HOME CARE INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
HOME CARE INC (EIN 04-2854358)
Tax period
2021-10-01 to 2022-09-30
Filed
2023-08-15
IRS object ID
202342279349301634
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-08-15T10:28:52-05:00ReturnTs
Tax Period End2022-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN263753134PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CBIZ MHM LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 BOYLSTON STREETAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02116ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN042854358EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HOME CARE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHOMEBusinessNameControlTxt
Phone9785524000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1360 MERRIMACK STREET BUILDING 9AddressLine1Txt
CityLAWRENCECityNm
State AbbreviationMAStateAbbreviationCd
ZIP01843ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSUSAN GREENPersonNm
Person TitleTREASURERPersonTitleTxt
Phone9785524000PhoneNum
Signature2023-08-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstSUSANPersonFirstNm
Person LastGREENPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBRENDA L BOOTHPreparerPersonNm
PTINP01342395PTIN
Phone6177610600PhoneNum
Preparation2023-08-11PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerPATRICIA O'BRIENPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1360 MERRIMACK STREET BUILDING 9AddressLine1Txt
CityLAWRENCECityNm
State AbbreviationMAStateAbbreviationCd
ZIP01843ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$0GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HOMEHEALTHFOUNDATION.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1978FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionPROVIDED HOME HEALTH CARE, HOMEMAKER AND PERSONAL CARE SERVICES.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers9TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$0PYTotalRevenueAmt
CY Total Revenue$0CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$0PYOtherExpensesAmt
CY Other Expenses$0CYOtherExpensesAmt
PY Total Expenses$0PYTotalExpensesAmt
CY Total Expenses$0CYTotalExpensesAmt
PY Revenues Less Expenses$0PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$0CYRevenuesLessExpensesAmt
Total Assets BOY$0TotalAssetsBOYAmt
Total Assets EOY$0TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$0NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$0NetAssetsOrFundBalancesEOYAmt
MissionHOME CARE, INC.'S PRIMARY PURPOSES WERE TO PROVIDE HOME HEALTH CARE, HOMEMAKER AND PERSONAL CARE SERVICES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
DescHOME CARE, INC. CEASED PROVIDING HEALTH CARE SERVICES TO PATIENTS WHO CAN BE CARED FOR AT HOME.Desc
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KATHLEEN DAVISBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6176368952PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 WASHINGTON STREETAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02111ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
KAREN E GOMES
PRESIDENT/CEO0.5042.50Yes (X)Yes (X)$0$422,737$12,523
SCOTT A COLLINS
CHAIR0.505.00Yes (X)Yes (X)$0$0$0
BARBARA B SAGER
CO VICE CHAIR0.503.00Yes (X)Yes (X)$0$0$0
KARA DOYLE
CO VICE CHAIR0.503.00Yes (X)Yes (X)$0$0$0
SUSAN GREEN
TREASURER0.5049.50Yes (X)Yes (X)$0$1,023,544$34,774
DANIEL A HAYES JR
SECRETARY0.503.00Yes (X)Yes (X)$0$0$0
MICHAEL DANDORPH
TRUSTEE0.5049.50Yes (X)$0$1,905,698$260,012
EDA GEORGE RN PH D
TRUSTEE0.509.00Yes (X)$0$0$0
DEBRA S GRABOWSKI
TRUSTEE0.503.00Yes (X)$0$0$0
JOHN F PROCHILO
TRUSTEE0.503.00Yes (X)$0$0$0
KEITH N SOUCIE
TRUSTEE0.503.00Yes (X)$0$0$0
DR MICHAEL WAGNER MD
TRUSTEE0.5049.50Yes (X)$0$1,964,592$177,648
JOSEPH WHITE
TRUSTEE0.5049.50Yes (X)$0$1,281,304$23,727
DR RAYMOND H LEWIS JR
TRUSTEE0.503.00Yes (X)$0$0$0
DIANE FARRAHER-SMITH
CHIEF CLINICAL INTEGRATION OFFICER1.0039.00Yes (X)$0$271,436$38,614
CHARLES WHIPPLE ESQ
ASSISTANT SECRETARY0.5042.50Yes (X)$0$381,654$42,882
SUSAN M SANDBERG
FORMER TRUSTEE0.0043.00$0$668,588$21,341Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$7,919,553TotReportableCompRltdOrgAmt
Total Other Compensation$611,521TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$0ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$131,160CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$35,000CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$166,160TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,989,091CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,860,184CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$11,849,275TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,120,251CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,895,184CurrentTaxYearMinus3YearsAmt
Total$12,015,435TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$12,015,435PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$283CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$597CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$193CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$1,073TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$283CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$597CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$193CurrentTaxYearMinus2YearsAmt
Total$1,073TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$53,889CurrentTaxYearMinus2YearsAmt
Total$53,889TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,120,534CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,895,781CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$54,082CurrentTaxYearMinus2YearsAmt
Total$12,070,397TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99540PublicSupportCY509Pct
Public Support PY5090.99720PublicSupportPY509Pct
Investment Income CY0.00010InvestmentIncomeCYPct
Investment Income PY0.00010InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationRECOVERIES - 2017 AMOUNT: $ 0. 2018 AMOUNT: $ 0. 2019 AMOUNT: $ 53,889. 2020 AMOUNT: $ 0. 2021 AMOUNT: $ 0.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MICHAEL DANDORPH
TRUSTEE$0$1,249,455$0$641,252$0$14,991$0$231,161$0$28,851$0$2,165,710$0$0
DR MICHAEL WAGNER MD
TRUSTEE$0$859,806$0$615,435$0$489,351$0$140,771$0$36,877$0$2,142,240$0$473,302
JOSEPH WHITE
TRUSTEE$0$811,932$0$299,585$0$169,787$0$8,700$0$15,027$0$1,305,031$0$0
SUSAN GREEN
TREASURER$0$685,675$0$212,265$0$125,604$0$5,249$0$29,525$0$1,058,318$0$0
SUSAN M SANDBERG
FORMER TRUSTEE$0$348,681$0$0$0$319,907$0$7,995$0$13,346$0$689,929$0$0
KAREN E GOMES
PRESIDENT/CEO$0$346,924$0$75,813$0$0$0$8,700$0$3,823$0$435,260$0$0
CHARLES WHIPPLE ESQ
ASSISTANT SECRETARY$0$296,634$0$74,620$0$10,400$0$9,058$0$33,824$0$424,536$0$0
DIANE FARRAHER-SMITH
CHIEF CLINICAL INTEGRATION OFFICER$0$251,226$0$17,000$0$3,210$0$13,403$0$25,211$0$310,050$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3COMPENSATION SETTING PROCEEDURES OF THE PRESIDENT/CEO ARE ESTABLISHED BY TUFTS MEDICINE CARE AT HOME PARENT, INC., A RELATED ORGANIZATION.
PART I, LINES 4A-BSEVERANCE PAYMENTS: SUSAN SANDBERG - $300,000 SECTION 457(F) RETIREMENT PLAN EMPLOYER DEFERRALS: DR. MICHAEL WAGNER, M.D. - $137,509 MICHAEL DANDORPH - $222,461
PART I, LINE 7BONUSES ARE APPROVED BY THE BOARD, AND ARE BASED ON PERFORMANCE.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6TUFTS MEDICINE CARE AT HOME PARENT, INC., ACTING THROUGH ITS BOARD OF TRUSTEES, SHALL BE THE SOLE MEMBER OF THE COPORTAION.
FORM 990, PART VI, SECTION A, LINE 7ATHE SOLE MEMBER SHALL ELECT AND MAY REMOVE OR SUSPEND THE TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 7BTHE MEMBER SHALL HAVE THE RIGHT TO APPROVE EACH OF THE FOLLOWING ACTIONS OF THE BOARD OF TRUSTEES, AND SUCH ACTIONS BY THE BOARD SHALL NOT BE EFFECTIVE UNLESS AND UNTIL APPROVED BY THE MEMBER: A) THE ADOPTION OF ANNUAL OPERATING AND CAPITAL BUDGETS; B) THE ADOPTION OF ANY LONG RANGE PLANS OF THE CORPORATION; C) THE DECISION TO ESTABLISH A NEW PROGRAM OF SERVICE TO DISCONTINUE AN EXISTING PROGRAM; D) THE APPROVAL OF ANY BORROWING BY THE CORPORATION; E) THE EXPENDITURE, DISPOSITION, DONATION, OR ACQUISTION BY PURCHASE, LEASE OR OTHER MEANS, OF CORPORATE ASSETS, OTHER THAN IN THE ORDINARY COURSE OF BUDINESS OR BUDGETED ITEMS; F) THE MERGER OR CONSOLIDATION OF THE CORPORATION WITH ANY OTHER CORPORATION AND THE FORMATION OR DISSOLUTION OF SUBSIDIARIES; G) THE CONDUCT OF ANY FUNDRAISING ACTIVITIES; H) THE SELECTION OR EMPLOYMENT OF LEGAL COUNSEL OR CERTIFIED PUBLIC ACCOUNTANTS, WHETHER FOR SPECIAL PROJECTS OR ON A REGULAR BASIS, AND; I) THE EXECUTION OF LEASES FOR EQUIPMENT OR REAL ESTATE, THE EXECUTION OF MAJOR CONTRACTS, AND THE APPROVAL OF INDIVIDUALS AUTHORIZED TO SIGN CHECKS.
FORM 990, PART VI, SECTION B, LINE 11BTHE 990 IS REVIEWED BY MANAGEMENT, CHAIR AND TREASRUER OF THE BOARD OF TRUSTEES PRIOR TO SIGNING. PRIOR TO FILING, THE COMPLETE 990 IS PROVIDED TO THE ENTIRE BOARD VIA AN ONLINE SECURE PORTAL.
FORM 990, PART VI, SECTION B, LINE 12CANY POTENTIAL CONFLICTS ARE REVIEWED BY THE CEO.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION STUDY OF SIMILAR POSITIONS IS PREPARED EVERY OTHER YEAR AND REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (47 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
MELROSEWAKEFIELD HEALTHCARE INC
170 GOVERNORS AVEMEDFORDMA02155042767880HOSPITALMA501(C)(3)LINE 3MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATIONYes (1)
HALLMARK HEALTH MEDICAL ASSOCIATES INC
170 GOVERNORS AVEMEDFORDMA02155043140938MD OFFICESMA501(C)(3)LINE 10MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATIONYes (1)
LM LONG TERM CARE SERVICES INC
170 GOVERNORS AVEMEDFORDMA02155042938772LONG-TERM CAREMA501(C)(3)LINE 12B, IIMELROSEWAKEFIELD HEALTHCARE PARENT CORPORATIONYes (1)
SAVIN LONG TERM CARE CORPORATION
170 GOVERNORS AVEMEDFORDMA02155043012616LONG-TERM CAREMA501(C)(3)LINE 10MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATIONYes (1)
HALLMARK HEALTH VISITING NURSE ASSOCIATION AND HOSPICE INC
178 SAVIN ST SUITE 300MALDENMA02148042437064VISITING NURSEMA501(C)(3)LINE 10TUFTS MEDICINE CARE AT HOME PARENT INCYes (1)
HALLMARK HEALTH PROPERTIES
170 GOVERNORS AVEMEDFORDMA02155222580542PROPERTYMA501(C)(3)LINE 12B, IIMELROSEWAKEFIELD HEALTHCARE PARENT CORPORATIONYes (1)
MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION
170 GOVERNORS AVEMEDFORDMA02155042103587PARENTMA501(C)(3)LINE 12A, ITUFTS MEDICINE INCYes (1)
THE LOWELL GENERAL HOSPITAL
295 VARNUM AVENUELOWELLMA01854042103590HEALTH CAREMA501(C)(3)LINE 3CIRCLE HEALTH INCYes (1)
CIRCLE HEALTH PHYSICIANS INC
295 VARNUM AVENUELOWELLMA01854273902914MEDICAL SERVICESMA501(C)(3)LINE 10CIRCLE HEALTH INCYes (1)
LGH PHYSICIAN ASSOCIATES INC
295 VARNUM AVENUELOWELLMA01854043190747MEDICAL SERVICESMA501(C)(3)PFCIRCLE HEALTH PHYSICIANS INCYes (1)
CIRCLE HEALTH INC
295 VARNUM AVENUELOWELLMA01854222579798PARENT/SUPPORTING ORGANIZATIONMA501(C)(3)LINE 12B, IITUFTS MEDICINE INCYes (1)
TUFTS MEDICINE INC
800 DISTRICT AVENUEBURLINGTONMA01803452250732PARENT/SUPPORTING ORGANIZATIONMA501(C)(3)LINE 12A, I0N/A
TUFTS MEDICINE INTEGRATED NETWORK INC
800 DISTRICT AVENUEBURLINGTONMA01803871600172HEALTH CAREMA501(C)(3)LINE 10TUFTS MEDICINE INCYes (1)
CNS NURSING HOME CARE INC
360 MERRIMACK STREET BUILDING 9LAWRENCEMA01843371836433HOME CARE SERVICESMA501(C)(3)LINE 10CIRCLE HOME INCYes (1)
CIRCLE HOME INC
360 MERRIMACK STREET BUILDING 9LAWRENCEMA01843042103812HOME CARE SERVICESMA501(C)(3)LINE 10TUFTS MEDICINE CARE AT HOME PARENT INCYes (1)
TUFTS MEDICAL CENTER PARENT INC
800 WASHINGTON STREETBOSTONMA02111042810022FUNDRAISING, ADMIN. PLANNING & OTHER ACTIVITIESMA501(C)(3)LINE 12B, IITUFTS MEDICINE INCYes (1)
TUFTS MEDICAL CENTER INC
800 WASHINGTON STREETBOSTONMA02111043400617HOSPITAL SERVICESMA501(C)(3)LINE 3TUFTS MEDICAL CENTER PARENT INCYes (1)
NEW ENGLAND LONG-TERM CARE INC
800 WASHINGTON STREETBOSTONMA02111042912578PEDIATRIC LONG-TERM CARE FACILITYMA501(C)(3)LINE 3TUFTS MEDICAL CENTER PARENT INCYes (1)
NEW ENGLAND QUALITY CARE ALLIANCE INC
800 WASHINGTON STREETBOSTONMA02111043040427MEDICAL PROGRAMS & SERVICESMA501(C)(3)LINE 10TUFTS MEDICINE INTEGRATED NETWORK INCYes (1)
NEQCA ACCOUNTABLE CARE INC
325 WOOD RD SUITE 210BRAINTREEMA02184800824142ACOMA501(C)(3)LINE 10TUFTS MEDICINE INTEGRATED NETWORK INCYes (1)
TUFTS MEDICAL CENTER COMMUNITY CARE INC
325 WOOD RD SUITE 210BRAINTREEMA02184473046563MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
THE CAMERON M NEELY FOUNDATION
800 WASHINGTON STREETBOSTONMA02111043265628CHARITABLEMA501(C)(3)LINE 7TUFTS MEDICAL CENTER PARENT INCYes (1)
HEART CENTER OF METROWEST INC
99 LINCOLN STREETFRAMINGHAMMA01702030390670MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT ANESTHESIOLOGY ASSOCIATES INC
800 WASHINGTON STREETBOSTONMA02111043418395MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT MEDICAL AND SURGICAL ASSOCIATES INC
800 WASHINGTON STREETBOSTONMA02111043148397MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT NEUROLOGY ASSOICATES INC
800 WASHINGTON STREETBOSTONMA02111043148384MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT OBGYN ASSOCIATES INC
800 WASHINGTON STREETBOSTONMA02111043148385MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT OPHTHALMOLOGY ASSOCIATES INC
800 WASHINGTON STREETBOSTONMA02111043148392MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT ORTHOPEDIC ASSOCIATES INC
800 WASHINGTON STREETBOSTONMA02111205129051MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT OTOLARYNGOLOGY
800 WASHINGTON STREETBOSTONMA02111043148381MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT PATHOLOGY ASSOCIATES INC
800 WASHINGTON STREETBOSTONMA02111043148393MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT PEDIATRIC ASSOCIATES INC
800 WASHINGTON STREETBOSTONMA02111043148394MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT PSYCHIATRIC ASSOCIATES INC
800 WASHINGTON STREETBOSTONMA02111043148387MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT RADIOLOGY ASSOCIATES INC
800 WASHINGTON STREETBOSTONMA02111043148388MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT RADIATION ONCOLOGY ASSOCIATES INC
800 WASHINGTON STREETBOSTONMA02111043148389MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT REHABILITATION MEDICINCE
800 WASHINGTON STREETBOSTONMA02111043148378MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT SURGICAL ASSOCIATES INC
800 WASHINGTON STREETBOSTONMA02111043148376MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT UROLOGY ASSOCIATES INC
800 WASHINGTON STREETBOSTONMA02111043148379MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
NEW ENGLAND MEDICAL CENTER
800 WASHINGTON STREETBOSTONMA02111043096445MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT MEDICAL GROUP INC
800 WASHINGTON STREETBOSTONMA02111042743894MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
TUFTS MEDICAL CENTER PHYSICIANS ORG INC
800 WASHINGTON STREETBOSTONMA02111043044706ADMIN.MA501(C)(3)LINE 12B, IITUFTS MEDICAL CENTER PARENT INCYes (1)
LOWELL GENERAL HOSPITAL AUXILIARY
295 VARNUM AVENUELOWELLMA01854223459303SUPPORTING ORGANIZATIONMA501(C)(3)LINE 12A, I0N/A
CARDIOVASCULAR CENTER AT TUFTS MEDICAL CENTER INC
800 WASHINGTON STREETBOSTONMA02111823315703MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
TUFTS MEDICINE CARE AT HOME PARENT INC
360 MERRIMACK STREET BUILDING 9LAWRENCEMA01843222587225MANAGEMENT SERVICESMA501(C)(3)LINE 12B, IITUFTS MEDICINE INCYes (1)
HOME HEALTH VNA INC
360 MERRIMACK STREET BUILDING 9LAWRENCEMA01843042435675HOME HEALTH CAREMA501(C)(3)LINE 10TUFTS MEDICINE CARE AT HOME PARENT INCYes (1)
TUFTS MEDICINE CARE AT HOME INC
360 MERRIMACK STREET BUILDING 9LAWRENCEMA01843043024278HOSPICE SERVICESMA501(C)(3)LINE 10TUFTS MEDICINE CARE AT HOME PARENT INCYes (1)
HOME CARE INC
360 MERRIMACK STREET BUILDING 9LAWRENCEMA01843042854358HOME HEALTH SUPPORTIVE SERIVCESMA501(C)(3)LINE 10TUFTS MEDICINE CARE AT HOME PARENT INCYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
HALLMARK HEALTH INVESTMENTS LLC
170 GOVERNORS AVEMEDFORDMA02155020657666INVESTMENTMAMELROSEWAKEFIELD HEALTHCARE INCEXCLUDED00
MONTVALE PETCT LLC
100 BAYVIEW CIRCLE SUITE 400NEWPORT BEACHCA92660270325022CAT SCANDEMELROSEWAKEFIELD HEALTHCARE INCRELATED00
SHIELDS-TUFTS MEDICAL CENTER IMAGING MANAGEMENT LLC
800 WASHINGTON STREETBOSTONMA02111320558307MEDICAL SERVICES (MRI)MATUFTS MEDICAL CENTER INCRELATED00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
HALLMARK HEALTH ENTERPRISES INC
585 LEBANON STREETMELROSEMA02176042475660OTHER HEALTH SERVICESMAMELROSEWAKEFIELD HEALTHCARE PARENT CORPORATIONCYes (1)
HALLMARK HEALTH PHO INC
170 GOVERNORS AVEMEDFORDMA02155461134759PHYSICIAN HOSPITAL ORGANIZATIONMAMELROSEWAKEFIELD HEALTHCARE INCC0
LAWRENCE MELROSE MEDICAL ELECTRONICS RECORD INC
170 GOVERNORS AVEMEDFORDMA02155421685777ELECTRONIC MEDICAL RECORDSMAMELROSEWAKEFIELD HEALTHCARE INCC0
LGH MANAGEMENT SERVICES INC
295 VARNUM AVENUELOWELLMA01854042919244MEDICAL SERVICESMALGH SERVICES INCCYes (1)
LGH MEDICAL BUILDING SERVICES INC
295 VARNUM AVENUELOWELLMA01854043058954MEDICAL OFFICE BUILDINGMALGH SERVICES INCCYes (1)
LGH MEDICAL SERVICES INC
295 VARNUM AVENUELOWELLMA01854261889904MEDICAL SERVICESMALGH SERVICES INCCYes (1)
LGH SERVICES INC
295 VARNUM AVENUELOWELLMA01854042854673MEDICAL SERVICESMACIRCLE HEALTH INCCYes (1)
TUFTS MEDICINE INDEMNITY COMPANY LTD
800 WASHINGTON STREETBOSTONMA02111980444573CAPTIVE INSURANCETUFTS MEDICAL CENTER INCCYes (1)CJ
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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