2015-07-22T13:22:54-05:00 2014-12-31 410746749 CLIFTONLARSONALLEN LLP 300 CROWN COLONY DRIVE SUITE 310 QUINCY MA 02169 990 2014-01-01 043468274 ALLIANCE HEALTH INC ALLI 6173323366 134 RUMFORD AVE NO 306 NEWTON MA 02466 FRANCIS J GRADY TREASURER 6173323366 2015-07-08 1 BARBARA MORRISON P00173340 6179848100 2015-07-08 2014 2016-02-25 16:41:14Z MARY A MCCARTHY 134 RUMFORD AVE NO 306 NEWTON MA 02466 5645060 0 X WWW.ALLIANCEHHS.ORG X 1999 MA THE COMPANY SHALL PROMOTE AND PROVIDE SAFE, HEALTHY, QUALITY SERVICES AND LIVING ENVIRONMENTS FOR ELDERS AND CHILDREN WHO CANNOT CARE FOR THEMSELVES. 8 7 11 8 0 0 250 3750 2144316 2450918 462346 658567 -489 510724 2606423 3623959 7350 7770 0 0 1432727 1455796 0 0 0 529447 565294 1969524 2028860 636899 1595099 10799010 12824538 384161 1151446 10414849 11673092 THE COMPANY SHALL PROMOTE AND PROVIDE SAFE, HEALTHY, QUALITY SERVICES AND LIVING ENVIRONMENTS FOR ELDERS AND CHILDREN WHO CANNOT CARE FOR THEMSELVES. 0 0 1578332 7770 2961642 MANAGEMENT & FINANCIAL SUPPORT FOR AFFILIATES WHICH PROVIDE HUMAN SERVICES INCLUDING CUSTODIAL & REHABILITATIVE SERVICES FOR THE ELDERLY & FOSTER CARE FOR CHILDREN. 1578332 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 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 1 1 1 0 0 0 1 19 0 1 11 1 0 0 0 0 0 0 0 0 0 0 X 8 7 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X FRANCIS GRADY 6173323366 ALLIANCE HEALTH INC 134 RUMFORD AVE NEWTON MA 02466 MARY A MCCARTHY PRESIDENT & DIRECTOR 40.00 1.00 X X 309991 0 33504 REV JEROME J JANISKO DIRECTOR 1.00 1.00 X 0 0 0 MICHAEL O JENNINGS ESQ CHAIRMAN 1.00 1.00 X 0 0 0 CHRISTOPHER ROBBINS DIRECTOR 1.00 1.00 X 0 0 0 WILLIAM P MCDERMOTT ESQ DIRECTOR 1.00 1.00 X 0 0 0 JAMES BRUCE RILEY CPA DIRECTOR 1.00 1.00 X 0 0 0 LINDA CORRIDAN RN DIRECTOR 1.00 1.00 X 0 0 0 ARTHUR MOURTIZINOS MD DIRECTOR 1.00 1.00 X 0 0 0 JOAN FALLON DIRECTOR 1.00 1.00 X 0 0 0 FRANCIS J GRADY TREASURER & CLERK 40.00 1.00 X 326435 0 21256 MICHAEL DODOS CONTROLLER 40.00 1.00 X 207242 0 234 RICHARD CANTY VICE PRESIDENT 40.00 1.00 X 159951 0 21680 DORIS DAVILA VICE PRESIDENT 0.00 40.00 X 0 162635 1282 PAUL KEMP CHIEF FINANCIAL OFFICER 0.00 40.00 X 0 272529 21035 THOMAS LAVALLEE CHIEF OPERATING OFFICER 0.00 40.00 X 0 203047 20759 1003619 638211 119750 4 0 1 0 LANCASTER POLLARD 66 EAST STATE ST 16TH FLOOR COLUMBUS OH 43215 FINANCIAL SERVICES 184220 KROKIDAS & BLUESTEIN 600 ATLANTIC AVE BOSTON MA 02110 LEGAL SERVICES 156687 2 3750 3750 PROGRAM SERVICE REVENUES 900099 2450918 2450918 2450918 438531 438531 2241137 2021101 220036 220036 220036 OTHER INCOME 900099 338993 338993 OTHER INCOME 900099 171731 171731 510724 3623959 2961642 0 658567 7770 7770 1080293 1080293 184372 184372 19390 19390 171741 171741 69936 69936 66041 66041 350 350 44204 44204 117028 100780 16248 95460 95460 2758 2758 8244 8244 5823 5823 OTHER EXPENSES 134642 134642 LICENSE AND DUES 11816 11816 EQUIPMENT RENTAL 5742 5742 LOAN FEES 3250 3250 2028860 1578332 450528 0 279703 1391467 265700 643148 688442 1406751 14805 26205 134826 115711 25021 19115 8486248 8717435 1039091 620417 10799010 12824538 384161 540450 240000 0 370996 384161 1151446 X 10414849 11673092 10414849 11673092 10799010 12824538 X 1595099 -395351 -342586 401081 X 0 1 X 1 0 X X 20 ALLIANCE HUMAN SERVICES 043476887 9 1 0 0 ALLIANCE HEALTH OF MASSACHUSETTS 311712039 9 1 0 0 ALLIANCE HEALTH OF QUINCY 043468149 9 1 0 0 ALLIANCE HEALTH OF BROCKTON 043455405 9 1 0 0 ALLIANCE HEALTH OF SOUTHEASTERN MASS 043582078 9 1 0 0 ALLIANCE HEALTH OF CHESAPEAKE BAY 010672105 7 1 0 0 ALLIANCE CHILDREN'S SERVICES 042691041 9 1 0 0 ALLIANCE HEALTH OF BRAINTREE 651310230 7 0 0 0 ALLIANCE HEALTH OF CENTERVILLE 800249886 9 0 0 0 ALLIANCE HEALTH OF DANVERS 800249854 9 0 0 0 ALLIANCE HEALTH OF LOWELL 800249859 9 0 0 0 ALLIANCE HEALTH OF PLYMOUTH 800249891 9 0 0 0 ALLIANCE HEALTH OF SANDWICH 800249868 9 0 0 0 ALLIANCE HEALTH OF SOUTHBRIDGE 800249840 9 0 0 0 ALLIANCE HEALTH OF WORCESTER 800249850 9 0 0 0 ALLIANCE HEALTH OF PROVIDENCE 800249901 9 0 0 0 ALLIANCE HEALTH OF EAST PROVIDENCE 800249896 9 0 0 0 ALLIANCE SPECIALTY HOSPITAL 800249832 3 0 0 0 THE HOSPITAL COTTAGES FOR CHILDREN 042104323 9 0 0 0 DEPOT POND VILLAGE INC 203883388 9 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 SCHEDULE A, PART IV, SECTION A. LINE 1 THE ORGANIZATION SUPPORTS ADDITIONAL RELATED ENTITIES THAT ARE NOT DESIGNATED IN THE ORGANIZATION'S ARTICLES OF INCORPORATION. THESE ENTITES ARE RELATED ORGANIZATIONS THAT SHARE THE SAME BOARD, WHICH OVERSEES THE SUPPORT PROVIDED. 25540 25540 0 109286 90171 19115 19115 JEFFERY ASSET MANAGEMENT FUNDS 1042406 F CAPITAL ANALYSIS - LONG TERM 5925003 F CAPITAL ANALYSIS - SHORT TERM 1448400 F CAPITAL ANALYSIS - DEFERRED COMP 301626 F 8717435 DUE TO RELATED PARTIES - AHHS 234091 DUE TO RELATED PARTIES - AHMS II 136905 370996 X 3228608 -395351 -395351 3623959 0 3623959 2028860 0 2028860 0 2028860 PART X, LINE 2: THE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE ORGANIZATION FILES AS A TAX-EXEMPT ORGANIZATION. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, THE ORGANIZATION'S 2011 THROUGH 2014 TAX YEARS ARE OPEN FOR EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES. X 1 0 X X X X X 0 1 0 0 0 0 0 0 0 MARY A MCCARTHY PRESIDENT & DIRECTOR 309991 0 0 0 0 0 33400 0 104 0 343495 0 0 0 FRANCIS J GRADY TREASURER & CLERK 263935 0 62500 0 0 0 0 0 21256 0 347691 0 0 0 MICHAEL DODOS CONTROLLER 179485 0 27757 0 0 0 0 0 234 0 207476 0 0 0 RICHARD CANTY VICE PRESIDENT 147951 0 12000 0 0 0 0 0 21680 0 181631 0 0 0 DORIS DAVILA VICE PRESIDENT 0 152635 0 10000 0 0 0 0 0 1282 0 163917 0 0 PAUL KEMP CHIEF FINANCIAL OFFICER 0 232029 0 40500 0 0 0 0 0 21035 0 293564 0 0 THOMAS LAVALLEE CHIEF OPERATING OFFICER 0 184797 0 18250 0 0 0 0 0 20759 0 223806 0 0 PART I, LINE 1A HEALTH CLUB DUES WERE PROVIDED AND INCLUDED IN TAXABLE COMPENSATION FOR THE FOLLOWING INDIVIDUALS: MARY MCCARTHY - $4,212 MICHAEL DODOS - $1,119 PART I, LINE 4B MARY MCCARTHY PARTICIPATES IN DEFERRED COMP PLAN, BUT DID NOT RECIEVE ANY PAYMENTS FOR THE YEAR ENDED DECEMBER 31, 2014. FORM 990, PART VI, SECTION B, LINE 11 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 HER DECISION. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMETNS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: EQUITY TRANSFER 265,509. EQUITY TRANSFER 135,572. AHHS ACQUISITIONS LLC 134 RUMFORD AVE 306 NEWTON MA 02466 260047255 SUPPORTING ORGANIZATION DE 171731 198808 ALLIANCE HEALTH INC ALLIANCE HEALTH MANAGEMENT SERVICES II LLC 134 RUMFORD AVE 306 NEWTON MA 02466 383929520 SUPPORTING ORGANIZATION MA 0 2263 ALLIANCE HEALTH INC ALLIANCE HUMAN SERVICES INC 134 RUMFORD AVE SUITE 306 NEWTON MA 02466 043476887 FOSTER CARE CORPORATION MA 501(C)(3) LINE 9 ALLIANCE HEALTH INC 1 ALLIANCE CHILDREN'S SERVICES INC 134 RUMFORD AVE SUITE 306 NEWTON MA 02466 042691041 FOSTER CARE CORPORATION MA 501(C)(3) LINE 9 ALLIANCE HUMAN SERVICES INC 0 ALLIANCE OF THE CHESAPEAKE BAY INC 134 RUMFORD AVE SUITE 306 NEWTON MA 02466 010672105 FOSTER CARE CORPORATION MA 501(C)(3) LINE 7 ALLIANCE HEALTH INC 1 ALLIANCE HEALTH OF MASSACHUSETTS INC 134 RUMFORD AVE SUITE 306 NEWTON MA 02466 311712039 SKILLED NURSING CORPORATION MA 501(C)(3) LINE 9 ALLIANCE HEALTH INC 1 ALLIANCE HEALTH OF QUINCY INC 134 RUMFORD AVE SUITE 306 NEWTON MA 02466 043468149 SKILLED NURSING CORPORATION MA 501(C)(3) LINE 9 ALLIANCE HEALTH INC 1 ALLIANCE HEALTH OF BROCKTON INC 134 RUMFORD AVE SUITE 306 NEWTON MA 02466 043455405 SKILLED NURSING CORPORATION MA 501(C)(3) LINE 9 ALLIANCE HEALTH INC 1 ALLIANCE HEALTH OF SOUTHEASTERN MASSACHUSETTS INC 134 RUMFORD AVE SUITE 306 NEWTON MA 02466 043582078 SKILLED NURSING CORPORATION MA 501(C)(3) LINE 9 ALLIANCE HEALTH INC 1 ALLIANCE HEALTH OF BRAINTREE INC 134 RUMFORD AVE SUITE 306 NEWTON MA 02466 651310230 SKILLED NURSING CORPORATION MA 501(C)(3) LINE 7 ALLIANCE HEALTH INC 1 ALLIANCE HEALTH OF CENTERVILLE INC 134 RUMFORD AVE SUITE 306 NEWTON MA 02466 800249886 SKILLED NURSING CORPORATION MA 501(C)(3) LINE 9 ALLIANCE HEALTH INC 1 ALLIANCE HEALTH OF DANVERS INC 134 RUMFORD AVE SUITE 306 NEWTON MA 02466 800249854 SKILLED NURSING CORPORATION MA 501(C)(3) LINE 9 ALLIANCE HEALTH INC 1 ALLIANCE HEALTH OF LOWELL INC 134 RUMFORD AVE SUITE 306 NEWTON MA 02466 800249859 SKILLED NURSING CORPORATION MA 501(C)(3) LINE 9 ALLIANCE HEALTH INC 1 ALLIANCE HEALTH OF PLYMOUTH INC 134 RUMFORD AVE SUITE 306 NEWTON MA 02466 800249891 SKILLED NURSING CORPORATION MA 501(C)(3) LINE 9 ALLIANCE HEALTH INC 1 ALLIANCE HEALTH OF SANDWICH INC 134 RUMFORD AVE SUITE 306 NEWTON MA 02466 800249868 SKILLED NURSING CORPORATION MA 501(C)(3) LINE 9 ALLIANCE HEALTH INC 1 ALLIANCE HEALTH OF SOUTHBRIDGEINC 134 RUMFORD AVE SUITE 306 NEWTON MA 02466 800249840 SKILLED NURSING CORPORATION MA 501(C)(3) LINE 9 ALLIANCE HEALTH INC 1 ALLIANCE HEALTH OF WORCESTER INC 134 RUMFORD AVE SUITE 306 NEWTON MA 02466 800249850 SKILLED NURSING CORPORATION MA 501(C)(3) LINE 9 ALLIANCE HEALTH INC 1 ALLIANCE HEALTH OF PROVIDENCE INC 134 RUMFORD AVE SUITE 306 NEWTON MA 02466 800249901 SKILLED NURSING CORPORATION MA 501(C)(3) LINE 9 ALLIANCE HEALTH INC 1 ALLIANCE HEALTH OF EAST PROVIDENCE INC 134 RUMFORD AVE SUITE 306 NEWTON MA 02466 800249896 SKILLED NURSING CORPORATION MA 501(C)(3) LINE 9 ALLIANCE HEALTH INC 1 ALLIANCE SPECIALTY HOSPITAL INC 134 RUMFORD AVE SUITE 306 NEWTON MA 02466 800249832 HOSPITAL CORPORATION MA 501(C)(3) LINE 3 ALLIANCE HEALTH INC 1 ALLIANCE HEALTH MANAGEMENT SERVICES LLC 134 RUMFORD AVE SUITE 306 NEWTON MA 02466 364639819 SUPPORTING ORGANIZATION MA 501(C)(3) LINE 11B, II ALLIANCE HEALTH INC 1 THE HOSPITAL COTTAGES FOR CHILDREN 134 RUMFORD AVE SUITE 306 NEWTON MA 02466 042104323 SKILLED NURSING CORPORATION MA 501(C)(3) LINE 9 ALLIANCE HEALTH INC 1 DEPOT POND VILLAGE INC 134 RUMFORD AVE SUITE 306 NEWTON MA 02466 203883388 RESIDENTIAL FACILITY FOR ELDERLY MA 501(C)(3) LINE 9 ALLIANCE HEALTH INC 1 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 ALLIANCE HUMAN SERVICES INC L 1778113 ALLIANCE HEALTH OF BROCKTON INC L 124257 ALLIANCE HEALTH OF MASSACHUSETTS INC L 242244 ALLIANCE HEALTH OF QUINCY INC L 119045 ALLIANCE HEALTH OF SOUTHEASTERN MASSACHUSETTS INC L 131208 THE HOSPITAL COTTAGES FOR CHILDREN L 60550 ALLIANCE HEALTH OF BROCKTON INC D 1400000 ALLIANCE HUMAN SERVICES INC D 170000 ALLIANCE HEALTH MANAGEMENT SERVICES LLC D 200000 ALLIANCE HEALTH OF MASSACHUSETTS INC D 86568 ALLIANCE HEALTH OF SOUTHEASTERN MASSACHUSETTS INC S 635000 THE HOSPITAL COTTAGES FOR CHILDREN S 323509 THE HOSPITAL COTTAGES FOR CHILDREN S 527422 ALLIANCE HEALTH OF BROCKTON INC P 60149 ALLIANCE HEALTH OF BROCKTON INC R 1155869 ALLIANCE HEALTH OF QUINCY INC S 598441 ALLIANCE HEALTH OF SOUTHEASTERN MASSACHUSETTS INC D 355000 THE HOSPITAL COTTAGES FOR CHILDREN D 527422