CIRCLE HOME INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
CIRCLE HOME INC (EIN 04-2103812)
Tax period
2014-10-01 to 2015-09-30
Filed
2016-08-11
IRS object ID
201642249349302689
Schema version
2014v6.0
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)
Return2016-08-11T15:48:57-05:00ReturnTs
Tax Period End2015-09-30TaxPeriodEndDt

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 Begin2014-10-01TaxPeriodBeginDt

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
Signature2016-08-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOSEPH GISOPreparerPersonNm
PTINP00030126PTIN
Phone6177610600PhoneNum
Preparation2016-08-09PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-12-15 16:53:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
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$13,023,724GrossReceiptsAmt
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 Body18VotingMembersGoverningBodyCnt
Voting Members Independent18VotingMembersIndependentCnt
Total Employee178TotalEmployeeCnt
Total Volunteers30TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$265,293PYContributionsGrantsAmt
CY Contributions Grants$384,260CYContributionsGrantsAmt
PY Program Service Revenue$9,687,834PYProgramServiceRevenueAmt
CY Program Service Revenue$12,464,530CYProgramServiceRevenueAmt
PY Investment Income$116,374PYInvestmentIncomeAmt
CY Investment Income$174,934CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$10,069,501PYTotalRevenueAmt
CY Total Revenue$13,023,724CYTotalRevenueAmt
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$7,270,724PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$9,892,924CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$16,349CYTotalFundraisingExpenseAmt
PY Other Expenses$3,008,013PYOtherExpensesAmt
CY Other Expenses$3,393,235CYOtherExpensesAmt
PY Total Expenses$10,278,737PYTotalExpensesAmt
CY Total Expenses$13,286,159CYTotalExpensesAmt
PY Revenues Less Expenses-$209,236PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$262,435CYRevenuesLessExpensesAmt
Total Assets BOY$10,809,809TotalAssetsBOYAmt
Total Assets EOY$11,086,852TotalAssetsEOYAmt
Total Liabilities BOY$4,501,124TotalLiabilitiesBOYAmt
Total Liabilities EOY$6,187,792TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$6,308,685NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,899,060NetAssetsOrFundBalancesEOYAmt
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$9,270,713ExpenseAmt
Revenue$10,302,656RevenueAmt
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$1,736,252ExpenseAmt
Revenue$2,161,874RevenueAmt
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$11,006,965TotalProgramServiceExpensesAmt
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 Activities0FundraisingActivitiesInd
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 EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee178EmployeeCnt
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 Members18GoverningBodyVotingMembersCnt
Independent Voting Member18IndependentVotingMemberCnt
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 (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
STEVEN JONCAS
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
GINGER PEARSON
FIRST VICE PRESIDENT1.00Yes (X)Yes (X)$0$0$0
MICHAEL KING
SECOND VICE PRESIDENT1.00Yes (X)Yes (X)$0$0$0
SUSAN GREEN
ASSISTANT TREASURER1.00Yes (X)Yes (X)$0$0$0
BRIAN STAFFORD
TREASURER1.00Yes (X)Yes (X)$0$0$0
LEONORE OUELLETTE
RECORDING SECRETARY1.00Yes (X)Yes (X)$0$0$0
DANIEL MANSUR
DIRECTOR0.50Yes (X)$0$0$0
JAMES O'DONNELL
DIRECTOR0.50Yes (X)$0$0$0
TUSHAR PATEL MD
DIRECTOR0.50Yes (X)$0$0$0
JOSEPH WHITE
DIRECTOR0.50Yes (X)$0$0$0
MARGARET LEMIRE-BERTHEL
DIRECTOR0.50Yes (X)$0$0$0
NAOMI PRENDERGAST
DIRECTOR0.50Yes (X)$0$0$0
LINDA WELCH
DIRECTOR0.50Yes (X)$0$0$0
ROBERT BURNS
DIRECTOR0.50Yes (X)$0$0$0
EFFIE DRAGON
DIRECTOR0.50Yes (X)$0$0$0
NORMAND DESCHENE
DIRECTOR0.50Yes (X)$0$0$0
STEVE LAROCHELLE
DIRECTOR0.50Yes (X)$0$0$0
PETER O'HEARN
DIRECTOR0.50Yes (X)$0$0$0
RACHEL CHADDOCK
EXECUTIVE DIRECTOR37.50Yes (X)$156,347$0$14,732
ROBERT YOUNG
CHIEF FINANCIAL OFFICER37.50Yes (X)$184,609$0$19,168
CYNTHIA ROCHE
DIRECTOR OF CLINICAL SERVICES37.50$121,190$0$4,335Yes (X)
STEPHEN KIRSCH
DIRECTOR OF HUMAN RESOURCES37.50$103,613$0$3,632Yes (X)
SARAH ANDERSEN
QUALITY & PERFORMANCE IMPROVEMENT DIRECTOR37.50$98,168$0$2,618Yes (X)
IRENE EGAN
DIRECTOR OF COMMUNITY RELATIONS & DEVELOPMENT37.50$95,213$0$12,275Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$759,140TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$56,760TotalOtherCompensationAmt
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
LOWELL GENERAL HOSPITAL
295 VARNUM AVELOWELLMA01854IT SUPPORT$1,096,263
COMMONWEALTH NURSING SERVICES
40 CHURCH STLOWELLMA01852HEALTH CARE$561,624
PINNACLE CONSTRUCTION CO
160 LORUM STTEWKSBRYMA01876CONSTRUCTION$561,624
METLIFE
PO BOX 824417PHILADELPHIAPA19182FINANCE$300,336
FIDELITY
245 SUMMER STBOSTONMA02210FINANCE$286,205
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
All Other Contributions$384,260AllOtherContributionsAmt
Total Contributions$384,260TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
HOMECARE621610$10,302,656$10,302,656
HOSPICE621610$2,161,874$2,161,874
FieldValueIRS element (for citing)
Total Program Service Revenue$12,464,530TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$96,791TotalRevenueColumnAmt
Exclusion$96,791ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$64,000SecuritiesAmt
Other$14,143OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$64,000SecuritiesAmt
Other$14,143OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$78,143TotalRevenueColumnAmt
Exclusion$78,143ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,023,724TotalRevenueColumnAmt
Related Or Exempt Func Income$12,464,530RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$174,934ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$168,215TotalAmt
Management And General$168,215ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,175,512TotalAmt
Program Services$6,885,803ProgramServicesAmt
Management And General$1,289,709ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$262,646TotalAmt
Program Services$204,679ProgramServicesAmt
Management And General$57,967ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$684,611TotalAmt
Program Services$550,075ProgramServicesAmt
Management And General$134,536ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$601,940TotalAmt
Program Services$504,023ProgramServicesAmt
Management And General$97,917ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$213,456TotalAmt
Program Services$60,302ProgramServicesAmt
Management And General$153,154ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$68,100TotalAmt
Program Services$1,000ProgramServicesAmt
Management And General$67,100ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$836,270TotalAmt
Program Services$836,270ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$199,190TotalAmt
Program Services$174,533ProgramServicesAmt
Management And General$24,657ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$319,731TotalAmt
Program Services$255,807ProgramServicesAmt
Management And General$63,924ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$196,397TotalAmt
Program Services$195,194ProgramServicesAmt
Management And General$1,203ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$17,472TotalAmt
Program Services$16,582ProgramServicesAmt
Management And General$890ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,906TotalAmt
Management And General$2,906ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$80,731TotalAmt
Management And General$80,731ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$65,169TotalAmt
Program Services$270ProgramServicesAmt
Management And General$64,899ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
PER DIEM NURSING HOME$266,230$266,230
COMPUTER REPAIRS & MAIN$185,266$185,266
RX EXP - OTHER PAYORS$165,691$165,691
THERAPY EQUIPMENT EXPEN$136,885$136,885

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$639,741TotalAmt
Program Services$568,355ProgramServicesAmt
Management And General$55,037ManagementAndGeneralAmt
Fundraising$16,349FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$13,286,159TotalAmt
Program Services$11,006,965ProgramServicesAmt
Management And General$2,262,845ManagementAndGeneralAmt
Fundraising$16,349FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$84,236BOYAmt
EOY$602,022EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,898,464BOYAmt
EOY$2,708,412EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$117,191BOYAmt
EOY$67,661EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,860,298LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$586,634LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$937,067BOYAmt
EOY$1,273,664EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$6,772,851BOYAmt
EOY$6,435,093EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$10,809,809BOYAmt
EOY$11,086,852EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,420,736BOYAmt
EOY$1,873,224EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$548,458BOYAmt
EOY$516,485EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,531,930BOYAmt
EOY$3,798,083EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,501,124BOYAmt
EOY$6,187,792EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,308,685BOYAmt
EOY$4,899,060EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,308,685BOYAmt
EOY$4,899,060EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,809,809BOYAmt
EOY$11,086,852EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$262,435ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$454,531NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$692,659OtherChangesInNetAssetsAmt
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$169,070CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$231,439CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$285,221CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$140,293CurrentTaxYearMinus1YearAmt
Current Tax Year$384,260CurrentTaxYearAmt
Total$1,210,283TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,159,822CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,394,589CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,867,989CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,812,834CurrentTaxYearMinus1YearAmt
Current Tax Year$12,464,530CurrentTaxYearAmt
Total$55,699,764TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,328,892CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,626,028CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,153,210CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,953,127CurrentTaxYearMinus1YearAmt
Current Tax Year$12,848,790CurrentTaxYearAmt
Total$56,910,047TotalAmt

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$56,910,047PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,231CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$45,531CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$89,592CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$83,467CurrentTaxYearMinus1YearAmt
Current Tax Year$96,790CurrentTaxYearAmt
Total$320,611TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,231CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$45,531CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$89,592CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$83,467CurrentTaxYearMinus1YearAmt
Current Tax Year$96,790CurrentTaxYearAmt
Total$320,611TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,334,123CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,671,559CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,242,802CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,036,594CurrentTaxYearMinus1YearAmt
Current Tax Year$12,945,580CurrentTaxYearAmt
Total$57,230,658TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99440PublicSupportCY509Pct
Public Support PY5090.99570PublicSupportPY509Pct
Investment Income CY0.00560InvestmentIncomeCYPct
Investment Income PY0.00430InvestmentIncomePYPct
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$15,463DepreciationAmt
Book Value$912,302BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$932,533OtherCostOrOtherBasisAmt
Depreciation$571,171DepreciationAmt
Book Value$361,362BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,273,664TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (4 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
BONDS FUND$2,330,000F
SMALL CAP FUNDS$412,554F
LARGE CAP FUNDS$3,112,860F
INTERNATIONAL EQUITY FUNDS$579,679F
FieldValueIRS element (for citing)
Total Book Value Securities$6,435,093TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescACCRUED PENSIONDesc
Amt$3,798,083Amt
FieldValueIRS element (for citing)
Total Liability$3,798,083TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$12,969,193TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$454,531NetUnrealizedGainsInvstAmt
Other Revenue$400,000OtherRevenueAmt
Revenue Not Reported-$54,531RevenueNotReportedAmt
Revenue Subtotal$13,023,724RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$13,023,724TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$14,378,818TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$1,092,659OtherExpensesIncludedAmt
Expenses Not Reported$1,092,659ExpensesNotReportedAmt
Expenses Subtotal$13,286,159ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$13,286,159TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:AS A PUBLIC CHARITY, CIRCLE HOME, INC., "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 POSITION AND CONCLUDED THAT THE VNA HAS NO UNRELATED BUSINESS INCOME OR UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE CONSOLIDATED FINANCIAL STATEMENTS. MANAGEMENT BELIEVES THE VNA IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2012.
PART XI, LINE 2D - OTHER ADJUSTMENTS:TRANSFER FROM AFFILIATE - COMMONWEALTH NURSING SERVICES, INC. 400,000.
PART XII, LINE 2D - OTHER ADJUSTMENTS:DEFINED BENEFIT PENSION ADJUSTMENT 1,092,659.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Substantiation RequiredYes (1)SubstantiationRequiredInd
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 (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
RACHEL CHADDOCK
EXECUTIVE DIRECTOR$155,250$0$0$0$1,097$0$1,651$0$13,081$0$171,079$0$0$0
ROBERT YOUNG
CHIEF FINANCIAL OFFICER$183,512$0$0$0$1,097$0$5,577$0$13,591$0$203,777$0$0$0

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesIndTransactionTransactionAmt
BOD OF CIRCLE HOME INC AND CNS NURSING HOME CARE INC
INDIVIDUAL BOARD MEMBERS REPRESENT BOTH ENTITIESTHE BOARD OF DIRECTORS OF CIRCLE HOME, INC. ARE ALSO THE DIRECTORS OF CNS NURSING HOME CARE, INC. CIRCLE HOME, INC. CONTRACTS WITH CNS NURSING HOME CARE, INC. FOR HOME HEALTH AIDES.0
DANIEL MANSUR
BOARD MEMBER THAT HAS PROVIDED LEGAL SERVICES TO ORGANIZATIONDANIEL MANSUR IS A PARTNER OF THE FIRM - LAW OFFICE OF DANIEL J. MANSUR AND HAS AN 100% OWNERSHIP INTEREST IN THE LAW FIRM.0$14,819
EFFIE DRAGON
BOARD MEMBER PURCHASED A BUILDING FROM ENTITYEFFIE DRAGON IS CO-OWNER OF CENTRAL PLAZA REALTY, LLC WITH HER HUSBAND. CIRCLE HOME, INC. SOLD A BUILDING TO ENTITY.0$825,000

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 EXECUTIVE VICE PRESIDENT AND CFO OF CIRCLE HEALTH, INC. AND THE LOWELL GENERAL HOSPITAL. JOSEPH WHITE IS A DIRECTOR AND PRESIDENT OF THE LOWELL GENERAL HOSPITAL, A SUBSIDIARY OF CIRCLE HEALTH, INC AND ALSO AN OFFICER OF CIRCLE HEALTH, INC. NAOMI PRENDERGAST IS A DIRECTOR OF CIRCLE HOME, INC. AND ON THE BOARD OF GOVERNERS FOR CIRCLE HEALTH, INC., AS WELL AS THE CEO OF D'YOUVILLE LIFE & WELLNESS COMMUNITY. CIRCLE HOME, INC. IS A VENDOR OF D'YOUVILLE LIFE & WELLNESS. CIRCLE HOME INC.'S CFO ALSO SERVES AS A DIRECTOR OF D'YOUVILLE LIFE & WELLNESS COMMUNITY. MARGARET LEMIRE-BERTHEL IS A DIRECTOR AS WELL AS AN EMPLOYEE OF THE LOWELL GENERAL HOSPITAL; A SUBSIDIARY OF CIRCLE HEALTH, INC. JAMES O'DONNELL IS A DIRECTOR AS WELL AS A CORPORATOR OF THE LOWELL GENERAL HOSPITAL. DANIEL MANSUR IS A DIRECTOR AS WELL AS A DIRECTOR OF THE LOWELL GENERAL HOSPITAL AND VICE CHAIR CIRCLE HEALTH, INC. AS A PRACTICING ATTORNEY, HIS CLIENT LIST INCLUDES 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 AS WELL AS A CORPORATOR OF THE LOWELL GENERAL HOSPITAL. HE ALSO PROVIDES REAL ESTATE CONSULTING SERVICES TO THE LOWELL COMMUNITY HEALTH CENTER WHO IS INTERESTED IN PROVIDING LEASED SPACE TO CIRCLE HOME, INC. BRAIN STAFFORD IS A DIRECTOR 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 INCLUDES OTHER DIRECTORS. EFFIE DRAGON IS A DIRECTOR AND AN OFFICER OF CENTRAL PLAZA REALTY. CIRCLE HOME, INC. LEASES PARKING SPACES FROM CENTRAL PLAZA REALTY. CENTRAL PLAZA REALTY PURCHASED A BUILDING AND LAND FROM CIRCLE HOME, INC. IN 2015. PETER T. O'HEARN IS A DIRECTOR AS WELL AS A CORPORATOR OF THE LOWELL GENERAL HOSPITAL. PETER ALSO WRITES A SMALL FIDELITY BOND FOR THE PENSION PLAN. GINGER PEARSON IS ON THE BOARD OF GOVERNORS FOR CIRCLE HEALTH, INC. AND IS A DIRECTOR OF CIRCLE HOME, INC.
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 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 INFORMATION IS SHARED WITH THE BOARD PRESIDENT FOR REVIEW WHEN EVALUATING THE EXECUTIVE DIRECTORS SALARY AND ANY COMPENSATION CHANGES. OFFICERS ARE NOT PAID. FOR KEY EMPLOYEES, 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:TRANSFER FROM AFFILIATE - COMMONWEALTH NURSING SERVICES, INC. 400,000. DEFINED BENEFIT PENSION ADJUSTMENT -1,092,659.

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 STREET SUITE 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$378,885ShareOfTotalIncomeAmt
Share Of EOY Assets$2,460,434ShareOfEOYAssetsAmt
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 (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
CNS NURSING HOME CARE INC AKA COMMONWEALTH NURSING SERVICES INC
P$558,750FMV
CNS NURSING HOME CARE INC AKA COMMONWEALTH NURSING SERVICES INC
Q$77,513FMV

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