2011-07-21T10:03:28-05:00 2010-12-31 LARSONALLEN LLP 300 CROWN COLONY DRIVE SUITE 310 QUINCY MA 02169 990 2010-01-01 043455405 ALLIANCE HEALTH OF BROCKTON INC ALLI 6173323366 134 RUMFORD AVENUE NO 306 NEWTON MA 02466 FRANCIS J GRADY 5085836000 2011-06-14 1 DOUGLAS FIEBELKORN 6179848100 2011-06-14 2010 2016-03-07 17:11:31Z MARY A MCCARTHY 134 RUMFORD AVENUE 306 NEWTON MA 02466 11403787 0 X WWW.ALLIANCEHHS.ORG X 1999 MA THE COMPANY SHALL PROVIDE SAFE, HEALTHY,SERVICES AND LIVING ENVIRONMENTS FOR THE ELDERLY. 7 6 227 0 0 0 0 0 10828493 11386779 2755 8998 19799 8010 10851047 11403787 0 0 0 0 6033852 6250621 0 0 0 5224963 5016829 11258815 11267450 -407768 136337 10438493 10063797 10975680 10487202 -537187 -423405 THE COMPANY SHALL PROMOTE AND PROVIDE SAFE, HEALTHY, QUALITY SERVICES AND LIVING ENVIROMENTS FOR ELDERS WHO CANNOT CARE FOR THEMSELVES. 0 0 10152489 11403787 OUR 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. 10152489 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 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 0 0 0 0 1 9 0 227 1 0 0 0 0 0 0 0 0 0 0 X 7 6 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X WELCH HEALTHCARE AND RETIREMENT GROUP INC 7878786700 52 ACCORD PARK DRIVE NORWELL MA 02061 WILLIAM P MCDERMOTT ESQ 1.00 X 0 0 0 REV JEROME J JANISKO 1.00 X 0 0 0 JAMES BRUCE RILEY CPA 1.00 X 0 0 0 MICHAEL O JENNINGS ESQ 1.00 X 0 0 0 CHRISTOPHER ROBBINS 1.00 X 0 0 0 MARY MCCARTHY 1.00 X X 0 331973 5166 LINDA CORRIDAN RN 1.00 X 0 0 0 FRANCIS GRADY 1.00 X 0 253757 20392 MICHAEL DODOS 1.00 X 0 163165 18523 ROSEMARY MCLAUGHLIN 0.00 X 0 162072 6899 RICHARD CANTY 1.00 X 0 142366 18453 JOHN SOULE 40.00 X 125988 0 18038 PAUL MAHONEY 0.00 X 0 120276 27021 JOAN PINE 0.00 X 0 123150 24630 MARY KILCOMMONS 0.00 X 0 116645 22296 125988 1413404 161418 1 0 1 0 GENESIS REHABILITIONS SERVICES INC 101 E STATE ST KENNETT SQUARE PA 19348 THERAPY SERVICES 608371 WELCH HEALTHCARE AND RETIREMENT GROUP 52 ACCORD PARK DR NORWELL MA 02061 MANAGEMENT SERVICES 459288 2 PROG.SERV.REVENUE 623000 11386779 11386779 11386779 8998 8998 OTHER INCOME 623000 3712 3712 LAUNDRY INCOME 623000 2340 2340 BARBER & BEAUTY INCOME 623000 1958 1958 8010 11403787 11394789 0 8998 5408729 5139565 269164 18054 17156 898 389634 370244 19390 434204 412596 21608 575451 575451 10134 10134 27500 27500 2587 2587 1026109 837880 188229 19245 19245 50130 50130 10278 10278 268683 268683 10214 10214 626027 626027 289323 289323 200480 200480 PROVIDER USER FEE 772232 772232 NURSING SUPPLIES AND EX 372823 372823 FOOD 320922 320922 MISCELLANEOUS 225651 225651 0 ANCILLARY EXPENSES 185788 185788 23252 23252 11267450 10152489 1114961 0 1294523 962153 939553 975909 107157 81735 7934337 3169529 4945044 4764808 3152216 3279192 10438493 10063797 1907100 1775656 8700000 8515000 150000 150000 218580 46546 10975680 10487202 X -537187 -423405 -537187 -423405 10438493 10063797 X 136337 -22555 X 0 1 1 X 0 X 10389400 11607036 10984963 10828493 11386799 55196691 10389400 11607036 10984963 10828493 11386799 55196691 0 0 0 55196691 127196 146786 77059 2755 8998 362794 127196 146786 77059 2755 8998 362794 10516596 11753822 11062022 10831248 11395797 55559485 0.99350 0.99180 0.00650 0.00820 X 300000 300000 6321000 2376170 3944830 190156 45503 144653 1123181 747856 375325 4764808 DEPOSITS 19931 GOODWILL, NET 907350 DEFERRED FINANCE FEES, NET 432416 TRUSTEE FUNDS HELD UNDER BOND INDEN 1902206 CONSTRUCTION IN PROGRESS 10803 INTEREST RECEIVABLE 6486 3279192 DUE TO RELATED-PARTY 46546 46546 11403787 11267450 136337 -22555 -22555 113782 11403787 0 11403787 0 11403787 11267450 0 11267450 0 11267450 X X X X X 0 1 0 0 0 0 0 0 0 MARY MCCARTHY 0 295674 0 36299 0 0 0 0 0 5166 0 337139 0 0 FRANCIS GRADY 0 230564 0 23193 0 0 0 0 0 20392 0 274149 0 0 MICHAEL DODOS 0 143176 0 19989 0 0 0 0 0 18523 0 181688 0 0 ROSEMARY MCLAUGHLIN 0 162072 0 0 0 0 0 0 0 6899 0 168971 0 0 RICHARD CANTY 0 131390 0 10976 0 0 0 0 0 18453 0 160819 0 0 PART I, LINE 4A MARY MCCARTHY PARTICIPATES IN DEFERRED COMP PLAN BUT HAS NOT RECIEVED ANY PAYMENTS TO DATE. FORM 990, PART VI, SECTION A, LINE 3 WELCH HEALTHCARE AND RETIREMENT GROUP, INC., 52 ACCORD PARK DRIVE, NORWELL, MA 02061 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 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 CEO AND CFO. COMPENSATION SURVEYS WERE CONDUCTED IN 2008. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -22,555. ALLIANCE HEALTH INC 134 RUMFORD AVE SUITE 306 NEWTON MA 02466 043468274 SUPPORTING ORGANIZATION MA 501(C)(3) 11 0 ALLIANCE HUMAN SERVICES INC 134 RUMFORD AVE SUITE 306 NEWTON MA 02466 043476887 FOSTER CARE CORPORATION MA 501(C)(3) 9 ALLIANCE HEALTH INC 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 SOUTHEASTERN MASSACHUSETTS INC 134 RUMFORD AVE SUITE 306 NEWTON MA 02466 043582078 SKILLED NURSING CORPORATION MA 501(C)(3) PF 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 344639819 SUPPORTING ORGANIZATION MA 501(C)(3) 11 ALLIANCE HEALTH INC 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 1 0 0 0