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Organization DBA Care Dimensions
Former Names Hospice of the North Shore & Greater Boston (2013)
Hospice of the North Shore, Inc. (2010)
Organization received a competitive grant from the Boston Foundation in the past five years No

Summary

Mission StatementMORE »

Care Dimensions enriches quality of life for those affected by life-limiting illness, death and loss by providing exceptional care, support, education and consultation. 

Mission Statement

Care Dimensions enriches quality of life for those affected by life-limiting illness, death and loss by providing exceptional care, support, education and consultation. 

FinancialsMORE »

Fiscal Year Jan 01, 2015 to Dec 31, 2015
Projected Income $43,975,733.00
Projected Expense $43,149,787.00

ProgramsMORE »

  • Hospice Care

Revenue vs. Expense ($000s)

Expense Breakdown 2013 (%)

Expense Breakdown 2012 (%)

Expense Breakdown 2011 (%)

For more details regarding the organization's financial information, select the financial tab and review available comments.


Overview

Mission Statement

Care Dimensions enriches quality of life for those affected by life-limiting illness, death and loss by providing exceptional care, support, education and consultation. 

Background Statement

According to Dying in America, written by the Institute of Medicine and published by the National Academy of Sciences, “…a patient-centered, family-oriented approach to care near the end of life should be a high national priority.” Thankfully, Care Dimensions provides just such care, compassionately serving patients and their families. Providing the most comprehensive services possible has always been and will continue to be the hallmark of Care Dimensions. We have been on the forefront of the hospice movement since our founding in 1978 as Hospice of the North Shore. We care for the needs of patients and their loved ones wherever they live: at home, in assisted living communities, in skilled nursing facilities and hospitals, and at our inpatient facility, the Kaplan Family Hospice House.

Care Dimensions serves people regardless of age, faith, ethnicity or socio-economic standing. We work daily to help more patients and families gain access to care and no one is denied care because of financial status. The patients we serve have a variety of life-limiting illnesses including heart and lung diseases, neurological diseases, cancer, liver disease, Parkinson’s, Alzheimer’s and dementia. Patients are cared for by interdisciplinary teams and volunteers play an essential role, offering companionship, support and providing much needed respite for caregivers.

In 2014, Care Dimensions served 4,458 patients, providing 218,878 days of care. Our average census has grown to more than 600 patients per day. Last year patients and their families received 69,075 visits by our nurses, 14,696 visits by our social workers, 7,498 visits by our chaplains, 70,186 visits by our hospice aides, and 25,983 hours by our volunteers.

Care Dimensions is licensed by the Massachusetts Department of Public Health and certified by the federal Medicare program. In 2012, Care Dimensions was re-accredited by the Community Health Accreditation Program (CHAP). In January 2014, we achieved a 4 star rating, the highest possible, in the “We Honor Veterans” program. As a member of “We Honor Veterans” we help veterans receive recognition and military benefits and offer services wherever the veteran may live, including VA centers.


Impact Statement

Care Dimensions’ goals and objectives are formed by the core values of the organization: compassion, excellence, collaboration, integrity, responsiveness and innovation. We embrace our legacy of collaboration and work together with enthusiasm to create an open environment that values the sharing of resources, knowledge, expertise and differences to achieve common goals.
 
In 2014 we successfully provided:
-2,476 days of care for 37 pediatric patients, a 236% increase from the prior year
- $377,697 in free care to patients, an $150,697 increase over the prior year.
- 218,878 days of care in 90 communities in Massachusetts
- 69,075 visits by nurses, 14,696 visits by social workers, 7,498 visits by chaplains, 70,186 visits by hospice aides, and 25,983 hours by our volunteers. 

Our current strategic goals include:
Operational: To ensure consistent quality and service delivery throughout the entire organization, and to be the preferred hospice provider within eastern Massachusetts.

Patient and Family: To explore, expand and add innovative programs, such as the specialized pediatric palliative program, utilizing emerging practices and technology as appropriate.

Financial: To secure our strong financial position into the future by meeting our budget targets on operations and fundraising.

People: To be the preferred hospice employer in eastern Massachusetts.

New Hospice House: To raise the necessary funds and build an inpatient hospice facility in the greater Boston area. 


Needs Statement

Charitable donations from the community help support the innovative programs that are the hallmarks of the compassionate, comprehensive end-of-life care provided to anyone who needs it, regardless of their ability to pay.  In 2014, Care Dimensions provided $377,697 in free care to those who were not covered by insurance or who were unable to pay. 
Philanthropic support also helps to sustain the key services and develop new programs that insurance does not fund, including:
  • Bertolon Center for Grief & Healing, including bereavement support and counseling for adults and children
  • Camp Stepping Stones for children and their families who have experienced a loss
  • Palliative Care services to alleviate physical, emotional spiritual suffering for those who are chronically ill
  • Kaplan Family Hospice House equipment, furniture replacement and upgrades
  • Volunteer training and services
  • Specialty programs such as Complementary Therapies, Dementia Support and Cardiac Care
  • New innovative programs such as Pediatric Hospice and Palliative Care

CEO Statement

As our leader Diane T. Stringer, President and Chief Executive Officer for more than 25 years, once said: “Ours is a mission of caring for one human being by another. We provide the tools and support for families to undertake their most important act of giving.”

Board Chair Statement

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Geographic Area Served

In a specific U.S. city, cities, state(s) and/or region.
NORTHEAST REGION, MA
GREATER BOSTON REGION, MA
METROWEST REGION, MA
Care Dimensions serves patients & families in 90 communities throughout eastern MA.  Those communities include cities and towns from the North Shore to Greater Boston to the MetroWest regions.  

Organization Categories

  1. Human Services - Hospice
  2. Health Care - Patient & Family Support
  3. Human Services - Family Counseling

Independent research has been conducted on this organization's theory of change or on the effectiveness of this organization's program(s)

Yes

Programs

Hospice Care

Care Dimensions offers the following as part of it's total program offering: Hospice Services- Comprehensive medical, emotional and spiritual care allowing terminally ill patients to remain in their own homes at the end of life. If remaining at home is no longer an option, we provide dedicated hospice services for patients in 134 long-term care or assisted living facilities that many patients call “home.” Kaplan Family Hospice House - serves people with life-limiting illnesses, when hospice care at home is no longer an option. As a licensed 20 bed inpatient facility, the House provides three levels of care: inpatient/acute care, respite care and residential care. Bertolon Center for Grief & Healing (BCGH)- is available to anyone who has experienced a loss, regardless of their hospice involvement. BCGH serves 4,000 individuals via personal counseling, workshops, support groups and crisis intervention at schools, businesses and community organizations. Palliative Care- improves quality of life care through pain and symptom management for people with advanced illness and progressive life-limiting conditions who do not meet the criteria for hospice care (a life expectancy of six months or less). Complementary Therapies - developed to nuture the body, mind and spirit of our patients through non-invasive, holistic treatments including aromatherapy, music therapy, pet therapy, message therapy and Reiki. Dementia Support - is a specialized service that supports the unique needs of patients with late stage dementia or Alzheimer's disease. Cardiac Care - is a program developed for patients with advanced heart disease with the goal of reducing hospital and emergency room visits.
Budget  $35,172,565.00
Category  Health Care, General/Other Hospice Care
Population Served Aging, Elderly, Senior Citizens Adults Children and Youth (0 - 19 years)
Program Short-Term Success 
Care Dimensions will continue to invest in its infrastructure to sustain existing services and support our newer specialty services: Complementary Therapies, Cardiac Care Program and the Dementia Support Program. In 2013, we piloted a new Respiratory program for End Stage Pulmonary Disease (COPD), as well as a new Pediatric Hospice and Palliative Care Program to serve the needs of our most vulnerable population, sick children.
Other short term goals are:
1). To ensure that our staff and volunteers are trained in the best and current practices to deliver the most compassionate and comprehensive care possible to patients and families dealing with life limiting illness, death and loss.
2). To increase our average daily census by 5% in 2013, providing more care for more patients and their families.
Program Long-Term Success 
The organizational outcomes that Care Dimensions plans to achieve through 2014 are to:

1. Ensure consistent quality and service delivery throughout the entire organization and to be the prefered hospice provider within the North Shore and Greater Boston areas.

2. Explore, expand and add innovative programs utilizing emerging practices and technology as appropriate.

3. Secure our strong financial position in the future by meeting our budget targets and our fundraising goals.

4. Be the preferred hospice employer on the North Shore and in Greater Boston.
5. Build a new inpatient hospice facility in the Greater Boston area.
Program Success Monitored By  Care Dimensions uses multiple methods to measure performance and success. A primary measure of our overall success is our continued accreditation by the Community Healthcare Accreditation Program (CHAP) and licensing by the Massachusetts Department of Public Health, Medicare and Medicaid. Each of these entities conducts periodic qualitative and quantitative reviews, including on-site visits. In addition, a satisfaction survey is mailed to all families of deceased patients, within eight weeks of death. These surveys are administered and tabulated by Deyta, a nationally recognized leader in the field. Our data is benchmarked against that of more than 400 other hospice providers across the country. Information from surveys is used to make improvements in our service delivery and adapt programs as needed to better meet the needs of patients and their families.
Examples of Program Success  The National Hospice and Palliative Care Organization (NHPCO) has prepared a survey that is utilized by Care Dimensions and over 375 other hospice services across the country to evaluate bereavement services. Thirteen months after the death of the patient, the Bertolon Center for Grief & Healing sends this survey to family members whose loved one received our hospice services. Our family satisfaction surveys consistently affirm the value of our hospice care. The results from those surveys are tabulated and compared to other hospices across the country. In the most recent Deyta survey, 92% responded that overall patient care was Excellent or Very Good.

CEO/Executive Director/Board Comments

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Management


CEO/Executive Director Ms. Diane T. Stringer
CEO Term Start Jan 1989
CEO Email [email protected]
CEO Experience

Diane Stringer has been President and Chief Executive Officer of Care Dimensions (formerly Hospice of the North Shore & Greater Boston) since 1989, transforming the organization from a small volunteer program to its present position as the largest not-for-profit hospice in Massachusetts. Currently Care Dimensions is a freestanding provider with 380 staff and over 400 volunteers serving more than 2,500 patients a year.

Under Diane’s leadership, Care Dimensions pioneered Massachusetts’s first licensed hospice inpatient facility, the Kaplan Family Hospice House in Danvers, and collaborated with area health systems to establish inpatient hospice units in Salem and Gloucester. Other innovative programs developed during Diane’s tenure include Palliative Care of the North Shore & Greater Boston and the Center for Grief and Healing (now the Bertolon Center for Grief and Healing), which offers bereavement support and counseling to anyone in the community who has suffered a loss.

Diane has held various leadership positions with the Hospice and Palliative Care Federation of Massachusetts, including a term as President. She led efforts to expand access to hospice care in the Commonwealth by securing passage of legislation to mandate hospice as a covered benefit by all insurers in 1995 and to license freestanding hospice inpatient facilities in 2002. Since 1994, she has also served on various committees of the National Hospice and Palliative Care Organization, has served on the organization’s board of directors as Northeast Geographic Area Representative, and has served on the Commonwealth’s Commission for End of Life Care.

Diane earned a master’s degree in health policy and management from Harvard University School of Public Health, and a bachelor’s degree in nursing from Case Western Reserve University. In 2011, Diane was honored with the second annual LIVE UNITED Leadership Award by the North Shore United Way.

Co-CEO --
Co-CEO Term Start --
Co-CEO Email --
Co-CEO Experience --

Former CEOs and Terms

Name Start End
-- -- --

Senior Staff

Name Title Experience/Biography
Mr. Philip Cibelli Vice President/CFO --
Ms. Judy Cranney VP/Chief Operating Officer --
Ms. Jean Graham Senior Director of Marketing --
Ms. Elizabeth C. Macomber VP for Philanthropy --
Dr. Stephanie Patel MD Chief Medical Officer --
Ms. Carmelina Procaccini VP of Human Resources --
Ms. Lyn Skarmeas Vice President of Business Development --

Awards

Award Awarding Organization Year
-- -- --

Affiliations

Affiliation Year
-- --
Member of state association of nonprofits? No
Name of state association --

External Assessments and Accreditations

External Assessment or Accreditation Year
-- --

Collaborations

--

CEO/Executive Director/Board Comments

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Foundation Comments

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Staff Information

Number of Full Time Staff 256
Number of Part Time Staff 145
Number of Volunteers 440
Number of Contract Staff 18
Staff Retention Rate % --

Staff Demographics

Ethnicity African American/Black: 21
Asian American/Pacific Islander: 8
Caucasian: 295
Hispanic/Latino: 38
Native American/American Indian: 2
Other: 2
Other (if specified): --
Gender Female: 333
Male: 33
Not Specified 0

Plans & Policies

Organization has Fundraising Plan? Yes
Organization has Strategic Plan? Yes
Years Strategic Plan Considers 3
Management Succession Plan --
Business Continuity of Operations Plan --
Organization Policies And Procedures Yes
Nondiscrimination Policy Yes
Whistle Blower Policy Yes
Document Destruction Policy Yes
Directors and Officers Insurance Policy --
State Charitable Solicitations Permit Yes
State Registration --

Risk Management Provisions

--

Reporting and Evaluations

Management Reports to Board? Yes
CEO Formal Evaluation and Frequency Yes Annually
Senior Management Formal Evaluation and Frequency Yes Annually
Non Management Formal Evaluation and Frequency Yes Annually

Governance


Board Chair Mr. Peter M. Sherwood
Board Chair Company Affiliation Prides Crossing Capital, LLC
Board Chair Term Sept 2009 - Sept 2013
Board Co-Chair --
Board Co-Chair Company Affiliation --
Board Co-Chair Term -

Board Members

Name Company Affiliations Status
Mr. Charles Adams North Shore Medical Center Voting
Mr. Sheldon B. Aronson Community Volunteer Voting
Mr. Charles J. Badavas Currensee Voting
Ms. Gwen Cochran Hadden Cochran Hadden Royston Associates Voting
Mr. James Dunne Northeast Senior Health Voting
Mr. Thomas Ford T Ford Company, Inc. Voting
Mrs. Judy Jacobi Community Volunteer Voting
Ms. Pamela Lawrence North Shore Medical Center Voting
Dr. Timothy N. Liesching MD Lahey Clinic Voting
Mrs. Christina McCann Community Volunteer Voting
Mrs. Nancy Palmer Community Volunteer Voting
Mr. Peter M. Sherwood Prides Crossing Capital, LLC Voting
Dr. Allen L. Smith MD, MS Brigham & Women's Hospital Voting
Mr. Kevin F. Smith Winchester Hospital Voting
Ms. Lisa Stern Taylor Esq. Dionne & White, LLC Voting
Ms. Diane T. Stringer Care Dimensions Voting
Mrs. Regina Villa Regina Villa Associates Voting

Constituent Board Members

Name Company Affiliations Status
-- -- --

Youth Board Members

Name Company Affiliations Status
-- -- --

Advisory Board Members

Name Company Affiliations Status
-- -- --

Board Demographics

Ethnicity African American/Black: 1
Asian American/Pacific Islander: 0
Caucasian: 16
Hispanic/Latino: 0
Native American/American Indian: 0
Other: 0
Other (if specified): --
Gender Female: 8
Male: 9
Not Specified 0

Board Information

Board Term Lengths 3
Board Term Limits 3
Board Meeting Attendance % --
Written Board Selection Criteria Yes
Written Conflict Of Interest Policy Yes
Percentage of Monetary Contributions 100%
Percentage of In-Kind Contributions --
Constituency Includes Client Representation Yes

Standing Committees

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CEO/Executive Director/Board Comments

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Foundation Comments

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Financials


Revenue vs. Expense ($000s)

Expense Breakdown 2013 (%)

Expense Breakdown 2012 (%)

Expense Breakdown 2011 (%)

Fiscal Year Jan 01, 2015 to Dec 31, 2015
Projected Income $43,975,733.00
Projected Expense $43,149,787.00
Form 990s

2013 Form 990

2012 Form 990

2011 Form 990

2010 Form 990

2009 Form 990

2008 Form 990

Audit Documents

2013 Audited Financials

2012 Audited Financials

2011 Audited Financials

2010 Audited Financials

2009 Audited Financials

2008 Audited Financials

IRS Letter of Exemption

IRS Letter of Determination

Prior Three Years Total Revenue and Expense Totals

Fiscal Year 2013 2012 2011
Total Revenue $45,029,580 $39,920,710 $36,519,567
Total Expenses $42,041,621 $37,014,294 $35,846,815

Prior Three Years Revenue Sources

Fiscal Year 2013 2012 2011
Foundation and
Corporation Contributions
-- -- --
Government Contributions $0 $0 $0
    Federal -- -- --
    State -- -- --
    Local -- -- --
    Unspecified -- -- --
Individual Contributions $1,672,774 $1,268,629 $1,981,341
Indirect Public Support -- -- --
Earned Revenue $42,011,178 $37,263,418 $34,281,714
Investment Income, Net of Losses $771,970 $824,738 $321,684
Membership Dues -- -- --
Special Events $573,658 $563,925 $-65,172
Revenue In-Kind -- -- --
Other -- -- --

Prior Three Years Expense Allocations

Fiscal Year 2013 2012 2011
Program Expense $33,942,849 $30,751,118 $28,036,399
Administration Expense $7,542,898 $5,772,446 $7,351,173
Fundraising Expense $555,874 $490,730 $459,243
Payments to Affiliates -- -- --
Total Revenue/Total Expenses 1.07 1.08 1.02
Program Expense/Total Expenses 81% 83% 78%
Fundraising Expense/Contributed Revenue 25% 27% 24%

Prior Three Years Assets and Liabilities

Fiscal Year 2013 2012 2011
Total Assets $41,273,407 $37,094,411 $33,936,358
Current Assets $10,196,931 $11,462,248 $9,608,671
Long-Term Liabilities $79,566 $126,149 $1,405,021
Current Liabilities $6,421,031 $5,770,138 $4,696,437
Total Net Assets $34,772,810 $31,198,124 $27,834,900

Prior Three Years Top Three Funding Sources

Fiscal Year 2013 2012 2011
1st (Source and Amount) -- --
-- --
-- --
2nd (Source and Amount) -- --
-- --
-- --
3rd (Source and Amount) -- --
-- --
-- --

Financial Planning

Endowment Value --
Spending Policy N/A
Percentage(If selected) --
Credit Line Yes
Reserve Fund Yes
How many months does reserve cover? --

Capital Campaign

Are you currently in a Capital Campaign? Yes
Capital Campaign Purpose Paramount to the care of those who depend is our ability to bring our services close to home. Since we acquired Partners Hospice, our average daily hospice census has grown to over 600 patients. Many of them reside a significant distance from our Kaplan Family Hospice House in Danvers. A new hospice care facility is urgently needed to serve Boston/Metro West families. As we work closely with Boston area hospitals, patients and their families, we hear a familiar refrain: “We need a facility like the Kaplan House closer to Boston.” To meet this critical need, Care Dimensions plans to develop an 18-bed, inpatient hospice care facility on a 12-acre parcel of land located on the Lincoln/Waltham town line. The new facility will closely mirror the Kaplan House in its spacious home-like, private-suite design including two pediatric suites. Conversations with the medical community and donors give us the confidence to begin this journey. In 2013, Care Dimensions undertook a planning study to test our capacity to raise funds needed to help accomplish this vision. Eighty-seven percent said the campaign case is credible and worthy of support: “A new patient facility is very much needed in the Metro West area. People don’t want to drive from the Lincoln area all the way to Danvers when their loved one requires end-of-life care.” Care Dimensions will also establish endowments, each with a $1 million goal, for the Kaplan House, our Pediatric Hospice and Palliative Care program, and for our innovative hospice programs and services. Seeding endowment funds is crucial to ensuring ongoing operations and the flexibility to meet emerging community needs with new and innovative programming. “I like that endowment is included in the case…it shows that Hospice’s leadership is very forward-thinking.”
Campaign Goal --
Capital Campaign Dates 2014 - 2016
Capital Campaign Raised-to-Date Amount $2,452,246.00
Capital Campaign Anticipated in Next 5 Years? --

Short Term Solvency

Fiscal Year 2013 2012 2011
Current Ratio: Current Assets/Current Liabilities 1.59 1.99 2.05

Long Term Solvency

Fiscal Year 2013 2012 2011
Long-term Liabilities/Total Assets 0% 0% 4%

CEO/Executive Director/Board Comments

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Foundation Comments

Financial summary data in the charts and graphs is per the organization's IRS Form 990s. Asset and liability data for fiscal years 2010, 2011, 2012, and 2013 is per the audited financials. Contributions from foundations and corporations are listed under individuals when the breakout was not available.

Impact

The Impact tab is a section on the Giving Common added in October 2013; as such the majority of nonprofits have not yet had the chance to complete this voluntary section. The purpose of the Impact section is to ask five deceptively simple questions that require reflection and promote communication about what really matters – results. The goal is to encourage strategic thinking about how a nonprofit will achieve its goals. The following Impact questions are being completed by nonprofits slowly, thoughtfully and at the right time for their respective organizations to ensure the most accurate information possible.


1. What is your organization aiming to accomplish?

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2. What are your strategies for making this happen?

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3. What are your organization’s capabilities for doing this?

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4. How will your organization know if you are making progress?

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5. What have and haven’t you accomplished so far?

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