2022-11-05T12:00:17-05:00 2021-12-31 350921680 CROWE LLP 9600 Brownsboro Road Suite 400 Louisville KY 402413902 990 2021-01-01 222873792 Care Dimensions Inc CARE 9787747566 75 Sylvan Street B 102 Danvers MA 01923 Stephanie Patel CEO 9787747566 2022-11-05 true PHIL CIBELLI 999009999 Rachel Spurlock P00520729 5023263996 2021 2022-09-23 18:48:47Z Stephanie Patel 75 Sylvan Street B 102 Danvers MA 01923 79178887 false X www.Caredimensions.org X 1979 MA Care Dimensions, Inc. (CD) ENRICHES QUALITY OF LIFE BY PROVIDING EXPERT CARE, SUPPORT, EDUCATION AND CONSULTATION FOR THOSE AFFECTED BY LIFE LIMITING ILLNESS, DEATH AND LOSS. 18 17 841 459 0 0 6174836 3096768 73391529 72241856 490914 1819113 -57701 -53570 79999578 77104167 58844 57110 0 62102788 60512503 0 849444 20687206 20044868 82848838 80614481 -2849260 -3510314 86444575 84137816 30660339 30677027 55784236 53460789 Care Dimensions, Inc. (CD) ENRICHES QUALITY OF LIFE BY PROVIDING EXPERT CARE, SUPPORT, EDUCATION AND CONSULTATION FOR THOSE AFFECTED BY LIFE LIMITING ILLNESS, DEATH AND LOSS. false false 63403608 57110 72241856 FOR MORE THAN 40 YEARS, CARE DIMENSIONS, INC. (CD), FORMERLY HOSPICE OF THE NORTH SHORE, INC. (HNS) HAS PROVIDED HOSPICE AND PALLIATIVE CARE FOR COUNTLESS TERMINALLY ILL PATIENTS AND FAMILIES THROUGHOUT THE NORTH SHORE AND GREATER BOSTON AREA. AS THE MOST COMPREHENSIVE NOT-FOR-PROFIT HOSPICE PROVIDER IN MASSACHUSETTS, WE'RE DEDICATED TO ENRICHING QUALITY OF LIFE BY PROVIDING EXPERT CARE, SUPPORT, EDUCATION, AND CONSULTATION FOR THOSE AFFECTED BY LIFE-LIMITING ILLNESS, DEATH, AND LOSS. IN 2021 CD CARED FOR 5,900 HOSPICE PATIENTS AND THEIR FAMILIES. 63403608 true true false true false false false false true true true false false true true true false false false false false false false true false false false true true true false false false false false false false false false false false false false false false false false false false true 181 0 true 841 true false false false false false false false false false false false false false false X 18 17 false false false false false false false true true false false true true true true true true true true false CA CT FL ME MD MA NH NJ NY PA AZ RI VA X Phil Cibelli 9787747566 75 Sylvan Street B 102 Danvers MA 01923 Charles Adams Vice Chair 1.0 X X 0 0 0 Ellen Smith Clerk 1.0 X X 0 0 0 John Collins Chair 1.0 X X 0 0 0 Kevin Bottomley Treasurer 1.0 X X 0 0 0 Patricia Ahern President/CEO 40.0 X X 516787 0 59258 Anthony Feeherry Board Member 1.0 X 0 0 0 Gowri Nagaraj Board Member, Effective December 2021 1.0 X 0 0 0 Jane Alpers Board Member 1.0 X 0 0 0 Janet Barnes Board Member through September 2021 1.0 X 0 0 0 Kevin Inman Board Member, Effective September 2021 1.0 X 0 0 0 Kimberly Perryman Board Member 1.0 X 0 0 0 Lisa Alcock Board Member through June 2021 1.0 X 0 0 0 Mary Coffey Moran Board Member 1.0 X 0 0 0 Michael Beer Board Member 1.0 X 0 0 0 Michael Wertheimer Board Member 1.0 X 0 0 0 Nancy Gertner Board Member 1.0 X 0 0 0 Nancy Palmer Board Member 1.0 X 0 0 0 Pamela Lawrence Board Member 1.0 X 0 0 0 Patricia George Board Member 1.0 X 0 0 0 Phil Cormier Board Member, Effective September 2021 1.0 X 0 0 0 Phil Cibelli VP/CFO 40.0 X 309830 0 65941 Carolyn Skarmeas VP, Chief Strategy Officer 40.0 X 237430 0 61667 Daniel O'Neil VP/CIO 40.0 X 273023 0 55475 Donna Deveau VP of Philanthropy 40.0 X 207759 0 13658 Jean Ball VP of Quality & Compliance 40.0 X 204145 0 46784 Jean Graham Senior Director of Marketing 40.0 X 156583 0 20955 Judith Cranney VP/COO through September 2021 40.0 X 282084 0 32961 Kristine DiFiore VP, Chief Human Resources Officer 40.0 X 253035 0 57362 Patricia Ramsden VP, Chief Clinical Officer, Effective March 2021 40.0 X 179404 0 31184 Stephanie Patel MD VP/CMO 40.0 X 456498 0 74673 Victoria Kury VP, Clinical Operations for Greater Boston, Effective August 2021 40.0 X 169328 0 7999 Alden Rinaldi Physician 40.0 X 225543 0 36347 Anna Chon Physician 40.0 X 238805 0 21355 David MacDonald MD Physician 40.0 X 291185 0 47971 Jenna Crowe Physician 40.0 X 230602 0 42799 Kristen Schaefer Medical Director 40.0 X 295093 0 40117 4527134 0 716506 86 false true false Zampell Building Services 9 Stanley Tucker Drive Newburyport MA 01950 Facility Mgmt Services & Inpatient Units' Capital Expenses 1302920 Community Health Network 747 Washing St Holliston MA 01746 Clinical Contract Staffing 494560 Cooley & Stange LLC 14 East Church St Headland AL 36345 Consulting Services 257981 New England Security (NESPA) 208 Broadway Malden MA 02148 Security Services 246100 Beauport Ambulance Services PO Box 1262 Gloucester MA 01931 Ambulance Services 162417 10 380330 507253 2209185 0 3096768 Net Patient Service Revenue 621610 72119216 72119216 Pediatric Palliative Hospital Revenue 621400 97003 97003 Bereavement Revenue 900099 17938 17938 TRAINING & PROGRAM REVENUE 611430 6685 6685 Other Admin Revenue 900099 1014 1014 0 0 0 0 72241856 364434 364434 0 0 3475829 2021150 1454679 0 1454679 1454679 0 380330 53570 -53570 -53570 0 0 0 0 0 0 77104167 72241856 0 1765543 57110 57110 3773825 1485062 2067345 221418 45627685 39264409 5959502 403774 1653019 1478355 165329 9335 5787064 4730867 982519 73678 3670910 3045979 581446 43485 23742 23742 85475 85475 166466 166466 2210797 1695949 514848 0 608167 608167 1261144 797698 463446 2031870 356743 1622376 52751 2709011 1435604 1273407 1283023 1272686 10273 64 102790 58742 44048 527969 527969 1593163 877283 715880 431103 103375 327728 Program Supplies & Services 5756001 5756001 1254147 987745 221463 44939 80614481 63403608 16361429 849444 900 900 6915615 4099633 158780 109699 8480948 8812926 0 0 0 0 507726 290200 1528929 1505198 41356170 13337801 29169129 28018369 22816364 23201224 15605575 17337155 0 1260609 762512 86444575 84137816 12579683 12512411 16357236 16021759 0 0 0 2000000 1723420 142857 30660339 30677027 X 54515333 52305582 1268903 1155207 55784236 53460789 86444575 84137816 -3510314 1186867 0 X false true X true true X 3053815 2432255 1866961 6174836 3096768 16624635 63525140 69020710 70175749 73391529 72241856 348354984 0 0 0 66578955 71452965 72042710 79566365 75338624 364979619 38910 27690 26175 39870 29765 162410 0 0 0 0 0 0 38910 27690 26175 39870 29765 162410 364817209 283811 437648 511084 483761 364434 2080738 0 283811 437648 511084 483761 364434 2080738 0 166164 55602 0 0 0 221766 67028930 71946215 72553794 80050126 75703058 367282123 0.9933 0.9904 0.01 0.01 X Schedule A, Part III, Line 12 Other Income DESCRIPTION - FUNDRAISING INCOME, COLUMN A - 151944.0, COLUMN B - 53102.0, COLUMN C - 0.0, COLUMN D - 0.0, COLUMN E - 0.0, COLUMN F - 205046.0; DESCRIPTION - GAMING INCOME, COLUMN A - 14220.0, COLUMN B - 2500.0, COLUMN C - 0.0, COLUMN D - 0.0, COLUMN E - 0.0, COLUMN F - 16720.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 217 217 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY In 2021, Care Dimensions paid $35,498 to National Hospice and Palliative Care Organization for membership dues. Of this amount 0.61% were used for specific lobbying purposes defined as unallowable expenses. 1268903 792682 32891 939269 1155207 1021763 441072 51489 245421 1268903 1588371 262493 90092 919193 1021763 3904476 49705 -20934 2344876 1588371 3373175 737245 46185 252129 3904476 0.0 0.6 0.4 false false 3157603 3157603 28049397 5358855 22690542 293177 224120 69057 9855993 7754826 2101167 28018369 ALTERNATIVE LONG SHORT HEDGE FUND Equity Funds 15223062 F Private debt funds 1543968 F Real Estate fund 570125 F 17337155 Due to third party payors other current liabilities 42554 Deferred Rent 100303 Workers Compensation 142857 X 79117407 1186867 939269 2126136 76991271 166466 -53570 112896 77104167 80501585 0 0 80501585 166466 -53570 112896 80614481 Schedule D, Part V, Line 4 Intended uses of endowment funds Temporarily Restricted Funds are funds that are received with a donor-imposed restriction that will be satisfied in the future. The donor's restriction may be for a particular purpose or program or for use in a specified time period. Permanently Restricted Funds are funds that are received with a donor-imposed restriction that states that the donation must be maintained permanently, but may permit the organization to use up or expend part or all of the income derived from the asset. Permanently restricted funds earn interest on investments during the year and are released for use according to the Board Approved Restricted Funds Policy. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The Organization is exempt from income taxes on income from related activities under Section 501(c)(3) of the U.S. Internal Revenue Code and corresponding state tax law. Accordingly, no provision has been made for federal or state income taxes. U.S. GAAP requires that a tax position is recognized as a benefit only if it is "more likely than not" that the tax position would be sustained in a tax examination, with a tax examination being presumed to occur. The amount recognized is the largest amount of tax benefit that is greater than 50% likely of being realized on examination. For tax positions not meeting the "more likely than not" test, no tax benefit is recorded. Due to its tax-exempt status, the Organization is not subject to U.S. federal income tax or state tax. The Organization's Form 990 has not been subject to examination by the Internal Revenue Service or the state of Massachusetts for the last three years. The Organization does not expect the total amount of unrecognized tax benefits to significantly change in the next 12 months. The Organization recognizes interest and/or penalties related to income tax matters in income tax expense. The Organization did not have any amounts accrued for interest and penalties at December 31, 2021 and 2020. Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 Net assets released for operations - 889269 Net assets released for capital - 50000 Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements Direct fundraising expenses - -53570 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements Direct fundraising expenses - -53570 Tree of LIghts 139980 139980 0 15266 Walk for Hospice 221285 221285 0 29576 1 19065 19065 0 8728 380330 380330 0 53570 53570 -53570 true Non-medical family needs of hospice patients on service 145 57110 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. The Care Dimensions Family Fund was established by the Board of Directors to assist patients and families who have a demonstrated financial need. The Family Fund provides limited financial assistance to respond to particular non-medical patient or family needs that impact on the quality of life for the terminally ill patient and his/her family. The Family Fund is accessed to provide one limited monetary grant within a calendar year to families who have been identified by a member of the Care Dimensions Interdisciplinary Team as having a specific non-medical need which the patient/family are financially unable to afford. Examples of such needs include: school clothes for children, summer camp expenses for children, basic necessities such as food or telephone service, or a personal response system for a patient who lives alone. Due to the limited availability of funds, team members are encouraged to explore all other available community resources (i.e., Nan Camp, American Cancer Society, food pantries) before accessing the Family Fund. The Family Fund is also accessed to provide "Social Needs" requests, (iPads, computer games, tickets to attend a ballgame or concert, prom tickets, etc.). If a staff member identifies a need which could be met by the Family Fund, he/she should complete a Family Fund Request form, indicate whether the need is "basic" or "social" by checking the appropriate box, include appropriate supporting documentation, and forward to his/her Clinical Manager. The Clinical Manager shall submit the request to the Family Fund Review Committee. The Family Fund Review Committee is comprised of rotating members of the Interdisciplinary Team. The Committee will review the request and render a decision within 48 hours. If the request is approved, a Check Request along with the completed Family Fund Request form will be forwarded to the CCO for signature and then submitted to Accounts Payable. Checks are written directly to a vendor, not a patient or family member, based on the original documented request. If the request is denied, the Committee will suggest other resources whenever possible and forward completed form to appropriate Clinical Manager for their communication to requested party. On a monthly basis, the Administrative Assistant of the CCO will distribute a report showing monies disbursed and monies remaining in the Family Fund to the CEO, CCO, Clinical Directors, and the Family Fund Committee. X X X X X false false false false false false false true false Patricia Ahern President/CEO 387702 0 90282 0 38803 0 34927 0 24331 0 576045 0 0 0 Phil Cibelli VP/CFO 238404 0 36803 0 34623 0 29413 0 36528 0 375771 0 0 0 Stephanie Patel MD VP/CMO 381066 0 55502 0 19930 0 37117 0 37556 0 531171 0 0 0 Daniel O'Neil VP/CIO 222814 0 33989 0 16220 0 22821 0 32654 0 328498 0 0 0 Judith Cranney VP/COO through September 2021 174782 0 64022 0 43280 0 14250 0 18711 0 315045 0 0 0 Kristine DiFiore VP, Chief Human Resources Officer 200713 0 31297 0 21025 0 20828 0 36534 0 310397 0 0 0 Carolyn Skarmeas VP, Chief Strategy Officer 183623 0 28944 0 24863 0 24133 0 37534 0 299097 0 0 0 Jean Ball VP of Quality & Compliance 162400 0 25331 0 16414 0 21247 0 25537 0 250929 0 0 0 Donna Deveau VP of Philanthropy 168817 0 24723 0 14219 0 13658 0 0 0 221417 0 0 0 Patricia Ramsden VP, Chief Clinical Officer, Effective March 2021 163720 0 2000 0 13684 0 7587 0 23597 0 210588 0 0 0 Jean Graham Senior Director of Marketing 133339 0 13464 0 9780 0 8190 0 12765 0 177538 0 0 0 Victoria Kury VP, Clinical Operations for Greater Boston, Effective August 2021 154470 0 2000 0 12858 0 7999 0 0 0 177327 0 0 0 David MacDonald MD Physician 259436 0 26347 0 5402 0 14250 0 33721 0 339156 0 0 0 Kristen Schaefer Medical Director 278968 0 15351 0 774 0 6396 0 33721 0 335210 0 0 0 Jenna Crowe Physician 219383 0 0 0 11219 0 8921 0 33878 0 273401 0 0 0 Alden Rinaldi Physician 225363 0 0 0 180 0 2626 0 33721 0 261890 0 0 0 Anna Chon Physician 229455 0 0 0 9350 0 9581 0 11774 0 260160 0 0 0 Schedule J, Part I, Line 7 Non-fixed payments The compensation plan for the CEO provides that a performance bonus may be awarded should certain performance metrics be achieved. The payment is based on a percentage of base compensation, subject to review and approval of the executive committee of the board. In addition, the committee has discretion to award additional payments based on performance. Total compensation, including bonuses, are taken into consideration during the compensation review process. The performance bonus plan for other officers, including executives and vice presidents, may be awarded based on certain performance metrics, subject to approval by the executive committee of the board. In addition, the committee has discretion to award additional payments based on performance. Total compensation, including bonuses, are taken into consideration during the compensation review process A Massachusetts Development Finance Agency Revenue Bonds Care Dimensions 043431814 NONEAVAIL 2016-07-13 17500000 Construction of Inpatient Hospice Facility false false false A 15920604 17500000 0 17500000 2018 false false true true A false false false false 0.0 0.0 0.0 false false true A false false false false false false true A true Form 990, Part VI, Line 11b Review of form 990 by governing body A copy of the 990 is provided to the entire board prior to filing. Additionally, the Executive Committee, a subcommittee of the board, reviews the 990 prior to filing. Form 990, Part VI, Line 12c Conflict of interest policy The Conflict of Interest Policy is reviewed annually with the Board of Directors. Each member of the Board of Directors, Committee Members, Officers and Key Employees are asked to sign a Conflict of Interest and Relationship Disclosure Statement covering the next fiscal year. This statement certifies that they have read the Conflict of Interest Policy, will disclose any conflict of interest identified, and refrain from voting and from using personal influence related to the conflict of interest identified. Form 990, Part VI, Line 15a Process to establish compensation of top management official THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS MEETS ANNUALLY TO ESTABLISH AND APPROVE THE COMPENSATION OF THE ORGANIZATION'S CEO BASED ON THE CEO'S PERFORMANCE AND COMPARATIVE DATA BENCHMARKS. COMPARATIVE DATA FROM AVAILABLE PUBLISHED SURVEYS AND IRS 990'S FOR COMPARABLE ORGANIZATIONS ARE USED AS BENCHMARKS. IN ADDITION, EVERY TWO YEARS A QUALIFIED COMPENSATION CONSULTANT IS RETAINED TO CONDUCT AN ANALYSIS AND COMPARATIVE MARKET ASSESSMENT OF EXECUTIVE COMPENSATION. THE LAST ANALYSIS WAS DONE IN 2020. THE PROCESS IS DOCUMENTED IN THE EXECUTIVE COMMITTEE MINUTES. Form 990, Part VI, Line 15b Process to establish compensation of other employees THE EXECUTIVE OPERATIONS TEAM'S COMPENSATION IS REVIEWED BY AN OUTSIDE CONSULTANT EVERY TWO YEARS. THE LAST REVIEW WAS DONE IN 2021. THE CEO PRESENTS THE EXECUTIVE OPERATION TEAM'S PROPOSED ANNUAL MERIT INCREASES AND INCENTIVE PAYMENTS TO THE EXECUTIVE COMMITTEE FOR REVIEW AND APPROVAL. AVAILABLE SOURCES OF MARKET SURVEYS AND COMPENSATION BENCHMARKS ARE ALSO REVIEWED AND CONSIDERED AS PART OF THE PROCESS. THE PROCESS IS DOCUMENTED IN THE EXECUTIVE COMMITTEE MINUTES. Form 990, Part VI, Line 19 Required documents available to the public Financial Statements, governing documents, and conflict of interest policies are not required disclosures pursuant to the Internal Revenue Code (IRC) Section 6104. These documents are available upon request.