75 Sylvan Street, Suite B-102
Danvers, MA 01923
[P] (888) 283-1722
[F] (978) 774-8700
Mary Doorley Simboski
Printable Profile (Summary / Full)
LAST UPDATED: 04/30/2019
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|
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.
Care Dimensions enriches quality of life for those affected by life-limiting illness, death and loss by providing exceptional care, support, education and consultation.
|Fiscal Year||Jan 01, 2019 to Dec 31, 2019|
For more details regarding the organization's financial information, select the financial tab and review available comments.
We are the largest non-profit provider of hospice,
palliative and bereavement in the Commonwealth, having provided expert
compassionate care to tens of thousands of terminally ill patients and their
families since 1978. We serve 1,000 patients daily in more than 95 eastern
Massachusetts communities wherever patients live – private homes, skilled
nursing facilities, assisted living communities, hospitals, or in our two
in-patient units where we can support up to 38 patients for whom home care is
not possible or for home care patients in need of hospital-level stabilization
without requiring a costly re-admittance.
We offer specialized clinical programs for patients with advanced dementia, cardiac and respiratory diseases. We also provide programs tailored to the needs of adults with developmental disabilities, veterans, the LGBTQ community and members of all faiths. We address the multiple and intertwined needs of our patients by creating holistic care plans that address the clinical, psycho-social, and spirituals needs of our patients and families with both clinical and non-invasive therapies. Programs include complementary therapies, palliative care, pastoral and bereavement support, professional and community education programs.
We continue to pioneer ways to enrich quality of life for those affected by life-limiting illness. Our recent accomplishments (2018 – 2019) include:
Our key areas of focus for 2019 include:
1. Invest in technology at the patient, agency and community levels.
2. Increase community awareness of hospice and the need for advance directives.
3. Expand and enhance palliative care program.
Nationally and locally, our elder population continues to grow, and more people are living longer with serious and chronic illness. Philanthropic support of Care Dimensions helps us fill the gaps in the comprehensive hospice care not covered by insurance or Medicare, such as:
Our organization is one of the country’s first and most innovative providers of hospice and palliative care. We take care of more than 1,000 patients daily, providing each patient with a team of board-certified doctors and nurses, social workers, chaplains, and specialists to ensure expert care from people that have chosen to specialize in this selected field.
I have been a nurse for more than 40 years and I often hear regret from patients that wait too long to think about end-of-life care. There are universal realities for people that are seriously ill and if they have the time, and support from a strong hospice organization, they can spend their last days achieving final goals. Care Dimensions focuses on bettering quality of life for the patient, and the family. We want to honor our patients and make sure the lives they are completing are as distinguished as the lives that they live. Our staff and volunteers at Care Dimensions consistently offers the best care, and makes intentional choices and priorities to help our patients on their journey of saying good-bye and leaving a legacy for their families to remember them.
We have made huge progress in four decades of service in eastern Massachusetts, but we have much more work left to do. Less than half of those eligible for hospice elect it. And although 90% of persons surveyed say talking about their final wishes is important, only 30% take any action. Most say that prefer to die in tier home but most die in institutions instead. We are committed to helping people prepare well in advance of any crisis, and want to help their healthcare providers have accurate and timely conversations with their patients.
As a non-profit, community-based organization we have an opportunity to serve people of all backgrounds and socio-economic standing and we are committed to helping more individuals and families access care early, and receive support during one of the most challenging times in their lives. No one is denied care from Care Dimensions because of financial status, level of insurance coverage or ability to pay. Thank you for your consideration to support our work.
- Patricia Ahern, RN, MBA, FACHE, President and CEO of Care Dimensions
In a constantly evolving healthcare market, Care Dimensions has continued to enjoy strong growth for more than four decades by offering innovative clinical programs, providing earlier and easier access to care for sicker patients, delivering consistently high quality care, and developing new referral partners. This growth coupled with prudent management has enabled Care Dimensions to build a solid financial foundation to support its vision and innovation. I am proud to serve Care Dimensions and partner with an exceptional senior management team to support the superb work of our clinical staff and their administrative colleagues.
-Jane Alpers, Chair, Care Dimensions Board of Directors
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 and families in 95 communities throughout eastern MA. Those communities include cities and towns from the North Shore to Greater Boston to the MetroWest regions throughout Essex, Middlesex, Suffolk, and Norfolk counties.
Hospice Services: With support from our hospice team, terminally ill patients may remain at home at the end of life, surrounded by family and friends. If residing at home is no longer an option, we provide hospice services for patients in over 100 long-term care or assisted-living facilities. Patients who cannot remain at home and need specialized care can be admitted to the Kaplan Family Hospice House in Danvers or the Care Dimensions Hospice House in Lincoln.
Palliative Care is offered to patients who suffer from advanced and progressive life-limiting illness, but do not meet the criteria for hospice care. Palliative care provides patient and family-centered care that focuses on improving quality of life through pain and symptom management while also addressing the patient’s emotional, social and spiritual needs.
Bereavement Program: Care Dimensions is widely recognized for its bereavement program – considered to be the most comprehensive in New England. The only dedicated bereavement center in Massachusetts, our Bertolon Center for Grief and Healing provides services that are available to anyone who has experienced a loss. We help honor the memory of those lost by providing grief support to 7,000 adults and children each year. We offer counseling services, workshops, support groups, bereavement camp, and crisis intervention at schools, businesses and community organizations.
Specialized Programs: We offer specialized clinical programs for patients with advanced dementia, cardiac and respiratory diseases. In addition, we provide programs tailored to the needs of adults with developmental disabilities, and veterans.
Pediatric Hospice and Palliative Care: Our pediatric program is highly specialized and serves children with life-limiting conditions. We have an open access philosophy that allows pediatric patients to continue receiving curative treatments while enrolled in hospice. Care Dimensions is the only dedicated pediatric hospice and palliative program for children in the state.
Complementary Therapies: At Care Dimensions, we integrate mind-body complementary therapies as an essential feature of total hospice care. Working in harmony with traditional medical and psycho-social services, these non-invasive, holistic practices help ease tension, reduce anxiety and improve overall comfort for patients. Our patients tell us they experience a sense of peace and well-being after receiving complementary therapy.
|Category||Health Care, General/Other Hospice Care|
|Population Served||Aging, Elderly, Senior Citizens Adults Children and Youth (0 - 19 years)|
|Program Short-Term Success||
Enhanced comfort is an immediate, desirable, and holistic goal of patient care at Care Dimensions. Outcomes of palliative and hospice care include:
|Program Long-Term Success||
Hospice focusses on caring, not curing. Considered the model for quality compassionate care for people facing a life-limiting illness, hospice provides expert medical care, pain management, and emotional and spiritual support expressly tailored to the patient’s needs and wishes. Support is provided to the patient’s loved ones as well.
Long-term success would be when anyone facing a life-limiting illness has the availability and option to choose palliative and/or hospice care, and have the right to die on their own terms.
|Program Success Monitored By||
Hospice providers are required by Centers for Medicare and Medicaid Services (CMS) to assess the quality and experience of the care we provide to patients and their families using standardized measurement tools. Quality is measured using the Hospice Item Set (HIS) which examines our clinical practices upon admission and discharge. Experience of care is measured using the Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey which is mailed out two months after the patient’s death to the primary caregiver.
Ongoing success is measured using our monthly dashboard results to drive performance improvement activities and both tools are benchmarked against national performance standards. Performance is also shared with our BOD Quality and Compliance Committee. Long-term success is measured by progressive improvement, achievement of benchmarks, and sustaining excellence.
|Examples of Program Success||
Patient “Woody” Wooldridge: “Since Care Dimensions has been involved, I’ve been able to maintain my independence. I go down to Dunkin’ Donuts, make my own coffee. I can come and go. That’s great for me.”
“Before, when he got sick and I couldn’t get to him, the only thing he had was the Lifeline, and he’d end up in the hospital,” said Sandy, his daughter/caregiver. “With Care Dimensions, he would call Wanda [his RN], and she’d either advise him how to control his shortness of breath… or she’d come over and deal with the situation.” A couple of times when his symptoms became too acute to manage at home, he was able to go the Kaplan Family Hospice House for care.”
“Wanda is a wonder,” raved Woody. “She’s a fantastic lady who knows her stuff. Just thinking she’s coming is enough to pull my spirits up.”
Sharing his wishes for end-of-life care and choosing hospice with Care Dimensions allowed Woody to live his final months as he wanted: independent and social.
|CEO/Executive Director||Ms. Patricia Ahern RN, MBA, FACHE|
|CEO Term Start||May 2017|
Ahern has more than 30 years of leadership experience in healthcare spanning the continuum of care delivery services, including acute care hospitals and hospice and palliative care organizations. Most recently, she was CEO of the Center for Hospice and Palliative Care in Buffalo which serves nearly 500 hospice and 350 palliative care patients daily. Prior to that, Ahern served as President and CEO of Chicago’s Rainbow Hospice and Palliative Care for 18 years.
She is a Fellow of the American College of Healthcare Executives and holds memberships at many organizations including the National Hospice and Palliative Care Organization, National Partnership for Hospice Innovation, American Hospital Association, American Academy of Hospice and Palliative Medicine, Coalition of Transform Advanced Care, Massachusetts Coalition for Serious Illness and MOLST Refresh Team/Department of Health MA. Ahern is a member of the Healthcare Leadership Committee for the Boston Chamber of Commerce, and is a board member for the North Shore Chamber of Commerce.
Ahern holds an MBA from North Park University in Chicago, as well as a BS from Northeastern Illinois University and a nursing diploma from Saint Francis Hospital School of Nursing in Evanston, Illinois. Previously, she was a member of the American Heart Association and the Rotary Club, where she has served in board capacities on the state, regional and national level.
|Co-CEO Term Start||--|
|Ms. Diane T. Stringer||June 1989||Mar 2017|
|Ms. Jean Ball||Vice President of Quality and Compliance||
Ms. Ball has more than 30 years of experience in healthcare focusing on team-based care, health care quality, improvement science, compliance risk assessment, survey readiness and improving the patient experience. She most recently was the chief compliance officer and director of patient experience at North Shore Medical Center.
Ms. Ball is a certified professional in healthcare quality (CPHQ) and licensed as a physical therapist. She earned her bachelor's degree in physical therapy from Simmons College and a master's degree in organizational management from Endicott College.
|Mr. Philip Cibelli||Vice President/CFO||
Phil Cibelli joined Care Dimensions in 2012 as vice president and chief financial officer. In his role, he oversees the finance and accounting operations as well as information technology services for Care Dimensions. In addition, he has responsibility for investment and treasury oversight and serves as the financial liaison to the Finance Committee and Board of Directors.
With over 20 years of experience in finance and accounting, Cibelli has both a public accounting background as well as private industry experience. He has served in financial leadership positions in publicly traded companies, privately held companies and not-for-profits, most recently serving as the director of accounting for Northeast Health System in Beverly.Cibelli is a certified public accountant with a master's degree in business administration from Bentley University and a bachelor’s degree in business administration from Merrimack College.
|Ms. Judy Cranney||Vice President and Chief Operating Officer||
Ms. Cranney has over 20 years of experience in healthcare management in acute, community, long-term care, and hospice settings. Prior to joining Care Dimensions, she held the position of director of health services at the Massachusetts Executive Office of Elder Affairs, serving as clinical advisor to the Secretary of Elder Affairs regarding quality and cost of care issues affecting health services for elder clients and their caregivers.
Ms. Cranney received a bachelor's degree in human services management and a master's degree in health care management from Lesley University. She also received a registered nurse diploma from the Salem Hospital School of Nursing. She holds certification in hospice and palliative care nursing; hospice and palliative care administration; and nursing executive, advanced. Cranney is currently a member of the Board of Directors of the Hospice and Palliative Care Federation of Massachusetts and is a member of the Area Agency on Aging Advisory Committee, the North Shore Community College LPN Advisory Committee, and the Hospice and Palliative Care Nurses Association. She also served on the Massachusetts Commission on End of Life Care.
|Ms. Kristine DiFiore||VP HR||--|
|Ms. Jean Graham||Senior Director of Marketing||
Jean Graham joined Care Dimensions in 2012 as senior director of marketing. In this role, she oversees public relations, branding, Internet, internal communications, advertising and marketing initiatives.
Graham has 20 years of experience in corporate communications, public relations, and marketing and has worked in business publishing, environmental engineering, high tech, financial services, healthcare technology and hospital services. Prior to joining Care Dimensions, she served as the marketing and media relations manager for North Shore Medical Center.
Graham graduated with a bachelor's degree in communications from Boston College. She is the chair of the Board of Directors of the Woburn Public Media Center, and she previously served on Boston College’s Alumni Association Board of Directors.
|Mr. Dan O'Neil||CIO||--|
|Dr. Stephanie Patel MD||Chief Medical Officer||
Dr. Stephanie Patel has been the chief medical officer at Care Dimensions since 2006, directing the medical component of all clinical programs. Dr. Patel also participates in the planning and implementation of new clinical programs to meet identified or emerging needs and ensure that Care Dimensions remains a leader in end-of-life care. She is also active in our outreach and educational activities and serves as a liaison between Care Dimensions and community physicians, hospitals, and long-term care providers to develop and expand the number of patients and families we serve.
She is board certified in hospice and palliative care medicine and family medicine and is a fellow of the American Academy of Hospice and Palliative Medicine. Dr. Patel previously served as a hospice medical director and palliative care physician in the Fairview Health System in Minneapolis. She was an integral part of a consultation service that was designated as a Palliative Care Leadership Center by the Center to Advance Palliative Care and the Robert Wood Johnson Foundation.
Prior to completing a hospice and palliative care fellowship at the Good Samaritan Hospital/VA Medical Center in Phoenix, Arizona, Dr. Patel worked in private practice. She completed her family practice residency at Montgomery Hospital in Norristown, Pennsylvania. Dr. Patel is a graduate of Temple University School of Medicine and holds a bachelor's degree from the University of California at Santa Barbara.
Dr. Patel is a member of the medical staff of Lahey Beverly Hospital, North Shore Medical Center, and the Cambridge Health Alliance hospitals. She lectures locally and nationally on the topic of hospice and palliative care, and has spoken at the annual meeting of the American Academy of Hospice and Palliative Medicine. Dr. Patel also teaches physicians as part of the Harvard Palliative Care Medicine Fellowship Program.
|Ms. Mary Doorley Simboski||VP of Philanthropy||--|
|Ms. Lyn Skarmeas||Vice President of Business Development||
Lyn Skarmeas joined Care Dimensions in 2012 as vice president of business development. In this role, she oversees provider relations and business development for Care Dimensions.
With more than 25 years of experience in business development and marketing for hospice and home health care organizations, Skarmeas has excelled at building and managing top performing provider relations teams, identifying opportunities for accelerating growth through new programs and services, and developing strong relationships with the local medical community and referral facilities. She most recently served as vice president of marketing and business development at All Care VNA & Hospice. Skarmeas is a graduate of Providence College.
|Best Places to Work||Modern Healthcare||2018|
|Leader in Hospice CAre for Intellectually and Developmentally Disabled Adults||Boston University Institute for Healtth Systems Innovation||2018|
|Leader in Hospice Care For Intellectually and Developmentally Disabled Adults||Boston University Institute for Healtth Systems Innovation||2018|
|Leader in LGBT Healthcare Equality||Human Rights Campaign Foundation||2016|
|25 Top Places to Work in 2015||North of Boston Business Magazine||2015|
|Circle of Life Award||American Hospital Association||2015|
|Leader in LGBT Healthcare Equality||Human Rights Campaign Foundation||2015|
|Outstanding Non-Profit Volunteer Program Award||The Massachusetts Service Alliance||2015|
|Member of state association of nonprofits?||No|
|Name of state association||--|
|External Assessment or Accreditation||Year|
We currently have referral relationships with 17 acute care facilities, 93 long-term care facilities and more than 150 primary care physicians, specialists and oncologists. We have been the preferred hospice provider of Partners HealthCare since 2011 and entered a new partnership with Cambridge Health Alliance in 2015. We are also a teaching affiliate of Harvard Medical School. These agencies inform patients of our services and often make referrals on the patients’ behalf.
|Number of Full Time Staff||409|
|Number of Part Time Staff||214|
|Number of Volunteers||460|
|Number of Contract Staff||1|
|Staff Retention Rate %||--|
|Ethnicity||African American/Black: 115
Asian American/Pacific Islander: 27
Native American/American Indian: 1
Other (if specified): Two or more races
Not Specified 0
|Organization has Fundraising Plan?||Yes|
|Organization has Strategic Plan?||No|
|Years Strategic Plan Considers||N/A|
|Management Succession Plan||--|
|Business Continuity of Operations Plan||--|
|Organization Policies And Procedures||Yes|
|Whistle Blower Policy||Yes|
|Document Destruction Policy||Yes|
|Directors and Officers Insurance Policy||--|
|State Charitable Solicitations Permit||Yes|
|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|
|Board Chair||Ms. Jane Alpers|
|Board Chair Company Affiliation||Denneen & Company|
|Board Chair Term||Sept 2018 - Aug 2020|
|Board Co-Chair Company Affiliation||--|
|Board Co-Chair Term||Sept -|
|Mr. Charles Adams||North Shore Medical Center||Voting|
|Mrs. Patricia Ahern RN, MBA, FACHE||Care Dimensions||Voting|
|Ms. Lisa Alcock||Community Volunteer||Voting|
|Ms. Jane Alpers||Denneen & company||Voting|
|Mr. Charles J. Badavas||Currensee||Voting|
|Ms. Janet Barnes||North Shore Medical Center||Voting|
|Mr. Michael Beer||Harvard Business School||Voting|
|Mr. Kevin Bottomley||Retired Dansversbank||Voting|
|Mr. John Collins||Xolvi, LLC||Voting|
|Mr. Thomas Ford||T Ford Company, Inc.||Voting|
|Ms. Pamela Lawrence||North Shore Medical Center||Voting|
|Ms. Wanda McClain||Health & Health Equity at Brigham & Women's Hospital||Voting|
|Ms. Mary Moran||MCM Financial Consulting||Voting|
|Mrs. Nancy Palmer||Community Volunteer||Voting|
|Ms. Kim Perryman MMHC, RN, NE-BC||Beverly Hospital||Voting|
|Ms. Joan Rosenthal||Community Volunteer||Voting|
|Mr. Peter M. Sherwood||Prides Crossing Capital, LLC||Voting|
|Dr. Allen L. Smith MD, MS||Brigham & Women's Hospital||Voting|
|Ms. Ellen Smith||Hornstein Jewish Professional Leadership Program at Brandeis University||Voting|
|Mr. Kevin F. Smith||Winchester Hospital||Voting|
|Dr. Michael Wertheimer MD, FACS||Retired||Voting|
|Ethnicity||African American/Black: 1
Asian American/Pacific Islander: 0
Native American/American Indian: 0
Other (if specified): --
Not Specified 0
|Board Term Lengths||--|
|Board Term Limits||--|
|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|
|Fiscal Year||Jan 01, 2019 to Dec 31, 2019|
|IRS Letter of Exemption|
|Indirect Public Support||--||--||--|
|Investment Income, Net of Losses||$465,236||$1,135,426||$401,496|
|Payments to Affiliates||--||--||--|
|Total Revenue/Total Expenses||1.05||1.09||1.04|
|Program Expense/Total Expenses||82%||81%||81%|
|Fundraising Expense/Contributed Revenue||31%||22%||43%|
|Total Net Assets||$49,868,019||$44,523,677||$39,584,016|
|1st (Source and Amount)||
|2nd (Source and Amount)||
|3rd (Source and Amount)||
|Spending Policy||Income Only|
|How many months does reserve cover?||--|
|Are you currently in a Capital Campaign?||No|
|Capital Campaign Purpose|
|Capital Campaign Dates||-|
|Capital Campaign Raised-to-Date Amount||--|
|Capital Campaign Anticipated in Next 5 Years?||No|
|Current Ratio: Current Assets/Current Liabilities||1.75||1.62||1.93|
|Long-term Liabilities/Total Assets||22%||4%||0%|
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