2012-08-09T15:03:55-05:00 2011-12-31 042684828 FEELEY & DRISCOLL PC 200 PORTLAND STREET BOSTON MA 02114 990 2011-01-01 352231860 ALL CARE HOSPICE INC ALLC 7815982454 210 MARKET STREET LYNN MA 01901 SHAWN POTTER 7815982454 2012-05-30 1 ALAN GAROFALO P00744592 6177427788 2011 2016-02-24 21:20:13Z X SHAWN POTTER 210 MARKET STREET LYNN MA 01901 5261997 0 X N/A X 2004 MA CHARITABLE - TO PROMOTE HEALTH, PREVENT DISEASE AND TO PROVIDE SKILLED NURSING CARE AND HEALTH GUIDANCE TO INDIVIDUALS AND FAMILIES AND PROVIDE HEALTHCARE FOR PEOPLE DYING OF AN INCURABLE ILLNESS WITHOUT REGARD TO RACE, CREED OR ABILITY TO PAY. THE ORGANIZATION ALSO ASSISTS IN DEVELOPING COOPERATIVE PROGRAMS WITH OTHER HEALTH AND WELFARE AGENCIES IN THE COMMUNITY. 10 10 46 0 0 0 35286 37189 4857176 5223643 0 0 2099 1165 4894561 5261997 0 0 0 0 2398262 2473922 0 0 0 2245031 2348030 4643293 4821952 251268 440045 5801043 6584624 2829998 3173534 2971045 3411090 X TO PROMOTE HEALTH, PREVENT DISEASE AND TO PROVIDE SKILLED NURSING CARE AND HEALTH GUIDANCE TO INDIVIDUALS AND FAMILIES AND PROVIDE HEALTH CARE FOR PEOPLE DYING OF AN INCURABLE ILLNESS WITHOUT REGARD TO RACE, CREED OR ABILITY TO PAY. THE AGENCY SHALL ALSO ASSIST IN DEVELOPING COOPERATIVE PROGRAMS WITH OTHER HEALTH AND WELFARE AGENCIES IN THE COMMUNITY. 0 0 3572780 5223643 THE PROVISION OF HOSPICE CARE THROUGH 25,433 BILLABLE DAYS OF HOME VISITS, RESIDENTIAL SERVICES AND SUPPORT FOR THE FAMILIES OF THOSE PATIENTS UNDER HOSPICE CARE. 3572780 1 0 0 0 0 0 0 0 0 0 1 0 0 1 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 0 1 0 0 0 0 1 3 0 1 46 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X X DANIEL MEYLER 7812441100 210 MARKET STREET LYNN MA 01901 LOUIS J FENTON 1.00 X 0 0 0 RONALD T PLOTKA 1.00 X 0 0 0 ROBERT ALLISON ESQ 1.00 X 0 0 0 JOHN BUCCHIERE MD 1.00 X 0 0 0 CHARLES GAETA 1.00 X 0 0 0 KENNETH ELLIS 1.00 X 0 0 0 PETER SHECKMAN MD 1.00 X 0 0 0 THOMAS F ROGERS 1.00 X 0 0 0 DEBORAH SMITH WALSH 1.00 X 0 0 0 DAVID J SOLIMINE JR 1.00 X 0 0 0 SHAWN F POTTER 1.00 X 0 343535 123845 DANIEL MEYLER 1.00 X 0 150903 19154 LEWIS S HAYS MD 37.50 X 212462 0 22371 212462 494438 165370 1 0 1 0 HEALTH MANAGEMENT SERVICES INC 210 MARKET STREET LYNN MA 01901 MANAGEMENT COMPANY 271841 1 37189 37189 PATIENT SERVICE REVENU 621610 5223643 5223643 5223643 MISCELLANEOUS INCOME 621610 1165 1165 1165 5261997 5223643 0 1165 241657 241657 1879505 1184088 695417 200300 117912 82388 152460 96050 56410 271841 271841 944 944 1454595 1454595 27352 27352 44590 44590 7486 7486 89152 89152 18193 18193 46316 46316 12239 12239 SUPPLIES 362063 355494 6569 MISCELLANEOUS 9859 9859 DUES 3400 3400 4821952 3572780 1249172 0 350500 558446 849874 578653 10273 4183 103102 100609 48808 2493 4541588 5440849 5801043 6584624 541182 507688 2288816 2665846 2829998 3173534 X 2971045 3411090 2971045 3411090 5801043 6584624 440045 0 X 0 1 1 X 0 X 31543 39110 40285 35286 37189 183413 7133187 6654330 5829544 4857176 5223643 29697880 7164730 6693440 5869829 4892462 5260832 29881293 0 0 0 29881293 6423 702 2745 2099 1165 13134 7171153 6694142 5872574 4894561 5261997 29894427 0.99960 0.99950 0.00000 X 20575 20575 0 82527 80034 2493 2493 DUE FROM AFFILIATES 5440849 5440849 DUE TO AFFILIATES 2665846 2665846 5261997 4821952 440045 440045 5261997 0 5261997 0 5261997 4821952 0 4821952 0 4821952 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: ALL CARE HOSPICE, INC. IS EXEMPT FROM INCOME TAX ON RELATED INCOME UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, THE ORGANIZATION ANNUALLY EVALUATES ITS TAX STATUS AND TAX POSITIONS TAKEN WITH RESPECT TO ITS OPERATIONS AND FINANCIAL POSITION. X X X X X 0 1 0 0 0 0 0 0 0 SHAWN F POTTER 0 314187 0 25000 0 4348 0 100000 0 23845 0 467380 0 0 DANIEL MEYLER 0 145444 0 0 0 5459 0 0 0 19154 0 170057 0 0 LEWIS S HAYS MD 211712 0 0 0 750 0 0 0 22371 0 234833 0 0 0 PART I, LINE 4B THE ORGANIZATION'S PRESIDENT/CEO PARTICIPATES IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN THROUGH THE ORGANIZATION'S SOLE CORPORATE MEMBER, HEALTH MANAGEMENT SERVICES, INC. DEFERRED COMPENSATION REPORTED FOR THE YEAR ENDED DECEMBER 31, 2011 UNDER THIS PLAN IS $100,000. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION'S SOLE CORPORATE MEMBER, HEALTH MANAGEMENT SERVICES, INC. WAS IN CHARGE OF PERFORMING MANAGEMENT FUNCTIONS. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY AT THE HMS, INC. EXECUTIVE COMMITTEE MEETING BEFORE IT IS SIGNED AND FILED. FORM 990, PART VI, SECTION B, LINE 12C POLICY IS MONITORED THROUGH ORIENTATION AND ANNUAL TRAINING. ENFORCEMENT HAS NOT BEEN AN ISSUE, BUT WOULD OCCUR IF NECESSARY. FORM 990, PART VI, SECTION B, LINE 15 THE KEY EMPLOYEES' COMPENSATION AMOUNTS ARE VOTED UPON AND APPROVED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION'S FORM 990 IS AVAILABLE TO THE PUBLIC UPON REQUEST AND IS ALSO LOCATED AT THE MASSACHUSETT'S ATTORNEY GENERAL'S WEBSITE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST AND ARE ALSO LOCATED AT THE MASSACHUSETT'S ATTORNEY GENERAL'S WEBSITE. ALL CARE RESOURCES INC 210 MARKET STREET LYNN MA 01901 042805564 HEALTHCARE SERVICES MA 501(C)(3) 9 HEALTH MANAGEMENT SERVICES INC 0 ALL CARE ADULT DAY HEALTH CENTER INC 210 MARKET STREET LYNN MA 01901 760799712 HEALTHCARE SERVICES MA 501(C)(3) 9 HEALTH MANAGEMENT SERVICES INC 0 THE VISITING NURSE ASSOCIATION FOUNDATION INC 210 MARKET STREET LYNN MA 01901 222581936 DEVELOPMENT & FUNDRAISING MA 501(C)(3) 9 HEALTH MANAGEMENT SERVICES INC 0 HEALTH MANAGEMENT SERVICES INC 210 MARKET STREET LYNN MA 01901 222581863 MANAGEMENT COMPANY MA 501(C)(3) 11 N/A 0 ALL CARE VISITING NURSE ASSOCIATION OF GREATER LYNN INC 210 MARKET STREET LYNN MA 01901 042214847 HEALTHCARE SERVICES MA 501(C)(3) 9 HEALTH MANAGEMENT SERVICES INC 0 VNA VENTURES INC 210 MARKET STREET LYNN MA 01901 042942852 REAL ESTATE MANAGEMENT MA N/A C ALL CARE INFUSION THERAPY COMPANY INC 210 MARKET STREET LYNN MA 01901 043120267 HEALTH SERVICES MA N/A C 0 0 0 1 1 0 0 0 0 1 1 1 0 0 0 0 0 0