ALLIANCE HEALTH OF BROCKTON INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- ALLIANCE HEALTH OF BROCKTON INC (EIN 04-3455405)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-07-29
- IRS object ID
- 202142109349301554
- Schema version
- 2020v4.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-07-29T14:44:52-05:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 227 WEST TRADE STREET SUITE 800 | AddressLine1Txt |
| City | CHARLOTTE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 043455405 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALLIANCE HEALTH OF BROCKTON INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ALLI | BusinessNameControlTxt |
| Phone | 6173323366 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 144 TURNPIKE ROAD NO 220 | AddressLine1Txt |
| City | SOUTHBOROUGH | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01772 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PAUL KEMP | PersonNm |
| Person Title | TREASURER & CFO | PersonTitleTxt |
| Phone | 6173323366 | PhoneNum |
| Signature | 2021-07-19 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | PAUL | PersonFirstNm |
| Person Last | KEMP | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOHN NORMAN | PreparerPersonNm |
| PTIN | P01506766 | PTIN |
| Phone | 7049985200 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALLIANCE HEALTH AT WEST ACRES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | FRANCIS J GRADY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 144 TURNPIKE ROAD NO 220 | AddressLine1Txt |
| City | SOUTHBOROUGH | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01772 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $13,246,329 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ALLIANCEHHS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1999 | FormationYr |
| Legal Domicile State | MA | LegalDomicileStateCd |
| Activity Or Mission | TO PROMOTE AND PROVIDE SAFE, HEALTHY, QUALITY SERVICES AND LIVING ENVIRONMENTS FOR ELDERS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 324 | TotalEmployeeCnt |
| Total Volunteers | 11 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,682,559 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $12,835,297 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $11,545,476 | CYProgramServiceRevenueAmt |
| PY Investment Income | $863 | PYInvestmentIncomeAmt |
| CY Investment Income | $167 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,607 | PYOtherRevenueAmt |
| CY Other Revenue | $18,127 | CYOtherRevenueAmt |
| PY Total Revenue | $12,839,767 | PYTotalRevenueAmt |
| CY Total Revenue | $13,246,329 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $6,763,750 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $7,177,241 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,734,290 | PYOtherExpensesAmt |
| CY Other Expenses | $5,807,200 | CYOtherExpensesAmt |
| PY Total Expenses | $12,498,040 | PYTotalExpensesAmt |
| CY Total Expenses | $12,984,441 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $341,727 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $261,888 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $15,024,213 | TotalAssetsBOYAmt |
| Total Assets EOY | $14,952,198 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $17,010,129 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $16,847,231 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$1,985,916 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$1,895,033 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE COMPANY SHALL PROMOTE AND PROVIDE SAFE, HEALTHY, QUALITY SERVICES AND LIVING ENVIRONMENTS FOR THE ELDERS WHO CANNOT CARE FOR THEMSELVES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $9,827,595 | ExpenseAmt |
| Revenue | $11,563,603 | RevenueAmt |
| Desc | OUR SKILLED NURSING AND REHABILITATION FACILITY PROVIDES A WIDE RANGE OF MEDICAL AND REHABILITATIVE SERVICES, INCLUDING POST-ACUTE CARE, SHORT-TERM REHABILITATION, RESPITE CARE, HOSPICE CARE, AND LONG-TERM CARE. WORKING DIRECTLY WITH EACH RESIDENT AND THEIR FAMILY MEMBERS, OUR STAFF WILL CUSTOMIZE A COMPREHENSIVE PLAN OF CARE DESIGNED TO TREAT MEDICAL COMPLICATIONS AND ACHIEVE FUNCTIONAL INDEPENDENCE. OUR FACILITY PROVIDES THE HIGHEST STANDARDS OF CARE AND RESIDENTS ENJOY AN ACTIVE AND FULFILLING LIFESTYLE IN AN ATMOSPHERE OF WARMTH, RESPECT AND UNDERSTANDING. | Desc |
| Total Program Service Expenses | $9,827,595 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 37 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 324 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALLIANCE HEALTH MANAGEMENT SERVICES LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7743482000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 144 TURNPIKE ROAD STE 220 | AddressLine1Txt |
| City | SOUTHBOROUGH | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01772 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| FRANCIS J GRADY | |||||||||
| PRESIDENT & DIRECTOR & CEO | 1.00 | 40.00 | Yes (X) | Yes (X) | $0 | $492,204 | $29,071 | ||
| PAUL KEMP | |||||||||
| TREASURER & CFO | 1.00 | 40.00 | Yes (X) | $0 | $356,989 | $34,290 | |||
| THOMAS LAVALLEE | |||||||||
| SECRETARY & COO | 1.00 | 40.00 | Yes (X) | $0 | $356,989 | $34,290 | |||
| DANIEL MITCHELL | |||||||||
| DIRECTOR OF OPERATIONS | 0.00 | 40.00 | $0 | $242,929 | $34,706 | Yes (X) | |||
| MICHAEL DODOS | |||||||||
| CONTROLLER | 1.00 | 40.00 | $0 | $232,408 | $0 | Yes (X) | |||
| RICHARD CANTY | |||||||||
| VICE PRESIDENT | 1.00 | 40.00 | $0 | $196,907 | $34,290 | Yes (X) | |||
| ELAINE HANSEN | |||||||||
| DIRECTOR OF CLINICAL SERVICES | 0.00 | 40.00 | $0 | $191,377 | $21,918 | Yes (X) | |||
| DORIS DAVILA | |||||||||
| VICE PRESIDENT OF OPERATIONS | 0.00 | 40.00 | $0 | $203,195 | $3,363 | Yes (X) | |||
| MARY KILCOMMONS | |||||||||
| DIRECTOR OF OPERATIONS | 0.00 | 40.00 | $0 | $187,562 | $10,902 | Yes (X) | |||
| SHERYL FENTON | |||||||||
| DIRECTOR OF COMPLIANCE | 0.00 | 40.00 | $0 | $191,051 | $0 | Yes (X) | |||
| WILLIAM FARINA | |||||||||
| DIRECTOR OF REHAB | 0.00 | 40.00 | $0 | $183,547 | $0 | Yes (X) | |||
| KATHERINE NORFLEET | |||||||||
| DIRECTOR OF SPECIAL PROJECTS | 0.00 | 40.00 | $0 | $173,987 | $8,280 | Yes (X) | |||
| SEAN DOYLE | |||||||||
| DIRECTOR OF HR | 0.00 | 40.00 | $0 | $164,687 | $10,444 | Yes (X) | |||
| VIRGINIA ROBERTSON | |||||||||
| DON | 40.00 | 0.00 | $152,024 | $0 | $22,804 | Yes (X) | |||
| JACQUELYN SCOTT | |||||||||
| REHAB MANAGER | 40.00 | 0.00 | $120,492 | $0 | $24,098 | Yes (X) | |||
| MARY DINATALE | |||||||||
| OT | 40.00 | 0.00 | $101,822 | $0 | $20,364 | Yes (X) | |||
| CHRISTINE COX | |||||||||
| SLP | 40.00 | 0.00 | $100,626 | $0 | $20,125 | Yes (X) | |||
| JULIE FRANCOEUR | |||||||||
| CLINICAL COORD | 40.00 | 0.00 | $100,176 | $0 | $20,035 | Yes (X) | |||
| LINDA CORRIDAN RN | |||||||||
| CHAIRMAN | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ANDREW CALKINS | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JANICE HOCKENSMITH | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| REV JEROME J JANISKO | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL O JENNINGS ESQ | |||||||||
| DIRECTOR (THROUGH SEPT 2020) | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ERIK M JONES | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ARTHUR MOURTZINOS MD | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JAMES BRUCE RILEY CPA | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CHRISTOPHER ROBBINS | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| PETE ZAMPINE | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| TAMMY BRUNETTI | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ALFRED GRAY | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $575,140 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,173,832 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $328,980 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 5 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PERFORMANCE HEALTHCARE SERVICES INC | |||||
| 47 RIVER STREET | WELLESLEY | MA | 02481 | HOUSEKEEPING & LAUNDRY SERVICE | $406,101 |
| PROCARE LTC OF MA LLC | |||||
| 155 NORTHBORO ROAD | SOUTHBOROUGH | MA | 01772 | PHARMACY SERVICES | $280,826 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,682,559 | GovernmentGrantsAmt |
| Total Contributions | $1,682,559 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PROGRAM SERVICE REVENUE | Desc |
| Business | 623000 | BusinessCd |
| Total Revenue Column | $11,545,476 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,545,476 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $11,545,476 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $167 | TotalRevenueColumnAmt |
| Exclusion | $167 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Business | 623000 | BusinessCd |
| Total Revenue Column | $18,127 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $18,127 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $18,127 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,246,329 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,563,603 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $167 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,181,795 | TotalAmt |
| Program Services | $5,254,398 | ProgramServicesAmt |
| Management And General | $927,397 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,327 | TotalAmt |
| Program Services | $7,078 | ProgramServicesAmt |
| Management And General | $1,249 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $463,428 | TotalAmt |
| Program Services | $393,904 | ProgramServicesAmt |
| Management And General | $69,524 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $523,691 | TotalAmt |
| Program Services | $445,127 | ProgramServicesAmt |
| Management And General | $78,564 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $670,656 | TotalAmt |
| Management And General | $670,656 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,771 | TotalAmt |
| Management And General | $10,771 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,364 | TotalAmt |
| Management And General | $20,364 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $920,812 | TotalAmt |
| Program Services | $626,191 | ProgramServicesAmt |
| Management And General | $294,621 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,207 | TotalAmt |
| Management And General | $7,207 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $114,405 | TotalAmt |
| Program Services | $41,040 | ProgramServicesAmt |
| Management And General | $73,365 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $386,702 | TotalAmt |
| Program Services | $337,169 | ProgramServicesAmt |
| Management And General | $49,533 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,434 | TotalAmt |
| Program Services | $3,076 | ProgramServicesAmt |
| Management And General | $358 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $641,689 | TotalAmt |
| Program Services | $569,041 | ProgramServicesAmt |
| Management And General | $72,648 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $863,816 | TotalAmt |
| Program Services | $766,020 | ProgramServicesAmt |
| Management And General | $97,796 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $99,285 | TotalAmt |
| Program Services | $88,045 | ProgramServicesAmt |
| Management And General | $11,240 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| STATE ASSESSMENT FEE | $593,979 | $593,979 | |
| ANCILLARY EXPENSES | $414,580 | $414,580 | |
| NURSING SUPPLIES AND EX | $391,684 | $391,684 | |
| FOOD | $268,121 | $268,121 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $399,695 | TotalAmt |
| Program Services | $222,121 | ProgramServicesAmt |
| Management And General | $177,574 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,984,441 | TotalAmt |
| Program Services | $9,827,595 | ProgramServicesAmt |
| Management And General | $3,156,846 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,326,398 | BOYAmt |
| EOY | $1,848,567 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,561,648 | BOYAmt |
| EOY | $1,703,561 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,040 | BOYAmt |
| EOY | $37,545 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $17,936,405 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $7,406,100 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,223,794 | BOYAmt |
| EOY | $10,530,305 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $816,615 | BOYAmt |
| EOY | $725,880 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,718 | BOYAmt |
| EOY | $106,340 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,024,213 | BOYAmt |
| EOY | $14,952,198 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,720,364 | BOYAmt |
| EOY | $1,357,554 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $64,708 | BOYAmt |
| EOY | $23,920 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,206,942 | BOYAmt |
| EOY | $12,078,936 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,115 | BOYAmt |
| EOY | $3,386,821 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,010,129 | BOYAmt |
| EOY | $16,847,231 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,985,916 | BOYAmt |
| EOY | -$1,895,033 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,985,916 | BOYAmt |
| EOY | -$1,895,033 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,024,213 | BOYAmt |
| EOY | $14,952,198 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $261,888 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$171,005 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $1,682,559 | CurrentTaxYearAmt |
| Total | $1,682,559 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,545,193 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,859,355 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,104,355 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,835,297 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,545,476 | CurrentTaxYearAmt |
| Total | $53,889,676 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,545,193 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,859,355 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,104,355 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,835,297 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,228,035 | CurrentTaxYearAmt |
| Total | $55,572,235 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $55,572,235 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $540 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,651 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $616 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $863 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $167 | CurrentTaxYearAmt |
| Total | $3,837 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $540 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,651 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $616 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $863 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $167 | CurrentTaxYearAmt |
| Total | $3,837 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,465 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17,908 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $19,348 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,607 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $18,127 | CurrentTaxYearAmt |
| Total | $68,455 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,555,198 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,878,914 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,124,319 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,839,767 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,246,329 | CurrentTaxYearAmt |
| Total | $55,644,527 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99870 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99830 | PublicSupportPY509Pct |
| Investment Income CY | 0.00010 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00010 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | MISCELLANEOUS OTHER PROGRAM INCOME - 2016 AMOUNT: $ 9,465. 2017 AMOUNT: $ 17,908. 2018 AMOUNT: $ 19,348. 2019 AMOUNT: $ 3,607. 2020 AMOUNT: $ 18,127. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $300,000 | OtherCostOrOtherBasisAmt |
| Book Value | $300,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,321,000 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,483,146 | DepreciationAmt |
| Book Value | $1,837,854 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,010,812 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,132,359 | DepreciationAmt |
| Book Value | $7,878,453 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,304,593 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,790,595 | DepreciationAmt |
| Book Value | $513,998 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $10,530,305 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO RELATED-PARTY | $12,010 |
| MEDICARE ADVANCE PAYMENTS | $670,790 |
| SWAP LIABILITY | $114,021 |
| DEMAND NOTE PAYALE | $2,590,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,386,821 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $13,246,329 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $13,246,329 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $13,246,329 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $12,984,441 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $12,984,441 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $12,984,441 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FRANCIS J GRADY | ||||||||||||||
| PRESIDENT & DIRECTOR & CEO | $0 | $399,679 | $0 | $92,525 | $0 | $0 | $0 | $0 | $0 | $29,071 | $0 | $521,275 | $0 | $0 |
| PAUL KEMP | ||||||||||||||
| TREASURER & CFO | $0 | $288,182 | $0 | $68,807 | $0 | $0 | $0 | $0 | $0 | $34,290 | $0 | $391,279 | $0 | $0 |
| THOMAS LAVALLEE | ||||||||||||||
| SECRETARY & COO | $0 | $288,182 | $0 | $68,807 | $0 | $0 | $0 | $0 | $0 | $34,290 | $0 | $391,279 | $0 | $0 |
| DANIEL MITCHELL | ||||||||||||||
| DIRECTOR OF OPERATIONS | $0 | $194,929 | $0 | $48,000 | $0 | $0 | $0 | $0 | $0 | $34,706 | $0 | $277,635 | $0 | $0 |
| MICHAEL DODOS | ||||||||||||||
| CONTROLLER | $0 | $185,530 | $0 | $46,878 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $232,408 | $0 | $0 |
| RICHARD CANTY | ||||||||||||||
| VICE PRESIDENT | $0 | $182,907 | $0 | $14,000 | $0 | $0 | $0 | $0 | $0 | $34,290 | $0 | $231,197 | $0 | $0 |
| ELAINE HANSEN | ||||||||||||||
| DIRECTOR OF CLINICAL SERVICES | $0 | $173,377 | $0 | $18,000 | $0 | $0 | $0 | $0 | $0 | $21,918 | $0 | $213,295 | $0 | $0 |
| DORIS DAVILA | ||||||||||||||
| VICE PRESIDENT OF OPERATIONS | $0 | $188,195 | $0 | $15,000 | $0 | $0 | $0 | $0 | $0 | $3,363 | $0 | $206,558 | $0 | $0 |
| MARY KILCOMMONS | ||||||||||||||
| DIRECTOR OF OPERATIONS | $0 | $170,925 | $0 | $16,637 | $0 | $0 | $0 | $0 | $0 | $10,902 | $0 | $198,464 | $0 | $0 |
| SHERYL FENTON | ||||||||||||||
| DIRECTOR OF COMPLIANCE | $0 | $164,811 | $0 | $26,240 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $191,051 | $0 | $0 |
| WILLIAM FARINA | ||||||||||||||
| DIRECTOR OF REHAB | $0 | $167,633 | $0 | $15,914 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $183,547 | $0 | $0 |
| KATHERINE NORFLEET | ||||||||||||||
| DIRECTOR OF SPECIAL PROJECTS | $0 | $156,887 | $0 | $17,100 | $0 | $0 | $0 | $0 | $0 | $8,280 | $0 | $182,267 | $0 | $0 |
| SEAN DOYLE | ||||||||||||||
| DIRECTOR OF HR | $0 | $150,187 | $0 | $14,500 | $0 | $0 | $0 | $0 | $0 | $10,444 | $0 | $175,131 | $0 | $0 |
| VIRGINIA ROBERTSON | ||||||||||||||
| DON | $152,024 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $22,804 | $0 | $174,828 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | THE COMPENSATION OF THE PRESIDENT/CEO IS DETERMINED AND PAID OUT BY A RELATED ORGANIZATION, ALLIANCE HEALTH, INC. ALLIANCE HEALTH, INC.'S BOARD SHALL CONDUCT A PERFORMANCE EVALUATION OF THE PRESIDENT/CHIEF EXECUTIVE OFFICER, TREASURER/CHIEF FINANCIAL OFFICER, AND SECRETARY/CHIEF OPERATING OFFICER OF THE COMPANY ON AN ANNUAL BASIS. SUCH EVALUATION SHALL BE USED AS THE BASIS FOR DETERMINING COMPENSATION AND SHALL INCLUDE AN ASSESSMENT OF COMPANY GOALS AND PERFORMANCE. THE BOARD WILL REVIEW YEAR OVER YEAR PERFORMANCE AND EVALUATE COMPANY RESULTS WITH RESPECT TO FINANCIAL PERFORMANCE, ATTAINMENT OF GOALS, PROGRAM AND OPERATIONAL QUALITY AND GOVERNANCE. THE BOARD WILL ALSO CONSIDER ORGANIZATIONAL STRENGTH AND DEVELOPMENT AND BOARD-OFFICER RELATIONSHIP MANAGEMENT. IN MAKING A COMPENSATION DETERMINATION, THE BOARD SHALL CONSIDER CURRENT INDEPENDENT MARKET ASSESSMENT OF AND RELIABLE DATA FROM COMPARABLE ORGANIZATIONS. THE BOARD MAY FROM TIME TO TIME SPECIFICALLY ENGAGE THIRD PARTY PROFESSIONALS TO CONDUCT COMPENSATION STUDIES OR TO REVIEW AND ASSESS CURRENT PRACTICES WHEN DEEMED USEFUL TO KEEP ITS KNOWLEDGE AND INFORMATION CURRENT. ALL EXTERNAL STUDIES WILL FOLLOW THE IRS GUIDELINES FOR DETERMINING "EXCESS BENEFIT". THE BOARD SHALL APPOINT A COMPENSATION COMMITTEE WHO WILL BE RESPONSIBLE FOR LEADING THE COMPENSATION AND EVALUATION PROCESS. THE COMMITTEE SHALL CONSIDER INPUT FROM THE PRESIDENT FOR TREASURER AND SECRETARY IN EVALUATING ATTAINMENT OF GOALS. THE COMMITTEE WILL REPORT ITS RECOMMENDATIONS TO THE BOARD, WHICH WILL PARTICIPATE IN FULL IN THE DECISION MAKING. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | THE ORGANIZATION DELEGATED CONTROL OVER MANAGEMENT AND FINANCIAL DUTIES TO A RELATED ORGANIZATION, ALLIANCE HEALTH MANAGEMENT SERVICES, LLC. THE MANAGEMENT COMPANY IS A NON-PROFIT SUPPORTING ORGANIZATION WHICH ENGAGES IN THE BUSINESS OF PLANNING, DEVELOPING, CONSTRUCTING, OWNING, AND MANAGING NON-PROFIT ORGANIZATIONS WHICH PROVIDE SERVICES THAT RANGE FROM POST-ACUTE CARE FACILITIES, SKILLED NURSING FACILITIES TO ASSISTED LIVING COMMUNITIES. ALLIANCE HEALTH MANAGEMENT SERVICES, LLC IS LOCATED AT 144 TURNPIKE ROAD, SUITE 220, SOUTHBOROUGH, MA 01772. MANAGEMENT FEES PAID IN 2020 TOTALED $531,000. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE AUDIT COMMITTEE SHALL REVIEW AND APPROVE THE IRS FORM 990 ANNUAL TAX FILINGS PRIOR TO SUBMISSION, AND THE BOARD SHALL RECEIVE A COPY AND REVIEW THE IRS FORM 990 TAX FILINGS WITHIN 30 DAYS LEADING UP TO ITS SUBMISSION. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST FORM IS DISTRIBUTED TO ALL DIRECTORS ANNUALLY AT THE DECEMBER QUARTERLY MEETING. EACH DIRECTOR MUST PROVIDE THE BOARD OF DIRECTORS WITH AN ANNUAL WRITTEN DISCLOSURE OF THE FOLLOWING: (I) THE DIRECTOR'S BUSINESS INVOLVEMENTS WITH THE ORGANIZATION AND RELATED ORGANIZATIONS; (II) THE DIRECTOR'S OTHER BOARD MEMBERSHIPS, WHETHER OF FOR-PROFIT OR NON-PROFIT CORPORATIONS; AND (III) THE TOTAL AMOUNT RECEIVED BY THE DIRECTOR FROM THE ORGANIZATION AND RELATED ORGANIZATIONS FOR SERVICES RENDERED AS A VENDOR OF GOODS OR SERVICES TO THE RELATED ORGANIZATIONS. THE COMPLIANCE OFFICER IS RESPONSIBLE FOR MONITORING THAT THE POLICY IS UPDATED AND SIGNED BY ALL DIRECTORS AND REVIEWS FOR CONFLICTS. IF A CONFLICT ARISES, THE COMMON OR INTERESTED PERSONS MAY BE COUNTED IN DETERMINING THE PRESENCE OF A QUORUM AT A MEETING OF THE DIRECTORS OR OF A COMMITTEE THEREOF WHICH AUTHORIZES, APPROVES OR RATIFIES THE CONTRACT OR TRANSACTION. HOWEVER, THE COMMON OR INTERESTED PERSON MUST WITHDRAW FROM THE DISCUSSION AND VOTING OF THE INTERESTED CONTRACT OR TRANSACTION. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE COMPENSATION OF THE PRESIDENT/CEO IS DETERMINED AND PAID OUT BY A RELATED ORGANIZATION, ALLIANCE HEALTH, INC. ALLIANCE HEALTH, INC.'S BOARD SHALL CONDUCT A PERFORMANCE EVALUATION OF THE PRESIDENT/CHIEF EXECUTIVE OFFICER, TREASURER/CHIEF FINANCIAL OFFICER, AND SECRETARY/CHIEF OPERATING OFFICER OF THE COMPANY ON AN ANNUAL BASIS. SUCH EVALUATION SHALL BE USED AS THE BASIS FOR DETERMINING COMPENSATION AND SHALL INCLUDE AN ASSESSMENT OF COMPANY GOALS AND PERFORMANCE. THE BOARD WILL REVIEW YEAR OVER YEAR PERFORMANCE AND EVALUATE COMPANY RESULTS WITH RESPECT TO FINANCIAL PERFORMANCE, ATTAINMENT OF GOALS, PROGRAM AND OPERATIONAL QUALITY AND GOVERNANCE. THE BOARD WILL ALSO CONSIDER ORGANIZATIONAL STRENGTH AND DEVELOPMENT AND BOARD-OFFICER RELATIONSHIP MANAGEMENT. IN MAKING A COMPENSATION DETERMINATION, THE BOARD SHALL CONSIDER CURRENT INDEPENDENT MARKET ASSESSMENT OF AND RELIABLE DATA FROM COMPARABLE ORGANIZATIONS. THE BOARD MAY FROM TIME TO TIME SPECIFICALLY ENGAGE THIRD PARTY PROFESSIONALS TO CONDUCT COMPENSATION STUDIES OR TO REVIEW AND ASSESS CURRENT PRACTICES WHEN DEEMED USEFUL TO KEEP ITS KNOWLEDGE AND INFORMATION CURRENT. ALL EXTERNAL STUDIES WILL FOLLOW THE IRS GUIDELINES FOR DETERMINING "EXCESS BENEFIT". THE BOARD SHALL APPOINT A COMPENSATION COMMITTEE WHO WILL BE RESPONSIBLE FOR LEADING THE COMPENSATION AND EVALUATION PROCESS. THE COMMITTEE SHALL CONSIDER INPUT FROM THE PRESIDENT FOR TREASURER AND SECRETARY IN EVALUATING ATTAINMENT OF GOALS. THE COMMITTEE WILL REPORT ITS RECOMMENDATIONS TO THE BOARD, WHICH WILL PARTICIPATE IN FULL IN THE DECISION MAKING. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT -171,005. |
| FORM 990 PART XII LINE 2C | THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (22 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ALLIANCE HEALTH INC | |||||||||||
| 144 TURNPIKE RD STE 220 | SOUTHBOROUGH | MA | 01772 | 043468274 | SUPPORTING ORGANIZATION | MA | 501(C)(3) | LINE 12B, II | N/A | 0 | |
| ALLIANCE HEALTH MANAGEMENT SERVICES LLC | |||||||||||
| 144 TURNPIKE RD STE 220 | SOUTHBOROUGH | MA | 01772 | 364639819 | SUPPORTING ORGANIZATION | MA | 501(C)(3) | LINE 12B, II | 0 | ALLIANCE HEALTH INC | |
| ALLIANCE HEALTH OF BRAINTREE INC | |||||||||||
| 144 TURNPIKE RD STE 220 | SOUTHBOROUGH | MA | 01772 | 651310230 | SKILLED NURSING CORPORATION | MA | 501(C)(3) | LINE 10 | 0 | ALLIANCE HEALTH INC | |
| ALLIANCE HEALTH OF CENTERVILLE INC | |||||||||||
| 144 TURNPIKE RD STE 220 | SOUTHBOROUGH | MA | 01772 | 800249886 | SKILLED NURSING CORPORATION | MA | 501(C)(3) | LINE 10 | 0 | ALLIANCE HEALTH INC | |
| ALLIANCE HEALTH OF EAST PROVIDENCE INC | |||||||||||
| 144 TURNPIKE RD STE 220 | SOUTHBOROUGH | MA | 01772 | 800249896 | SKILLED NURSING CORPORATION | MA | 501(C)(3) | LINE 10 | 0 | ALLIANCE HEALTH INC | |
| ALLIANCE HEALTH OF LYNN INC | |||||||||||
| 144 TURNPIKE RD STE 220 | SOUTHBOROUGH | MA | 01772 | 800249859 | SKILLED NURSING CORPORATION | MA | 501(C)(3) | LINE 10 | 0 | ALLIANCE HEALTH INC | |
| ALLIANCE HEALTH OF MARBLEHEAD INC | |||||||||||
| 144 TURNPIKE RD STE 220 | SOUTHBOROUGH | MA | 01772 | 800249854 | SKILLED NURSING CORPORATION | MA | 501(C)(3) | LINE 10 | 0 | ALLIANCE HEALTH INC | |
| ALLIANCE HEALTH OF MASSACHUSETTS INC | |||||||||||
| 144 TURNPIKE RD STE 220 | SOUTHBOROUGH | MA | 01772 | 311712039 | SKILLED NURSING CORPORATION | MA | 501(C)(3) | LINE 10 | 0 | ALLIANCE HEALTH INC | |
| ALLIANCE HEALTH OF PLYMOUTH INC | |||||||||||
| 144 TURNPIKE RD STE 220 | SOUTHBOROUGH | MA | 01772 | 800249891 | SKILLED NURSING CORPORATION | MA | 501(C)(3) | LINE 10 | 0 | ALLIANCE HEALTH INC | |
| ALLIANCE HEALTH OF PROVIDENCE INC | |||||||||||
| 144 TURNPIKE RD STE 220 | SOUTHBOROUGH | MA | 01772 | 800249901 | SKILLED NURSING CORPORATION | MA | 501(C)(3) | LINE 10 | 0 | ALLIANCE HEALTH INC | |
| ALLIANCE HEALTH OF QUINCY INC | |||||||||||
| 144 TURNPIKE RD STE 220 | SOUTHBOROUGH | MA | 01772 | 043468149 | SKILLED NURSING CORPORATION | MA | 501(C)(3) | LINE 10 | 0 | ALLIANCE HEALTH INC | |
| ALLIANCE HEALTH OF SANDWICH INC | |||||||||||
| 144 TURNPIKE RD STE 220 | SOUTHBOROUGH | MA | 01772 | 800249868 | SKILLED NURSING CORPORATION | MA | 501(C)(3) | LINE 10 | 0 | ALLIANCE HEALTH INC | |
| ALLIANCE HEALTH OF SOUTHBRIDGE INC | |||||||||||
| 144 TURNPIKE RD STE 220 | SOUTHBOROUGH | MA | 01772 | 800249840 | SKILLED NURSING CORPORATION | MA | 501(C)(3) | LINE 10 | 0 | ALLIANCE HEALTH INC | |
| ALLIANCE HEALTH OF SOUTHEASTERN MA INC | |||||||||||
| 144 TURNPIKE RD STE 220 | SOUTHBOROUGH | MA | 01772 | 043582078 | SKILLED NURSING CORPORATION | MA | 501(C)(3) | LINE 10 | 0 | ALLIANCE HEALTH INC | |
| ALLIANCE HEALTH OF WORCESTER INC | |||||||||||
| 144 TURNPIKE RD STE 220 | SOUTHBOROUGH | MA | 01772 | 800249850 | SKILLED NURSING CORPORATION | MA | 501(C)(3) | LINE 10 | 0 | ALLIANCE HEALTH INC | |
| ALLIANCE HUMAN SERVICES INC | |||||||||||
| 144 TURNPIKE RD STE 220 | SOUTHBOROUGH | MA | 01772 | 043476887 | FOSTER CARE CORPORATION | MA | 501(C)(3) | LINE 10 | 0 | ALLIANCE HEALTH INC | |
| ALLIANCE OF THE CHESAPEAKE BAY INC | |||||||||||
| 144 TURNPIKE RD STE 220 | SOUTHBOROUGH | MA | 01772 | 010672105 | FOSTER CARE CORPORATION | MA | 501(C)(3) | LINE 10 | 0 | ALLIANCE HEALTH INC | |
| ALLIANCE SPECIALITY HOSPITAL INC | |||||||||||
| 144 TURNPIKE RD STE 220 | SOUTHBOROUGH | MA | 01772 | 800249832 | HOSPITAL CORPORATION | MA | 501(C)(3) | LINE 3 | 0 | ALLIANCE HEALTH INC | |
| DEPOT POND VILLAGE INC | |||||||||||
| 144 TURNPIKE RD STE 220 | SOUTHBOROUGH | MA | 01772 | 203883388 | RESIDENTIAL FACILITY FOR ELDERLY | MA | 501(C)(3) | LINE 10 | 0 | ALLIANCE HEALTH INC | |
| THE HOSPITAL COTTAGES FOR CHILDREN | |||||||||||
| 144 TURNPIKE RD STE 220 | SOUTHBOROUGH | MA | 01772 | 042104323 | SKILLED NURSING CORPORATION | MA | 501(C)(3) | LINE 10 | 0 | ALLIANCE HEALTH INC | |
| MARIE ESTHER HEALTH CENTER INC | |||||||||||
| 144 TURNPIKE RD STE 220 | SOUTHBOROUGH | MA | 01772 | 043185003 | SKILLED NURSING CORPORATION | MA | 501(C)(3) | LINE 10 | 0 | ALLIANCE HEALTH INC | |
| ALLIANCE CHILDREN'S SERVICES | |||||||||||
| 144 TURNPIKE RD STE 220 | SOUTHBOROUGH | MA | 01772 | 042691041 | FOSTER CARE CORPORATION | MA | 501(C)(3) | LINE 10 | 0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
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