0
Employees
0
Spending
$1,463,005

International Compliance

Activity in boycott countries
No
Foreign corporation ownership
Yes
Foreign partnership interest
Yes
Interest in foreign trust
No
Passive foreign investment company interest
Yes
Transfers to foreign corporations
Yes

International Activities

RegionActivityServicesOfficesEmployeesSpending
Central America & the CaribbeanInvestments-00$1,251,915
Europe (including Iceland & Greenland)Investments-00$157,098
North AmericaInvestments-00$53,992
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Debt and Bond Financing

Bond Issues

BondIssuerIssuedIssue PricePurpose
AMass Health and Ed Facilities Auth2008-06-09$377,527,010SEE PART VI
AMass Development Finance Agency2016-05-12$257,611,877SEE PART VI
BMass Development Finance Agency2015-09-02$203,702,204SEE PART VI
DMass Development Finance Agency2011-09-15$120,280,000Refund issue dated 2/11/1998
CMass Development Finance Agency2012-07-11$49,910,000Refund issue dated 2/11/1998

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$378,911,689$213,068,927-$3,929,290
A$257,618,370$14,042,071$2,980,000$2,515,889
B$203,702,204$104,024,804$14,295,000$2,348,479
D$120,280,000$119,989,328$117,220,000$290,672
C$49,910,000$49,541,906$63,350,000$368,094

Bond Financing Compliance

No rebate due
No
Rebate not yet due
Yes
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 2

Officer, director/trustee and key employee business and family relationships as noted in various narrative disclosures which support this form 990 and related schedules, caregroup, inc. (caregroup) is a massachusetts non-profit corporation exempt from income tax under section 501(c)(3) of the internal revenue code of 1986, as amended. Caregroup's purpose is to oversee the financial well-being of the affiliated entities which make up the caregroup system. For the period covered by this filing, caregroup served as the sole member and a support organization of beth israel deaconess medical center (bidmc or medical center). Bidmc is the sole member of beth israel deaconess hospital - needham, inc. (bidn), medical care of boston management corporation, d/b/a beth israel deaconess healthcare a/k/a affiliated physicians group (apg), beth israel deaconess hospital - milton, inc. (bid-milton), milton hospital foundation, beth israel deaconess hospital - plymouth (bid-plymouth) and jordan health systems, inc. (jhsi). In addition, harvard medical faculty physicians at beth israel deaconess medical center, inc. (hmfp) is the dedicated physician practice of the medical center and an entity integrally related to helping the medical center accomplish its charitable purposes. For this same period, caregroup also served as the sole member and a support organization of new england baptist hospital (nebh) which in turn served as the sole member of new england baptist medical associates (nebma), and mount auburn hospital (mah) which in turn served as the sole member of mount auburn professional services (maps) and caregroup parmenter home care and hospice (cphch). Each of the entities listed in this paragraph may, in turn, serve as member of additional entities within the caregroup network of affiliates. Two or more of the persons listed in this form 990 part vii have a business relationship with each other by virtue of sitting on one or more boards of directors/trustees or by serving in employment relationship one or more entities within the caregroup network of affiliated organizations. Additional detail is provided in the explanatory notes to this form 990 schedule j.

Form 990, Part VI, Section B, Line 11B

Form 990 review process the form 990 is reviewed by the caregroup director, taxation and bond compliance officer and the caregroup executive vice president / chief financial officer. The return is also reviewed and signed by deloitte tax, llp. The complete form 990 is presented to the caregroup audit committee for review and discussion. A copy of the complete return is also provided to each member of the caregroup board of directors prior to submission to the internal revenue service.

Form 990, Part VI, Section B, Line 12C

Explanation of monitoring and enforcement of conflicts caregroup, inc. Has a comprehensive conflict of interest policy. Pursuant to that policy, all officers, directors and key employees are asked to complete an annual conflict disclosure which is designed to require disclosure of any business relationships maintained by officers, directors or key employees and their family members which may result in a conflict of interest. In addition, any individual who commences a term as an officer, director or key employee is required to complete the annual conflict disclosure at the time such position commences. For the period covered by this filing, the caregroup chief of staff collected the responses and provided them to the caregroup executive committee which reviewed positive responses for ultimate determination of any potential or actual conflict. Any activity that required action under the conflict of interest policy was subject to ongoing review and action through the executive committee working with the executive vice president / chief financial officer. Pursuant to the conflict of interest policy, certain activities which could create conflicts of interest are prohibited while other types of relationships are permitted, subject to compliance with a plan to require disclosure and recusal, including appropriate documentation in the minutes. A summary of the annual conflict of interest process is provided to the caregroup audit committee. In addition to the conflict of interest process outlined above, the caregroup tax department issues a tax questionnaire to all current and former members of the caregroup board of directors as well as current and former officers and key employees. The tax questionnaire is designed to gather the information necessary for caregroup to completely and accurately process and complete form 990 part vi question 2, family and business relationships between officers, directors/trustees and key employees and form 990 schedule l, transactions with interested persons and form 990, part vi, question 2, family and business relationships between officers, directors/trustees and key employees.

Form 990, Part VI, Section B, Line 15

Description of process to determine compensation of the organizations ceo and other officers and key employees for the period covered by this filing, caregroup had an executive committee, a subcommittee of the caregroup board of directors. All members are independent. The committee established the policies and the compensation structure of the caregroup executive vice president / chief financial officer and chief investment officer. In setting compensation, the committee relied upon written compensation surveys/studies produced by an independent compensation consulting firm that regularly assesses executive compensation and benefits of similar organizations. The committee met to review the compensation structure of the individuals described above and at that time reviewed the compensation survey data prepared by the independent compensation consulting firm. The committee recommended the reviewed packages which were submitted to the full board of directors for approval. All deliberations were contemporaneously documented in minutes. The committee was responsible for assuring that the total compensation provided is fair and reasonable using current and credible market practice information and that it complies with applicable legal and regulatory guidelines.

Form 990, Part VI, Section C, Line 19

Other organization documents publicly available the governing documents, conflict of interest policy and financial statements are available to the general public upon request at the following location: caregroup, inc. 109 brookline avenue, suite 300 boston, ma 02215

Filing and Contact Details

Filer

Filer Name
Caregroup Inc
EIN
22-2629185
Phone
6176671700
Address
109 BROOKLINE AVENUE NO 300, BOSTON, MA 02215

Signing Officer

Name
John T Szum
Title
Executive VP and CFO
Phone
6176671700
Signed
2018-08-08
Discuss with paid preparer
No

Organization Details

Principal Officer
John T Szum
Formed
1984
Legal Domicile
Ma
Voting Board Members
7
Independent Board Members
7
Employees
21
Volunteers
8

Preparer

Firm
Deloitte Tax Llp
Address
TWO JERICHO PLAZA, JERICHO, NY 11753-1681
Preparer
Christine Kawecki
Phone
5169187000
Supplemental Narrative

Additional Explanations

Form 990, Part I, Line 1 and Part III, Line 1

The purpose of caregroup, inc. (caregroup) is to oversee the financial well-being of the affiliated entities which make up the caregroup system. Caregroup serves as the sole member and, for the period covered by this filing, as a support organization of beth israel deaconess medical center (bidmc or medical center). Bidmc is the sole member of beth israel deaconess hospital - needham, inc. (bidn), medical care of boston management corporation, d/b/a beth israel deaconess healthcare a/k/a affiliated physicians group (apg), beth israel deaconess hospital - milton, inc. (bid-milton), beth israel deaconess hospital - plymouth (bid-plymouth) and jordan health systems, inc. (jhsi). In addition, harvard medical faculty physicians at beth israel deaconess medical center, inc. (hmfp) is the dedicated physician practice of the medical center and an entity integrally related to helping the medical center accomplish its charitable purposes. During this same period caregroup also served as the sole member and a support organization of new england baptist hospital (nebh) which in turn served as the sole member of new england baptist medical associates (nebma), and mount auburn hospital (mah), which in turn served as the sole member of mount auburn professional services (maps) and caregroup parmenter home care and hospice (cphch). Each of the entities listed in this paragraph may, in turn, serve as member of additional entities within the caregroup network of affiliates.

Form 990, Part III, Line 4A

Exempt purpose achievements as a support organization overseeing the financial well-being of its affiliated entities, for the period covered by this filing, caregroup provided, among other things, management leadership, debt structuring support, investment management for the endowment assets, financing of capital projects through its obligated group debt, and financial support services, including insurance and tax services for the consolidated network of entities. In addition, caregroup has participated in the development of health related ventures and partnerships and generally supports the delivery of healthcare services, research and teaching services throughout the network. All of these activities further both the exempt purposes of caregroup and the entities which it supports.

Part IV, Question 24B

Investment of tax-exempt bond proceeds beyond the temporary period exception proceeds in the project fund were unexpectedly held beyond the three-year temporary period, but were yield restricted in compliance with federal tax requirements.

Part IV, Question 12B

Statement re audited financial statements the boston, ma office of kpmg issued an unqualified opinion on the caregroup and affiliates consolidated audited financial statements for fiscal year ended september 30, 2017. These statements were prepared in accordance with generally accepted accounting principles (gaap) and include the accounts of caregroup, beth israel deaconess medical center, inc. And its affiliates, mount auburn hospital and its affiliates, and new england baptist hospital and its affiliate.

Part V, Question 2A

Statement re payroll beth israel deaconess medical center, inc. Serves as the common pay agent for caregroup, inc. In accordance with instructions to the 2016 form 990, caregroup is reporting the number of forms w-2 issued as if they had been issued directly by caregroup.

FORM 990, PART XI, LINE 9:

Unrealized change in equity interest 802,242.

Schedule L Part IV - Business Transactions Involving Interested Persons

Caregroup and each of its affiliates maintain accountable business expense reimbursement plans. From time to time, these entities may reimburse its officers, directors/trustees and/or key employees for expenses they incurred and which are properly ordinary and necessary business expenses of the reporting entity. The policies and procedures required by the accountable business plan must be followed in order to receive reimbursement for such expenses and it is possible that one or more individuals received non-taxable reimbursements which totaled $10,000 or more during the fiscal period covered by this filing. All of the above transactions were negotiated at arms-length and in accordance with the caregroup conflict of interest policy.

Financial Statement Notes

PART X, LINE 2:

Caregroup and substantially all of its subsidiaries have all been determined by the internal revenue service to be organizations described in internal revenue code (the code) section 501(c)(3) and, therefore, are exempt from federal income taxes on related income pursuant to section 501(a) of the code. The corporation recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. Recognized income tax positions are measured at the largest amount of benefit that is greater than fifty percent likely to be realized upon settlement. Changes in measurement are reflected in the period in which the change in judgment occurs. The corporation did not recognize the effect of any income tax positions in either 2017 or 2016.

PART XI, LINE 2D - OTHER ADJUSTMENTS:

Changes in equity interests in limited partnership 802,000. Consolidated affiliates net eliminiations 3,384,840,000.

PART XI, LINE 4B - OTHER ADJUSTMENTS:

ROUNDING -306.

PART XII, LINE 2D - OTHER ADJUSTMENTS:

Consolidated affiliates net eliminiations 3,316,552,000.

PART XII, LINE 4B - OTHER ADJUSTMENTS:

ROUNDING 83.

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IRS990/Form990PartVIISectionAGrp/TitleTxt2DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt3DIRECTOR (EX-OFFICIO)
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR (EX-OFFICIO)
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IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR
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IRS990ScheduleA/Form990SchAType3SprtOrgAllGrp/TimelyProvidedDocumentsInd00
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0NAME AND RELATIONSHIP OF SUPPORTING ORGANIZATIONS AS NOTED IN VARIOUS NARRATIVE DISCLOSURES WHICH SUPPORT THIS FORM 990 AND RELATED SCHEDULES, CAREGROUP, INC. (CAREGROUP) IS A MASSACHUSETTS NON-PROFIT CORPORATION EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. CAREGROUP'S PURPOSE IS TO OVERSEE THE FINANCIAL WELL-BEING OF THE AFFILIATED ENTITIES WHICH MAKE UP THE CAREGROUP SYSTEM. TO THIS END, FOR THE PERIOD COVERED BY THIS FILING, CAREGROUP SERVED AS THE SOLE MEMBER AND A SUPPORT ORGANIZATION OF BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC OR MEDICAL CENTER), NEW ENGLAND BAPTIST HOSPITAL (NEBH) AND MOUNT AUBURN HOSPITAL (MAH). BIDMC IS THE SOLE MEMBER OF BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM, INC. (BID-NEEDHAM), MEDICAL CARE OF BOSTON MANAGEMENT CORPORATION, D/B/A BETH ISRAEL DEACONESS HEALTHCARE A/K/A AFFILIATED PHYSICIANS GROUP (APG), BETH ISRAEL DEACONESS HOSPITAL - MILTON, INC. (BID-MILTON), MILTON HOSPITAL FOUNDATION (MHF), BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH (BID-PLYMOUTH) AND JORDAN HEALTH SYSTEMS, INC. (JHSI). IN ADDITION, HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC. (HMFP) IS THE DEDICATED PHYSICIAN PRACTICE OF THE MEDICAL CENTER AND AN ENTITY INTEGRALLY RELATED TO HELPING THE MEDICAL CENTER AND ITS AFFILIATED HOSPITALS ACCOMPLISH THEIR CHARITABLE PURPOSES. EACH OF THE ENTITIES LISTED IN THIS PARAGRAPH MAY, IN TURN, SERVE AS MEMBER OF ADDITIONAL ENTITIES WITHIN THE CAREGROUP NETWORK OF AFFILIATES. THE CAREGROUP RESTATED ARTICLES OF ORGANIZATION SPECIFY THAT THE CORPORATION "SHALL OPERATE EXCLUSIVELY FOR THE BENEFIT OF BETH ISRAEL DEACONESS MEDICAL CENTER, INC., BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM, INC., MOUNT AUBURN HOSPITAL, NEW ENGLAND BAPTIST HOSPITAL AND HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC. AND THEIR AFFILIATED HOSPITALS AND OTHER AFFILIATED CHARITABLE ORGANIZATIONS IN THE CONDUCT OF THEIR CHARITABLE, EDUCATIONAL AND SCIENTIFIC FUNCTIONS..." AS REPORTED IN THIS FORM 990 SCHEDULE A, PART I LINE 11G, DURING THE PERIOD COVERED BY THIS FILING, CAREGROUP PROVIDED SUPPORT TO BIDMC, BID-NEEDHAM, BID-MILTON, BID-PLYMOUTH, APG, MAH, NEBH AND HMFP. ALTHOUGH NOT ALL OF THESE ENTITIES WERE SPECIFICALLY LISTED BY NAME IN THE ARTICLES, ALL WERE DESIGNATED BY CLASS AND PURPOSE AS STATED IN THAT GOVERNING DOCUMENT AS "AFFILIATED HOSPITALS AND OTHER AFFILIATED CHARITABLE ORGANIZATIONS" AS BIDMC SERVES AS THE SOLE MEMBER OF THE ENTITIES NOT OTHERWISE LISTED. IN ADDITION, CAREGROUP HAS AN HISTORIC AND CONTINUING RELATIONSHIP WITH THESE ENTITIES PROVIDING ONGOING SERVICES AS NOTED THROUGHOUT THIS FORM 990, REQUIRED SCHEDULES AND NARRATIVE SUPPORT.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt1SIGNIFICANT VOICE IN INVESTMENT POLICIES, OTHER SERVICES AND BOARD REPRESENTATION SCHEDULE A PART IV SECTION E TYPE III FUNCTIONALLY-INTEGRATED SUPPORTING ORGANIZATIONS - ACTIVITIES TEST AS NOTED IN THIS FORM 990 FOR THE PERIOD COVERED BY THIS FILING, CAREGROUP WAS A SUPPORT ORGANIZATION OVERSEEING THE FINANCIAL WELL-BEING OF ITS AFFILIATED ENTITIES. TO THAT END, CAREGROUP PROVIDED, AMONG OTHER THINGS, MANAGEMENT LEADERSHIP, DEBT STRUCTURING SUPPORT, INVESTMENT MANAGEMENT FOR THE ENDOWMENT ASSETS, FINANCING OF CAPITAL PROJECTS THROUGH ITS POOLED AND OBLIGATED GROUP DEBT, AND FINANCIAL SUPPORT SERVICES, INCLUDING INSURANCE AND TAX SERVICES FOR THE CONSOLIDATED NETWORK OF ENTITIES. DURING THE PERIOD COVERED BY THIS FILING, THE CAREGROUP CHIEF INVESTMENT OFFICER (CIO) PROVIDED INVESTMENT REPORTS TO SUPPORTED ORGANIZATIONS' INVESTMENT COMMITTEES, FINANCE COMMITTEES AND/OR BOARDS OF DIRECTORS/TRUSTEES AS WELL AS TO EACH INVESTOR'S SENIOR FINANCIAL MANAGEMENT. IN ADDITION, THE CIO WORKS WITH EACH ENTITY'S SENIOR MANAGEMENT AS NECESSARY RELATED TO ACCESSIBILITY TO CASH AND LIQUIDITY OF INVESTMENTS. THE CAREGROUP BOARD OF MANAGERS, A SUBCOMMITTEE OF THE CAREGROUP BOARD, WAS DESIGNATED TO MAKE INVESTMENT DECISIONS BY THE SUPPORTED ORGANIZATIONS WHOSE ENDOWMENTS AND/OR QUASI ENDOWMENT FUNDS WERE INVESTED; THESE ORGANIZATIONS EACH HAD BOARD REPRESENTATION DIRECTLY ON THE CAREGROUP BOARD OR REPRESENTATION THROUGH AN ENTITY WHICH SERVES AS ITS SOLE MEMBER. THE CAREGROUP EXECUTIVE VICE PRESIDENT AND CHIEF FINANCIAL OFFICER WAS INVITED TO BOARD MEETINGS OF SUPPORTED ORGANIZATIONS AS WELL AS MANY MEETINGS OF BOARD SUBCOMMITTEES. IN ADDITION, UNDER THE BY-LAWS WHICH WERE AMENDED AND RESTATED EFFECTIVE MARCH 24, 2016 BETH ISRAEL DEACONESS MEDICAL CENTER, MOUNT AUBURN HOSPITAL AND NEW ENGLAND BAPTIST HOSPITAL EACH HAVE THE RIGHT TO DESIGNATE ONE OF THE CAREGROUP'S EIGHT DIRECTORS. ACTIVITIES RELATED TO ISSUING NEW OBLIGATED GROUP DEBT AND/OR REFINANCING ANY EXISTING DEBT REQUIRES EXTENSIVE REVIEW AND COORDINATION WITH EACH MEMBER OF THE CAREGROUP OBLIGATED GROUP, ALL OF WHICH ARE SUPPORTED ORGANIZATIONS, AND BOARD VOTES RELATED TO ANY SUCH ACTION ARE REQUIRED. FINALLY, ON-GOING INSURANCE SERVICES, OTHER FINANCIAL SERVICES, TAX SERVICES AND COSTS ARE REVIEWED ON AN ON-GOING BASIS WITH THE SENIOR MANAGEMENT OF THE SUPPORTED ORGANIZATIONS AND INCLUDE PRESENTATIONS TO THE SUPPORTED ORGANIZATIONS' BOARDS OF DIRECTORS/TRUSTEES AND/OR BOARD SUB-COMMITTEES GENERALLY ON NOT LESS THAN AN ANNUAL BASIS. CAREGROUP'S EXEMPT FUNCTION INCOME IS EXCLUSIVELY DERIVED FROM PAYMENTS MADE TO CAREGROUP BY ITS SUPPORTED ORGANIZATIONS AND RELATED TO THE SERVICES IT PROVIDES TO THOSE SUPPORTED ORGANIZATIONS AS DESCRIBED ABOVE. ALL SUCH ACTIVITIES WOULD NEED TO BE PERFORMED DIRECTLY BY THE SUPPORTED ORGANIZATIONS IF NOT PROVIDED TO THEM BY CAREGROUP. ANNUALLY, A PERCENTAGE OF CAREGROUP'S INVESTMENT INCOME IS ALLOCATED TO EACH SUPPORTED ORGANIZATION TO COVER A PORTION OF THE COSTS OF THE SERVICES THAT CAREGROUP PROVIDES TO EACH SUPPORTED ORGANIZATION. AS SUCH, THROUGH THESE ACTIVITIES AND ACTIONS, EACH SUPPORTED ORGANIZATION HAS A SIGNIFICANT VOICE IN CAREGROUP'S OVERALL OPERATIONS INCLUDING IN THE INVESTMENT POLICIES AS WELL AS THE USE OF CAREGROUP'S INCOME AND ASSETS.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt2SEE STATEMENT ABOVE

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