ALLIANCE HEALTH OF BROCKTON INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ALLIANCE HEALTH OF BROCKTON INC (EIN 04-3455405)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-07-26
IRS object ID
201302079349300115
Schema version
2012v2.1
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)
Timestamp2013-07-26T10:01:20-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN410746749EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1300 CROWN COLONY DRIVE SUITE 310AddressLine1
CityQUINCYCity
StateMAState
ZIP Code02169ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN043455405EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ALLIANCE HEALTH OF BROCKTON INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlALLINameControl
Phone6173323366Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1134 RUMFORD AVENUE NO 306AddressLine1
CityNEWTONCity
StateMAState
ZIP Code02466ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameFRANCIS J GRADYName
TitleTREASURERTitle
Phone5085836000Phone
Date Signed2013-07-18DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameROBERT DILLANName
PTINP01688008PTIN
Phone6179848100Phone
Date Prepared2013-07-18DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMARY A MCCARTHYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1134 RUMFORD AVENUE 306AddressLine1
CityNEWTONCity
StateMAState
ZIP Code02466ZIPCode
FieldValueIRS element (for citing)
Gross Receipts11105059GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.ALLIANCEHHS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1999YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionTHE COMPANY SHALL PROMOTE AND PROVIDE SAFE, HEALTHY, QUALITY SERVICES AND LIVING ENVIRONMENTS FOR THE ELDERS WHO CANNOT CARE FOR THEMSELVES.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees228TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year11306974ProgramServiceRevenuePriorYear
Program Service Revenue CY10894654ProgramServiceRevenueCY
Investment Income Prior Year25043InvestmentIncomePriorYear
Investment Income Current Year36917InvestmentIncomeCurrentYear
Other Revenue Prior Year6497OtherRevenuePriorYear
Other Revenue Current Year31591OtherRevenueCurrentYear
Total Revenue Prior Year11338514TotalRevenuePriorYear
Total Revenue Current Year10963162TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6299237SalariesEtcPriorYear
Salaries Etc Current Year6023109SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year5108961OtherExpensePriorYear
Other Expenses Current Year5069643OtherExpensesCurrentYear
Total Expenses Prior Year11408198TotalExpensesPriorYear
Total Expenses Current Year11092752TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-69684RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-129590RevenuesLessExpensesCY
Total Assets BOY9741653TotalAssetsBOY
Total Assets EOY9660314TotalAssetsEOY
Total Liabilities BOY10210666TotalLiabilitiesBOY
Total Liabilities EOY10261193TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-469013NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-600879NetAssetsOrFundBalancesEOY
Mission DescriptionTHE COMPANY SHALL PROMOTE AND PROVIDE SAFE, HEALTHY, QUALITY SERVICES AND LIVING ENVIROMENTS FOR ELDERS WHO CANNOT CARE FOR THEMSELVES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense9861942Expense
Revenue10926245Revenue
DescriptionOUR SKILLED NURSING AND REHABILITATION FACILITY PROVIDES A WIDE RANGE OF MEDICAL AND REHABILITATIVE SERVICES, INCLUDING POST ACUTE CARE, SHORT-TERM REHABILITATION, RESPITE CARE, HOSPICE CARE, AND LONG-TERM CARE. WORKING DIRECTLY WITH EACH RESIDENT AND THEIR FAMILY MEMBERS, OUR STAFF WILL CUSTOMIZE A COMPREHENSIVE PLAN OF CARE DESIGNED TO TREAT MEDICAL COMPLICATIONS AND ACHIEVE FUNCTIONAL INDEPENDENCE. OUR FACILITY PROVIDES THE HIGHEST STANDARDS OF CARE AND RESIDENTS ENJOY AN ACTIVE AND FULFILLING LIFESTYLE IN AN ATMOSPHERE OF WARMTH, RESPECT AND UNDERSTANDING.Description
Total Program Service Expense9861942TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109610NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees228NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1WELCH HEALTHCARE AND RETIREMENT GROUP INCBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7878786700TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line152 ACCORD PARK DRIVEAddressLine1
CityNORWELLCity
StateMAState
ZIP Code02061ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
WILLIAM P MCDERMOTT ESQ
CHAIRMAN1.001.00X000
REV JEROME J JANISKO
DIRECTOR1.001.00X000
JAMES BRUCE RILEY CPA
DIRECTOR1.001.00X000
MICHAEL O JENNINGS ESQ
DIRECTOR1.001.00X000
CHRISTOPHER ROBBINS
DIRECTOR1.001.00X000
MARY MCCARTHY
DIRECTOR AND PRESIDENT1.0040.00X0386139114147X
LINDA CORRIDAN RN
DIRECTOR1.001.00X000
JOAN FALLON
DIRECTOR1.001.00X000
FRANCIS J GRADY
TREASURER AND CLERK1.0040.00028284315998X
MICHAEL DODOS
CONTROLLER1.0040.00016514016528X
DORIS DAVILA
VICE PRESIDENT0.0040.0001555811087X
RICHARD CANTY
VICE PRESIDENT1.0040.00014961316691X
PAUL MAHONEY
EXECUTIVE DIRECTOR0.0040.00012393230228X
JEAN FOLAN
RN0.0050.00010666112857X
FRANCES ELLISON
PHYSICAL THERAPIST0.0050.0001072538184X
SUSAN MCGOURTY
DIRECTOR OF NURSING40.000.0010132208215X
FieldValueIRS element (for citing)
Total Reportable Comp From Org101322TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1477162TotalReportableCompFrmRltdOrgs
Total Other Compensation223935TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
GENESIS REHABILITIONS SERVICES INC
101 E STATE STKENNETT SQUAREPA19348THERAPY SERVICES543305
WELCH HEALTHCARE AND RETIREMENT GROUP
52 ACCORD PARK DRNORWELLMA02061MANAGEMENT SERVICES484332
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPROG.SERV.REVENUEDescription
Business Code623000BusinessCode
Total Revenue Column10894654TotalRevenueColumn
Related Or Exempt Function Income10894654RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue10894654TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column37105TotalRevenueColumn
Exclusion$37,105ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities141709Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities141897Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-188Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-188TotalRevenueColumn
Exclusion-$188ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OTHER INCOME6230002886128861
LAUNDRY INCOME62300019501950
BARBER & BEAUTY INCOME623000780780
FieldValueIRS element (for citing)
Total Other Revenue31591TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column10963162TotalRevenueColumn
Related Or Exempt Function Income10926245RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$36,917ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5229062Total
Program Services4962099ProgramServices
Management And General266963ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total16899Total
Program Services16036ProgramServices
Management And General863ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total371585Total
Program Services352614ProgramServices
Management And General18971ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total405563Total
Program Services384857ProgramServices
Management And General20706ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total604944Total
Management And General604944ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total111221Total
Management And General111221ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total27500Total
Management And General27500ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total4500Total
Management And General4500ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1046717Total
Program Services871575ProgramServices
Management And General175142ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total19109Total
Program Services19109ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total62236Total
Program Services62236ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total14832Total
Program Services14832ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total220902Total
Program Services220902ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total8516Total
Program Services8516ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total599592Total
Program Services599592ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total322753Total
Program Services322753ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total228942Total
Program Services228942ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
PROVIDER USER FEE697905697905
NURSING SUPPLIES AND EX341954341954
FOOD291011291011
SOCIAL SERVICES238384238384

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total228625Total
Program Services228625ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total11092752Total
Program Services9861942ProgramServices
Management And General1230810ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY841810BOY
EOY962302EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY857063BOY
EOY881315EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY98789BOY
EOY90586EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis8185529LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3760259LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4582430BOY
EOY4425270EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3361561BOY
EOY3300841EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY9741653BOY
EOY9660314EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1704667BOY
EOY1876630EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY8315000BOY
EOY8100000EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY150000BOY
EOY150000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY40999BOY
EOY134563EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY10210666BOY
EOY10261193EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-469013BOY
EOY-600879EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-469013BOY
EOY-600879EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9741653BOY
EOY9660314EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-129590ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-2277ReconciliationUnrealizedInvest
Reconcilation Other Changes1ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10984963CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10828493CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11386799CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11306974CurrentTaxYearMinus1Year
Current Tax Year10926245CurrentTaxYear
Total55433474Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10984963CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10828493CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11386799CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11306974CurrentTaxYearMinus1Year
Current Tax Year10926245CurrentTaxYear
Total55433474Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50955433474PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years77059CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2755CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8998CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year24612CurrentTaxYearMinus1Year
Current Tax Year37105CurrentTaxYear
Total150529Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years77059CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2755CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8998CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year24612CurrentTaxYearMinus1Year
Current Tax Year37105CurrentTaxYear
Total150529Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11062022CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10831248CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11395797CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11331586CurrentTaxYearMinus1Year
Current Tax Year10963350CurrentTaxYear
Total55584003Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99730PublicSupportPercentage509
Prior Year Support Percentage0.99540PriorYearSupportPercentage
Investment Income Percentage0.00270InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00460PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis300000OtherCostOrOtherBasis
Book Value300000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6321000OtherCostOrOtherBasis
Depreciation2797570Depreciation
Book Value3523430BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis202152OtherCostOrOtherBasis
Depreciation64839Depreciation
Book Value137313BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1362377OtherCostOrOtherBasis
Depreciation897850Depreciation
Book Value464527BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4425270TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
DEPOSITS19931
GOODWILL, NET907350
DEFERRED FINANCE FEES, NET386224
TRUSTEE FUNDS HELD UNDER BOND INDEN1958900
CONSTRUCTION IN PROGRESS14803
INTEREST RECEIVABLE13633
FieldValueIRS element (for citing)
Total Book Value Other Assets3300841TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO RELATED-PARTYDescription
Amount$134,563Amount
FieldValueIRS element (for citing)
Total Of Amounts134563TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt10960885TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-2277NetUnrealizedGainsInvestments
Revenue Not Rptd F990-2277RevenueNotRptdF990
Revenue Subtotal10963162RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99010963162TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt11092752TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal11092752ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99011092752TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationTHE 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 2009 THROUGH 2012 TAX YEARS ARE OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MARY MCCARTHY
DIRECTOR AND PRESIDENT028702100099118011414700050028600
FRANCIS J GRADY
TREASURER AND CLERK02408430420000000015998029884100
MICHAEL DODOS
CONTROLLER01478900172500000016528018166800
DORIS DAVILA
VICE PRESIDENT0140581015000000001087015666800
RICHARD CANTY
VICE PRESIDENT01396130100000000016691016630400
PAUL MAHONEY
EXECUTIVE DIRECTOR0123932000000030228015416000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 4BReturnReference
ExplanationMARY MCCARTHY PARTICIPATES IN DEFERRED COMP PLAN,RECIEVED $99,118 AS OF DECEMBER 31, 2012.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 3WELCH HEALTHCARE AND RETIREMENT GROUP, INC., 52 ACCORD PARK DRIVE, NORWELL, MA 02061
FORM 990, PART VI, SECTION B, LINE 11THE 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 OF ITS SUBMISSION.
FORM 990, PART VI, SECTION B, LINE 12CEACH 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 15PERFORMANCE 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. 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 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:ROUNDING 1.CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (19 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
ALLIANCE HEALTH INC
134 RUMFORD AVE SUITE 306NEWTONMA02466043468274SUPPORTING ORGANIZATIONMA501(C)(3)110
ALLIANCE HUMAN SERVICES INC
134 RUMFORD AVE SUITE 306NEWTONMA02466043476887FOSTER CARE CORPORATIONMA501(C)(3)90ALLIANCE HEALTH INC
ALLIANCE CHILDREN'S SERVICES INC
134 RUMFORD AVE SUITE 306NEWTONMA02466042691041FOSTER CARE CORPORATIONMA501(C)(3)90ALLIANCE HUMAN SERVICES INC
ALLIANCE OF THE CHESAPEAKE BAY INC
134 RUMFORD AVE SUITE 306NEWTONMA02466010672105FOSTER CARE CORPORATIONMA501(C)(3)90ALLIANCE HEALTH INC
ALLIANCE HEALTH OF MASSACHUSETTS INC
134 RUMFORD AVE SUITE 306NEWTONMA02466311712039SKILLED NURSING CORPORATIONMA501(C)(3)90ALLIANCE HEALTH INC
ALLIANCE HEALTH OF QUINCY INC
134 RUMFORD AVE SUITE 306NEWTONMA02466043468149SKILLED NURSING CORPORATIONMA501(C)(3)90ALLIANCE HEALTH INC
ALLIANCE HEALTH OF SOUTHEASTERN MASSACHUSETTS INC
134 RUMFORD AVE SUITE 306NEWTONMA02466043582078SKILLED NURSING CORPORATIONMA501(C)(3)90ALLIANCE HEALTH INC
ALLIANCE HEALTH OF BRAINTREE INC
134 RUMFORD AVE SUITE 306NEWTONMA02466651310230SKILLED NURSING CORPORATIONMA501(C)(3)90ALLIANCE HEALTH INC
ALLIANCE HEALTH OF CENTERVILLE INC
134 RUMFORD AVE SUITE 306NEWTONMA02466800249886SKILLED NURSING CORPORATIONMA501(C)(3)90ALLIANCE HEALTH INC
ALLIANCE HEALTH OF DANVERS INC
134 RUMFORD AVE SUITE 306NEWTONMA02466800249854SKILLED NURSING CORPORATIONMA501(C)(3)90ALLIANCE HEALTH INC
ALLIANCE HEALTH OF LOWELL INC
134 RUMFORD AVE SUITE 306NEWTONMA02466800249859SKILLED NURSING CORPORATIONMA501(C)(3)90ALLIANCE HEALTH INC
ALLIANCE HEALTH OF PLYMOUTH INC
134 RUMFORD AVE SUITE 306NEWTONMA02466800249891SKILLED NURSING CORPORATIONMA501(C)(3)90ALLIANCE HEALTH INC
ALLIANCE HEALTH OF SANDWICH INC
134 RUMFORD AVE SUITE 306NEWTONMA02466800249868SKILLED NURSING CORPORATIONMA501(C)(3)90ALLIANCE HEALTH INC
ALLIANCE HEALTH OF SOUTHBRIDGE INC
134 RUMFORD AVE SUITE 306NEWTONMA02466800249840SKILLED NURSING CORPORATIONMA501(C)(3)90ALLIANCE HEALTH INC
ALLIANCE HEALTH OF WORCESTER INC
134 RUMFORD AVE SUITE 306NEWTONMA02466800249850SKILLED NURSING CORPORATIONMA501(C)(3)90ALLIANCE HEALTH INC
ALLIANCE HEALTH OF PROVIDENCE INC
134 RUMFORD AVE SUITE 306NEWTONMA02466800249901SKILLED NURSING CORPORATIONMA501(C)(3)90ALLIANCE HEALTH INC
ALLIANCE HEALTH OF EAST PROVIDENCE INC
134 RUMFORD AVE SUITE 306NEWTONMA02466800249896SKILLED NURSING CORPORATIONMA501(C)(3)90ALLIANCE HEALTH INC
ALLIANCE SPECIALTY HOSPITAL INC
134 RUMFORD AVE SUITE 306NEWTONMA02466800249832HOSPITAL CORPORATIONMA501(C)(3)90ALLIANCE HEALTH INC
ALLIANCE HEALTH MANAGEMENT SERVICES LLC
134 RUMFORD AVE SUITE 306NEWTONMA02466344639819SUPPORTING ORGANIZATIONMA501(C)(3)110ALLIANCE HEALTH INC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
ALLIANCE HEALTH INC
M120612
ALLIANCE HEALTH INC
E140729
ALLIANCE HEALTH INC
E150000

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