2019-10-25T15:30:09-05:00 2018-12-31 350921680 CROWE LLP 175 Powder Forest Drive Simsbury CT 060897902 990 2018-01-01 222873792 Care Dimensions Inc CARE 9787747566 75 Sylvan Street B 102 Danvers MA 01923 Phil Cibelli CFO 2019-10-25 true Kristin Anderson P01231300 8606789200 2018 2019-02-21 02:37:17Z Patricia Ahern 75 Sylvan Street B 102 Danvers MA 01923 77566309 false X www.Caredimensions.org X 1979 MA Care Dimensions, Inc. (CD) ENRICHES QUALITY OF LIFE BY PROVIDING EXPERT CARE, SUPPORT, EDUCATION AND CONSULTATION FOR THOSE AFFECTED BY LIFE LIMITING ILLNESS, DEATH AND LOSS. 21 17 726 539 0 0 3053815 2432255 63525140 69020710 465236 530780 -96609 -115064 66947582 71868681 48374 62163 0 40564029 46197459 81631 0 974290 23316322 26543828 64010356 72803450 2937226 -934769 77732085 75909148 27864066 28136430 49868019 47772718 Care Dimensions, Inc. (CD) ENRICHES QUALITY OF LIFE BY PROVIDING EXPERT CARE, SUPPORT, EDUCATION AND CONSULTATION FOR THOSE AFFECTED BY LIFE LIMITING ILLNESS, DEATH AND LOSS. false false 59519330 62163 69020710 FOR MORE THAN 40 YEARS, CARE DIMENSIONS, INC. (CD), FORMERLY HOSPICE OF THE NORTH SHORE, INC. (HNS) HAS PROVIDED HOSPICE AND PALLIATIVE CARE FOR COUNTLESS TERMINALLY ILL PATIENTS AND FAMILIES THROUGHOUT THE NORTH SHORE AND GREATER BOSTON AREA. AS THE MOST COMPREHENSIVE NOT-FOR-PROFIT HOSPICE PROVIDER IN MASSACHUSETTS, WE'RE DEDICATED TO ENRICHING QUALITY OF LIFE BY PROVIDING EXPERT CARE, SUPPORT, EDUCATION, AND CONSULTATION FOR THOSE AFFECTED BY LIFE-LIMITING ILLNESS, DEATH, AND LOSS. IN 2018 CD CARED FOR 5,120 HOSPICE PATIENTS AND THEIR FAMILIES. 59519330 true true false true false false false false true true false false false true true true false false false false false false false true false false false true true true false false false false false false false false true false false true false false false false false false false true 218 0 true 726 true false false false false false true true true false false false false false X 21 17 false false false false false false false true true false false true true true true true true false false false CA CT FL MD MA NH NY PA RI X Phil Cibelli 9787747566 75 Sylvan Street B 102 Danvers MA 01923 Jane Alpers Vice Chair 1.0 X X 0 0 0 Peter Sherwood Clerk 1.0 X X 0 0 0 Pamela Lawrence Chairperson 1.0 X X 0 0 0 Kevin Bottomley Treasurer 1.0 X X 0 0 0 Patricia Ahern President/CEO 40.0 X X 375298 0 40673 Charles Adams Board Member 1.0 X 0 0 0 Chuck Badavas Board Member 1.0 X 0 0 0 Timothy Liesching MD Board Member thru May 2018 1.0 X 0 0 0 Ellen Smith Board Member 1.0 X 0 0 0 Kevin Smith Board Member 1.0 X 0 0 0 Regina Villa Board Member thru May 2018 1.0 X 0 0 0 Thomas Ford Board Member 1.0 X 0 0 0 Allen Smith MD Board Member 1.0 X 0 0 0 Nancy Palmer Board Member 1.0 X 0 0 0 Janet Barnes Board Member 1.0 X 0 0 0 John Collins Board Member 1.0 X 0 0 0 Wanda McClain Board Member 1.0 X 0 0 0 Mary Coffey Moran Board Member 1.0 X 0 0 0 Kimberly Perryman Board Member 1.0 X 0 0 0 Michael Wertheimer Board Member 1.0 X 0 0 0 Joan Rosenthal Board Member 1.0 X 0 0 0 Lisa Alcock Board Member effective May 2018 1.0 X 0 0 0 Michael Beer Board Member effective May 2018 1.0 X 0 0 0 Phil Cibelli VP/CFO 40.0 X 243306 0 63513 Stephanie Patel MD VP/CMO 40.0 X 385292 0 74901 Judith Cranney VP/COO 40.0 X 274984 0 57456 Carolyn Skarmeas VP Provider Relations & Business Development 40.0 X 233754 0 63078 Jean Ball VP of Quality & Compliance 40.0 X 183011 0 14305 Kristine DiFiore VP, Chief Human Resources Officer 40.0 X 159258 0 35338 Mary Simboski VP of Philanthropy 40.0 X 173750 0 17948 David MacDonald MD Physician 40.0 X 274207 0 50730 Robert Warren MD Physician 40.0 X 189598 0 55681 Nancy Otovic MD Physician 40.0 X 183494 0 23972 Robert Taylor Physician 40.0 X 273090 0 30455 Johnson Wu Physician 40.0 X 187232 0 23680 3136274 0 551730 45 false true false WINDOVER CONSTRUCTION INC 66 CHERRY HILL DRIVE BEVERLY MA 01915 CONSTRUCTION SERVICES 1982767 ZAMPELL BUILDING SERVICES 9 STANLEY TUCKER DRIVE NEWBURYPORT MA 01950 FACILIITY MANAGEMENT SERVICES 989781 BEAUPORT AMBULANCE PO BOX 1262 Gloucester MA 01930 AMBULANCE SERVICES 216187 DANA FARBER CANCER INSTITUTE 450 BROOKLINE AVE BOSTON MA 02215 PHYSICIAN SERVICES 115567 US SECURITY ASSOCIATES 200 MANSELL COURT 5TH FLOOR ROSWELL GA 30076 SECURITY 113057 7 469584 324140 1638531 19556 2432255 Net Patient Service Revenue 621610 68997616 68997616 Training & Program Revenue 611430 2510 2510 Bereavement Revenue 900099 17993 17993 Other Admin Revenue 900099 2591 2591 0 0 0 0 69020710 405216 405216 0 0 5652526 5526962 125564 0 125564 125564 53102 469584 169954 -116852 -116852 2500 712 1788 1788 0 0 0 0 0 71868681 69020710 0 415716 62163 62163 2395862 1286780 917385 191697 139000 50704 88296 35463756 30437790 4549675 476291 1153971 964370 169565 20036 4346308 3734555 544608 67145 2698562 2236158 417086 45318 35423 35423 69600 69600 122525 122525 2094970 1820311 274659 0 816438 3934 812504 1192125 772688 419437 1196174 245767 878958 71449 2201590 1015704 1185886 1039816 955511 81886 2419 134664 55407 79257 380986 380986 1601356 708580 892776 268675 59576 209099 Room & Board Expense 8460117 8460117 Program Supplies & Services 5308905 5308905 Inpatient 1124102 1124102 Bad Debt 135316 135316 361046 80892 180219 99935 72803450 59519330 12309830 974290 700 700 9758439 5923609 652289 391980 7162362 8252087 0 0 0 1427217 930661 39578140 8583440 29223010 30994700 25800524 26920065 1047222 1074597 0 2857 0 2657465 1420749 77732085 75909148 9121228 8917082 17355646 17191796 0 1387192 2027552 27864066 28136430 X 45963543 46184347 3334697 1017479 569779 570892 49868019 47772718 77732085 75909148 X -934769 -1160535 3 X false true X true false X 3189529 2278010 3438201 3053815 2432255 14391810 46402476 50873121 59464796 63525140 69020710 289286243 0 0 0 49592005 53151131 62902997 66578955 71452965 303678053 152763 111490 39249 38910 27690 370102 0 0 0 0 0 0 152763 111490 39249 38910 27690 370102 303307951 383833 384689 373702 283811 437648 1863683 0 383833 384689 373702 283811 437648 1863683 0 91498 78680 104192 166164 55602 496136 50067336 53614500 63380891 67028930 71946215 306037872 0.9911 0.9905 0.0061 0.0062 X Schedule A, Part III, Line 12 Other Income DESCRIPTION - FUNDRAISING INCOME, COLUMN A - 91498.0, COLUMN B - 78680.0, COLUMN C - 91492.0, COLUMN D - 151944.0, COLUMN E - 53102.0, COLUMN F - 466716.0; DESCRIPTION - GAMING INCOME, COLUMN A - , COLUMN B - , COLUMN C - 12700.0, COLUMN D - 14220.0, COLUMN E - 2500.0, COLUMN F - 29420.0; false false false false false false false false true 1178 1178 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY In 2018, Care Dimensions paid $31,093 to National Hospice and Palliative Care Organization for membership dues. Of this amount 3.79% were used for specific lobbying purposes defined as unallowable expenses. Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY In 2018, Care Dimensions paid $31,093 to National Hospice and Palliative Care Organization for membership dues. Of this amount 3.79% were used for specific lobbying purposes defined as unallowable expenses. 3904476 49705 -20934 2344876 1588371 3373175 737245 46185 252129 3904476 1783389 1775584 185798 3373175 1216603 752754 185968 1783389 174168 1088820 46385 1216603 0.0 0.36 0.64 false false 3157603 3157603 27699168 3156972 24542196 214017 127387 86630 8507352 5299081 3208271 30994700 Due to third party payors 957981 other current liabilities 35143 annuities payable 2972 Deferred Rent 125360 Workers Compensation 906096 2027552 X 73081608 -1160535 0 0 2344876 1184341 71897267 122524 -151110 -28586 71868681 72832033 0 0 72832033 122525 -151108 -28583 72803450 Schedule D, Part V, Line 4 Intended uses of endowment funds Temporarily Restricted Funds are funds that are received with a donor-imposed restriction that will be satisfied in the future. The donor's restriction may be for a particular purpose or program or for use in a specified time period. As of 12/31/18 Care Dimension's temporary restricted funds are primarily available for operational expenses at the Kaplan House, children bereavement program expenses and complementary therapy expenses. Permanently Restricted Funds are funds that are received with a donor-imposed restriction that states that the donation must be maintained permanently, but may permit the organization to use up or expend part or all of the income derived from the asset. Permanently restricted funds earn interest on investments during the year and are released for use according to the Board Approved Restricted Funds Policy. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The Organization is exempt from income taxes on income from related activities under Section 501(c)(3) of the U.S. Internal Revenue Code and corresponding state tax law. Accordingly, no provision has been made for federal or state income taxes. U.S. GAAP requires that a tax position is recognized as a benefit only if it is "more likely than not" that the tax position would be sustained in a tax examination, with a tax examination being presumed to occur. The amount recognized is the largest amount of tax benefit that is greater than 50% likely of being realized on examination. For tax positions not meeting the "more likely than not" test, no tax benefit is recorded. Due to its tax-exempt status, the Organization is not subject to U.S. federal income tax or state tax. The Organization's Form 990 has not been subject to examination by the Internal Revenue Service or the state of Massachusetts for the last three years. The Organization does not expect the total amount of unrecognized tax benefits to significantly change in the next 12 months. The Organization recognizes interest and/or penalties related to income tax matters in income tax expense. The Organization did not have any amounts accrued for interest and penalties at December 31, 2018 and 2017. Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 Net Assets Released for Operations - 196039 Net Assets Released for Capital - 2148837 Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements Direct Fundraising & Raffle Expenses, included on Statement of Revenue - -151110 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements Development Event Expenses - -151108 Regatta Event 199471 146369 53102 0 36059 4039 22377 6440 15039 Walk Event 193248 193248 0 0 0 5663 994 29726 2 129968 129968 0 0 0 1288 2750 2600 42979 522687 469585 53102 0 36059 10990 26121 9040 87744 169954 -116852 true Non-medical family needs of hospice patients on service 180 62163 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. The Care Dimensions Family Fund was established by the Board of Directors to assist patients and families who have a demonstrated financial need. The Family Fund provides limited financial assistance to respond to particular non-medical patient or family needs that impact on the quality of life for the terminally ill patient and his/her family. The Family Fund is accessed to provide one limited monetary grant within a calendar year to families who have been identified by a member of the Care Dimensions Interdisciplinary Team as having a specific non-medical need which the patient/family are financially unable to afford. Examples of such needs include: school clothes for children, summer camp expenses for children, basic necessities such as food or telephone service, or a personal response system for a patient who lives alone. Due to the limited availability of funds, team members are encouraged to explore all other available community resources (i.e., Nan Camp, American Cancer Society, food pantries) before accessing the Family Fund. The Family Fund is also accessed to provide "Social Needs" requests, (iPads, computer games, tickets to attend a ballgame or concert, prom tickets, etc.). If a staff member identifies a need which could be met by the Family Fund, he/she should complete a Family Fund Request form, indicate whether the need is "basic" or "social" by checking the appropriate box, include appropriate supporting documentation, and forward to his/her Clinical Manager. The Clinical Manager shall submit the request to the Family Fund Review Committee. The Family Fund Review Committee is comprised of rotating members of the Interdisciplinary Team. The Committee will review the request and render a decision within 48 hours. If the request is approved, a Check Request along with the completed Family Fund Request form will be forwarded to the COO for signature and then submitted to Accounts Payable. Checks are written directly to a vendor, not a patient or family member, based on the original documented request. If the request is denied, the Committee will suggest other resources whenever possible and forward completed form to appropriate Clinical Manager for their communication to requested party. On a monthly basis, the Administrative Assistant of the COO will distribute a report showing monies disbursed and monies remaining in the Family Fund to the CEO, COO, Clinical Directors, and the Family Fund Committee. X X X X X false false false false false false false true false Patricia Ahern President/CEO 313943 0 54167 0 7188 0 10222 0 30451 0 415971 0 0 0 Phil Cibelli VP/CFO 176874 0 51308 0 15124 0 24305 0 39208 0 306819 0 11185 0 Stephanie Patel MD VP/CMO 295358 0 71654 0 18280 0 31500 0 43401 0 460193 0 18000 0 Judith Cranney VP/COO 204855 0 56209 0 13920 0 27001 0 30455 0 332440 0 12687 0 Carolyn Skarmeas VP Provider Relations & Business Development 164927 0 50020 0 18807 0 22674 0 40404 0 296832 0 10540 0 Jean Ball VP of Quality & Compliance 157488 0 20091 0 5432 0 12795 0 1510 0 197316 0 4628 0 Kristine DiFiore VP, Chief Human Resources Officer 153988 0 5000 0 270 0 5037 0 30301 0 194596 0 0 0 Mary Simboski VP of Philanthropy 154376 0 18600 0 774 0 4790 0 13158 0 191698 0 0 0 David MacDonald MD Physician 222945 0 51100 0 162 0 11697 0 39033 0 324937 0 0 0 Robert Warren MD Physician 163426 0 25750 0 422 0 13500 0 42181 0 245279 0 0 0 Nancy Otovic MD Physician 171590 0 0 0 11904 0 8496 0 15476 0 207466 0 0 0 Robert Taylor Physician 254235 0 17667 0 1188 0 0 0 30455 0 303545 0 0 0 Johnson Wu Physician 187088 0 0 0 144 0 0 0 23680 0 210912 0 0 0 Schedule J, Part I, Line 7 Non-fixed payments The compensation plan for the CEO provides that a performance bonus may be awarded should certain performance metrics be achieved. The payment is based on a percentage of base compensation, subject to review and approval of the executive committee of the board. In addition, the committee has discretion to award additional payments based on performance. Total compensation, including bonuses, are taken into consideration during the compensation review process. The performance bonus plan for other officers, including executives and vice presidents, may be awarded based on certain performance metrics, subject to approval by the executive committee of the board. In addition, the committee has discretion to award additional payments based on performance. Total compensation, including bonuses, are taken into consideration during the compensation review process A Massachusetts Development Finance Agency Revenue Bonds Care Dimensions 043431814 NONEAVAIL 2016-07-13 17500000 Construction of Inpatient Hospice Facility false false false A 17500000 0 17500000 2018 false false true true A false false false false 0.0 0.0 0.0 false false true A false false false false false false true A true Sam Sherwood Family member of Peter Sherwood (Board Member) 54816 COMPENSATION false Stanton Barrett Family Member of Pamela Lawrence (Board Member) 50704 COMPENSATION false Ann Amatucci FAMILY MEMBER OF THOMAS FORD (BOARD MEMBER) 33480 COMPENSATION false X 2 11000 Selling cost X 73 Cost X 835 Selling cost X Various Items - including events/dinner/travel 4 7648 Market value 0 false true false Schedule M, Part I Explanations of reporting method for number of contributions Art - Works of art - Number of Contributions Books and publications - Number of Contributions Clothing and household goods - Number of Contributions Other - Various Items - including events/dinner/travel Number of contributions Form 990, Part VI, Line 15a Line 15a was answered "No" because the CEO's compensation is reviewed by an outside consultant every other year. The next review is in 2019. The Executive Committee of the Board of Directors meets annually to establish and approve the compensation of the organization's CEO based on the CEO's performance and comparative data benchmarks. Comparative data from available published surveys and IRS 990's for comparable organizations are used as benchmarks. In addition, every two years a qualified compensation consultant is retained to conduct an analysis and comparative market assessment of executive compensation. The last analysis was done in December 2017. The process is documented in the Executive Committee minutes. Form 990, Part VI, Line 15b Line 15b was answered "No" because the Executive Operation Team's compensation is reviewed by an outside consultant every other year. The next review is in 2019. The CEO presents the Executive Operation Team's proposed annual merit increases and incentive payments to the Executive Committee for review and approval. Available sources of market surveys and compensation benchmarks are also reviewed and considered as part of the process. The process is documented in the Executive Committee minutes. Form 990, Part VI, Line 1a Delegate broad authority to a committee In addition to any standing committees, the Board may from time to time establish one or more committees, may determine the purposes and authority of any such committee and shall designate a chair for each committee unless otherwise provided for in these Bylaws. The Board may appoint any member of any committee whose appointment is not otherwise provided for in these Bylaws or may determine the manner in which members of committees are to be appointed. Committees may consist of individuals who have no affiliation with the Corporation as well as directors and Members. The Board may delegate to any committee or committees that consist solely of directors any or all of the powers of the Board, except those which by law, by the Articles of Organization or by these Bylaws they are prohibited from delegating. In no event shall the following powers be delegated by the Board of Directors to any committee established by it: a. The power to change the principal office of the Corporation. b. The power to amend these Bylaws. c. The power to elect officers required by law, the Articles of Organization, or these Bylaws to be elected by the Directors and the power to fill vacancies in any such offices. d. The power to change the number of members constituting the Board of Directors and the power to fill vacancies in the Board of Directors. e. The power to remove officers from office or Directors from the Board of Directors. f. The power to authorize a merger of the Corporation. Form 990, Part VI, Line 11b Review of form 990 by governing body A copy of the 990 is provided to the entire board prior to filing. Additionally, the Executive Committee, a subcommittee of the board, reviews the 990 prior to filing. Form 990, Part VI, Line 12c Conflict of interest policy The Conflict of Interest Policy is reviewed annually with the Board of Directors. Each member of the Board of Directors, Committee Members, Officers and Key Employees are asked to sign a Conflict of Interest and Relationship Disclosure Statement covering the next fiscal year. This statement certifies that they have read the Conflict of Interest Policy, will disclose any conflict of interest identified, and refrain from voting and from using personal influence related to the conflict of interest identified. Form 990, Part VI, Line 19 Required documents available to the public Financial Statements, governing documents, and conflict of interest policies are not required disclosures pursuant to the Internal Revenue Code (IRC) Section 6104. These documents are available upon request. Form 990, Part XI, Line 9 Other changes in net assets or fund balances rounding in schedules - 3;