2013-07-26T10:01:20-05:00 2012-12-31 410746749 CLIFTONLARSONALLEN LLP 300 CROWN COLONY DRIVE SUITE 310 QUINCY MA 02169 990 2012-01-01 043476887 ALLIANCE HUMAN SERVICES INC ALLI 6173323366 134 RUMFORD AVENUE NO 306 NEWTON MA 02466 FRANCIS J GRADY 6173323366 2013-07-18 1 ROBERT DILLAN P01688008 6179848100 2013-07-18 2012 2016-02-24 21:20:13Z MARY A MCCARTHY 134 RUMFORD AVE NEWTON MA 02466 33470233 0 X WWW.ALLIANCEHHS.ORG X 1999 MA THE ORGANIZATION PROVIDES SERVICES AND HOUSING FOR CHILDREN WHO CANNOT CARE FOR THEMSELVES. 9 8 59 0 0 0 0 0 34098774 33467970 2589 2263 0 0 34101363 33470233 0 0 0 0 2282194 2266810 0 0 0 31899785 31158852 34181979 33425662 -80616 44571 3074296 4230793 3325254 4437180 -250958 -206387 X THE COMPANY SHALL PROMOTE AND PROVIDE SAFE, HEALTHY, QUALITY SERVICES AND LIVING ENVIRONMENTS FOR CHILDREN WHO CANNOT CARE FOR THEMSELVES. 0 0 30933243 33467970 ALLIANCE HUMAN SERVICES, INC. PROVIDES FOSTER CARE SERVICES TO CHILDREN AND YOUTH WHO HAVE EMOTIONAL OR BEHAVIORAL DISORDERS, DEVELOPMENTAL DISABILITIES, ARE MEDICALLY FRAGILE, OR ARE IN THE JUVENILE JUSTICE SYSTEM. MOST OFTEN, THE CHILDREN WE SERVE HAVE BEEN SERVED UNSUCCESSFULLY IN HOMES IN OTHER AGENCIES, OR COME FROM MORE RESTRICTIVE SETTINGS, SUCH AS RESIDENTIAL SCHOOLS. IN ORDER TO SUPPORT CHILDREN AND YOUTH WITH SIGNIFICANT CHALLENGES WE RECRUIT, TRAIN, AND PROVIDE ON-GOING COUNSELING AND CASE COORDINATION TO TALENTED AND CARING ADULTS WHO SERVE AS FOSTER PARENTS. OUR FOSTER PARENTS PROVIDE HOMES THAT ARE SAFE, AND SUPPORTIVE. WE AGGRESSIVELY RECRUIT FOSTER PARENTS FROM A DIVERSE POPULATION. WE FOCUS ON CAREFULLY ASSESSING THE STRENGTHS AND NEEDS OF OUR CHILDREN AND MAKING EXCELLENT MATCHES WITH SKILLED FOSTER PARENTS. OUR FOSTER PARENTS ARE EXPERIENCED AND COMPASSIONATE. WE ARE ABLE TO SUPPORT THEIR EFFORTS BY ENSURING THAT THE CHILDREN AND YOUTH ARE RECEIVING ALL OTHER SERVICES THEY NEED FOR THEIR SUCCESS, SUCH AS APPROPRIATE EDUCATIONAL SUPPORTS, PERSONAL OR GROUP COUNSELING OR THERAPY, AND OTHER CASE COORDINATION SERVICES. IN ADDITION, WE ASSIST FOSTER PARENTS IN OBTAINING RESPITE SO THAT THEY CAN BE REFRESHED WHILE THE CHILDREN ARE SAFE AND HAVING THEIR NEEDS MET. 30933243 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 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 1 1 0 0 1 29 0 1 59 1 0 0 0 0 0 0 0 0 0 0 X 9 8 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MA IL OH VA CA X THE CORPORATION 6173323366 134 RUMFORD AVENUE NEWTON MA 02466 MARY A MCCARTHY 1.00 40.00 X X 0 386139 114147 REV JEROME J JANISKO 1.00 1.00 X 0 0 0 MICHAEL O JENNINGS ESQ 1.00 1.00 X 0 0 0 CHRISTOPHER ROBBINS 1.00 1.00 X 0 0 0 JAMES BRUCE RILEY CPA 1.00 1.00 X 0 0 0 LINDA CORRIDAN RN 1.00 1.00 X 0 0 0 JANICE M HOCKENSMITH 1.00 1.00 X 0 0 0 WILLIAM P MCDERMOTT ESQ 1.00 1.00 X 0 0 0 JOAN FALLON 1.00 1.00 X 0 0 0 FRANCIS J GRADY 1.00 40.00 X 0 282843 15998 MICHAEL DODOS 1.00 40.00 X 0 165140 16528 DORIS DAVILA 40.00 0.00 X 155581 0 1087 RICHARD CANTY 1.00 40.00 X 0 149613 16691 PAUL MAHONEY 0.00 40.00 X 0 123932 30228 PAMELA HILTZ 0.00 40.00 X 0 104261 15639 FRANCES ELLISON 0.00 50.00 X 0 107253 8184 JEAN FOLAN 0.00 50.00 X 0 106661 12857 155581 1425842 231359 1 0 1 0 NATIONAL MENTOR INC 313 CONGRESS ST BOSTON MA 02021 PROGRAM SERVICE FEES 15557422 1 CONTRACT REVENUES 623000 33461347 33461347 OTHER INCOME 623000 6623 6623 33467970 2263 2263 33470233 33467970 0 2263 1887595 1318825 568770 270670 177243 93427 108545 98206 10339 1192000 1192000 10921 10921 75129 75129 155163 145248 9915 2264 375 1889 151078 35984 115094 30098 3372 26726 174271 155259 19012 6456 6309 147 265937 265937 SERVICE AGREEMENT 15557422 15557422 FOSTER PARENTS PAYMENTS 12800138 12800138 BAD DEBTS 357268 357268 PROGRAM SUPPLIES 159348 159348 221359 118246 103113 33425662 30933243 2492419 0 1347493 1483468 1581186 2640749 76478 73377 249923 236552 16214 13371 52925 19828 3074296 4230793 3164590 4128485 160664 308695 3325254 4437180 X -250958 -206387 -250958 -206387 3074296 4230793 44571 0 X 0 1 X 1 1 1 X 55321842 47096423 34651865 34059474 33467970 204597574 55321842 47096423 34651865 34059474 33467970 204597574 0 0 0 204597574 44286 22613 5897 2589 2263 77648 44286 22613 5897 2589 2263 77648 55366128 47119036 34657762 34062063 33470233 204675222 0.99960 0.99970 0.00040 0.00030 X 249923 236552 13371 13371 DEFERRED REVENUE 118695 DUE TO RELATED-PARTY 190000 308695 X 33470233 0 33470233 0 33470233 33425662 0 33425662 0 33425662 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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 2009 THROUGH 2012 TAX RETURNS ARE OPEN FOR EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES. X X X X X 0 1 0 0 0 0 0 0 0 MARY A MCCARTHY 0 287021 0 0 0 99118 0 114147 0 0 0 500286 0 0 FRANCIS J GRADY 0 240843 0 42000 0 0 0 0 0 15998 0 298841 0 0 MICHAEL DODOS 0 147890 0 17250 0 0 0 0 0 16528 0 181668 0 0 DORIS DAVILA 140581 0 15000 0 0 0 0 0 1087 0 156668 0 0 0 RICHARD CANTY 0 139613 0 10000 0 0 0 0 0 16691 0 166304 0 0 PAUL MAHONEY 0 123932 0 0 0 0 0 0 0 30228 0 154160 0 0 PART I, LINE 4B MARY MCCARTHY PARTICIPATES IN DEFERRED COMP PLAN,RECIEVED $99,118 AS OF DECEMBER 31, 2012. FORM 990, PART VI, SECTION A, LINE 3 NATIONAL MENTOR INC., 313 CONGRESS ST., BOSTON, MA 02021 FORM 990, PART VI, SECTION B, LINE 11 THE AUDIT COMMITTEE SHALL REVIEW AND APPROVE ALL IRS FORM 990 ANNUAL TAX FILINGS PRIOR TO SUBMISSION, AND THE BOARD SHALL RECEIVE A COPY AND REVIEW ALL IRS FORM 990 TAX FILINGS WITHIN 30 DAYS OF 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 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. 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 THE ORGANIZATIONS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. ALLIANCE HEALTH INC 134 RUMFORD AVE SUITE 306 NEWTON MA 02466 043468274 SUPPORTING ORGANIZATION MA 501(C)(3) 11 0 ALLIANCE CHILDREN'S SERVICES INC 134 RUMFORD AVE SUITE 306 NEWTON MA 02466 042691041 FOSTER CARE CORPORATION MA 501(C)(3) 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) 9 ALLIANCE HEALTH INC 0 ALLIANCE HEALTH OF MASSACHUSETTS INC 134 RUMFORD AVE SUITE 306 NEWTON MA 02466 311712039 SKILLED NURSING CORPORATION MA 501(C)(3) 9 ALLIANCE HEALTH INC 0 ALLIANCE HEALTH OF QUINCY INC 134 RUMFORD AVE SUITE 306 NEWTON MA 02466 043468149 SKILLED NURSING CORPORATION MA 501(C)(3) 9 ALLIANCE HEALTH INC 0 ALLIANCE HEALTH OF BROCKTON INC 134 RUMFORD AVE SUITE 306 NEWTON MA 02466 043455405 SKILLED NURSING CORPORATION MA 501(C)(3) 9 ALLIANCE HEALTH INC 0 ALLIANCE HEALTH OF SOUTHEASTERN MASSACHUSETTS INC 134 RUMFORD AVE SUITE 306 NEWTON MA 02466 043582078 SKILLED NURSING CORPORATION MA 501(C)(3) 9 ALLIANCE HEALTH INC 0 ALLIANCE HEALTH OF BRAINTREE INC 134 RUMFORD AVE SUITE 306 NEWTON MA 02466 651310230 SKILLED NURSING CORPORATION MA 501(C)(3) 9 ALLIANCE HEALTH INC 0 ALLIANCE HEALTH OF CENTERVILLE INC 134 RUMFORD AVE SUITE 306 NEWTON MA 02466 800249886 SKILLED NURSING CORPORATION MA 501(C)(3) 9 ALLIANCE HEALTH INC 0 ALLIANCE HEALTH OF DANVERS INC 134 RUMFORD AVE SUITE 306 NEWTON MA 02466 800249854 SKILLED NURSING CORPORATION MA 501(C)(3) 9 ALLIANCE HEALTH INC 0 ALLIANCE HEALTH OF LOWELL INC 134 RUMFORD AVE SUITE 306 NEWTON MA 02466 800249859 SKILLED NURSING CORPORATION MA 501(C)(3) 9 ALLIANCE HEALTH INC 0 ALLIANCE HEALTH OF PLYMOUTH INC 134 RUMFORD AVE SUITE 306 NEWTON MA 02466 800249891 SKILLED NURSING CORPORATION MA 501(C)(3) 9 ALLIANCE HEALTH INC 0 ALLIANCE HEALTH OF SANDWICH INC 134 RUMFORD AVE SUITE 306 NEWTON MA 02466 800249868 SKILLED NURSING CORPORATION MA 501(C)(3) 9 ALLIANCE HEALTH INC 0 ALLIANCE HEALTH OF SOUTHBRIDGE INC 134 RUMFORD AVE SUITE 306 NEWTON MA 02466 800249840 SKILLED NURSING CORPORATION MA 501(C)(3) 9 ALLIANCE HEALTH INC 0 ALLIANCE HEALTH OF WORCESTER INC 134 RUMFORD AVE SUITE 306 NEWTON MA 02466 800249850 SKILLED NURSING CORPORATION MA 501(C)(3) 9 ALLIANCE HEALTH INC 0 ALLIANCE HEALTH OF PROVIDENCE INC 134 RUMFORD AVE SUITE 306 NEWTON MA 02466 800249901 SKILLED NURSING CORPORATION MA 501(C)(3) 9 ALLIANCE HEALTH INC 0 ALLIANCE HEALTH OF EAST PROVIDENCE INC 134 RUMFORD AVE SUITE 306 NEWTON MA 02466 800249896 SKILLED NURSING CORPORATION MA 501(C)(3) 9 ALLIANCE HEALTH INC 0 ALLIANCE SPECIALTY HOSPITAL INC 134 RUMFORD AVE SUITE 306 NEWTON MA 02466 800249832 HOSPITAL CORPORATION MA 501(C)(3) 3 ALLIANCE HEALTH INC 0 ALLIANCE HEALTH MANAGEMENT SERVICES LLC 134 RUMFORD AVE SUITE 306 NEWTON MA 02466 364639819 SUPPORTING ORGANIZATION MA 501(C)(3) 11 ALLIANCE HEALTH INC 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 1 0 0 0 ALLIANCE HEALTH INC M 1192000 ALLIANCE HEALTH INC E 190000