2016-07-27T11:55:00-05:00 2015-12-31 135381950 BDO USA LLP 200 PORTLAND STREET BOSTON MA 02114 990 2015-01-01 352231860 ALL CARE HOSPICE INC ALLC 7815982454 210 MARKET STREET LYNN MA 01901 SHAWN POTTER PRESIDENT / CEO 7815982454 2016-06-30 1 CHRISTOPHER GIALLONGO P01514264 6177427788 2015 2016-12-15 16:53:06Z SHAWN POTTER 210 MARKET STREET LYNN MA 01901 7169239 0 X WWW.ALLCARE.ORG X 2004 MA CHARITABLE - TO PROMOTE HEALTH, PREVENT DISEASE AND TO PROVIDE SKILLED NURSING CARE AND HEALTH GUIDANCE TO INDIVIDUALS AND FAMILIES AND PROVIDE HEALTHCARE FOR PEOPLE DYING OF AN INCURABLE ILLNESS WITHOUT REGARD TO RACE, CREED OR ABILITY TO PAY. THE ORGANIZATION ALSO ASSISTS IN DEVELOPING COOPERATIVE PROGRAMS WITH OTHER HEALTH AND WELFARE AGENCIES IN THE COMMUNITY. 10 10 50 33 0 0 16432 12933 7029313 7152061 0 522 948 3723 7046693 7169239 0 0 0 0 2980081 3038049 0 0 0 3203090 2876467 6183171 5914516 863522 1254723 1518834 1927698 550092 504685 968742 1423013 X TO PROMOTE HEALTH, PREVENT DISEASE AND TO PROVIDE SKILLED NURSING CARE AND HEALTH GUIDANCE TO INDIVIDUALS AND FAMILIES AND PROVIDE HEALTH CARE FOR PEOPLE DYING OF AN INCURABLE ILLNESS WITHOUT REGARD TO RACE, CREED OR ABILITY TO PAY. THE AGENCY SHALL ALSO ASSIST IN DEVELOPING COOPERATIVE PROGRAMS WITH OTHER HEALTH AND WELFARE AGENCIES IN THE COMMUNITY. 0 0 4251340 7152061 THE PROVISION OF HOSPICE CARE THROUGH HOME VISITS, RESIDENTIAL SERVICES AND SUPPORT FOR THE FAMILIES OF THOSE PATIENTS UNDER HOSPICE CARE. 4251340 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 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 5 0 1 50 1 0 0 0 0 0 0 0 0 0 0 X 10 10 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X X DANIEL MEYLER 7812441100 210 MARKET STREET LYNN MA 01901 LOUIS J FENTON TREASURER 2.00 X 0 0 0 RONALD T PLOTKA CLERK 2.00 X 0 0 0 ROBERT ALLISON ESQ DIRECTOR 2.00 X 0 0 0 SANDRA CROSS DIRECTOR 2.00 X 0 0 0 CHARLES GAETA DIRECTOR 2.00 X 0 0 0 KENNETH ELLIS VICE PRESIDENT 2.00 X 0 0 0 PETER SHECKMAN MD DIRECTOR 2.00 X 0 0 0 THOMAS F ROGERS DIRECTOR 2.00 X 0 0 0 DEBORAH SMITH WALSH DIRECTOR 2.00 X 0 0 0 DAVID J SOLIMINE JR DIRECTOR 2.00 X 0 0 0 SHAWN F POTTER PRESIDENT 2.00 37.50 X 0 360271 122174 DANIEL MEYLER CFO 2.00 37.50 X 0 167053 18927 LEWIS S HAYS MD MEDICAL DIRECTOR 37.50 X 232015 0 21573 KRISTINA NEUMANN DIRECTOR OF HOSPICE 37.50 X 113532 0 7434 345547 527324 170108 2 0 1 0 HEALTH MANAGEMENT SERVICES INC 210 MARKET STREET LYNN MA 01901 MANAGEMENT COMPANY 310210 1 12933 12933 PATIENT SERVICE REVENU 621610 7152061 7152061 7152061 522 0 522 522 522 MISCELLANEOUS INCOME 621610 3723 3723 3723 7169239 7156306 0 0 X 232015 232015 2379665 1282759 1096906 18993 11016 7977 225733 130925 94808 181643 105353 76290 310210 310210 1824318 1824318 7847 7847 19613 19613 6292 6292 93386 93386 21435 21435 10274 10274 21342 21342 6403 6403 SUPPLIES 537689 537689 MISCELLANEOUS 11617 11617 DUES 6041 6041 5914516 4251340 1663176 0 620827 891683 819578 1006918 35169 7155 77105 55163 43260 21942 1518834 1927698 550092 504685 550092 504685 X 968742 1423013 968742 1423013 1518834 1927698 X 1254723 -800452 X 0 1 X 1 0 X 37189 28084 27322 16432 12933 121960 5223643 6604890 7928564 7029313 7184304 33970714 5260832 6632974 7955886 7045745 7197237 34092674 0 0 0 34092674 1165 9207 1699 948 4245 17264 5261997 6642181 7957585 7046693 7201482 34109938 0.99950 0.99950 0.00000 X 77105 55163 21942 21942 X PART X, LINE 2: ALL CARE HOSPICE, INC. IS EXEMPT FROM INCOME TAX ON RELATED INCOME UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, THE ORGANIZATION ANNUALLY EVALUATES ITS TAX STATUS AND TAX POSITIONS TAKEN WITH RESPECT TO ITS OPERATIONS AND FINANCIAL POSITION. X X X X X 0 1 0 0 0 0 0 0 0 SHAWN F POTTER PRESIDENT 0 356760 0 0 0 3511 0 106625 0 15549 0 482445 0 0 DANIEL MEYLER CFO 0 164493 0 0 0 2560 0 4383 0 14544 0 185980 0 0 LEWIS S HAYS MD MEDICAL DIRECTOR 230689 0 0 0 1326 0 5813 0 15760 0 253588 0 0 0 PART I, LINE 4B THE ORGANIZATION'S PRESIDENT/CEO SHAWN POTTER PARTICIPATES IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN THROUGH THE ORGANIZATION'S SOLE CORPORATE MEMBER, HEALTH MANAGEMENT SERVICES, INC. DEFERRED COMPENSATION REPORTED FOR THE YEAR ENDED DECEMBER 31, 2015 UNDER THIS PLAN IS $100,000. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION'S SOLE CORPORATE MEMBER, HEALTH MANAGEMENT SERVICES, INC. WAS IN CHARGE OF PERFORMING MANAGEMENT FUNCTIONS. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY AT THE HMS, INC. EXECUTIVE COMMITTEE MEETING BEFORE IT IS SIGNED AND FILED. FORM 990, PART VI, SECTION B, LINE 12C POLICY IS MONITORED THROUGH ORIENTATION AND ANNUAL TRAINING. ENFORCEMENT HAS NOT BEEN AN ISSUE, BUT WOULD OCCUR IF NECESSARY. FORM 990, PART VI, SECTION B, LINE 15 THE KEY EMPLOYEES' COMPENSATION AMOUNTS ARE VOTED UPON AND APPROVED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION'S FORM 990 IS AVAILABLE TO THE PUBLIC UPON REQUEST AND IS ALSO LOCATED AT THE MASSACHUSETT'S ATTORNEY GENERAL'S WEBSITE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST AND ARE ALSO LOCATED AT THE MASSACHUSETT'S ATTORNEY GENERAL'S WEBSITE. FORM 990, PART IX, LINE 11G HOME CARE CONTRACTS: PROGRAM SERVICE EXPENSES 1,824,318. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,824,318. FORM 990, PART XI, LINE 9: EQUITY TRANSFER -800,452. ALL CARE RESOURCES INC 210 MARKET STREET LYNN MA 01901 042805564 HEALTHCARE SERVICES MA 501(C)(3) 9 HEALTH MANAGEMENT SERVICES INC 0 ALL CARE ADULT DAY HEALTH CENTER INC 210 MARKET STREET LYNN MA 01901 760799712 HEALTHCARE SERVICES MA 501(C)(3) 9 HEALTH MANAGEMENT SERVICES INC 0 THE VISITING NURSE ASSOCIATION FOUNDATION INC 210 MARKET STREET LYNN MA 01901 222581936 DEVELOPMENT & FUNDRAISING MA 501(C)(3) 9 HEALTH MANAGEMENT SERVICES INC 0 HEALTH MANAGEMENT SERVICES INC 210 MARKET STREET LYNN MA 01901 222581863 MANAGEMENT COMPANY MA 501(C)(3) 11 N/A 0 ALL CARE VISITING NURSE ASSOCIATION OF GREATER LYNN INC 210 MARKET STREET LYNN MA 01901 042214847 HEALTHCARE SERVICES MA 501(C)(3) 9 HEALTH MANAGEMENT SERVICES INC 0 VNA VENTURES INC 210 MARKET STREET LYNN MA 01901 042942852 REAL ESTATE MANAGEMENT MA N/A C 0 ALL CARE INFUSION THERAPY COMPANY INC 210 MARKET STREET LYNN MA 01901 043120267 HEALTH SERVICES MA N/A C 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 1 0 0 0