2019-11-14T18:52:54-06:00 2018-12-31 410746749 CLIFTONLARSONALLEN LLP 300 CROWN COLONY DRIVE SUITE 310 QUINCY MA 02169 990 2018-01-01 042104797 NORWELL VISITING NURSE ASSOCIATION INC NORW 7816592342 120 LONGWATER DRIVE NORWELL MA 02061 RENEE MCINNES CEO 7816592342 2019-11-14 1 CONNIE M LIRA P00481097 6179848100 2019-11-14 67.137.57.251 2019-11-14 15:05:13 ES P 40B1045984B6BD7CE0CB919AAE2F7A412AF27D98 2FBEFE20CA9FBCE9975C8DD0893E71CECAC97200 2018 2020-03-31 21:24:44Z NVNA AND HOSPICE RENEE MCINNES 120 LONGWATER DRIVE NORWELL MA 02061 25051290 0 X WWW.NVNA.ORG X 1924 MA TO PROVIDE QUALITY HOME HEALTH & HOSPICE CARE, WELLNESS & PUBLIC HEALTH SERVICES IN THE COMMUNITY. 13 12 349 202 0 0 822126 847935 22031486 22779768 1076241 147315 44409 65375 23974262 23840393 0 0 0 0 17276706 19321732 0 0 473879 5078438 5121874 22355144 24443606 1619118 -603213 15435417 12119578 2671945 3336757 12763472 8782821 TO PROVIDE QUALITY HOME HEALTH AND HOSPICE CARE, WELLNESS AND PUBLIC HEALTH SERVICES IN THE COMMUNITY. 0 0 20474460 0 22779768 TO PROVIDE QUALITY HOME HEALTH AND HOSPICE SERVICES AND TO PROMOTE AND TO MAINTAIN COMMUNITY HEALTH TO THE SOUTH SHORE OF MASSACHUSETTS AND THE SURROUNDING COMMUNITIES. 20474460 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 1 0 1 0 0 0 0 1 0 0 0 1 22 0 349 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 13 12 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 0 0 MA X CHRISTY CAMPEA CFO 7816592342 120 LONGWATER DRIVE NORWELL MA 02061 THOMAS O'MARA PRESIDENT 1.00 3.00 X X 0 0 0 LINDA MAHONEN VICE PRESIDENT 1.00 2.00 X X 0 0 0 KEVIN CALLANAN CLERK 1.00 3.00 X X 0 0 0 WILLIAM SCALZULLI TREASURER 1.00 2.00 X X 0 0 0 ED FORD DIRECTOR 1.00 2.00 X 0 0 0 LEE HEILER DIRECTOR 1.00 2.00 X 0 0 0 MARY SWEENEY DIRECTOR 1.00 2.00 X 0 0 0 VICKI DONLAN DIRECTOR 1.00 2.00 X 0 0 0 PAUL MILES DIRECTOR 1.00 2.00 X 0 0 0 DEIRDRE PRESCOTT DIRECTOR 1.00 2.00 X 0 0 0 BEN BEMBENEK DIRECTOR 1.00 2.00 X 0 0 0 SHAUN GOLDEN DIRECTOR 1.00 2.00 X 0 0 0 KAREN MULLANEY DIRECTOR 1.00 2.00 X 0 0 0 ELLEN HOADLEY DIRECTOR (UNTIL 06/2018) 1.00 2.00 X 0 0 0 RENEE MCINNES CEO 10.00 30.00 X 245181 0 7581 CHRISTY CAMPEA CFO 10.00 30.00 X 145867 0 20898 KATHLEEN POWERS VP STRATEGIC INITIATIVES AND ACQUISITIONS 10.00 30.00 X 163481 0 17646 MICHAEL ROGERS DIRECTOR OF DEVELOPMENT 10.00 30.00 X 147476 0 11045 BERNADETTE WARD VP CLINICAL OPERATIONS 40.00 0.00 X 131732 0 27370 RUDI GERHARD PHYSICAL THERAPIST 40.00 0.00 X 124596 0 25090 AMY O'MARA DIRECTOR COMPLIANCE 10.00 30.00 X 114960 0 25139 NICOLE REGAN CLINICAL MANAGER 40.00 0.00 X 113369 0 8699 1186662 0 143468 9 0 1 0 HARVARD PILGRIM HEALTH CARE PO BOX 970050 BOSTON MA 022970050 HEALTH SERVICES 1669722 1144 PROPERTIES LLC PO BOX 850330 BRAINTREE MA 02185 RENT 645361 MEDLINE DEPT 1080 PO BOX 121080 DALLAS TX 753121080 HEALTH PRODUCTS 239793 REIMBURSEMENT SPECIALISTS INC 120 LONGWATER DRIVE STE 102 NORWELL MA 02061 INSURANCE BROKER 223049 VERIZON WIRELESS PO BOX 15062 ALBANY NY 12212 TELEPHONE 156316 10 259974 10632 577329 47449 847935 PATIENT SERVICE REVENUE 621610 22779768 22779768 22779768 146996 146996 1088000 1087681 319 319 319 188591 259974 123216 65375 65375 23840393 22779768 0 212690 759175 759175 15596124 13844910 1425452 325762 226707 192701 29472 4534 1512152 1342424 138142 31586 1227574 1043438 159585 24551 53094 53094 60000 60000 598864 334620 264244 4303 3658 559 86 423119 359651 55005 8463 169708 144252 22062 3394 805887 685004 104765 16118 407036 345981 52915 8140 175302 149007 22789 3506 37718 37718 337361 286757 43857 6747 157257 133668 20443 3146 PROGRAM SUPPLIES 979990 832992 127399 19599 FUNDRAISING EXPENSES 326523 277545 42448 6530 EQUIPMENT RENTAL/REPAIR 183423 155910 23845 3668 EMPLOYEE RELATIONS 74403 63243 9672 1488 327886 278699 42626 6561 24443606 20474460 3495267 473879 2215459 3031111 671082 645912 4676539 3458927 187270 235421 7135271 2621061 4443192 4514210 3076140 3073 165735 230924 15435417 12119578 1752036 1844026 900701 991510 19208 501221 2671945 3336757 X 12763472 8782821 12763472 8782821 15435417 12119578 X -603213 -18786 -3358652 X 0 1 X 1 0 X 637263 1166418 979340 822126 847935 4453082 17587057 18517117 19537789 22031486 22779768 100453217 18224320 19683535 20517129 22853612 23627703 104906299 25650 15000 40650 0 25650 15000 40650 104865649 390709 500852 472599 369886 146996 1881042 390709 500852 472599 369886 146996 1881042 52786 67691 154512 44409 65375 384773 18667815 20252078 21144240 23267907 23840074 107172114 0.97850 0.97460 0.01760 0.02130 X FORM 990, SCH.A, PART III, SEC. B, LINE 12: OTHER INCOME - FUNDRAISING OF $65,375. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 270000 270000 4105630 1009214 3096416 791848 274886 516962 778575 671245 107330 1189218 665716 523502 4514210 DUE TO THIRD-PARTY PAYERS 4384 DUE TO AFFILIATES 496837 501221 X PART X, LINE 2: THE ORGANIZATION QUALIFIES AS A PUBLIC CHARITY UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). AS A PUBLIC CHARITY, THE ORGANIZATION IS EXEMPT FROM STATE AND FEDERAL INCOME TAXES ON INCOME EARNED IN ACCORDANCE WITH ITS TAX-EXEMPT PURPOSE. UNRELATED BUSINESS INCOME IS SUBJECT TO STATE AND FEDERAL INCOME TAX. MANAGEMENT HAS EVALUATED THE TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAS NO UNRELATED BUSINESS INCOME OR UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS. THE TWELVE 337715 248765 88950 117934 BELLA VITA 37350 11209 26141 5282 1 73500 73500 448565 259974 188591 123216 123216 65375 X X X X X X 0 0 0 0 0 0 0 0 0 RENEE MCINNES CEO 235181 0 10000 0 0 0 0 0 7581 0 252762 0 0 0 CHRISTY CAMPEA CFO 145867 0 0 0 0 0 0 0 20898 0 166765 0 0 0 KATHLEEN POWERS VP STRATEGIC INITIATIVES AND ACQUISI 163481 0 0 0 0 0 0 0 17646 0 181127 0 0 0 MICHAEL ROGERS DIRECTOR OF DEVELOPMENT 147476 0 0 0 0 0 0 0 11045 0 158521 0 0 0 BERNADETTE WARD VP CLINICAL OPERATIONS 129025 0 2707 0 0 0 0 0 27370 0 159102 0 0 0 AMY O'MARA DAUGHTER OF BOARD PRESIDENT 140099 AN EMPLOYEE OF NORWELL VISITING NURSE ASSOCIATION, INC. 0 X 22 FMV X 750 FMV X 4 7799 FMV X GIFT CARDS/CERTIFICATES 9 25945 FMV X THIRD-PARTY EVENT 9 9987 FMV X JEWELRY 1 1250 FMV X FLOWERS 1 955 FMV X FITNESS CLASS 2 350 FMV X HOTEL STAY 1 331 FMV X TICKETS 4 160 FMV 0 0 0 FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE PRESIDENT, VICE PRESIDENT, TREASURER, AND CLERK. THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE, DURING INTERVALS BETWEEN MEETINGS OF THE BOARD, ALL THE POWERS VESTED IN THE BOARD, EXCEPT THAT THE EXECUTIVE COMMITTEE MAY NOT ELECT DIRECTORS OR OFFICERS, FILL VACANCIES IN SUCH OFFICES, OR REMOVE OFFICERS OR DIRECTORS FROM OFFICE. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION SHALL BE NVNA FOUNDATION, INC. (FOUNDATION), A MASSACHUSETTS CHARITABLE CORPORATION QUALIFYING AS TAX-EXEMPT UNDER SECTION 501(C)(3) OF THE CODE. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER SHALL DETERMINE ANNUALLY THE NUMBER OF DIRECTORS FOR THE ENSUING YEAR AND ELECT ALL DIRECTORS AS NEEDED TO MATCH THAT NUMBER. FORM 990, PART VI, SECTION A, LINE 7B THE POWERS OF THE MEMBER SHALL BE LIMITED TO TAKING ACTION ON THE ACTIVITIES ENUMERATED BELOW AND THOSE ACTIVITIES EXPRESSLY REQUIRING ACTION OF THE MEMBERS PURSUANT TO LAW OR THE ARTICLES OF ORGANIZATION: (A) ELECTION OF THE DIRECTORS; (B) AUTHORIZATION OR APPROVAL OF ANY AMENDMENT TO THE ARTICLES OF ORGANIZATION OF THE ORGANIZATION; (C) AUTHORIZATION OR APPROVAL OF ANY AMENDMENT TO THE BY-LAWS OF THE ORGANIZATION; (D) AUTHORIZATION OR APPROVAL OF ANY CHANGE TO THE NAME OF THE ORGANIZATION; (E) AUTHORIZATION OR APPROVAL OF ANY MERGER, CONSOLIDATION, REORGANIZATION, OR SALE, TRANSFER, DISPOSITION, PLEDGE OR HYPOTHECATION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE ORGANIZATION; (F) AUTHORIZATION OR APPROVAL OF THE ESTABLISHMENT AND THE ORGANIZATIONAL DOCUMENTS (INCLUDING ANY AMENDMENT, REVISION OR REPEAL THEREOF), OF ANY EQUITY OR CONTRACTUAL JOINT VENTURE BETWEEN THE ORGANIZATION AND ANY THIRD PARTY IN WHICH THE ORGANIZATION WILL HAVE MORE THAN A TWENTY PERCENT INTEREST IN THE REVENUES OR PROFITS OF THE JOINT VENTURE, EXCLUDING CONTRACTS IN THE ORDINARY COURSE OF BUSINESS; (G) AUTHORIZATION OR APPROVAL OF ANY PLAN OF DISSOLUTION, LIQUIDATION, ASSIGNMENT FOR THE BENEFIT OF CREDITORS, PETITION FOR VOLUNTARY BANKRUPTCY OR APPOINTMENT OF A RECEIVER, OR ANY PLAN FOR WINDING UP THE AFFAIRS OF THE ORGANIZATION, OR ANY LIQUIDATING DISTRIBUTION BY THE ORGANIZATION; (H) AUTHORIZATION OR APPROVAL OF THE INCURRENCE OF ANY DEBT, LOAN, BORROWING, DEBT GUARANTEE, WHETHER AS PRIMARY OBLIGOR OR CO-OBLIGOR, PLEDGE, LIEN, HYPOTHECATION, SECURITY INTEREST OR ENCUMBRANCE ON ANY OF THE PROPERTY OR ASSETS OF THE ORGANIZATION; (I) AUTHORIZATION OR APPROVAL OF ANY ACQUISITION OR LEASE OF, OR INTEREST IN, REAL ESTATE, BY THE ORGANIZATION; (J) AUTHORIZATION OR APPROVAL OF UNDERTAKING ANY EXPENDITURE OUTSIDE OF THE ANNUAL BUDGET WHETHER BY CONTRACT OR OTHERWISE, IN EXCESS OF $25,000; AND (L) AUTHORIZATION OR APPROVAL OF THE SETTLEMENT OF ANY LITIGATION OR OTHER DISPUTE INVOLVING THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. THE CFO REVIEWS THE FORM 990, AND THEN A DRAFT OF THE FORM 990 IS DISTRIBUTED TO THE CEO AND ALL BOARD MEMBERS FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY APPLIES TO DESIGNATED PERSONS AS DEFINED IN THE POLICY TO INCLUDE: MEMBERS OF THE BOARD OF DIRECTORS (DIRECTORS), MEMBERS OF THE ADMINISTRATION AND SENIOR MANAGEMENT, MEMBERS OF COMMITTEES WHEN THE COMMITTEE HAS THE AUTHORITY OF THE BOARD, ALL PERSONS WITH THE AUTHORITY TO PURCHASE, SELECT, OR INFLUENCE THE PURCHASE OF GOODS OR SERVICES ON BEHALF OF THE FOUNDATION, AND ANY OTHER PERSONS WHOM THE BOARD DESIGNATES. THE CONFLICT OF INTEREST POLICY REQUIRES THAT DESIGNATED PERSONS FULLY DISCLOSE ANY POTENTIAL CONFLICTS. CONFLICTS ARE REPORTED TO DIRECTORS THAT ARE FREE OF CONFLICTS. THE BOARD DETERMINES IF A POTENTIAL CONFLICT IS AN ACTUAL CONFLICT. TO ENSURE REGULAR MONITORING OF THE POLICY, AT LEAST ANNUALLY THE DIRECTORS ARE REQUIRED TO REVIEW AND SIGN THE CONFLICT OF INTEREST POLICY. IF A CONFLICT WERE TO ARISE, ACTION STEPS COULD RANGE FROM RECUSAL TO TERMINATION DEPENDING ON THE TYPE AND EXTENT OF THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15A THE CEO'S COMPENSATION IS DETERMINED BY THE BOARD OF DIRECTORS. AS PART OF THE PROCESS THE BOARD OF DIRECTORS USES A REVIEW COMMITTEE WHO ENGAGES AN INDEPENDENT COMPENSATION CONSULTANT. THE BOARD OF DIRECTORS, VIA THE REVIEW COMMITTEE, GATHERS COMPARABILITY DATA FROM THE INDEPENDENT COMPENSATION CONSULTANT, FROM FORM 990S OF LIKE ORGANIZATIONS, FROM THE HOME CARE ALLIANCE SURVEY AS WELL AS FROM ESTABLISHED WAGE RANGES. THE DELIBERATION AND FINAL DECISION ARE DOCUMENTED IN THE MINUTES TO THE BOARD MEETING WHERE SUCH DELIBERATIONS AND DETERMINATION WERE MADE. IN ADDITION, THE CEO HAS A WRITTEN EMPLOYMENT CONTRACT WHICH OUTLINE THE FINAL DETERMINATION. 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. FORM 990, PART XI, LINE 9: NET ASSET TRANSFER -3,358,652. NVNA FOUNDATION INC 120 LONGWATER DRIVE NORWELL MA 02061 273458384 SUPPORT MA 501(C)(3) LINE 12B, II N/A 0 NVNA WORKS INC 120 LONGWATER DRIVE NORWELL MA 02061 273458349 PRIVATE DUTY HEALTH CARE MA 501(C)(3) LINE 10 NVNA FOUNDATION INC 0 CANCER SUPPORT COMMUNITY MASSACHUSETTS SOUTH SHORE INC 120 LONGWATER DRIVE NORWELL MA 02061 452652624 CANCER SUPPORT MA 501(C)(3) LINE 7 NVNA FOUNDATION INC 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 1 0 1 1 0