2022-08-12T15:57:52-05:00 2021-09-30 263753134 CBIZ MHM LLC 500 BOYLSTON STREET BOSTON MA 02116 990 2020-10-01 042103812 CIRCLE HOME INC CIRC 9784599343 360 MERRIMACK STREET BUILDING 9 LAWRENCE MA 01843 KAREN GOMES PRESIDENT/CEO 9784599343 2022-08-10 1 KAREN GOMES 999009999 BRENDA L BOOTH P01342395 6177610600 2022-08-10 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z X KAREN GOMES 360 MERRIMACK STREET BUILDING 9 LAWRENCE MA 01843 11553040 0 X WWW.HOMEHEALTHFOUNDATION.ORG X 1909 MA TO PROMOTE HEALTHCARE SERVICES TO SELECTED PATIENTS, IN THEIR HOMES, REGARDLESS OF ABILITY TO PAY. 14 9 154 12 0 0 469947 733439 9546213 10819601 498 0 0 0 10016658 11553040 0 0 0 0 8301893 8554710 0 0 2824 3122575 2892066 11424468 11446776 -1407810 106264 4519686 3678636 3678721 2731407 840965 947229 X CIRCLE HOME, INC. ENABLES INDIVIDUALS TO REMAIN SAFELY IN THEIR HOMES BY PROVIDING THE HIGHEST QUALITY HOME HEALTH, HOSPICE, AND OTHER COMMUNITY HEALTH SERVICES. 0 0 10465834 10819601 HOME HEALTH CARE - PROVIDE NECESSARY CARE & TREATMENT TO PATIENTS, IN THEIR HOMES, WITHOUT REGARD FOR THEIR ABILITY TO PAY. THIS CARE IS MORE COST EFFECTIVE, FOR CERTAIN POPULATIONS, THAN INPATIENT CARE.HOME HEALTH CARE IS FOR PATIENTS WHO HAVE DIFFICULTY GETTING OUT OF THE HOUSE, AND WHO NEED HELP WITH:*RECOVERY AFTER SURGERY OR A HOSPITAL STAY*HEALING AFTER A SERIOUS INJURY*COPING WITH A MAJOR CHANGE IN HEALTH*MEDICAL TREATMENTS THAT REQUIRE A NURSE OR THERAPIST*PREVENTING COMPLICATIONS AFTER CHILDBIRTH*LEARNING HOW TO SUCCESSFULLY MANAGE A CHRONIC DISEASE 10465834 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 9 0 1 154 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X EILEEN TREFONIDES 9785524000 360 MERRIMACK STREET BUILDING 9 LAWRENCE MA 01843 KAREN E GOMES PRESIDENT/CEO 0.50 42.50 X X 0 389998 14421 SCOTT A COLLINS CHAIR 0.50 5.00 X X 0 0 0 BARBARA B SAGER CO VICE CHAIR 0.50 3.00 X X 0 0 0 KARA DOYLE CO VICE CHAIR 0.50 3.00 X X 0 0 0 NAOMI PRENDERGAST CO VICE CHAIR (UNTIL JAN. 2021) 0.50 3.00 X X 0 0 0 SUSAN GREEN TREASURER 0.50 49.50 X X 0 818747 40823 DANIEL A HAYES JR SECRETARY 0.50 3.00 X X 0 0 0 JOHN P CHEMALY TRUSTEE (UNTIL DEC. 2020) 0.50 3.00 X 0 0 0 MICHAEL DANDORPH TRUSTEE 0.50 49.50 X 0 1514157 32232 EDA GEORGE RN PH D TRUSTEE 0.50 9.00 X 0 0 0 DEBRA S GRABOWSKI TRUSTEE 0.50 3.00 X 0 0 0 DR JOEL B HELLMANN TRUSTEE (UNTIL DEC. 2020) 0.50 3.00 X 0 0 0 JOHN F PROCHILO TRUSTEE 0.50 3.00 X 0 0 0 SUSAN M SANDBERG TRUSTEE (UNTIL JULY 2021) 0.50 42.50 X 0 767143 37182 KEITH N SOUCIE TRUSTEE 0.50 3.00 X 0 0 0 DR MICHAEL WAGNER MD TRUSTEE 0.50 49.50 X 0 1178641 184679 JOSEPH WHITE TRUSTEE 0.50 49.50 X 0 1049758 23820 DR RAYMOND H LEWIS JR TRUSTEE 0.50 3.00 X 0 0 0 DIANE FARRAHER-SMITH CHIEF CLINICAL INTEGRATION OFFICER 1.00 39.00 X 0 267880 34800 CHARLES WHIPPLE ESQ ASSISTANT SECRETARY 0.50 42.50 X 0 361220 40435 ELAINE BUSSEY CLINICAL SUPERVISOR 40.00 0.00 X 141859 0 3918 JONOTHAN MITCHELL IT SERVICE DELIVERY MANAGER 40.00 0.00 X 132922 0 0 JOANNE PICANSO SN SUPERVISOR 40.00 0.00 X 112245 0 11217 KIMBERLY HALLORAN SN SUPERVISOR 40.00 0.00 X 100244 0 30749 CLAUDIA HARTMAN PHYSICAL THERAPIST 40.00 0.00 X 106909 0 10884 WILLIAM WYMAN FORMER SR. VP, FINANCE/TREAS. 0.00 50.00 X 0 404412 23545 594179 6751956 488705 9 1 1 0 SUPPLEMENTAL HEALTH CARE PO BOX 677896 DALLAS TX 752677896 MEDICAL AND HEALTH CARE PAYMENTS 334204 COMMUNITY HEALTH NETWORK 747 WASHINGTON STREET HOLLISTON MA 01746 MEDICAL AND HEALTH CARE PAYMENTS 168456 CORE MEDICAL GROUP 655 SOUTH WILLOW STREET SUITE 128 MANCHESTER NH 03103 MEDICAL AND HEALTH CARE PAYMENTS 115197 3 684878 48561 733439 HOMECARE 621610 10778351 10778351 INTERCOMPANY CLINICAL FEES 561000 41250 41250 10819601 11553040 10819601 0 0 7214877 6919972 292282 2623 104478 99932 4546 678868 515177 163691 556487 526359 29927 201 363539 307206 56333 7211 4211 3000 258260 256529 1731 389065 389065 122154 122154 9510 1378 8132 64511 64511 26787 26787 CLINICAL FEES 1306458 1306458 MEDICAL SUPPLIES 162011 162011 PHONES & AIR CARDS 54466 54466 DUES & SUBSCRIPTIONS 6891 6891 121203 118579 2624 11446776 10465834 978118 2824 519098 305457 3023866 2475529 14685 124 1651318 753792 962037 897526 4519686 3678636 1644124 1254445 328786 108629 1705811 1368333 3678721 2731407 X 840965 947229 840965 947229 4519686 3678636 106264 0 X 0 1 X 1 0 X 69045 136685 108913 469947 733439 1518029 13702636 15424422 13979658 9546213 10819601 63472530 13771681 15561107 14088571 10016160 11553040 64990559 0 0 0 64990559 149207 155530 136748 498 441983 149207 155530 136748 498 441983 13920888 15716637 14225319 10016658 11553040 65432542 0.99320 0.99140 0.00680 0.00860 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 927765 201016 726749 723553 552776 170777 897526 DUE TO AFFILIATES 474136 MCR ADVANCE 894197 1368333 11553040 0 11553040 0 11553040 11446776 0 11446776 0 11446776 0 1 0 0 0 0 0 1 0 MICHAEL DANDORPH TRUSTEE 0 1104636 0 395000 0 14521 0 0 0 32232 0 1546389 0 0 DR MICHAEL WAGNER MD TRUSTEE 0 875149 0 160500 0 142992 0 148388 0 36291 0 1363320 0 126728 JOSEPH WHITE TRUSTEE 0 795692 0 184449 0 69617 0 8550 0 15270 0 1073578 0 0 SUSAN GREEN TREASURER 0 594206 0 109704 0 114837 0 12001 0 28822 0 859570 0 87557 SUSAN M SANDBERG TRUSTEE (UNTIL JULY 2021) 0 619843 0 137700 0 9600 0 14292 0 22890 0 804325 0 0 WILLIAM WYMAN FORMER SR. VP, FINANCE/TREAS. 0 332604 0 64223 0 7585 0 8550 0 14995 0 427957 0 0 KAREN E GOMES PRESIDENT/CEO 0 339372 0 50626 0 0 0 10403 0 4018 0 404419 0 0 CHARLES WHIPPLE ESQ ASSISTANT SECRETARY 0 306020 0 45600 0 9600 0 8359 0 32076 0 401655 0 0 DIANE FARRAHER-SMITH CHIEF CLINICAL INTEGRATION OFFICER 0 242380 0 25500 0 0 0 9692 0 25108 0 302680 0 0 PART I, LINE 3 COMPENSATION SETTING PROCEEDURES OF THE PRESIDENT/CEO ARE ESTABLISHED BY HOME HEALTH FOUNDATION, INC., A RELATED ORGANIZATION. PART I, LINE 4B SECTION 457(F) RETIREMENT PLAN EMPLOYER DEFERRALS: DR. MICHAEL WAGNER, M.D. - $134,400 PART I, LINE 7 BONUSES ARE APPROVED BY THE BOARD, AND ARE BASED ON PERFORMANCE. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE CORPORATE MEMBER OF CIRCLE HOME, INC. IS HOME HEALTH FOUNDATION, INC. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER SHALL ELECT AND MAY REMOVE OR SUSPEND THE TRUSTESS OF CIRCLE HOME, INC. 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 SELECTION OF CERTIFIED PUBLIC ACCOUNTATNS, TO CONDUCT ANNUAL FINANCIAL AUDIT AND H) THE EXECUTION OF LEASES FOR MAJOR EQUIPMENT OR REAL ESTATE, THE EXECUTION OF MAJOR CONTRACTS, OTHER THAN IN THE ORDINARY COURSE OF BUSINESS OR BUDGETED ITEMS; I) THE APPROVAL OF INDIVIDUALS AUTHORIZED TO SIGN CHECKS; AND J) THE DISPOSITION OF ANY AND/OR DONATION TO THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE COMPLETE FORM 990 IS UPLOADED TO A SECURE ONLINE PORTAL FOR THE BOARD OF DIRECTORS TO REVIEW AND COMMENT PRIOR TO FILING. ANY IDENTIFIED CHANGES BASED UPON COMMENTS ARE MADE AS INDICATED. FORM 990, PART VI, SECTION B, LINE 12C ALL NEW HIRES AND NEW BOARD MEMBERS RECEIVE THE ORGANIZATION'S CORPORATE COMPLIANCE PLAN. THEY DISCLOSE AT THAT POINT IN TIME ANY CONFLICTS OF INTEREST. BOARD MEMBERS ALSO COMPLETE A 990 QUESTIONAIRE. ON AN ANNUAL BASIS EMPLOYEES ALSO REVIEW THE CORPORATE COMPLIANCE PLAN AND INDICATE ANY POTENTIAL CONFLICTS OF INTEREST. BOARD MEMBERS ON AN ANNUAL BASIS REVIEW THE BYLAWS RELATING TO CONFLICT OF INTEREST AND COMPLETE A 990 QUESTIONAIRE. FORM 990, PART VI, SECTION B, LINE 15 ON AN ANNUAL BASIS THE ORGANIZATION PARTICIPATES IN A SALARY SURVEY AND EVALUATES ALL POSITIONS AGAINST THE SURVEY. THE CONTEMPORANEOUS INFORMATION IS SHARED WITH THE BOARD PRESIDENT FOR REVIEW WHEN EVALUATING THE EXECUTIVE DIRECTORS SALARY AND ANY COMPENSATION CHANGES. FOR OFFICERS, THE SALARY SURVEY IS REVIEWED ANNUALLY BY HUMAN RESOURCES AND THE EXECUTIVE DIRECTOR. BASED UPON THAT SURVEY SALARY RANGES OR PAY MAY BE ADJUSTED. THIS INFORMATION IS SHARED WITH THE PERSONNEL COMMITTEE BY THE EXECUTIVE DIRECTOR. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILALE UPON REQUEST. MELROSEWAKEFIELD HEALTHCARE INC 170 GOVERNORS AVE MEDFORD MA 02155 042767880 HOSPITAL MA 501(C)(3) LINE 3 MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION 1 HALLMARK HEALTH MEDICAL ASSOCIATES INC 170 GOVERNORS AVE MEDFORD MA 02155 043140938 MD OFFICES MA 501(C)(3) LINE 10 MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION 1 LM LONG TERM CARE SERVICES INC 170 GOVERNORS AVE MEDFORD MA 02155 042938772 LONG-TERM CARE MA 501(C)(3) LINE 12B, II MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION 1 SAVIN LONG TERM CARE CORPORATION 170 GOVERNORS AVE MEDFORD MA 02155 043012616 LONG-TERM CARE MA 501(C)(3) LINE 10 MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION 1 HALLMARK HEALTH VISITING NURSE ASSOCIATION AND HOSPICE INC 178 SAVIN ST SUITE 300 MALDEN MA 02148 042437064 VISITING NURSE MA 501(C)(3) LINE 10 HOME HEALTH FOUNDATION INC 1 HALLMARK HEALTH PROPERTIES 170 GOVERNORS AVE MEDFORD MA 02155 222580542 PROPERTY MA 501(C)(3) LINE 12B, II MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION 1 MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION 170 GOVERNORS AVE MEDFORD MA 02155 042103587 PARENT MA 501(C)(3) LINE 12A, I WELLFORCE INC 1 THE LOWELL GENERAL HOSPITAL 295 VARNUM AVENUE LOWELL MA 01854 042103590 HEALTH CARE MA 501(C)(3) LINE 3 CIRCLE HEALTH INC 1 CIRCLE HEALTH PHYSICIANS INC 295 VARNUM AVENUE LOWELL MA 01854 273902914 MEDICAL SERVICES MA 501(C)(3) LINE 10 CIRCLE HEALTH INC 1 LGH PHYSICIAN ASSOCIATES INC ONE HOSPITAL DRIVE LOWELL MA 01852 043190747 MEDICAL SERVICES MA 501(C)(3) PF CIRCLE HEALTH PHYSICIANS INC 1 CIRCLE HEALTH INC 295 VARNUM AVENUE LOWELL MA 01854 222579798 PARENT/SUPPORTING ORGANIZATION MA 501(C)(3) LINE 12B, II WELLFORCE INC 1 WELLFORCE INC 1600 DISTRICT AVE SUITE 125 BURLINGTON MA 01803 452250732 PARENT/SUPPORTING ORGANIZATION MA 501(C)(3) LINE 12A, I N/A 0 WELLFORCE CLINICALLY INTEGRATED NETWORK 800 DISTRICT AVENUE BURLINGTON MA 01803 871600172 HEALTH CARE MA 501(C)(3) LINE 10 WELLFORCE INC 1 CNS NURSING HOME CARE INC 360 MERRIMACK STREET BUILDING 9 LAWRENCE MA 01843 371836433 HOME CARE SERVICES MA 501(C)(3) LINE 10 CIRCLE HOME INC 1 CIRCLE HOME INC 360 MERRIMACK STREET BUILDING 9 LAWRENCE MA 01843 042103812 HOME CARE SERVICES MA 501(C)(3) LINE 10 HOME HEALTH FOUNDATION INC 1 TUFTS MEDICAL CENTER PARENT INC 800 WASHINGTON STREET BOSTON MA 02111 042810022 FUNDRAISING, ADMIN. 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