Civic Intelligence

Tufts Medicine Care at Home Inc

EIN 04-3024278 • 501(c)3 • Lawrence, MA

Profile

Empower people to live their best lives by reimagining healthcare, advancing knowledge and pioneering discovery.

360 Merrimack Street Building 9Lawrence, MA 01843

www.tuftsmedicine.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

100th percentile

4.27x

Higher debt load relative to assets than 100% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Liabilities / Revenue

87th percentile

2.02x

Higher debt load relative to revenue than 87% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Net Margin

10th percentile

-21%

Higher net margin than 10% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Top Officer Pay

98th percentile

$2,085,861

Higher top officer pay than 98% of similar nonprofits.

Top officer pay equals 4.9% of source-year revenue.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Asset Growth

4th percentile

-20%

Faster asset growth than 4% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Revenue Growth

34th percentile

1.3%

Faster revenue growth than 34% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets100th percentile

Assets

Down

$20,263,488

Down $4,951,718 (-20%) from 2023

Liabilities

Up

$86,590,297

Up $6,507,301 (+8.1%) from 2023

Net Assets

Down

-$66,326,809

Down $11,459,019 (-21%) from 2023

Operations
Liabilities / Revenue87th percentileNet Margin10th percentile

Revenue

Up

$42,959,494

Up $568,042 (+1.3%) from 2023

Expenses

Up

$51,770,188

Up $178,066 (+0.3%) from 2023

Net Income

Up

-$8,810,694

Up $389,976 (+4.2%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth4th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$100M$50M$0-$50M-$100MAssets 2010: $19,782,466Liabilities 2010: $7,533,480Net Assets 2010: $12,248,9862010Assets 2011: $21,566,496Liabilities 2011: $7,688,819Net Assets 2011: $13,877,6772011Assets 2012: $23,447,243Liabilities 2012: $6,956,846Net Assets 2012: $16,490,3972012Assets 2013: $25,279,573Liabilities 2013: $6,859,797Net Assets 2013: $18,419,7762013Assets 2014: $25,835,415Liabilities 2014: $7,187,743Net Assets 2014: $18,647,6722014Assets 2015: $22,340,787Liabilities 2015: $5,476,192Net Assets 2015: $16,864,5952015Assets 2016: $21,882,201Liabilities 2016: $3,770,596Net Assets 2016: $18,111,6052016Assets 2017: $26,012,182Liabilities 2017: $6,314,640Net Assets 2017: $19,697,5422017Assets 2018: $29,170,026Liabilities 2018: $8,315,560Net Assets 2018: $20,854,4662018Assets 2019: $30,008,742Liabilities 2019: $8,821,678Net Assets 2019: $21,187,0642019Assets 2020: $32,305,658Liabilities 2020: $5,519,896Net Assets 2020: $26,785,7622020Assets 2021: $34,697,054Liabilities 2021: $5,231,539Net Assets 2021: $29,465,5152021Assets 2022: $31,723,794Liabilities 2022: $14,377,000Net Assets 2022: $17,346,7942022Assets 2023: $25,215,206Liabilities 2023: $80,082,996Net Assets 2023: -$54,867,7902023Assets 2024: $20,263,488Liabilities 2024: $86,590,297Net Assets 2024: -$66,326,8092024

Highlighted filing

2024

Assets$20,263,488
Liabilities$86,590,297
Net Assets-$66,326,809
Open 2024 Filing

Operations Trend

Revenue Growth34th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$60M$40M$20M$0-$20MExpenses 2010: $13,690,4042010Expenses 2011: $13,617,5352011Revenue 2012: $18,851,421Expenses 2012: $16,219,068Net Income 2012: $2,632,3532012Revenue 2013: $17,241,171Expenses 2013: $15,311,792Net Income 2013: $1,929,3792013Revenue 2014: $14,319,690Expenses 2014: $14,128,507Net Income 2014: $191,1832014Revenue 2015: $11,027,940Expenses 2015: $12,811,017Net Income 2015: -$1,783,0772015Revenue 2016: $15,042,321Expenses 2016: $13,825,796Net Income 2016: $1,216,5252016Revenue 2017: $17,156,657Expenses 2017: $15,612,615Net Income 2017: $1,544,0422017Revenue 2018: $19,210,045Expenses 2018: $18,082,453Net Income 2018: $1,127,5922018Revenue 2019: $21,244,349Expenses 2019: $18,740,165Net Income 2019: $2,504,1842019Revenue 2020: $23,682,110Expenses 2020: $18,080,640Net Income 2020: $5,601,4702020Revenue 2021: $22,121,108Expenses 2021: $19,752,376Net Income 2021: $2,368,7322021Revenue 2022: $41,266,729Expenses 2022: $55,806,334Net Income 2022: -$14,539,6052022Revenue 2023: $42,391,452Expenses 2023: $51,592,122Net Income 2023: -$9,200,6702023Revenue 2024: $42,959,494Expenses 2024: $51,770,188Net Income 2024: -$8,810,6942024

Highlighted filing

2024

Revenue$42,959,494
Expenses$51,770,188
Net Income-$8,810,694
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$20,263,488
Liabilities
$86,590,297
Net assets
-$66,326,809
Revenue
$42,959,494
Expenses
$51,770,188
Net income
-$8,810,694
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$20.3$86.6$66.3$43.0$51.8$8.81
2023Detailed filing. Detailed filing data is available for this year.$25.2$80.1$54.9$42.4$51.6$9.20
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$31.7$14.4$17.3$41.3$55.8$14.5
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$34.7$5.23$29.5$22.1$19.8$2.37
2020Detailed filing. Detailed filing data is available for this year.$32.3$5.52$26.8$23.7$18.1$5.60
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$30.0$8.82$21.2$21.2$18.7$2.50
2018Import issue. A filing source exists for this year, but detailed import did not complete cleanly.$29.2$8.32$20.9$19.2$18.1$1.13
2017Detailed filing. Detailed filing data is available for this year.$26.0$6.31$19.7$17.2$15.6$1.54
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$21.9$3.77$18.1$15.0$13.8$1.22
2015Detailed filing. Detailed filing data is available for this year.$22.3$5.48$16.9$11.0$12.8$1.78
2014Detailed filing. Detailed filing data is available for this year.$25.8$7.19$18.6$14.3$14.1$0.19
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$25.3$6.86$18.4$17.2$15.3$1.93
2012Summary only. Only limited summary data is available for this year.$23.4$6.96$16.5$18.9$16.2$2.63
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$21.6$7.69$13.9$13.6
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$19.8$7.53$12.2$13.7
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Aug 14, 2025
Return Version
2023v6.0
Gross Receipts
$42,965,876
Mission and Program Overview

Mission

Merrimack Valley Hospice, Inc. primary purpose is to provide hospice care services to terminally ill patients.

Empower people to live their best lives by reimagining healthcare, advancing knowledge and pioneering discovery.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$9,677,848$7,325,079▼ $2,352,769
Land, Buildings, and Equipment, Net$6,646,233$6,235,003▼ $411,230
Investments Other Securities$6,218,413$0▼ $6,218,413
Savings and Temporary Cash Investments$1,338,693$1,583,406▲ $244,713
Prepaid Expenses and Deferred Charges$315,685$273,123▼ $42,562
Cash and Non-Interest-Bearing Accounts$200$199▼ $1
Total Assets$25,215,206$20,263,488▼ $4,951,718
Other Assets Total$1,018,134$4,846,678▲ $3,828,544
Liabilities
Other Liabilities$73,696,404$81,799,958▲ $8,103,554
Accounts Payable and Accrued Expenses$5,879,625$4,275,864▼ $1,603,761
Deferred Revenue$506,967$514,475▲ $7,508
Total Liabilities$80,082,996$86,590,297▲ $6,507,301
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$-54,867,790$-66,326,809▼ $11,459,019
Total Net Assets Fund Balance$-54,867,790$-66,326,809▼ $11,459,019
Total Liabilities and Net Assets / Fund Balance$25,215,206$20,263,488▼ $4,951,718

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$3,888,114$1,752,055$5,640,169
Land$1,400,000-$1,400,000
Equipment$112,916$895,650$1,008,566
Leasehold Improvements$633,973$293,792$927,765
Other Land Buildings$200,000$19,835$219,835
Other Assets Org$-1,188,000--
Compensation and Service Providers
Top Officer Pay98th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Bernice Burkarth MdPhysicianFT$344,343$95,678$440,021
Diane Farraher-smithFormer Chief CIOFT$90,331$212,831$303,162
Joanne NowakMedical DirectorPT$233,328$14,415$247,743
Heidi LandersVP of Home Health ServicesFT$195,556$33,645$229,201
James BakerAssociate Medical DirectorPT$191,608$11,968$203,576
Eileen TrefonidesFormer Director of Finance (8/23)FT$110,847$82,840$193,687
Kathy DuckettClinical DirectorFT$165,414$12,635$178,049

Board Members and Trustees

NameTitle
Kara DoyleChair
Karen E GomesFormer President/CEO
PATRICIA O'BRIENPresident
Barbara B SagerVice Chair (tuntil 7/24)
Joseph WhiteFormer Trustee (until 9/23)
Bobby TugbiyeleTrustee
Dr Raymond H Lewis JrTrustee
Eda George Rn Ph DTrustee
Michael DandorphTrustee
Scott a CollinsTrustee
Debra S GrabowskiTrustee (until 1/24)
Keith N SoucieTrustee (until 1/24)
Tovah GilrayAssistant Secretary
Charles Whipple EsqAssistant Secretary (until 4/24)
Daniel a Hayes JrSecretary
Andrew DevoeTreasurer
Susan GreenTreasurer (until 12/23)

Highest Paid Contractors

ContractorServicesLocationCompensation
Supplemental Health CareMedical & Health CarePO BOX 677896, Dallas, TX 75267$2,591,160
Maxim Healthcare Staffing Services INCMedical & Health Care7227 LEE DEFOREST DRIVE, Columbia, MD 21046$1,404,893
Community Health Network INCMedical & Health Care747 WASHINGTON STREET, Holliston, MA 01746$1,094,618
Home Care Specialists INCMedical & Health CarePO BOX 8237, Haverhill, MA 01835$810,189
Bear Hill Nursing Center INCMedical & Health Care11 NORTH STREET, Stoneham, MA 02180$554,904
Revenue and Support

Revenue Composition

Contributions and Grants
$300,836
Program Service Revenue
$42,553,428
Investment Income
$466
Other Revenue
$104,764
All Other Contributions
$286,246
Change in Net Assets
$-8,810,694

Audited Revenue Reconciliation

Revenue per Audited Statements
$42,965,876
Revenue Not Reported on Financial Statements
$-6,382
Revenue Not Reported on Form 990
$3,997,702
Other Revenue Adjustments
$-6,382
Total Revenue per Audited Statements
$46,963,578
Total Revenue per Form 990
$42,959,494
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$35,932,293
Other Expenses$15,837,895
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$29,525,328--$29,525,328
Fees for Services Other$3,939,083--$3,939,083
Other Employee Benefits$3,424,210$1,124-$3,425,334
All Other Expenses$2,559,203--$2,559,203
Payroll Taxes$2,165,452$6,186-$2,171,638
Occupancy$1,556,823--$1,556,823
Other Expenses$750,573--$750,573
Office Expenses$549,036--$549,036
Payment Travel Entrtnmnt Publicly Ofcl$548,928--$548,928
Pension Plan Contributions$485,363$2,515-$487,878
Depreciation Depletion$425,533--$425,533
Current Officers, Directors, Trustees, and Key Employees-$322,115-$322,115
Travel$315,272--$315,272
Information Technology$260,297--$260,297
Insurance$218,777--$218,777
Fees for Services Accounting$145,420--$145,420
Fees for Services Lobbying-$22,100-$22,100
Interest$13,131--$13,131
Advertising$8,000--$8,000
Total Functional Expenses$51,416,148$354,040$0$51,770,188

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$51,770,188
Expenses per Audited Statements$51,763,806
Total Expenses per Audited Statements$51,763,806
Expenses Not Reported on Financial Statements$6,382
Other Expense Adjustments$6,382
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$6,382
Fundraising Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$81,289,735
Lease Liabilities$510,223
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

“Tufts medicine care at home parent, inc., acting through its board of trustees, shall be the sole member of the corporation.”

Form 990, Part VI, Section A, Line 7A

“The sole member shall elect and may remove or suspend the trustees.”

Form 990, Part VI, Section A, Line 7B

“The member shall have the right to approve each of the following actions of the board of trustees, and such actions by the board shall not be effective unless and until approved by the member: a) the adoption of annual operating and capital budgets; b) the adoption of any long range plans of the corporation; c) the decision to establish a new program of service to discontinue an existing program; d) the approval of any borrowing by the corporation; e) the expenditure, disposition, donation, or acquistion by purchase, lease or other means, of corporate assets, other than in the ordinary course of budiness or budgeted items; f) the merger or consolidation of the corporation with any other corporation and the formation or dissolution of subsidiaries; g) the conduct of any fundraising activities; h) the selection or employment of legal counsel or certified public accountants, whether for special projects or on a regular basis, and; i) the execution of leases for equipment or real estate, the execution of major contracts, and the approval of individuals authorized to sign checks.”

Form 990, Part VI, Section B, Line 11B

“The 990 is reviewed by management, chair and treasruer of the board of trustees prior to signing. Prior to filing, the complete 990 is provided to the entire board via an online secure portal.”

Form 990, Part VI, Section B, Line 12C

“Any potential conflicts are reviewed by the ceo.”

Form 990, Part VI, Section B, Line 15

“Compensation study of similar positions is prepared every other year and reviewed by the executive committee of the board of trustees.”

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.”

Filing and Contact Details

Filer

Filer Name
Tufts Medicine Care at Home Inc
EIN
04-3024278
Phone
9785524000
Address
360 MERRIMACK STREET BUILDING 9, LAWRENCE, MA 01843

Signing Officer

Name
Andrew Devoe
Title
CFO
Phone
9785524000
Signed
2025-08-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
PATRICIA O'BRIEN
Formed
1988
Legal Domicile
Ma
Voting Board Members
10
Independent Board Members
6
Employees
456
Volunteers
9

Preparer

Firm
Cbiz Advisors LLC
Address
53 STATE STREET 17TH FLOOR, BOSTON, MA 02109
Preparer
Brenda L Booth
Phone
6178075000
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

“Transfer of net assets 3,997,702.”

Financial Statement Notes

PART XI, LINE 2D - OTHER ADJUSTMENTS:

“Transfer of net assets 3,997,702.”

PART XI, LINE 4B - OTHER ADJUSTMENTS:

“Fundraising expenses -6,382.”

PART XII, LINE 4B - OTHER ADJUSTMENTS:

“Fundraising expenses 6,382.”

Raw XML AppendixShowing 400 of 1,628 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
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