2021-08-16T10:33:29-05:00 2020-09-30 263753134 CBIZ MHM LLC 500 BOYLSTON STREET BOSTON MA 02116 990 2019-10-01 222587225 HOME HEALTH FOUNDATION INC HOME 9785524000 360 MERRIMACK STREET BUILDING 9 LAWRENCE MA 01843 KAREN GOMES PRESIDENT/CEO 9785524000 2021-08-09 1 BRENDA L BOOTH P01342395 6177610600 2021-08-09 2019 2022-09-23 18:48:47Z KAREN GOMES 360 MERRIMACK STREET BUILDING 9 LAWRENCE MA 01843 7342548 0 X WWW.HOMEHEALTHFOUNDATION.ORG X 1984 MA HOME HEALTH FOUNDATION, INC. PRIMARY PURPOSES ARE TO ACT AS A HOLDING COMPANY AND PROVIDE MANAGEMENT SERVICES TO AFFILIATED HOME CARE PROVIDERS PROVIDING SERVICES TO PATIENTS IN THE MERRIMACK VALLEY AND OTHER REGIONS, INCLUDING SOUTHERN NEW HAMPSHIRE AND THE SEACOAST. 17 12 36 13 0 0 93783 82804 3421964 3237123 2636016 4022621 0 -1618 6151763 7340930 0 0 0 0 3023435 2453265 0 0 0 1632360 1826180 4655795 4279445 1495968 3061485 108360585 111402359 8860001 8846290 99500584 102556069 HOME HEALTH FOUNDATION, INC. PRIMARY PURPOSES ARE TO ACT AS A HOLDING COMPANY AND PROVIDE MANAGEMENT SERVICES TO AFFILIATED HOME CARE PROVIDERS PROVIDING SERVICES TO PATIENTS IN THE MERRIMACK VALLEY AND OTHER REGIONS, INCLUDING SOUTHERN NEW HAMPSHIRE AND THE SEACOAST. 0 0 3602131 3237123 PROVIDES GENERAL ADMINISTRATIVE OVERSIGHT TO FIVE NOT-FOR-PROFIT HEALTH CARE SUBSIDIARIES AND ARRANGES FOR CONTRACT SERVICES PROVIDED TO THE SAME FIVE SUBSIDIARIES. 3602131 1 1 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 10 0 1 36 1 0 0 0 0 0 0 0 0 0 0 0 0 X 17 12 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 MA NH X EILEEN TREFONIDES 9785524000 360 MERRIMACK STREET BUILDING 9 LAWRENCE MA 01843 KAREN E GOMES PRESIDENT/CEO 39.50 0.50 X X 423517 0 13948 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 NAOMI PRENDERGAST CO VICE CHAIR 0.50 3.00 X X 0 0 0 SUSAN GREEN TREASURER 0.50 49.50 X X 0 799109 19738 DANIEL A HAYES JR SECRETARY 0.50 3.00 X X 0 0 0 JOHN P CHEMALY TRUSTEE 0.50 3.00 X 0 0 0 MICHAEL DANDORPH TRUSTEE 0.50 40.00 X 0 0 0 KARA DOYLE TRUSTEE 0.50 3.00 X 0 0 0 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 0.50 3.00 X 0 0 0 JOHN F PROCHILO TRUSTEE 0.50 3.00 X 0 0 0 SUSAN M SANDBERG TRUSTEE 0.50 42.50 X 0 708368 29475 KEITH N SOUCIE TRUSTEE 0.50 3.00 X 0 0 0 DR MICHAEL WAGNER MD TRUSTEE 0.50 39.50 X 0 1608006 162130 JOSEPH WHITE TRUSTEE 0.50 49.50 X 0 1067368 21785 DAVID W NESBITT TRUSTEE (UNTIL 7/23/20) 0.50 3.00 X 0 0 0 DIANE FARRAHER-SMITH CHIEF CLINICAL INTEGRATION OFFICER 1.00 39.00 X 0 315119 24151 PATRICIA BUIOCCHI VP OF OPERATIONS 37.50 0.00 X 276106 0 37391 DONNA BEAUDIN VP OF QUAL COMP RISK MGMT 37.50 0.00 X 161753 0 37075 DONNA DEVEAU VP OF EXTERNAL RELATIONS 37.50 0.00 X 122385 0 6197 KELLEY MACDONALD LEAD CARE TRANSITION LIAISON 37.50 0.00 X 103952 0 28780 1087713 4497970 380670 5 0 1 0 BERRY DUNN MCNEIL & PARKER LLC 1000 ELM STREET 15TH FLOOR MANCHESTER NH 03101 AUDIT & TAX 270037 NEPC LLC PO BOX 4110 WOBURN MA 01888 INVESTING 102273 2 44040 38764 82804 MANAGEMENT FEES 561000 3237123 3237123 3237123 1534562 1534562 2488059 0 2488059 2488059 2488059 0 44040 1618 -1618 -1618 7340930 3237123 0 4021003 431051 431051 1618798 1489583 129215 47362 32031 15331 158207 154700 3507 197847 184339 13508 6336 6336 32634 32634 128514 128088 426 30653 21936 8717 30060 3184 26876 38996 38996 22736 22543 193 5650 5650 151828 151828 612000 612000 8540 8540 INTERCOMPANY FEES 659253 659253 COMMUNITY OUTREACH 39645 35999 3646 DUES & SUBSCRIPTIONS 28823 28823 PHONES & AIR CARDS 24306 24306 6206 332 5874 4279445 3602131 677314 0 899406 699908 232842 0 86338846 90427103 7017900 6446900 13871591 13828448 108360585 111402359 443541 643290 8416460 8203000 8860001 8846290 X 99484584 102540069 16000 16000 99500584 102556069 108360585 111402359 3061485 -6000 0 X 0 1 X 1 0 X X 5 HOME HEALTH VNA INC 042435675 10 1 0 0 HOME CARE INC 042854358 10 1 0 0 MERRIMACK VALLEY HOSPICE INC 043024278 10 1 0 0 CIRCLE HOME INC 042103812 10 1 0 0 HALLMARK HEALTH VISITING NURSE ASSOCIATION AND HOSPICE INC 042437064 10 1 0 0 5 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 16000 16000 16000 16000 16000 16000 16000 16000 16000 16000 0.00000 0.00000 1.00000 0 0 0 DUE FROM AFFILIATES 13684001 RIGHT OF USE ASSETS 144447 13828448 DUE TO AFFILIATES 8117333 OTHER LIABILITIES 85667 8203000 12573404 5230856 5230856 7342548 -1618 -1618 7340930 4281063 0 4281063 -1618 -1618 4279445 PART V, LINE 4: RESTRICTED BY DONORS TO BE MAINTAINED BY THE ASSOCIATION IN PERPETUITY, THE INCOME IS AVAILABLE FOR OPERATIONS AND HOSPICE AND PALLIATIVE NURSING EDUCATION PROGRAMS. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES -1,618. PART XII, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES -1,618. WALK-A-THON 44040 44040 1618 44040 44040 1618 1618 -1618 X 0 1 0 0 0 0 0 1 0 KAREN E GOMES PRESIDENT/CEO 331016 0 92501 0 0 0 10125 0 3823 0 437465 0 0 0 SUSAN GREEN TREASURER 0 540278 0 145956 0 112875 0 8400 0 11338 0 818847 0 0 SUSAN M SANDBERG TRUSTEE 0 596100 0 101745 0 10523 0 6000 0 23475 0 737843 0 0 DR MICHAEL WAGNER MD TRUSTEE 0 1144143 0 315000 0 148863 0 142800 0 19330 0 1770136 0 113048 JOSEPH WHITE TRUSTEE 0 741129 0 251164 0 75075 0 8400 0 13385 0 1089153 0 0 DIANE FARRAHER-SMITH CHIEF CLINICAL INTEGRATION OFFICER 0 255119 0 15000 0 45000 0 0 0 24151 0 339270 0 0 PATRICIA BUIOCCHI VP OF OPERATIONS 254582 0 21524 0 0 0 6081 0 31310 0 313497 0 0 0 DONNA BEAUDIN VP OF QUAL COMP RISK MGMT 146753 0 15000 0 0 0 6387 0 30688 0 198828 0 0 0 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 WELLFORCE, INC. SHALL BE THE SOLE MEMBER OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER SHALL ELECT AND MAY 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 PREPARED ANNUALLY 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. 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 CNS NURSING HOME CARE INC 847 ROGERS STREET SUITE 201 LOWELL MA 01852 371836433 HOME CARE SERVICES MA 501(C)(3) LINE 10 CIRCLE HOME INC 1 CIRCLE HOME INC 847 ROGERS STREET SUITE 201 LOWELL MA 01852 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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MA 501(C)(3) LINE 12B, II TUFTS MEDICAL CENTER PARENT INC 1 CARDIOVASCULAR CENTER AT TUFTS MEDICAL CENTER INC 800 WASHINGTON STREET BOSTON MA 02111 823315703 MEDICAL SERVICES MA 501(C)(3) LINE 10 TUFTS MEDICAL CENTER PHYSICIANS ORG INC 1 HOME HEALTH FOUNDATION INC 360 MERRMIACK STREET LAWRENCE MA 01843 222587225 MANAGEMENT SERVICES MA 501(C)(3) LINE 12B, II WELLFORCE INC 1 HOME HEALTH VNA INC 360 MERRMIACK STREET LAWRENCE MA 01843 042435675 HOME HEALTH CARE MA 501(C)(3) LINE 10 HOME HEALTH FOUNDATION INC 1 MERRIMACK VALLEY HOSPICE INC 360 MERRMIACK STREET LAWRENCE MA 01843 043024278 HOSPICE SERVICES MA 501(C)(3) LINE 10 HOME HEALTH FOUNDATION INC 1 HOME CARE INC 360 MERRMIACK STREET LAWRENCE MA 01843 042854358 HOME HEALTH SUPPORTIVE SERIVCES MA 501(C)(3) LINE 10 HOME HEALTH FOUNDATION INC 1 HALLMARK HEALTH INVESTMENTS LLC 170 GOVERNORS AVE MEDFORD MA 02155 020657666 INVESTMENT MA MELROSEWAKEFIELD HEALTHCARE INC EXCLUDED 0 0 MONTVALE PETCT LLC 100 BAYVIEW CIRCLE SUITE 400 NEWPORT BEACH CA 92660 270325022 CAT SCAN DE MELROSEWAKEFIELD HEALTHCARE INC RELATED 0 0 CIRCLE HEALTH ALLIANCE LLC 295 VARNUM AVE LOWELL MA 01854 800782682 ACCOUNTABLE CARE ORGANIZATION MA CIRCLE HEALTH INC RELATED 0 0 SHIELDS-TUFTS MEDICAL CENTER IMAGING MANAGEMENT LLC 800 WASHINGTON STREET BOSTON MA 02111 320558307 MEDICAL SERVICES (MRI) MA TUFTS MEDICAL CENTER INC RELATED 0 0 0.65000 MEDFORD LAWRENCE REAL ESTATE LLC 55 CHRISTYS DRIVE BROCKTON MA 02301 320553759 MEDICAL OFFICE BUILDING MA MELROSEWAKEFIELD HEALTHCARE INC RELATED 0 0 WELLFORCE INDEMNITY COMPANY LTD 800 WASHINGTON STREET BOSTON MA 02111 980444573 CAPTIVE INSURANCE CJ TUFTS MEDICAL CENTER INC C 1 HALLMARK HEALTH ENTERPRISES INC 585 LEBANON STREET MELROSE MA 02176 042475660 OTHER HEALTH SERVICES MA MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION C 1 LAWRENCE MELROSE MEDICAL ELECTRONICS RECORD INC 170 GOVERNORS AVE MEDFORD MA 02155 421685777 ELECTRONIC MEDICAL RECORDS MA MELROSEWAKEFIELD HEALTHCARE INC C 0 HALLMARK HEALTH PHO INC 170 GOVERNORS AVE MEDFORD MA 02155 461134759 PHYSICIAN HOSPITAL ORGANIZATION MA MELROSEWAKEFIELD HEALTHCARE INC C 0 LGH SERVICES INC 295 VARNUM AVENUE LOWELL MA 01854 042854673 MEDICAL SERVICES MA CIRCLE HEALTH INC C 1 LGH MEDICAL BUILDING SERVICES INC 295 VARNUM AVENUE LOWELL MA 01854 043058954 MEDICAL OFFICE BUILDING MA LGH SERVICES INC C 1 LGH MANAGEMENT SERVICES INC 295 VARNUM AVENUE LOWELL MA 01854 042919244 MEDICAL SERVICES MA LGH SERVICES INC C 1 LGH MEDICAL SERVICES INC 295 VARNUM AVENUE LOWELL MA 01854 261889904 MEDICAL SERVICES MA LGH SERVICES INC C 1 0 0 0 1 1 0 0 0 0 0 0 1 1 1 1 0 0 0 0 MERRIMACK VALLEY HOSPICE INC M 1374275 BOOK VALUE HOME HEALTH VNA INC M 1891894 BOOK VALUE CIRCLE HOME INC D 475760 BOOK VALUE CNS NURSING HOME CARE D 297177 BOOK VALUE HALLMARK HEALTH VNA E 2565908 BOOK VALUE TUFTS MEDICAL CENTER E 64127 BOOK VALUE MERRIMACK VALLEY HOSPICE INC E 9465591 BOOK VALUE HOME HEALTH VNA INC D 9310892 BOOK VALUE