Liabilities / Assets
63rd percentile
Higher debt load relative to assets than 63% of similar nonprofits.
EIN 22-2658209 • 501(c)3 • Boston, MA
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
63rd percentile
Higher debt load relative to assets than 63% of similar nonprofits.
Liabilities / Revenue
18th percentile
Higher debt load relative to revenue than 18% of similar nonprofits.
Net Margin
36th percentile
Higher net margin than 36% of similar nonprofits.
Top Officer Pay
87th percentile
Higher top officer pay than 87% of similar nonprofits.
Top officer pay equals 1.1% of source-year revenue.
Asset Growth
84th percentile
Faster asset growth than 84% of similar nonprofits.
Revenue Growth
32nd percentile
Faster revenue growth than 32% of similar nonprofits.
Assets
Up$33,300,388
Up $5,013,553 (+18%) from 2017
Liabilities
Up$13,811,307
Up $4,149,089 (+43%) from 2017
Net Assets
Up$19,489,081
Up $864,464 (+4.6%) from 2017
Revenue
Up$129,616,534
Up $2,503,618 (+2.0%) from 2017
Expenses
Up$128,977,199
Up $3,493,686 (+2.8%) from 2017
Net Income
Down$639,335
Down $990,068 (-61%) from 2017
Most recent year
2018 • Form 990Detailed filing. Detailed filing data is available for this year.
SEE SCHEDULE O.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Cash and Non-Interest-Bearing Accounts | $3,873,103 | $11,028,881 | ▲ $7,155,778 |
| Accounts Receivable | $9,320,159 | $5,397,591 | ▼ $3,922,568 |
| Land, Buildings, and Equipment, Net | $1,011,735 | $1,062,902 | ▲ $51,167 |
| Other Notes and Loans Receivable, Net | $554,485 | $1,014,355 | ▲ $459,870 |
| Receivable From Disqualified Prsn | $190,833 | $100,833 | ▼ $90,000 |
| Investments Other Securities | $34,252 | $33,347 | ▼ $905 |
| Savings and Temporary Cash Investments | $0 | $0 | → $0 |
| Pledges and Grants Receivable | $0 | $0 | → $0 |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Investments Program Related | $0 | $0 | → $0 |
| Investments in Publicly Traded Securities | $0 | $0 | → $0 |
| Intangible Assets | $0 | $0 | → $0 |
| Inventories for Sale or Use | $0 | $0 | → $0 |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Prepaid Expenses and Deferred Charges | $37,727 | $-71,604 | ▼ $109,331 |
| Total Assets | $28,286,835 | $33,300,388 | ▲ $5,013,553 |
| Other Assets Total | $13,264,541 | $14,734,083 | ▲ $1,469,542 |
| Liabilities | |||
| Other Liabilities | $6,057,094 | $8,667,945 | ▲ $2,610,851 |
| Accounts Payable and Accrued Expenses | $3,605,124 | $5,143,362 | ▲ $1,538,238 |
| Grants Payable | $0 | $0 | → $0 |
| Mortgage Notes Payable Secured by Investment Property | $0 | $0 | → $0 |
| Unsecured Notes Loans Payable | $0 | $0 | → $0 |
| Deferred Revenue | $0 | $0 | → $0 |
| Escrow Account Liability | $0 | $0 | → $0 |
| Tax Exempt Bond Liabilities | $0 | $0 | → $0 |
| Total Liabilities | $9,662,218 | $13,811,307 | ▲ $4,149,089 |
| Net Assets / Fund Balance | |||
| Unrestricted Net Assets | $18,624,617 | $19,489,081 | ▲ $864,464 |
| Permanently Rstr Net Assets | $0 | $0 | → $0 |
| Temporarily Rstr Net Assets | $0 | $0 | → $0 |
| Total Net Assets Fund Balance | $18,624,617 | $19,489,081 | ▲ $864,464 |
| Total Liabilities and Net Assets / Fund Balance | $28,286,835 | $33,300,388 | ▲ $5,013,553 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $125,334 | $1,765,628 | $1,890,962 |
| Buildings | $937,568 | $187,514 | $1,125,082 |
| Leasehold Improvements | - | $507,974 | $507,974 |
| Other Assets Org | $7,399,983 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| D Bradley Welling | Dir, Chair/pres (until 12/17) | PT | $1,063,052 | $307,112 | $1,221,227 |
| Joan W Miller | Director Chair/pres (as of 8/23/18) | PT | $914,115 | $299,339 | $1,052,983 |
| Alex Grilli | Physician | FT | $797,213 | $168,599 | $923,775 |
| Theresa a Hadlock | Physician | FT | $816,906 | $59,699 | $904,111 |
| Paul Konowitz | Physician | FT | $755,176 | $50,479 | $900,649 |
| Noah Siegel | Physician | FT | $838,468 | $77,699 | $894,605 |
| Michael Rho | Physician | FT | $844,412 | $52,174 | $849,387 |
| Hugh Curtin | Dir, Sec/treas (as of 1/1/18) | FT | $753,644 | $111,350 | $724,515 |
| Sunil Eappen Md | See Schedule O for Title | PT | $522,201 | $158,933 | $681,134 |
| Suzanne Freitag Md | Director (until 9/26/18) | FT | $613,165 | $73,028 | $455,432 |
| Nicolas Busaba Md | Director (until 9/26/18) | FT | $368,593 | $60,659 | $429,252 |
| Name | Title |
|---|---|
| John Fernandez | Director |
| Jonathan Kutchins | Director (until 12/6/17) |
| Barbara Scully | Director Professional Billing |
| Kenneth Holmes | CFO Meea |
| Debra Rogers | VP Opthalmology |
| Rachel Wasserstrom | VP Otolaryngology |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Scribeamerica LLC | Transcription Svcs | PO BOX 411756, Boston, MA 02241 | $322,660 |
| Cathedral Corporation | Printing Svcs | 15 BLACKSTONE VALLEY PLACE, Lincoln, RI 02865 | $241,309 |
| Surgisite Boston | Laser Services | 562 EASTON STREET, Somerset, NJ 08873 | $194,991 |
| Kelly Audiology Services INC | Audiology Services | 140 HARVEST LANE, Bridgewater, MA 02324 | $159,175 |
| Eagle Graphics | Printing Svcs | 733 TURNPIKE STREET 205, North Andover, MA 01845 | $101,035 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $73,774,501 |
| Other Expenses | $55,202,698 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $58,124,501 | - | - | $58,124,501 |
| Pension Plan Contributions | $5,452,664 | - | - | $5,452,664 |
| Other Employee Benefits | $4,769,357 | - | - | $4,769,357 |
| Information Technology | - | $3,298,795 | - | $3,298,795 |
| Office Expenses | $3,192,098 | - | - | $3,192,098 |
| Current Officers, Directors, Trustees, and Key Employees | $2,561,323 | - | - | $2,561,323 |
| Payroll Taxes | $2,311,213 | - | - | $2,311,213 |
| Other Expenses | $35,695,503 | $1,069,564 | - | $1,069,564 |
| Travel | $749,808 | - | - | $749,808 |
| All Other Expenses | $601,536 | - | - | $601,536 |
| Comp Disqual Persons | $555,443 | - | - | $555,443 |
| Conferences and Meetings | $103,898 | - | - | $103,898 |
| Depreciation Depletion | - | $85,132 | - | $85,132 |
| Advertising | $34,039 | - | - | $34,039 |
| Fees for Services Legal | - | $12,387 | - | $12,387 |
| Total Functional Expenses | $114,151,383 | $14,825,816 | $0 | $128,977,199 |
| Region | Activity | Services | Offices | Employees | Spending |
|---|---|---|---|---|---|
| Europe (Including Iceland and Greenland) | Program Services | Seminar/conference | - | - | $110,558 |
| East Asia and the Pacific | Program Services | Seminar/conference | - | - | $42,384 |
| Sub-Saharan Africa | Program Services | Seminar/conference | - | - | $18,563 |
| North America | Program Services | Seminar/conference | - | - | $8,382 |
| Central America and the Caribbean | Program Services | Seminar/conference | - | - | $4,334 |
| Middle East and North Africa | Program Services | Seminar/conference | - | - | $4,165 |
| South America | Program Services | Seminar/conference | - | - | $1,675 |
| South Asia | Program Services | Seminar/conference | - | - | $919 |
| Line Item | Amount |
|---|---|
| Fundraising Direct Expenses | $0 |
| Fundraising Gross Income | $0 |
| Gaming Direct Expenses | $0 |
| Gaming Gross Income | $0 |
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| John Miller Md | Son of Director | Employment Agreement | No | $555,443 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Receivables from Disqualified Persons | $190,833 | $100,833 | ▼ $90,000 |
| Loans from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Receivables from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Liability | Amount |
|---|---|
| Professional Liab/crico Reserv | $8,667,945 |
“Meea's sole member is the foundation of the massachusetts eye and ear infirmary ("the foundation"), meea's parent. Effective april 1, 2018, meea became part of the comprehensive, integrated healthcare system organized by partners healthcare system, inc, ("partners") that includes hospitals, physicians, charitable, scientific, educational, research and other partners affiliated organizations. As part of the system meea will assist and support partners and the partners affiliated organizations in fulfilling their mission. The majority of the directors of the meea board serve ex officio or are elected by the foundation. Two of the directors are elected by meea's physician employees. Form 990, part vi, line 7b: while the meea board is authorized to make certain decisions (subject to the ultimate authority of its sole member, the foundation), there are, in addition, certain committees where policies and procedures are applied to all tax-exempt related entites of the foundation. This includes the compensation committee as well as the budget and finance committee of the foundation. Foundation. Foundation. Foundation. Form 990, part vi, line 11b: meea's form 990 is prepared by pricewaterhousecoopers, llp and reviewed by the chief financial officer. The form 990 is then provided to the budget and finance committee of the foundation for review and approval as authorized by the board of directors. The form 990 is also provided to the full board of directors for review before it is filed.”
“All employees of meea are professional staff who are covered by the meei conflict of interest policy and/or the harvard medical school conflict of interest policy. Members of the staff are required to disclose conflicts of interest to their chief of service or department and director of laboratory/unit. Members of the board of directors are required to disclose annually, in writing, any interest that could arise to conflicts. The office of the internal legal counsel obtains and reviews the annual conflicts of interest statements by members of the board of directors and reports the same to the audit and compliance committee of the foundation. With respect to interests disclosed by board members that could give rise to conflicts of interest, the internal legal counsel reviews all transactions between such interests and the affiliates of the foundation to determine whether these transactions were conducted at arm's length.”
“The chairman of the compensation committee of the board of the infirmary presents a recommendation to the compensation committee who have final approval of the ceo's base salary and bonus amount. The ceo recommends executive salaries to the compensation committee of the board who has final authorization to approve it. The compensation committee meeting was held on november 15, 2017. Total compensation for the ceo, chiefs and vice presidents, including bonus payments, including comparability data, was analyzed by independent compensation consultants and is determined to be reasonable.”
“Summarized financial statements are available on the infirmary's website: www.masseyeandear.org. Audited financial statements are available upon request. The form 990 is available upon request. Governing documents and conflict of interest policy are also available upon request.”
“None of the officers and directors on the meea board are paid or reimbursed as officers or directors of meea. The physicians on the meea board are compensated by meea for professional services to patients. Compensation policies and parameters are determined by the compensation committee of the foundation for all of its tax-exempt entities, and all compensation is determined reasonable based on independently prepared market analysis. Form 990, part vii, section a sunil eappen, md was the secretary and treasurer of meea until 12/31/17 and was the chair and president from 1/1/18 through 7/13/18. He was a director from 10/1/17 to 7/13/18.”
“MASSACHUSETTS EYE AND EAR ASSOCIATES, INC. ("MEEA") IS A SPECIALTY PHYSICIAN GROUP PRACTICE. IT PROVIDES CARE FOR PATIENTS OF THE MASSACHUSETTS EYE AND EAR INFIRMARY, INC. ("MEEI"), A RELATED ORGANIZATION. THE PRACTICE SPECIALIZES IN PROVIDING CARE FOR DISORDERS OF THE EYE, EAR, NOSE, THROAT, HEAD AND NECK. MEEA IS ALSO COMMITTED TO ITS TEACHING AND EDUCATION EFFORTS. FORM 990, PART III, LINE 4A Massachusetts Eye and Ear is a specialty hospital dedicated to excellence in the care of disorders that affect the eye, ear, nose, throat and adjacent regions of the head and neck. World-renowned for care, research and teaching in these areas of expertise, Mass. Eye and Ear physicians and scientists are driven by a mission to find cures for blindness and deafness. In the 2018-2019 "Best Hospitals Survey," U.S. News & World Report again ranked Mass. Eye and Ear a top hospital in the nation: #4 for eye care and #6 for ear, nose and throat care. The commitment to provide compassionate and accessible patient care continued with the expansion to twenty clinical care locations in Massachusetts and Rhode Island. In 2018 Mass. Eye and Ear became a proud member of the Partners HealthCare system. This integration has and will continue to allow for a more seamless sharing of some of the centralized services Partners extends to its entities, including PeopleSoft (enterprise resource planning) and Epic (unified patient care system). Clinical Highlights Department of Ophthalmology - Faculty Hires Paolo Bispo, PhD Yihe Chen, MD Deborah Jacobs, MD Lynette Johns, OD Patrick Lee, OD Courtney Ondeck, MD, MPhil Elizabeth Rossin, MD, PhD Bart Chwalisz, MD (part-time) David Sola-Del Valle, MD Allison Soneru, MD Aisha Traish, MD Tav van Zyl, MD Nazlee Zebardast, MD, MSc Department of Ophthalmology - Faculty Appointments Professor of Ophthalmology Eric Pierce, MD, PhD: William F. Chatlos Professor of Ophthalmology Associate Professor of Ophthalmology Dean Cestari, MD Jack Greiner, MS, OD, DO, PhD (Part-time) Tatjana Jakobs, MD George Papaliodis, MD Luk Vandenberghe, PhD Mary Aronow, MD Assistant Professor of Ophthalmology Petr Baranov, MD, PhD Jason Comander, MD, PhD Tobias Elze, PhD Kevin Houston, OD, MSc Charles Leahy, OD, MS (Part-time) John B. Miller, MD Ayellet Segr, MSc, PhD Brian Song, MD Yoshihiro Yonekawa, MD Instructor in Ophthalmology Paulo Bispo, PhD Yihe Chen, MD Department of Otolaryngology - Faculty Hires Full-time Medical Staff Dunia E. Abdul-Aziz, MD Craig A. Jones, MD Matthew R. Naunheim, MD Michael D. Otremba, MD Research Faculty Daniel L. Faden, MD Srinivas Vinod Saladi, PhD Community-based Medical Staff Pamela S. Jones, MD Vishnu Kannabiran, MD Geoffrey E. Leber, MD, FACS George A. Scangas, MD Department of Otolaryngology - Faculty Appointments Professor Mark A. Varvares, MD Associate Professor Stacey T. Gray, MD Kristina Simonyan, MD, PhD, Dr med Assistant Professor Alicia M. Quesnel, MD Anne E. Takesian, PhD Department of Otolaryngology - Other Promotions/New Leadership . Jean Bruch, DMD, MD, was named director of the Norman Knight Hyperbaric Medicine Center . Nate Jowett, MD, FRCSC, was named director of the Surgical Photonics and Engineering Laboratory . Faisal Karmali, PhD, and Richard F. Lewis, MD, were named co-directors of the Jenks Vestibular Physiology Laboratory . Konstantina M. Stankovic, MD, PhD, FACS, was promoted to director of the Division of Otology and Neurotology Department of Anesthesiology - Faculty Hires Melina Hutchison, CRNA Timothy Riley, CRNA Department of Anesthesiology - Faculty Promotions Alvaro Andres Macias, MD: Associate Clinical Director; Assistant Professor, Active Staff Mass Eye and Ear Iuliu Fat, MD: Associate Medical Director for Preoperative Evaluation and Testing; Associate Anesthesiologist, Active Staff, Mass Eye and Ear Gustavo Lozada, MD, MMED: Co-Director of Ambulatory Anesthesia Nancy Gessner, MD: Anesthesiologist, Active Staff, Mass Eye and Ear Maria Bortkiewicz, MD: Anesthesiologist, Active St”
“held on October 11, brought together leaders in the fields of ophthalmology, bioengineering, and regenerative medicine who aim to accelerate cures for blinding diseases. Keynote speaker presented a talk entitled "Biomaterials and biotechnology: from the discovery of the first angiogenesis inhibitors to the development of controlled drug delivery systems and the foundation of tissue engineering." Organized by Harvard Ophthalmology Ocular Regenerative Medicine Institute Co-Directors Michael Young, PhD and Demetrios Vavvas, MD, PhD, the event was sponsored by RxGen, Alcon, Biogen, Catalyst Biosciences, Gorin Foundation, ReNeuron, and the National Institutes of Health. Held on October 12-13, the 5th Biennial International Symposium on AMD drew more than 200 clinicians, researchers, trainees, and industry representatives who discussed the latest advances in AMD research and the challenges that lay ahead. Franois Delori, PhD, a Harvard Medical School Professor of Ophthalmology and Senior Scientist at Schepens Eye Research Institute of Mass. Eye and Ear, presented the 2018 Ephraim Friedman Lecture, entitled "Fundus autofluorescence." Organized by Harvard Ophthalmology AMD Center of Excellence Co-Directors Patricia D'Amore, PhD, MBA, Ivana Kim, MD, and Deeba Husain, MD, the event was sponsored by the Broadhurst Foundation, Regeneron, Genentech, Biogen, Macular Degeneration Foundation, Heidelberg Engineering, American Macular Degeneration Foundation, Merck, and the National Institutes of Health. Innovation and Interaction Sessions is a new educational initiative that brings residents together for one 3-hour block each month to participate in innovative and interactive learning utilizing the Surgical Training Laboratory. The first session on August 3, 2018 was led by Silas Wang, MD and Elizabeth Rossin, MD, PhD. Highlights included practicing setting up and priming the phaco machine, loading 1-piece and 3-piece IOLs, positioning and manipulation of the microscope, paracentesis and main wound construction followed by suturing of wounds, teaching sutures, and learning to load and implant capsular tension rings and 3-piece IOLs. The second session on September 7, 2018 was led by David Hunter, MD, PhD, David Sol-del Valle, MD, Tav van Zyl, MD, and Dr. Rossin. Junior residents participated in a Refraction boot camp where they learned about retinoscopy and refraction. Senior residents participated in a minimally invasive glaucoma surgery (MIGS) workshop where they learned to place an iStent, and having completed this training are now able to participate in MIGS procedures with Dr. Sol-del Valle in the operating room. Resident feedback on these sessions has been very positive. A continuity clinic was created to supplement the continuity in patient care that residents experience in caring for patients within the clinical rotations. In this enhanced continuity experience, residents see patients that they evaluated in the Mass. Eye and Ear Emergency Department (MEE ED) in follow-up appointments. Residents also have the opportunity to participate in surgeries of patients that they initially cared for in the MEE ED. Residents attend continuity clinic approximately 2 half days per month. This clinic is directly supervised by the Mass Eye and Ear Chief Resident, who is a member of the Mass Eye and Ear faculty. Feedback from residents and faculty has been positive. An ophthalmology residency program wellness committee was formed consisting of residents and faculty members. The committee works with the residency program, the department, and the GME efforts to support and encourage activities that promote resident wellness. Examples of early initiatives include revamping the resident room, a space in which the residents have workspaces, lockers, computers, and often spend down-time, as well as organizing a series of resident-faculty social activities outside of work. Mass Eye and Ear has also appointed a resident representative to the Partners Healthcar”
“- Dunia Abdul-Aziz, MD, was the recipient of the 2017 Yellen Young Investigator Award. This award is made possible by the generosity of Mass. Eye and Ear Trustees, Patricia and Barry Yellen. - Daniel G. Deschler, MD, FACS, and Marlene L. Durand, MD, published a new textbook, Infections of the Ears, Nose, Throat, and Sinuses. Dr. Deschler was also appointed chair of the Patient Care Division of the American Head and Neck Society. - Kevin S. Emerick, MD, is the recipient of the 2018 Chris O'Brien Traveling Fellowship, which is presented by The Research and Education Foundation of the American Head and Neck Society. - Tessa A. Hadlock, MD, was re-elected as president of the International Sir Charles Bell Society. - Eric H. Holbrook, MD, joined the American Rhinologic Society Board of Directors. - Elliott D. Kozin, MD, was named a 2018 Star Reviewer for the journal Otolaryngology-Head and Neck Surgery. - Robin W. Lindsay, MD, was named co-chair of the American Academy of Facial Plastic and Reconstructive Surgery Meeting at the Combined Otolaryngology Spring Meetings and chair of the WIO Research and Survey Committee for the American Academy of Otolaryngology-Head and Neck Surgery. - Gregory W. Randolph, MD, FACS, FACE, has been elected chair of the Endocrine Surgery Section of the American Head and Neck Society. - Steven D. Rauch, MD, received an honorary professorship at the Annual Vestibular Conference of the Guangdong Academy of Medical Sciences in Guangzhou, China. He was also appointed as a member of the Mnire's Disease Advisory Board of the Hearing Health Foundation. - Ahmad R. Sedaghat, MD, PhD, was the recipient of the 2018 Eleanor and Miles Shore Fellowship Program Award for Scholars in Medicine. - Mark G. Shrime, MD, MPH, PhD, FACS, was awarded the 2018 Arnold P. Gold Foundation Award for Humanism in Medicine by the American Academy of Otolaryngology-Head and Neck Surgery. Department of Anesthesiology Iuliu Fat, MD: MEE/HMS Department of Anesthesia: Excellence in Teaching Award Department of Radiology MEE Radiology Department: 52nd ASHNR Annual Meeting, First Place for Best Scientific Electronic Exhibit Dr. Amy Juliano: RSNA International Visiting Professor Dr. Katherine Reinshagen: Promoted to Associate Staff Radiologist Facilities, Equipment and Technology Department of Ophthalmology Mass. Eye and Ear launched a unique emergency department (ED) and inpatient consultation service, known as the Ophthalmology Hospitalist Program. Senior credentialed ophthalmologists now provide consults for patients admitted to general hospitals, including Mass General, Brigham and Women's Hospital, and Faulkner Hospital. The program fortifies connections among Harvard Ophthalmology hospital affiliates, and enhances trainee education and the existing consult service at Mass. Eye and Ear. Members of the hospitalist program include Jane Schweitzer, MD, Jo-Ann Haney-Tilton, MD, FACS, EMHL, and Aisha Traish, MD. The refractive and laser vision correction services moved to Mass. Eye and Ear's Waltham patient care site in November, 2018. Mass. Eye and Ear now offers a new type of minimally-invasive laser vision correction, the ReLEx SMILE procedure for the treatment of myopia (nearsightedness) at its Waltham location. Mass. Eye and Ear specialists are among the most experienced with the SMILE approach nationwide, and the first in New England to offer the procedure. A new collaborative program between Mass. Eye and Ear and Mass General Hospital offers mental health services to patients within the Eye Trauma Service at Mass. Eye and Ear. The program allows visits with a psychologist for patients with severe trauma to their eye or face, including loss of an eye, loss of vision, or disfigurement. This service is intended to assist a patient in his or her initial adjustment to injuries and can also facilitate referral to a mental health care provider should the patient require ongoing care. Department of Otolaryngology - Mass. Eye and Ear expanded t”
“Other changes in net assets: transfer from affiliates: 225,129”
“Massachusetts eye and ear associates, inc. ("associates") was included in consolidated financial statements with its parent, the foundation of the massachusetts eye and ear infirmary, inc. ("the foundation"), and affiliated organizations. The income tax footnote is as follows: the foundation and its affiliates qualify as tax-exempt organizations under the internal revenue code. The foundation, infirmary, associates, schepens and embankment are tax-exempt under section 501(c)(3) of the internal revenue code and circle is tax-exempt under 501(c)(25) of the internal revenue code. Accordingly, no provision for income taxes has been made in the accompanying financial statements. Management has evaluated accounting for uncertainty in income taxes and there was no impact to the foundation's financial statements for the year ended september 30, 2018.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
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| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | SOMERSET |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | BRIDGEWATER |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | BOSTON |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | LINCOLN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | NORTH ANDOVER |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | NJ |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | MA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | MA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | RI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | MA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 08873 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 02324 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 02241 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 02865 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 01845 |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 0 | SURGISITE BOSTON |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 1 | KELLY AUDIOLOGY SERVICES INC |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 2 | SCRIBEAMERICA LLC |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 3 | CATHEDRAL CORPORATION |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 4 | EAGLE GRAPHICS |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | LASER SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | AUDIOLOGY SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | TRANSCRIPTION SVCS |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | PRINTING SVCS |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | PRINTING SVCS |
| IRS990/CostOfGoodsSoldAmt | 0 | 0 |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 8191455 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 45870 |
| IRS990/CYOtherExpensesAmt | 0 | 55202698 |
| IRS990/CYOtherRevenueAmt | 0 | 0 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 121379209 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 639335 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 73774501 |
| IRS990/CYTotalExpensesAmt | 0 | 128977199 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 129616534 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | true |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 0 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 85132 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 85132 |
| IRS990/Desc | 0 | SEE SCHEDULE O. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | true |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | true |
| IRS990/EmployeeCnt | 0 | 299 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountLiabilityGrp/BOYAmt | 0 | 0 |
| IRS990/EscrowAccountLiabilityGrp/EOYAmt | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 94119203 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditRequiredInd | 0 | false |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 12387 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 12387 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesProfFundraising/TotalAmt | 0 | 0 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 0 |
| IRS990/ForeignActivitiesInd | 0 | true |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignGrantsGrp/TotalAmt | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 31.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 55.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 4.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 33.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 31.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 30.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 30.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 30.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 30.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 60.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 29.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 5.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 60.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 60.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 27.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 29.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 30.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 30.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 30.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 30.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 60.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 60.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 60.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 60.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 60.0 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 56137 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 58175 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 229175 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 48155 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 48157 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 148157 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 158175 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 24792 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 16757 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 24654 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 22708 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 48157 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 56137 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 42512 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 56137 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 56137 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | NICOLAS BUSABA MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | SUNIL EAPPEN MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | JOHN FERNANDEZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | SUZANNE FREITAG MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | JONATHAN KUTCHINS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | HUGH CURTIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | JOAN W MILLER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | D BRADLEY WELLING |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | KENNETH HOLMES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | DEBRA ROGERS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | RACHEL WASSERSTROM |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | BARBARA SCULLY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | PAUL KONOWITZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | ALEX GRILLI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | MICHAEL RHO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | THERESA A HADLOCK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | NOAH SIEGEL |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 373115 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 622959 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 407277 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 676358 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 904826 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 1063052 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 852492 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 867638 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 806875 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 847974 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 838468 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 1143642 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 300617 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 301334 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 286902 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 191046 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | DIRECTOR (UNTIL 9/26/18) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | SEE SCHEDULE O FOR TITLE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | DIRECTOR (UNTIL 9/26/18) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DIRECTOR (UNTIL 12/6/17) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DIR, SEC/TREAS (AS OF 1/1/18) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | DIR CHAIR/PRES (AS OF 8/23/18) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | DIR, CHAIR/PRES (UNTIL 12/17) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | CFO MEEA |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | VP OPTHALMOLOGY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | VP OTOLARYNGOLOGY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | DIR. PROFESSIONAL BILLING |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | PHYSICIAN |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/Form990TFiledInd | 0 | true |
| IRS990/FormationYr | 0 | 1986 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/FundraisingDirectExpensesAmt | 0 | 0 |
| IRS990/FundraisingGrossIncomeAmt | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GamingDirectExpensesAmt | 0 | 0 |
| IRS990/GamingGrossIncomeAmt | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 3 |
| IRS990/GrantsPayableGrp/BOYAmt | 0 | 0 |
| IRS990/GrantsPayableGrp/EOYAmt | 0 | 0 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 0 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 0 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossReceiptsAmt | 0 | 129616534 |
| IRS990/GrossSalesOfInventoryAmt | 0 | 0 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | true |
| IRS990/IncmFromInvestBondProceedsGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 0 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 11 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 3298795 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 3298795 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 0 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 0 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/InterestGrp/TotalAmt | 0 | 0 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 0 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 45870 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 45870 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 34252 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 33347 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 28 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 2461116 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 1011735 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 1062902 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 3524018 |
| IRS990/LegalDomicileStateCd | 0 | MA |
| IRS990/LoanOutstandingInd | 0 | true |
| IRS990/LoansFromOfficersDirectorsGrp/BOYAmt | 0 | 0 |
| IRS990/LoansFromOfficersDirectorsGrp/EOYAmt | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | false |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | true |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MissionDesc | 0 | SEE SCHEDULE O. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 18624617 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 19489081 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetIncomeFromGamingGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 537017 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/TotalAmt | 0 | 0 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 3192098 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 3192098 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsSFAS117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 13264541 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 14734083 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 225129 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 4769357 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 4769357 |
| IRS990/OtherExpensesGrp/Desc | 0 | DIRECT SUPPORT SERVICES |
| IRS990/OtherExpensesGrp/Desc | 1 | PROFESSIONAL BILLING |
| IRS990/OtherExpensesGrp/Desc | 2 | FISCAL COSTS/OVERHEAD |
| IRS990/OtherExpensesGrp/Desc | 3 | ADMINISTRATIVE COSTS |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 7451205 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 2908733 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 1069564 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 35695503 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 35695503 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 7451205 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 2908733 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 1069564 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 6057094 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 8667945 |
| IRS990/OtherRevenueTotalAmt | 0 | 0 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 58124501 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 58124501 |
| IRS990/OtherWebsiteInd | 0 | X |
| IRS990/OthNotesLoansReceivableNetGrp/BOYAmt | 0 | 554485 |
| IRS990/OthNotesLoansReceivableNetGrp/EOYAmt | 0 | 1014355 |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PaymentsToAffiliatesGrp/TotalAmt | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | false |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 2311213 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 2311213 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 5452664 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 5452664 |
| IRS990/PermanentlyRstrNetAssetsGrp/BOYAmt | 0 | 0 |
| IRS990/PermanentlyRstrNetAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/PledgesAndGrantsReceivableGrp/BOYAmt | 0 | 0 |
| IRS990/PledgesAndGrantsReceivableGrp/EOYAmt | 0 | 0 |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 37727 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | -71604 |
| IRS990/PrincipalOfficerNm | 0 | KENNETH E HOLMES |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 900099 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 900099 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 2 | 900099 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 3 | 900099 |
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