CIRCLE HOME INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
CIRCLE HOME INC (EIN 04-2103812)
Tax period
2015-10-01 to 2016-09-30
Filed
2017-08-14
IRS object ID
201722269349300527
Schema version
2015v3.0
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)
Return2017-08-14T09:11:14-05:00ReturnTs
Tax Period End2016-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN263753134PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CBIZ TOFIASBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 BOYLSTON STREETAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02116ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN042103812EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CIRCLE HOME INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCIRCBusinessNameControlTxt
Phone9784599343PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1847 ROGERS STREET NO 201AddressLine1Txt
CityLOWELLCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01852ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRACHEL CHADDOCKPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone9784599343PhoneNum
Signature2017-08-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBRENDA L BOOTHPreparerPersonNm
PTINP01342395PTIN
Phone6177610600PhoneNum
Preparation2017-08-09PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRACHEL CHADDOCKPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1847 ROGERS STREET NO 201AddressLine1Txt
CityLOWELLCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01852ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$13,738,408GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CIRCLEHOMEHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1909FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionTO PROMOTE HEATLHCARE SERVICES TO SELECTED PATIENTS, IN THEIR HOMES, REGARDLESS OF ABILITY TO PAY.ActivityOrMissionDesc
Voting Members Governing Body20VotingMembersGoverningBodyCnt
Voting Members Independent20VotingMembersIndependentCnt
Total Employee166TotalEmployeeCnt
Total Volunteers53TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$384,260PYContributionsGrantsAmt
CY Contributions Grants$169,718CYContributionsGrantsAmt
PY Program Service Revenue$12,464,530PYProgramServiceRevenueAmt
CY Program Service Revenue$13,350,518CYProgramServiceRevenueAmt
PY Investment Income$174,934PYInvestmentIncomeAmt
CY Investment Income$136,741CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$62,618CYOtherRevenueAmt
PY Total Revenue$13,023,724PYTotalRevenueAmt
CY Total Revenue$13,719,595CYTotalRevenueAmt
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$9,892,924PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$10,254,645CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$19,222CYTotalFundraisingExpenseAmt
PY Other Expenses$3,393,235PYOtherExpensesAmt
CY Other Expenses$3,724,448CYOtherExpensesAmt
PY Total Expenses$13,286,159PYTotalExpensesAmt
CY Total Expenses$13,979,093CYTotalExpensesAmt
PY Revenues Less Expenses-$262,435PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$259,498CYRevenuesLessExpensesAmt
Total Assets BOY$11,086,852TotalAssetsBOYAmt
Total Assets EOY$11,042,314TotalAssetsEOYAmt
Total Liabilities BOY$6,187,792TotalLiabilitiesBOYAmt
Total Liabilities EOY$7,406,654TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,899,060NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,635,660NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCIRCLE HOME, INC. ENABLES INDIVIDUALS TO REMAIN SAFELY IN THEIR HOMES BY PROVIDING THE HIGHEST QUALITY HOME HEALTH, HOSPICE, AND OTHER COMMUNITY HEALTH SERVICES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$9,033,115ExpenseAmt
Revenue$10,876,185RevenueAmt
DescHOME HEALTH CARE - PROVIDE NECESSARY CARE & TREATMENT TO PATIENTS, IN THEIR HOMES, WITHOUT REGARD FOR THEIR ABILITY TO PAY. THIS CARE IS MORE COST EFFECTIVE, FOR CERTAIN POPULATIONS, THAN INPATIENT CARE.HOME HEALTH CARE IS FOR PATIENTS WHO HAVE DIFFICULTY GETTING OUT OF THE HOUSE, AND WHO NEED HELP WITH:*RECOVERY AFTER SURGERY OR A HOSPITAL STAY*HEALING AFTER A SERIOUS INJURY*COPING WITH A MAJOR CHANGE IN HEALTH*MEDICAL TREATMENTS THAT REQUIRE A NURSE OR THERAPIST*PREVENTING COMPLICATIONS AFTER CHILDBIRTH*LEARNING HOW TO SUCCESSFULLY MANAGE A CHRONIC DISEASEDesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,754,573ExpenseAmt
Revenue$2,541,994RevenueAmt
DescHOSPICE CARE - PROVIDE NECESSARY CARE AND COMFORT MEASURES TO TERMINALLY ILL PATIENTS, IN THEIR HOMES, WITHOUT REGARD FOR THEIR ABILITY TO PAY. THIS CARE IS MORE COST EFFECTIVE THAN MOST SETTINGS, PROVIDES RESPITE AND COMFORT TO THE FAMILY BY OVERSEEING THEIR CARE AS WELL AS ACTING AS A RESOURCE FOR THE PATIENTS, CAREGIVERS AND MEDICAL PROFESSIONALS.PATIENTS AND FAMILIES BENEFIT FROM: *PROTECTION FROM PAIN AND DISTRESSING SYMPTOMS*LIVING WITH PERSONAL DIGNITY*FEELING THE COMFORT OF LOVED ONES*ENJOYING SPECIAL MOMENTS*FINISHING SOMETHING IMPORTANT*ACHIEVING EMOTIONAL AND SPIRITUAL PEACE*SAYING A GRACEFUL GOODBYEOUR HOSPICE PROGRAM IS DESIGNED TO HELP YOU MEET THESE GOALS. IT'S MEDICALLY GENTLE CARE, FOCUSED ON YOU AND YOUR LOVED ONES, AND BROUGHT TO YOU AT HOME BY A TEAM OF NURSES, SOCIAL WORKERS, SPIRITUAL COUNSELORS, AIDES AND VOLUNTEERS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$10,787,688TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
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 ActivitiesYes (1)FundraisingActivitiesInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
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 EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document20IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee166EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members20GoverningBodyVotingMembersCnt
Independent Voting Member20IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
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 Chapters0LocalChaptersInd
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
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RACHEL CHADDOCK EXECUTIVE DIRECTORBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9784599343PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1847 ROGERS STREET SUITE 201AddressLine1Txt
CityLOWELLCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01852ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
MICHAEL KING
PRESIDENT (AS OF 7/20/16)1.000.00Yes (X)Yes (X)$0$0$0
STEVE LAROCHELLE
VICE PRESIDENT (AS OF 4/25/16)1.000.00Yes (X)Yes (X)$0$0$0
STEVEN JONCAS
PRESIDENT (UNTIL 7/20/16)1.000.00Yes (X)Yes (X)$0$0$0
GINGER PEARSON
VICE PRESIDENT (UNTIL 4/25/16)1.000.00Yes (X)Yes (X)$0$0$0
SUSAN GREEN
ASSISTANT TREASURER1.000.00Yes (X)Yes (X)$0$0$0
BRIAN STAFFORD
TREASURER1.000.00Yes (X)Yes (X)$0$0$0
LEONORE OUELLETTE
RECORDING SECRETARY1.000.00Yes (X)Yes (X)$0$0$0
DANIEL MANSUR
DIRECTOR0.500.00Yes (X)$0$0$0
JAMES O'DONNELL
DIRECTOR0.500.00Yes (X)$0$0$0
TUSHAR PATEL MD
DIRECTOR0.500.00Yes (X)$0$0$0
JOSEPH WHITE
DIRECTOR0.500.00Yes (X)$0$0$0
MARGARET LEMIRE-BERTHEL
DIRECTOR0.500.00Yes (X)$0$0$0
NAOMI PRENDERGAST
DIRECTOR0.500.00Yes (X)$0$0$0
LINDA WELCH
DIRECTOR0.500.00Yes (X)$0$0$0
ROBERT BURNS
DIRECTOR0.500.00Yes (X)$0$0$0
EFFIE DRAGON
DIRECTOR0.500.00Yes (X)$0$0$0
NORMAND DESCHENE
DIRECTOR0.500.00Yes (X)$0$0$0
PETER O'HEARN
DIRECTOR0.500.00Yes (X)$0$0$0
ALISON KALMAN
DIRECTOR0.500.00Yes (X)$0$0$0
GERALDINE VAUGHN
DIRECTOR0.500.00Yes (X)$0$0$0
MICHAEL TITH
DIRECTOR0.500.00Yes (X)$0$0$0
RACHEL CHADDOCK
EXECUTIVE DIRECTOR36.501.00Yes (X)$162,213$0$24,899
CYNTHIA ROCHE
DIRECTOR OF CLINICAL SERVICES37.500.00$123,132$0$4,078Yes (X)
STEPHEN KIRSCH
DIRECTOR OF HUMAN RESOURCES37.500.00$106,452$0$3,526Yes (X)
SARAH ANDERSEN
QUALITY/PERFORMANCE IMPROVEMENT DIR.37.500.00$100,480$0$3,373Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$492,277TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$35,876TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K4IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
THE LOWELL GENERAL HOSPITAL
295 VARNUM AVELOWELLMA01854HEALTHCARE SUPPORT$1,397,133
PINNACLE CONSTRUCTION CO
160 LORUM STTEWKSBURYMA01876CONSTRUCTION$733,777
COMMONWEALTH NURSING SERVICES
847 ROGERS STLOWELLMA01852HEALTHCARE SUPPORT$607,083
WB MASON
PO BOX 981101BOSTONMA02298OFFICE FURNITURE$201,112
D'YOUVILLE SENIOR CARE
981 VARNUM AVELOWELLMA01854ROOM & BOARD FOR HOSPICE PATIENTS$180,477
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K9CntrctRcvdGreaterThan100KCnt
Fundraising$46,530FundraisingAmt
All Other Contributions$123,188AllOtherContributionsAmt
Total Contributions$169,718TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
HOMECARE621610$10,808,524$10,808,524
HOSPICE621610$2,541,994$2,541,994
FieldValueIRS element (for citing)
Total Program Service Revenue$13,350,518TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$136,741TotalRevenueColumnAmt
Exclusion$136,741ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$13,770FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$46,530ContriRptFundraisingEventAmt
Fundraising Direct Expenses$18,813FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$5,043TotalRevenueColumnAmt
Exclusion-$5,043ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MANAGEMENT FEE900099$45,000$45,000
OTHER REVENUE900099$22,661$22,661
FieldValueIRS element (for citing)
Other Revenue Total$67,661OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,719,595TotalRevenueColumnAmt
Related Or Exempt Func Income$13,418,179RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$131,698ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$187,112TotalAmt
Program Services$187,112ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,339,229TotalAmt
Program Services$6,764,947ProgramServicesAmt
Management And General$1,574,282ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$447,836TotalAmt
Program Services$352,472ProgramServicesAmt
Management And General$95,364ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$663,656TotalAmt
Program Services$457,936ProgramServicesAmt
Management And General$205,720ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$616,812TotalAmt
Program Services$505,213ProgramServicesAmt
Management And General$111,599ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$190,815TotalAmt
Management And General$190,815ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$82,128TotalAmt
Management And General$82,128ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,238,620TotalAmt
Program Services$1,206,641ProgramServicesAmt
Management And General$31,979ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$104,923TotalAmt
Management And General$104,923ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$378,100TotalAmt
Management And General$378,100ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$190,455TotalAmt
Program Services$189,221ProgramServicesAmt
Management And General$1,234ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$13,625TotalAmt
Program Services$11,403ProgramServicesAmt
Management And General$2,222ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$10,776TotalAmt
Management And General$10,776ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$85,730TotalAmt
Management And General$85,730ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$53,499TotalAmt
Management And General$53,499ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PER DIEM NURSING HOME$260,904$260,904
RX EXP - OTHER PAYORS$197,228$197,228
COMPUTER REPAIR & MAINT$180,189$180,189
THERAPY EQUIPMENT$141,695$141,695

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$595,761TotalAmt
Program Services$512,916ProgramServicesAmt
Management And General$63,623ManagementAndGeneralAmt
Fundraising$19,222FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$13,979,093TotalAmt
Program Services$10,787,688ProgramServicesAmt
Management And General$3,172,183ManagementAndGeneralAmt
Fundraising$19,222FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$602,022BOYAmt
EOY$71,816EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,708,412BOYAmt
EOY$2,702,833EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$67,661BOYAmt
EOY$68,858EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,738,610LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$544,780LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,273,664BOYAmt
EOY$1,193,830EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$6,435,093BOYAmt
EOY$7,004,977EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$11,086,852BOYAmt
EOY$11,042,314EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,873,224BOYAmt
EOY$1,473,205EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$516,485BOYAmt
EOY$513,711EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,798,083BOYAmt
EOY$5,419,738EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,187,792BOYAmt
EOY$7,406,654EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,899,060BOYAmt
EOY$3,635,660EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,899,060BOYAmt
EOY$3,635,660EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,086,852BOYAmt
EOY$11,042,314EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$259,498ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$476,119NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$1,480,021OtherChangesInNetAssetsAmt
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$231,439CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$285,221CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$140,293CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$384,260CurrentTaxYearMinus1YearAmt
Current Tax Year$169,718CurrentTaxYearAmt
Total$1,210,931TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,394,589CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,867,989CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,812,834CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,464,530CurrentTaxYearMinus1YearAmt
Current Tax Year$13,418,179CurrentTaxYearAmt
Total$58,958,121TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,626,028CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,153,210CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,953,127CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,848,790CurrentTaxYearMinus1YearAmt
Current Tax Year$13,587,897CurrentTaxYearAmt
Total$60,169,052TotalAmt

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$60,169,052PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$45,531CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$89,592CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$83,467CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$96,790CurrentTaxYearMinus1YearAmt
Current Tax Year$136,741CurrentTaxYearAmt
Total$452,121TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$45,531CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$89,592CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$83,467CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$96,790CurrentTaxYearMinus1YearAmt
Current Tax Year$136,741CurrentTaxYearAmt
Total$452,121TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,671,559CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,242,802CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,036,594CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,945,580CurrentTaxYearMinus1YearAmt
Current Tax Year$13,724,638CurrentTaxYearAmt
Total$60,621,173TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99250PublicSupportCY509Pct
Public Support PY5090.99440PublicSupportPY509Pct
Investment Income CY0.00750InvestmentIncomeCYPct
Investment Income PY0.00560InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$927,765OtherCostOrOtherBasisAmt
Depreciation$46,388DepreciationAmt
Book Value$881,377BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$810,845OtherCostOrOtherBasisAmt
Depreciation$498,392DepreciationAmt
Book Value$312,453BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,193,830TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (5 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
BONDS FUND$1,650,711F
POOLED INVESTMENTS$1,760,690F
MUTUAL FUNDS - EQUITY$1,717,869F
MUTUAL FUNDS - BALANCED$1,655,051F
OTHER INVESTMENTS$220,656F
FieldValueIRS element (for citing)
Total Book Value Securities$7,004,977TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescACCRUED PENSIONDesc
Amt$5,419,738Amt
FieldValueIRS element (for citing)
Total Liability$5,419,738TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$14,214,527TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$476,119NetUnrealizedGainsInvstAmt
Other Revenue$18,813OtherRevenueAmt
Revenue Not Reported$494,932RevenueNotReportedAmt
Revenue Subtotal$13,719,595RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$13,719,595TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$15,477,927TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$1,498,834OtherExpensesIncludedAmt
Expenses Not Reported$1,498,834ExpensesNotReportedAmt
Expenses Subtotal$13,979,093ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$13,979,093TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:CIRCLE HOME, INC. ("THE VNA") IS A PUBLIC CHARITY UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS A PUBLIC CHARITY, THE VNA IS EXEMPT FROM STATE AND FEDERAL INCOME TAXES ON INCOME EARNED IN ACCORDANCE WITH ITS TAX EXEMPT PURPOSE. UNRELATED BUSINESS INCOME IS SUBJECT TO STATE AND FEDERAL INCOME TAX. MANAGEMENT HAS EVALUATED THE VNA'S TAX POSITIONS AND CONCLUDED THAT THE VNA HAS NO UNRELATED BUSINESS INCOME OR UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE CONSOLIDATED FINANCIAL STATEMENTS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:FUNDRAISING EXPENSES 18,813.
PART XII, LINE 2D - OTHER ADJUSTMENTS:DEFINED BENEFIT PENSION ADJUSTMENT 1,480,021. FUNDRAISING EXPENSES 18,813.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GOLF TOURNAMENTEvent1Nm
Gross Receipts Event1$60,300GrossReceiptsEvent1Amt
Charitable Contri Event1$46,530CharitableContriEvent1Amt
Gross Revenue Event1$13,770GrossRevenueEvent1Amt
Non Cash Prizes Event1$100NonCashPrizesEvent1Amt
Rent Facility Costs Event1$14,312RentFacilityCostsEvent1Amt
Other Direct Expenses Event1$4,401OtherDirectExpensesEvent1Amt
Gross Receipts Total$60,300GrossReceiptsTotalAmt
Charitable Contributions Tot$46,530CharitableContributionsTotAmt
Gross Revenue Total Events$13,770GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$100NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$14,312RentFcltyCostsTotalEventsAmt
Oth Direct Expnss Total Events$4,401OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$18,813DirectExpenseSummaryEventsAmt
Net Income Summary-$5,043NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
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 Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonRACHEL CHADDOCKPersonNm
TitleEXECUTIVE DIRECTORTitleTxt
Base Compensation Filing Org$160,929BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$1,284OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$1,719DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$23,180NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$187,112TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2NORMAND DESCHENE IS A DIRECTOR AND THE PRESIDENT/CEO OF CIRCLE HEALTH, INC. WHICH IS THE PARENT OF CIRCLE HOME, INC. HE IS ALSO THE CEO OF THE LOWELL GENERAL HOSPITAL, A SUBSIDIARY OF CIRCLE HEALTH, INC. HE IS ALSO A DIRECTOR OF ENTERPRISE BANK. SUSAN GREEN IS THE SR. VICE PRESIDENT, CFO AND TREASURER OF CIRCLE HEALTH, INC. AND THE LOWELL GENERAL HOSPITAL, A SUBSIDIARY OF CIRCLE HEALTH, INC. JOSEPH WHITE IS THE PRESIDENT OF THE LOWELL GENERAL HOSPITAL, A SUBSIDIARY OF CIRCLE HEALTH, INC. HE IS ALSO THE PRESIDENT OF CIRCLE HEALTH, INC. NAOMI PRENDERGAST IS A DIRECTOR OF CIRCLE HOME, INC. AND A BOARD MEMBER FOR CIRCLE HEALTH, INC., AS WELL AS THE PRESIDENT & CEO OF D'YOUVILLE LIFE & WELLNESS COMMUNITY. CIRCLE HOME, INC. IS A VENDOR OF D'YOUVILLE LIFE & WELLNESS. D'YOUVILLE LIFE AND WELLNESS COMMUNITY REFERS PATIENTS TO CIRCLE HOME, INC. MARGARET LEMIRE-BERTHEL IS A DIRECTOR OF CIRCLE HOME, INC. AS WELL AS AN EMPLOYEE OF THE LOWELL GENERAL HOSPITAL, A SUBSIDIARY OF CIRCLE HEALTH, INC. JAMES O'DONNELL IS A DIRECTOR OF CIRCLE HOME, INC. AS WELL AS A CORPORATOR OF THE LOWELL GENERAL HOSPITAL, A SUBSIDIARY OF CIRCLE HEALTH, INC. DANIEL MANSUR IS A DIRECTOR OF CIRCLE HOME, INC. AS WELL AS A VICE CHAIR OF THE LOWELL GENERAL HOSPITAL AND VICE CHAIR OF CIRCLE HEALTH, INC. AS A PRACTICING ATTORNEY, HIS CLIENT LIST MAY INCLUDE OTHER DIRECTORS. TUSHAR PATEL, M.D. IS A DIRECTOR AS WELL AS THE PRESIDENT OF THE MEDICAL STAFF OF THE LOWELL GENERAL HOSPITAL. STEVEN JONCAS IS A DIRECTOR OF CIRCLE HOME, INC. AS WELL AS A CORPORATOR OF THE LOWELL GENERAL HOSPITAL. BRAIN STAFFORD IS THE TREASURER OF CIRCLE HOME, INC. AS WELL AS A DIRECTOR OF THE LOWELL GENERAL HOSPITAL. THE LOWELL GENERAL HOSPITAL IS A SUBSIDIARY OF CIRCLE HEALTH, INC. AS A PRACTICING PUBLIC ACCOUNTANT HIS CLIENT LIST MAY INCLUDE OTHER DIRECTORS. GINGER PEARSON IS ON THE BOARD OF GOVERNORS FOR CIRCLE HEALTH, INC. AND IS A DIRECTOR OF CIRCLE HOME, INC. GERALDINE VAUGHAN IS A SR. VICE PRESIDENT OF CIRCLE HEALTH, INC. SHE IS ALSO CIRCLE HOME, INC.'S SOLE MEMBER AND EXECUTIVE DIRECTOR FOR LOWELL GENERAL HOSPITAL ORGANIZATION AND CIRCLE HEALTH ALLIANCE. CIRCLE HOME, INC. RECEIVES REFERRALS FROM PHYSICIANS IN THESE ORGANIZATIONS. STEVEN LAROCHELLE IS A DIRECTOR OF CIRCLE HOME, INC. AND IS ALSO EMPLOYED AS ECECUTIVE VICE PRESIDENT FOR ENTERPRISE BANK. CIRCLE HOME, INC. HAS AN ACCOUNT WITH THE BANK, OPEN LINE OF CREDIT AND INVESTMENTS. ADDITIONALLY, STEVEN IS ON THE BOARD OF D'YOUVILLE LIFE AND WELLNESS COMMUNITY. ALISON KALMAN IS A DIRECTOR OF CIRCLE HOME, INC. AS WELL AS A CORPORATOR FOR THE LOWELL GENERAL HOSPITAL, A SUBSIDIARY OF CIRCLE HEALTH, INC. ADDITIONALLY, ALISON IS ON THE BOARD OF D'YOUVILLE LIFE AND WELLNESS COMMUNITY. RACHEL CHADDOCK IS THE EXECUTIVE DIRECTOR OF CIRCLE HOME, INC. AND SERVES AS TREASURER FOR THE GREATER LOWELL HEALTH ALLIANCE WHO AWARDED A GRANT TO CIRCLE HOME, INC. SHE IS ALSO A BOARD MEMBER FOR UNIVERSITY OF MASSACHUSETTS NURSING ADVISORY BOARD. CIRCLE HOME, INC. HAS A CONTRACT WITH THE UNIVERSITY TO PROVIDE FOR STUDENT CLINICAL ROTATIONS.
FORM 990, PART VI, SECTION A, LINE 6THE SOLE CORPORATE MEMBER OF CIRCLE HOME, INC. IS CIRCLE HEALTH, INC.
FORM 990, PART VI, SECTION A, LINE 7AA MINIMUM OF 80% OF THE DIRECTORS OF CIRCLE HOME, INC. ARE CLASSIFIED AS CIRCLE HEALTH, INC. DIRECTORS. THE BALANCE ARE CIRCLE HOME, INC. DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7BTHE SOLE CORPORATE MEMBER OF CIRLCE HOME, INC. IS CIRCLE HEALTH, INC. CIRCLE HEALTH HAS THE FOLLOWING RESERVE POWERS: - ORGANIZE OR ACQUIRE AN AFFILIATE OR SUBSIDIARY; - AUTHORIZE THE DISSOLUTION, MERGER OR CONSOLIDATION OF THE CORPORATION; - AUTHORIZE THE SALE OR OTHER TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS; - AMEND THE CORPORATION'S ARTICLES OF ORGANIZATION OR BYLAWS; - ADOPT ANNUAL OPERATING OR CAPITAL BUDGETS; - AUTHORIZE OFF-BUDGET EXPENDITURES ABOVE $100,000; - ADOPT STRATEGIC PLANS; - COMMENCE ANY CLINICAL SERVICE THAT WAS NOT OFFERED BY THE CORPORATION AS OF THE EFFECTIVE DATE OF THIS BYLAW PROVISION OR TERMINATE ANY CLINICAL SERVICE THAT WAS OFFERED BY THE CORPORATION AS OF SUCH DATE; - BORROW MONEY, UNLESS ALREADY APPROVED IN THE CORPORATION'S CURRENT BUDGET; - UNDERTAKE COMMUNITY-WIDE FUND-RAISING ACTIVITIES; - CHANGE THE CORPORATION'S INDEPENDENT AUDITOR; - ENGAGE THE EXECUTIVE DIRECTOR OF THE CORPORATION; AND - ADOPT OR MAKE MATERIAL MODIFICATIONS TO PERSONNEL POLICIES AND PROCEDURES INCLUDING POLICIES WITH REGARD TO COMPENSATION AND BENEFITS. IN ADDITION, IN ORDER TO FACILITATE THE DEVELOPMENT OF AN EFFECTIVE INTEGRATED HEALTH CARE DELIVERY SYSTEM UNDER THE AUSPICES OF THE MEMBER, AND IN ORDER TO ASSURE THAT THE PUBLIC PERCEPTION OF THE MEMBER AND THE CONSTITUENTS OF ITS SYSTEM IS ONE OF COORDINATION, THE MEMBER SHALL HAVE THE FOLLOWING POWERS WITH RESPECT TO THE CORPORATION: - TO REQUIRE THE CORPORATION TO INITIATE STRATEGIC PLANNING PROCESSES CONSISTENT WITH THOSE OF THE MEMBER AND THE OTHER CONSTITUENTS OF ITS HEALTH CARE SYSTEM. - TO REQUIRE THE CORPORATION TO COORDINATE CLINICAL SERVICES WITH THE MEMBER AND THE OTHER CONSTITUENTS OF ITS HEALTH CARE SYSTEM. - TO REQUIRE THE CORPORATION TO COORDINATE FUND-RAISING ACTIVITIES WITH THE MEMBER AND THE OTHER CONSTITUENTS OF ITS HEALTH CARE SYSTEM.
FORM 990, PART VI, SECTION B, LINE 11A COPY OF THE COMPLETE FORM 990 IS EMAILED TO THE BOARD OF DIRECTORS FOR THEIR REVIEW AND COMMENT PRIOR TO FILING. ANY IDENTIFIED CHANGES BASED UPON COMMENTS ARE MADE AS INDICATED.
FORM 990, PART VI, SECTION B, LINE 12CALL NEW HIRES AND NEW BOARD MEMBERS RECEIVE THE ORGANIZATION'S CORPORATE COMPLIANCE PLAN. THEY DISCLOSE AT THAT POINT IN TIME ANY CONFLICTS OF INTEREST. BOARD MEMBERS ALSO COMPLETE A 990 QUESTIONAIRE. ON AN ANNUAL BASIS EMPLOYEES ALSO REVIEW THE CORPORATE COMPLIANCE PLAN AND INDICATE ANY POTENTIAL CONFLICTS OF INTEREST. BOARD MEMBERS ON AN ANNUAL BASIS REVIEW THE BYLAWS RELATING TO CONFLICT OF INTEREST AND COMPLETE A 990 QUESTIONAIRE.
FORM 990, PART VI, SECTION B, LINE 15ON AN ANNUAL BASIS THE ORGANIZATION PARTICIPATES IN A SALARY SURVEY AND EVALUATES ALL POSITIONS AGAINST THE SURVEY. THE CONTEMPORANEOUS INFORMATION IS SHARED WITH THE BOARD PRESIDENT FOR REVIEW WHEN EVALUATING THE EXECUTIVE DIRECTORS SALARY AND ANY COMPENSATION CHANGES. FOR OFFICERS, THE SALARY SURVEY IS REVIEWED ANNUALLY BY HUMAN RESOURCES AND THE EXECUTIVE DIRECTOR. BASED UPON THAT SURVEY SALARY RANGES OR PAY MAY BE ADJUSTED. THIS INFORMATION IS SHARED WITH THE PERSONNEL COMMITTEE BY THE EXECUTIVE DIRECTOR.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILALE UPON REQUEST.
FORM 990, PART XI, LINE 9:DEFINED BENEFIT PENSION ADJUSTMENT -1,480,021.

Schedule R IRS990ScheduleR

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1CNS NURSING HOME CARE INC AKA COMMONWEALTH NURSING SERVICES INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1847 ROGERS ST 201AddressLine1Txt
CityLOWELLCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01852ZIPCd
FieldValueIRS element (for citing)
EIN043489814EIN
Primary ActivitiesHEALTH CARE SERVICESPrimaryActivitiesTxt
Legal Domicile StateMALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CIRCLE HOME INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Share Of Total Income$3,849,346ShareOfTotalIncomeAmt
Share Of EOY Assets$1,580,657ShareOfEOYAssetsAmt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (1)ControlledOrganizationInd
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 OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1CNS NURSING HOME CARE INC AKA COMMONWEALTH NURSING SERVICES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypePTransactionTypeTxt
Involved$458,061InvolvedAmt
Method Of Amount DeterminationFMVMethodOfAmountDeterminationTxt

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