Civic Intelligence

Element Care Inc

EIN 04-3267751 • 501(c)3 • Lynn, MA

Profile

Provide healthcare and social services to frail participants in the northshore and merrimack valley communities by keeping them at home with dignity and respect.

235 Woodland North AvenueLynn, MA 01904

elementcare.org

Siviq Scores

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

Liabilities / Assets

53rd percentile

0.30x

Higher debt load relative to assets than 53% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Liabilities / Revenue

40th percentile

0.30x

Higher debt load relative to revenue than 40% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Net Margin

24th percentile

-3.0%

Higher net margin than 24% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Top Officer Pay

63rd percentile

$673,193

Higher top officer pay than 63% of similar nonprofits.

Top officer pay equals 0.6% of source-year revenue.

501(c)3 • $100M-$250M nonprofits • Source year 2023

Asset Growth

39th percentile

3.2%

Faster asset growth than 39% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Revenue Growth

45th percentile

5.4%

Faster revenue growth than 45% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Assets

Up

$116,973,995

Up $3,578,196 (+3.2%) from 2023

Liabilities

Up

$34,900,203

Up $8,160,639 (+31%) from 2023

Net Assets

Down

$82,073,792

Down $4,582,443 (-5.3%) from 2023

Revenue

Up

$115,982,329

Up $5,964,605 (+5.4%) from 2023

Expenses

Up

$119,429,202

Up $13,445,478 (+13%) from 2023

Net Income

Down

-$3,446,873

Down $7,480,873 (-185%) from 2023

Trend Graphs

Balance Sheet Trend

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

$150M$100M$50M$0Assets 2010: $41,717,627Liabilities 2010: $9,946,834Net Assets 2010: $31,770,7932010Assets 2011: $48,994,631Liabilities 2011: $10,561,355Net Assets 2011: $38,433,2762011Assets 2012: $55,252,673Liabilities 2012: $12,834,729Net Assets 2012: $42,417,9442012Assets 2013: $57,086,920Liabilities 2013: $12,548,302Net Assets 2013: $44,538,6182013Assets 2014: $63,701,201Liabilities 2014: $15,088,740Net Assets 2014: $48,612,4612014Assets 2015: $62,383,052Liabilities 2015: $13,683,609Net Assets 2015: $48,699,4432015Assets 2016: $67,272,753Liabilities 2016: $17,790,124Net Assets 2016: $49,482,6292016Assets 2017: $71,521,915Liabilities 2017: $20,553,418Net Assets 2017: $50,968,4972017Assets 2018: $71,595,457Liabilities 2018: $22,312,930Net Assets 2018: $49,282,5272018Assets 2019: $64,134,540Liabilities 2019: $16,473,486Net Assets 2019: $47,661,0542019Assets 2020: $72,193,292Liabilities 2020: $16,832,921Net Assets 2020: $55,360,3712020Assets 2021: $83,865,974Liabilities 2021: $12,915,369Net Assets 2021: $70,950,6052021Assets 2022: $93,315,351Liabilities 2022: $11,921,421Net Assets 2022: $81,393,9302022Assets 2023: $113,395,799Liabilities 2023: $26,739,564Net Assets 2023: $86,656,2352023Assets 2024: $116,973,995Liabilities 2024: $34,900,203Net Assets 2024: $82,073,7922024

Highlighted filing

2024

Assets$116,973,995
Liabilities$34,900,203
Net Assets$82,073,792

Operations Trend

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

$150M$100M$50M$0-$50MExpenses 2010: $52,969,6672010Expenses 2011: $55,283,8532011Expenses 2012: $62,579,5512012Revenue 2013: $71,242,559Expenses 2013: $69,418,331Net Income 2013: $1,824,2282013Revenue 2014: $80,862,707Expenses 2014: $77,741,682Net Income 2014: $3,121,0252014Revenue 2015: $84,667,022Expenses 2015: $84,327,405Net Income 2015: $339,6172015Revenue 2016: $87,350,387Expenses 2016: $86,645,478Net Income 2016: $704,9092016Revenue 2017: $87,823,332Expenses 2017: $87,086,198Net Income 2017: $737,1342017Revenue 2018: $89,869,281Expenses 2018: $90,129,900Net Income 2018: -$260,6192018Revenue 2019: $89,277,278Expenses 2019: $91,475,761Net Income 2019: -$2,198,4832019Revenue 2020: $96,125,136Expenses 2020: $88,692,051Net Income 2020: $7,433,0852020Revenue 2021: $102,077,849Expenses 2021: $89,402,275Net Income 2021: $12,675,5742021Revenue 2022: $107,097,540Expenses 2022: $96,264,425Net Income 2022: $10,833,1152022Revenue 2023: $110,017,724Expenses 2023: $105,983,724Net Income 2023: $4,034,0002023Revenue 2024: $115,982,329Expenses 2024: $119,429,202Net Income 2024: -$3,446,8732024

Highlighted filing

2024

Revenue$115,982,329
Expenses$119,429,202
Net Income-$3,446,873

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$117$34.9$82.1$116$119$3.45
2023Detailed filing. Detailed filing data is available for this year.$113$26.7$86.7$110$106$4.03
2022Detailed filing. Detailed filing data is available for this year.$93.3$11.9$81.4$107$96.3$10.8
2021Detailed filing. Detailed filing data is available for this year.$83.9$12.9$71.0$102$89.4$12.7
2020Detailed filing. Detailed filing data is available for this year.$72.2$16.8$55.4$96.1$88.7$7.43
2019Detailed filing. Detailed filing data is available for this year.$64.1$16.5$47.7$89.3$91.5$2.20
2018Detailed filing. Detailed filing data is available for this year.$71.6$22.3$49.3$89.9$90.1$0.26
2017Detailed filing. Detailed filing data is available for this year.$71.5$20.6$51.0$87.8$87.1$0.74
2016Detailed filing. Detailed filing data is available for this year.$67.3$17.8$49.5$87.4$86.6$0.70
2015Detailed filing. Detailed filing data is available for this year.$62.4$13.7$48.7$84.7$84.3$0.34
2014Summary only. Only limited summary data is available for this year.$63.7$15.1$48.6$80.9$77.7$3.12
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$57.1$12.5$44.5$71.2$69.4$1.82
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$55.3$12.8$42.4$62.6
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$49.0$10.6$38.4$55.3
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$41.7$9.95$31.8$53.0
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
May 12, 2025
Return Version
2023v6.0
Gross Receipts
$115,982,329
Mission and Program Overview

Mission

Provide healthcare and social services to frail elders in the greater northshore communities by keeping them at home with dignity and respect.

The organization's mission is to provide health and social services to elders of massachusetts located north of boston. Pace is a program of all-inclusive care for the elderly that enables eligible seniors to remain in their own communities rather than being placed in long-term care facilities. The organization's goal is to maximize the health and functioning levels of program enrollees to enable them to continue living in the community.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$30,582,173$31,793,990▲ $1,211,817
Investments in Publicly Traded Securities$27,903,648$31,575,769▲ $3,672,121
Land, Buildings, and Equipment, Net$20,530,696$29,396,460▲ $8,865,764
Cash and Non-Interest-Bearing Accounts$27,072,368$14,842,212▼ $12,230,156
Accounts Receivable$1,788,902$2,645,148▲ $856,246
Prepaid Expenses and Deferred Charges$1,068,943$1,135,263▲ $66,320
Total Assets$113,395,799$116,973,995▲ $3,578,196
Other Assets Total$4,449,069$5,585,153▲ $1,136,084
Liabilities
Mortgage Notes Payable Secured by Investment Property$9,268,330$16,513,427▲ $7,245,097
Accounts Payable and Accrued Expenses$10,929,551$13,523,763▲ $2,594,212
Deferred Revenue$5,602,739$0▼ $5,602,739
Other Liabilities$938,944$4,863,013▲ $3,924,069
Total Liabilities$26,739,564$34,900,203▲ $8,160,639
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$86,656,235$82,073,792▼ $4,582,443
Total Net Assets Fund Balance$86,656,235$82,073,792▼ $4,582,443
Total Liabilities and Net Assets / Fund Balance$113,395,799$116,973,995▲ $3,578,196

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$26,656,276$3,414,644$30,070,920
Leasehold Improvements$1,399,574$9,738,835$11,138,409
Equipment$325,128$5,302,637$5,627,765
Other Land Buildings$620,782$861,422$1,482,204
Land$394,700-$394,700
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Robert WakefieldExecutive DirectorFT$430,977$43,260$474,237
Joanna DubyMedical Dir/physicianFT$359,772$37,501$397,273
Soumya ChandrasekaranPhysicianFT$303,586$36,380$339,966
Dorina OmariPhysicianFT$297,060$36,314$333,374
Mary Ellen DuganChief Operating OfficerFT$254,645$53,422$308,067
John CoolongChief Information OfficerFT$271,317$27,294$298,611
Cinthia ColemanPhysicianFT$267,731$21,268$288,999
Robert DuranteChief Financial OfficerFT$253,222$27,833$281,055
Vivian ChanPhysicianFT$255,541$19,203$274,744
Tao LiuPhysicianFT$237,808$24,145$261,953
Linda GauvainDirector of Patient Care ServicesFT$189,853$27,775$217,628

Board Members and Trustees

NameTitle
John FeehanPresident
Bob PalleschiDirector
Darlene GallantDirector
Eliud AlcalaDirector
Kathy BurnsDirector
Peter RossettiDirector
Rodolfo Rudy VegaDirector
William JonesDirector
Brenda RodriguezDIRECTOR (SINCE FEB '24)
Dr Geoff PechinskyDIRECTOR (UNTIL FEB '24)
Marilyn SmithClerk
Mary MagnerTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Lynn Community Health CenterHealth Care269 UNION STREET, Lynn, MA 01901$12,237,847
North Shore Medical Center INCHospital Facility81 HIGHLAND AVENUE, Salem, MA 01970$2,995,031
Ocean TransportationTransportation Services182 ALLEY STREET, Lynn, MA 01905$2,896,511
Northeast Hospital Corporation INCHospital Facility133 BRIMBAL AVENUE, Beverly, MA 01915$2,832,598
Crossway Homecare LLCHome Health Care Services30 MASSACHUSETTS AVENUE, North Andover, MA 01845$2,264,124
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$113,633,805
Investment Income
$2,348,524
Other Revenue
$0
Change in Net Assets
$-3,446,873

Audited Revenue Reconciliation

Revenue per Audited Statements
$115,982,329
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$-1,660,926
Total Revenue per Audited Statements
$114,321,403
Total Revenue per Form 990
$115,982,329
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$79,783,131
Salaries, Compensation, and Employee Benefits$39,646,071
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$22,322,422$7,346,035-$29,668,457
All Other Expenses$23,245,030$462,583-$23,707,613
Other Expenses$8,085,400--$8,085,400
Other Employee Benefits$4,148,019$1,343,228-$5,491,247
Information Technology$234,070$2,772,312-$3,006,382
Payroll Taxes$1,754,836$750,087-$2,504,923
Occupancy$2,213,588$251,425-$2,465,013
Current Officers, Directors, Trustees, and Key Employees-$1,981,444-$1,981,444
Depreciation Depletion$1,786,562$121,746-$1,908,308
Advertising-$1,075,186-$1,075,186
Fees for Services Other$38,289$964,846-$1,003,135
Office Expenses$335,874$330,659-$666,533
Interest-$525,356-$525,356
Insurance-$395,026-$395,026
Travel$87,861$58,543-$146,404
Fees for Services Accounting-$62,250-$62,250
Fees for Services Legal-$56,989-$56,989
Total Functional Expenses$100,931,487$18,497,715$0$119,429,202

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$119,429,202
Expenses per Audited Statements$118,903,846
Total Expenses per Audited Statements$118,903,846
Expenses Not Reported on Financial Statements$525,356
Other Expense Adjustments$525,356
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
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Operating Lease Liabilities$4,863,013
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
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

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

A copy of the form 990 is provided to the board of directors by the organization prior to its filing.

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

The organization regularly and consistently monitors and enforces compliance with the written conflict of interest policy by requiring an annual affirmation of the policy by all employees and board members. In addition, the board of directors is charged with monitoring and enforcing the policy.

Form 990, Part VI, Section B, Line 15

Senior managers receive annual performance evaluations. The board of directors appoints a committee consisting of a few board members to serve as the compensation commitee, which is charged with reviewing the executive director's performance evaluation and determining the proper level of compensation by considering not only performance and responsibilities, but also considering salary levels at comparable organizations.

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
Element Care Inc
EIN
04-3267751
Phone
7817156608
Address
235 WOODLAND NORTH AVENUE, LYNN, MA 01904

Signing Officer

Name
Christina Wong
Title
Current CFO
Phone
7817156620
Signed
2025-05-12
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Robert Durante
Formed
1994
Legal Domicile
Ma
Voting Board Members
11
Independent Board Members
11
Employees
361
Volunteers
0

Preparer

Firm
Baker Tilly Advisory Group Lp
Address
1 HIGHWOOD DRIVE, TEWKSBURY, MA 01876
Preparer
Matthew Kalil CPA Mba
Phone
9785575300
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 24E

Home health care: program service expenses 7,453,460. Management and general expenses 0. Fundraising expenses 0. Total expenses 7,453,460. Assisted living facilities: program service expenses 6,971,750. Management and general expenses 0. Fundraising expenses 0. Total expenses 6,971,750. Transportation: program service expenses 5,080,301. Management and general expenses 0. Fundraising expenses 0. Total expenses 5,080,301. Client home medical equipment rental: program service expenses 1,045,844. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,045,844. Client meals: program service expenses 865,565. Management and general expenses 0. Fundraising expenses 0. Total expenses 865,565. Client personal care items: program service expenses 416,828. Management and general expenses 0. Fundraising expenses 0. Total expenses 416,828. Sco contracted services: program service expenses 411,416. Management and general expenses 0. Fundraising expenses 0. Total expenses 411,416. Program supplies: program service expenses 392,040. Management and general expenses 5,008. Fundraising expenses 0. Total expenses 397,048. In-home companion services: program service expenses 193,080. Management and general expenses 0. Fundraising expenses 0. Total expenses 193,080. Bank service charges: program service expenses 0. Management and general expenses 167,986. Fundraising expenses 0. Total expenses 167,986. Equipment rental: program service expenses 103,773. Management and general expenses 26,288. Fundraising expenses 0. Total expenses 130,061. Equipment repairs: program service expenses 120,343. Management and general expenses 0. Fundraising expenses 0. Total expenses 120,343. Dues and subscriptions: program service expenses 13,905. Management and general expenses 104,098. Fundraising expenses 0. Total expenses 118,003. Staff training: program service expenses 61,289. Management and general expenses 38,611. Fundraising expenses 0. Total expenses 99,900. Licenses and permits: program service expenses 38,323. Management and general expenses 50,130. Fundraising expenses 0. Total expenses 88,453. Miscellaneous expenses: program service expenses 7,147. Management and general expenses 66,206. Fundraising expenses 0. Total expenses 73,353. Client translation services: program service expenses 63,966. Management and general expenses 0. Fundraising expenses 0. Total expenses 63,966. Client laundry services: program service expenses 6,000. Management and general expenses 0. Fundraising expenses 0. Total expenses 6,000. Contributions: program service expenses 0. Management and general expenses 4,256. Fundraising expenses 0. Total expenses 4,256.

FORM 990, PART XI, LINE 9:

Change in value of investment in joint venture -2,801,450.

FORM 990, PART XII, LINE 2C:

The organization has a committee that assumes responsibility for oversight for the audit of its financial statements and selection of an independent accountant. This process has not changed during the year.

Financial Statement Notes

PART X, LINE 2:

The organization is a nonprofit organization as described in section 501(c)(3) of the internal revenue code and is exempt from federal and state income taxes on trade or business profits generated by activities related to the organization's exempt function. The organization may be subject to federal and state income taxes for profits generated from trade or business activities unrelated to the organization's exempt function. As of june 30, 2024, management believes that the organization has not generated any unrelated business taxable income. The organization assesses the recording of uncertain tax positions by evaluating the minimum recognition threshold and measurement requirements a tax position must meet before being recognized as a benefit in the financial statements. The organization's policy is to recognize interest and penalties accrued on any uncertain tax positions as a component of income tax expense, if any, in its statements of activities. The organization has not recognized any liabilities for uncertain tax positions or unrecognized benefits as of june 30, 2024. The organization does not expect any material change in uncertain tax benefits within the next 12 months.

PART XI, LINE 2D - OTHER ADJUSTMENTS:

Interest expense -525,356. Change in value of investment in joint venture -2,801,450.

PART XII, LINE 4B - OTHER ADJUSTMENTS:

Interest expense 525,356.

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

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IRS990/Desc0ELEMENT CARE, INC. IS A PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) WHICH ENABLES ELIGIBLE SENIORS TO REMAIN IN THEIR OWN COMMUNITIES. THE PACE MODEL PROVIDES ONE STOP COMPREHENSIVE HEALTH AND SOCIAL SERVICES FOR ITS PARTICIPANTS. PACE'S GOAL IS TO MAXIMIZE THE HEALTH AND FUNCTIONING LEVELS OF PROGRAM ENROLLEES TO ENABLE THEM TO CONTINUE LIVING IN THE COMMUNITY. TO ACCOMPLISH THIS, THE PROGRAM: PROVIDES A COMPREHENSIVE RANGE OF PREVENTATIVE, PRIMARY, ACUTE AND LONG-TERM CARE SERVICES; USES AN INTEGRATED INTERDISCIPLINARY TEAM TO MANAGE CARE; DEVELOPS APPROPRIATE COMMUNITY-BASED ALTERNATIVES TO PROVIDING CARE IN INSTITUTIONAL SETTINGS AND CONSOLIDATES CAPITATED FUNDING FROM MEDICARE AND MEDICAID.IN JUNE 2004 ELEMENT CARE, ALONG WITH GLSS AND LCHC BECAME A MEMBER OF THE SENIOR CARE OPTIONS (SCO) PROGRAM, THE PARENT ORGANIZATION IS COMMONWEALTH CARE ALLIANCE. THIS IS A STATE-RUN PROGRAM SIMILAR TO THE PACE PROGRAM, WHERE PATIENTS ARE CARED FOR, HOWEVER CCA IS THE DIRECT RECIPIENT OF THE MEDICARE AND MEDICAID REVENUE. THIS PROGRAM ALLOWS ELEMENT CARE TO REACH A WIDER POPULATION, AS THE QUALIFICATION TO BECOME A MEMBER OF THE SCO PROGRAM ARE MORE FLEXIBLE THAN THE PACE PROGRAM. WHEREAS PACE REQUIRES ALL MEMBERS TO BE "NURSING HOME ELIGIBLE", SCO MAY ALLOW FOR MUCH HEALTHIER MEMBERS TO JOIN THE PROGRAM, THEREBY GIVING ELEMENT CARE THE OPPORTUNITY TO ASSIST THESE PATIENTS EARLIER. ELEMENT CARE IS CONSIDERED A PRIMARY CARE SITE AND PROVIDES SERVICES TO PARTICIPANTS IN THE NORTH SHORE. UP UNTIL DECEMBER 31, 2018, ELEMENT CARE OPERATED UNDER A FULL RISK MODEL WHEREBY, CCA RECEIVED MEDICARE AND MEDICAID REIMBURSEMENT (SIMILAR TO ELEMENT CARE) AND THEN REMITTED 86% OF THE PREMIUM RECEIVED LESS CLAIMS EXPENSES TO ELEMENT CARE. ELEMENT CARE IN TURN PROVIDED CARE MANAGEMENT SERVICES TO THESE PARTICIPANTS, AND REMITTED REQUIRED FUNDS TO ITS VENDORS, INCLUDING GLSS AND LCHC FOR THE SERVICES THEY PROVIDE. ELEMENT CARE RENEGOTIATED ITS CONTRACT MORE RECENTLY WITH CCA EFFECTIVE JANUARY 1, 2022, AND NOW IS REIMBURSED FOR CASE MANAGEMENT SERVICES ON A PER MEMBER PER MONTH BASIS AT A RATE OF $312 PMPM.ELEMENT CARE WILL ALSO START NEGOTIATIONS FOR A NEW CONTRACT WITH CCA FOR JANUARY 1, 2025.IN 2023 ELEMENT CARE COMPLETED CONSTRUCTION ON THE NEW LYNN SITE FOR PARTICIPANTS AND THE ADMINISTRATIVE TEAM. CONSTRUCTION WAS ALSO COMPLETED ON A NEW BRIGHTON SITE JUST AFTER THE FISCAL YEAR END, IN AUGUST 2024. ELEMENT CARE MAINTAINS AN INVESTMENT IN A PACE CENTER IN WASHINGTON DC.
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