2018-07-26T11:26:38-05:00 2017-12-31 410746749 CLIFTONLARSONALLEN LLP 300 CROWN COLONY DRIVE SUITE 310 QUINCY MA 02169 990 2017-01-01 043476887 ALLIANCE HUMAN SERVICES INC ALLI 6173323366 144 TURNPIKE ROAD SOUTHBOROUGH MA 01772 PAUL KEMP TREASURER & CFO 6173323366 2018-07-18 1 DOUGLAS FIEBELKORN P00173341 6179848100 2017 2022-09-23 18:48:47Z FRANCIS J GRADY 144 TURNPIKE ROAD SOUTHBOROUGH MA 01772 14004417 0 X WWW.ALLIANCEHHS.ORG X 1999 MA THE ORGANIZATION PROVIDES SERVICES AND HOUSING FOR CHILDREN WHO CANNOT CARE FOR THEMSELVES. 10 9 62 10 0 0 0 0 16830010 13793186 0 5 807386 211226 17637396 14004417 0 0 0 0 2417397 2476532 0 0 0 15546444 11008997 17963841 13485529 -326445 518888 3514686 2743183 4786205 3495814 -1271519 -752631 X THE COMPANY SHALL PROMOTE AND PROVIDE SAFE, HEALTHY, QUALITY SERVICES AND LIVING ENVIRONMENTS FOR CHILDREN WHO CANNOT CARE FOR THEMSELVES. 0 1 10997405 14004412 ALLIANCE HUMAN SERVICES, INC. PROVIDES FOSTER CARE SERVICES TO CHILDREN AND YOUTH WHO HAVE EMOTIONAL OR BEHAVIORAL DISORDERS, DEVELOPMENTAL DISABILITIES, ARE MEDICALLY FRAGILE, OR ARE IN THE JUVENILE JUSTICE SYSTEM. MOST OFTEN, THE CHILDREN WE SERVE HAVE BEEN SERVED UNSUCCESSFULLY IN HOMES IN OTHER AGENCIES, OR COME FROM MORE RESTRICTIVE SETTINGS, SUCH AS RESIDENTIAL SCHOOLS. IN ORDER TO SUPPORT CHILDREN AND YOUTH WITH SIGNIFICANT CHALLENGES WE RECRUIT, TRAIN, AND PROVIDE ON-GOING COUNSELING AND CASE COORDINATION TO TALENTED AND CARING ADULTS WHO SERVE AS FOSTER PARENTS. OUR FOSTER PARENTS PROVIDE HOMES THAT ARE SAFE, AND SUPPORTIVE. WE AGGRESSIVELY RECRUIT FOSTER PARENTS FROM A DIVERSE POPULATION. WE FOCUS ON CAREFULLY ASSESSING THE STRENGTHS AND NEEDS OF OUR CHILDREN AND MAKING EXCELLENT MATCHES WITH SKILLED FOSTER PARENTS. OUR FOSTER PARENTS ARE EXPERIENCED AND COMPASSIONATE. WE ARE ABLE TO SUPPORT THEIR EFFORTS BY ENSURING THAT THE CHILDREN AND YOUTH ARE RECEIVING ALL OTHER SERVICES THEY NEED FOR THEIR SUCCESS, SUCH AS APPROPRIATE EDUCATIONAL SUPPORTS, PERSONAL OR GROUP COUNSELING OR THERAPY, AND OTHER CASE COORDINATION SERVICES. IN ADDITION, WE ASSIST FOSTER PARENTS IN OBTAINING RESPITE SO THAT THEY CAN BE REFRESHED WHILE THE CHILDREN ARE SAFE AND HAVING THEIR NEEDS MET. 10997405 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 27 0 62 1 0 0 0 0 0 0 0 0 0 0 X 10 9 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MA IL OH VA CA X X PAUL KEMP 6173323366 134 RUMFORD AVENUE 306 NEWTON MA 02466 LINDA CORRIDAN RN CHAIRMAN 1.00 1.00 X 0 0 0 REV JEROME J JANISKO DIRECTOR 1.00 1.00 X 0 0 0 WILLIAM P MCDERMOTT ESQ DIRECTOR 1.00 1.00 X 0 0 0 CHRISTOPHER ROBBINS DIRECTOR 1.00 1.00 X 0 0 0 JAMES BRUCE RILEY CPA DIRECTOR 1.00 1.00 X 0 0 0 MICHAEL O JENNINGS ESQ DIRECTOR 1.00 1.00 X 0 0 0 ARTHUR MOURTZINOS MD DIRECTOR 1.00 1.00 X 0 0 0 JANICE HOCKENSMITH DIRECTOR 1.00 1.00 X 0 0 0 PETE ZAMPINE DIRECTOR 1.00 1.00 X 0 0 0 ANDREW CALKINS DIRECTOR 1.00 1.00 X 0 0 0 FRANCIS GRADY DIRECTOR, PRESIDENT AND CEO 1.00 40.00 X X 0 344282 25807 PAUL KEMP TREASURER AND CFO 1.00 40.00 X 0 298476 25807 THOMAS LAVALLEE CLERK AND COO 1.00 40.00 X 0 273186 25807 MICHAEL DODOS CONTROLLER 1.00 40.00 X 0 227937 263 RICHARD CANTY VICE PRESIDENT 1.00 40.00 X 0 173862 25916 DORIS DAVILA VICE PRESIDENT 40.00 0.00 X 178786 0 1355 MARY KILCOMMONS DIRECTOR OF OPERATIONS 0.00 40.00 X 0 170026 9612 DAN MITCHELL EXECUTIVE DIRECTOR 0.00 40.00 X 0 176357 25920 ELAINE HANSEN DIRECTOR OF CLINICAL SERVICES 0.00 40.00 X 0 141694 14169 PAUL MAHONEY EXECUTIVE DIRECTOR 40.00 0.00 X 0 146882 15311 JACQUELINE AKINYL LPN 40.00 0.00 X 0 129355 9500 LINDA CAMERON DIRECTOR OF HUMAN RESOURCES 1.00 40.00 X 0 129595 12960 CLAIRE CUDDY GUETER SPEECH THERAPIST 0.00 40.00 X 0 125614 7331 178786 2337266 199758 2 0 1 0 NATIONAL MENTOR INC 313 CONGRESS ST BOSTON MA 02110 MANAGEMENT FEE 2507411 1 PROGRAM SERVICE REVENUE 623000 13793186 13793186 13793186 5 5 PROGRAM REV- ADOPTION 623000 165000 165000 OTHER INCOME 623000 21538 21538 PROGRAM REVENUE -ASSESSMENTS 623000 18000 18000 6688 6688 211226 14004417 14004412 0 5 X 178786 178786 1878271 1494910 383361 4705 1969 2736 244004 178466 65538 170766 130744 40022 1065000 1065000 25659 25659 56374 56374 8919548 8875724 43824 2410 2410 101217 4085 97132 268484 268484 148180 110449 37731 13518 13518 135593 135593 PROGRAM SUPPLIES 98838 98838 RECRUITMENT 84330 84330 TAXES 28474 28474 EQUIPMENT RENTAL & MAIN 22230 22230 39142 4373 34769 13485529 10997405 2488123 0 656911 1119611 2753872 1416381 78909 172525 82389 47723 24994 34666 3514686 2743183 2519115 988797 2267090 2507017 4786205 3495814 X -1271519 -752631 -1271519 -752631 3514686 2743183 518888 0 X 0 1 X 1 1 1 X 1300 1300 34318825 35705718 22476576 16830010 13793186 123124315 34318825 35707018 22476576 16830010 13793186 123125615 0 0 0 123125615 1146 230 2 5 1383 1146 230 2 5 1383 119022 7741 133850 807386 211226 1279225 34438993 35714989 22610428 17637396 14004417 124406223 0.98970 0.99260 0.00000 X SCHEDULE A, PART III, SECTION B, LINE 12: MISCELLANEOUS OTHER PROGRAM INCOME: OTHER INCOME- $21,538 THERAPY SERVICES- $6,888 ADOPTION- $165,000 ASSESSMENTS- $18,000 40217 20518 19699 42172 27205 14967 34666 DUE TO AFFILIATED ORGANIZATIONS 2295623 OVERPAYMENTS 211394 2507017 X 14004417 0 14004417 0 14004417 13485529 0 13485529 0 13485529 PART X, LINE 2: THE ORGANIZATION IS A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE IRC. THE ORGANIZATION FILES AS A TAX-EXEMPT ORGANIZATION. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, THE ORGANIZATION'S RETURNS ARE OPEN FOR EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES FOR THREE YEARS AFTER FILING. 0 0 0 0 0 0 0 0 0 FRANCIS GRADY DIRECTOR, PRESIDENT AND CEO 0 302837 0 38000 0 3445 0 0 0 25807 0 370089 0 0 PAUL KEMP TREASURER AND CFO 0 251615 0 45000 0 1861 0 0 0 25807 0 324283 0 0 THOMAS LAVALLEE CLERK AND COO 0 228325 0 43000 0 1861 0 0 0 25807 0 298993 0 0 MICHAEL DODOS CONTROLLER 0 188974 0 30000 0 8963 0 0 0 263 0 228200 0 0 RICHARD CANTY VICE PRESIDENT 0 160344 0 12000 0 1518 0 0 0 25916 0 199778 0 0 DORIS DAVILA VICE PRESIDENT 164836 0 12000 0 1950 0 0 0 1355 0 180141 0 0 0 MARY KILCOMMONS DIRECTOR OF OPERATIONS 0 148051 0 20000 0 1975 0 0 0 9612 0 179638 0 0 DAN MITCHELL EXECUTIVE DIRECTOR 0 149826 0 25000 0 1531 0 0 0 25920 0 202277 0 0 ELAINE HANSEN DIRECTOR OF CLINICAL SERVICES 0 141694 0 0 0 0 0 0 0 14169 0 155863 0 0 PAUL MAHONEY EXECUTIVE DIRECTOR 0 146882 0 0 0 0 0 0 0 15311 0 162193 0 0 PART I, LINE 3 THE COMPENSATION OF THE 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 CHIEF EXECUTIVE 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-CEO 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 WILL REPORT ITS RECOMMENDATIONS TO THE BOARD, WHICH WILL PARTICIPATE IN FULL IN THE DECISION MAKING. FORM 990, PART III, LINE 3 THE ORGANIZATION STOPPED PROVIDING SERVICES IN THE STATE OF OHIO FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION DELEGATED CONTROL OVER MANAGEMENT AND FINANCIAL DUTIES TO NATIONAL MENTOR INC. WHICH IS LOCATED AT 313 CONGRESS STREET, BOSTON, MA 02021. 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 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. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD SHALL CONDUCT A PERFORMANCE EVALUATION OF THE CHIEF EXECUTIVE 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-CEO 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 WILL REPORT ITS RECOMMENDATIONS TO THE BOARD, WHICH WILL PARTICIPATE IN FULL IN THE DECISION MAKING. THE CEO SHALL CONDUCT A PERFORMANCE EVALUATION OF THE CHIEF FINANCIAL 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 CEO WILL REVIEW YEAR OVER YEAR PERFORMANCE AND EVALUATE COMPANY RESULTS WITH RESPECT TO FINANCIAL PERFORMANCE, ATTAINMENT OF GOALS, PROGRAM AND OPERATIONAL QUALITY AND GOVERNANCE. IN MAKING A COMPENSATION DETERMINATION, THE CEO SHALL CONSIDER CURRENT INDEPENDENT MARKET ASSESSMENT OF AND RELIABLE DATA FROM COMPARABLE ORGANIZATIONS. THE CEO WILL ADVISE THE BOARD OF THE DECISION MADE. 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 IX, LINE 11G OTHER PROFESSIONAL SERVICES : PROGRAM SERVICE EXPENSES 2,526,132. MANAGEMENT AND GENERAL EXPENSES 43,824. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,569,956. FOSTER PARENTS PAYMENTS : PROGRAM SERVICE EXPENSES 6,349,592. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,349,592. ALLIANCE CHILDREN'S SERVICES INC 144 TURNPIKE ROAD SOUTHBOROUGH MA 01772 042691041 FOSTER CARE CORPORATION MA ALLIANCE HUMAN SERVICES INC ALLIANCE HEALTH INC 144 TURNPIKE ROAD SOUTHBOROUGH MA 01772 043468274 SUPPORTING ORGANIZATION MA 501(C)(3) LINE 12A, I 0 ALLIANCE HEALTH MANAGEMENT SERVICES LLC 144 TURNPIKE ROAD SOUTHBOROUGH MA 01772 364639819 SUPPORTING ORGANIZATION MA 501(C)(3) LINE 12B, II ALLIANCE HEALTH INC 1 ALLIANCE HEALTH OF BRAINTREE INC 144 TURNPIKE ROAD SOUTHBOROUGH MA 01772 651310230 SKILLED NURSING CORPORATION MA 501(C)(3) LINE 10 ALLIANCE HEALTH INC 1 ALLIANCE HEALTH OF BROCKTON INC 144 TURNPIKE ROAD SOUTHBOROUGH MA 01772 043455405 SKILLED NURSING CORPORATION MA 501(C)(3) LINE 10 ALLIANCE HEALTH INC 1 ALLIANCE HEALTH OF CENTERVILLE INC 144 TURNPIKE ROAD SOUTHBOROUGH MA 01772 800249886 SKILLED NURSING CORPORATION MA 501(C)(3) LINE 10 ALLIANCE HEALTH INC 1 ALLIANCE HEALTH OF MARBLEHEAD INC 144 TURNPIKE ROAD SOUTHBOROUGH MA 01772 800249854 SKILLED NURSING CORPORATION MA 501(C)(3) LINE 10 ALLIANCE HEALTH INC 1 ALLIANCE HEALTH OF EAST PROVIDENCE INC 144 TURNPIKE ROAD SOUTHBOROUGH MA 01772 800249896 SKILLED NURSING CORPORATION MA 501(C)(3) LINE 10 ALLIANCE HEALTH INC 1 ALLIANCE HEALTH OF LYNN INC 144 TURNPIKE ROAD SOUTHBOROUGH MA 01772 800249859 SKILLED NURSING CORPORATION MA 501(C)(3) LINE 10 ALLIANCE HEALTH INC 1 ALLIANCE HEALTH OF MASSACHUSETTS INC 144 TURNPIKE ROAD SOUTHBOROUGH MA 01772 311712039 SKILLED NURSING CORPORATION MA 501(C)(3) LINE 10 ALLIANCE HEALTH INC 1 ALLIANCE HEALTH OF PLYMOUTH INC 144 TURNPIKE ROAD SOUTHBOROUGH MA 01772 800249891 SKILLED NURSING CORPORATION MA 501(C)(3) LINE 10 ALLIANCE HEALTH INC 1 ALLIANCE HEALTH OF PROVIDENCE INC 144 TURNPIKE ROAD SOUTHBOROUGH MA 01772 800249901 SKILLED NURSING CORPORATION MA 501(C)(3) LINE 10 ALLIANCE HEALTH INC 1 ALLIANCE HEALTH OF QUINCY INC 144 TURNPIKE ROAD SOUTHBOROUGH MA 01772 043468149 SKILLED NURSING CORPORATION MA 501(C)(3) LINE 10 ALLIANCE HEALTH INC 1 ALLIANCE HEALTH OF SANDWICH INC 144 TURNPIKE ROAD SOUTHBOROUGH MA 01772 800249868 SKILLED NURSING CORPORATION MA 501(C)(3) LINE 10 ALLIANCE HEALTH INC 1 ALLIANCE HEALTH OF SOUTHBRIDGE INC 144 TURNPIKE ROAD SOUTHBOROUGH MA 01772 800249840 SKILLED NURSING CORPORATION MA 501(C)(3) LINE 10 ALLIANCE HEALTH INC 1 ALLIANCE HEALTH OF SOUTHEASTERN MASSACHUSETTS INC 144 TURNPIKE ROAD SOUTHBOROUGH MA 01772 043582078 SKILLED NURSING CORPORATION MA 501(C)(3) LINE 10 ALLIANCE HEALTH INC 1 ALLIANCE HEALTH OF WORCESTER INC 144 TURNPIKE ROAD SOUTHBOROUGH MA 01772 800249850 SKILLED NURSING CORPORATION MA 501(C)(3) LINE 10 ALLIANCE HEALTH INC 1 THE HOSPITAL COTTAGES FOR CHILDREN 144 TURNPIKE ROAD SOUTHBOROUGH MA 01772 042104323 FOSTER CARE CORPORATION MA 501(C)(3) LINE 10 ALLIANCE HEALTH INC 1 ALLIANCE OF THE CHESAPEAKE BAY INC 144 TURNPIKE ROAD SOUTHBOROUGH MA 01772 010672105 FOSTER CARE CORPORATION MA 501(C)(3) LINE 10 ALLIANCE HEALTH INC 1 ALLIANCE SPECIALITY HOSPITAL INC 144 TURNPIKE ROAD SOUTHBOROUGH MA 01772 800249832 HOSPITAL CORPORATION MA 501(C)(3) LINE 3 ALLIANCE HEALTH INC 1 DEPOT POND VILLAGE INC 144 TURNPIKE ROAD SOUTHBOROUGH MA 01772 203883388 RESIDENTIAL FACILITY FOR ELDERLY MA 501(C)(3) LINE 10 ALLIANCE HEALTH INC 1 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 1 0 0 0