2016-07-27T11:55:00-05:00 2015-12-31 135381590 BDO USA LLP 200 PORTLAND STREET BOSTON MA 02114 990 2015-01-01 042214847 ALL CARE VISITING NURSE ASSOCIATION OF GREATER LYNN INC ALLC 7815982454 210 MARKET STREET LYNN MA 01901 SHAWN POTTER PRESIDENT/CEO 7815982454 2016-06-30 1 CHRISTOPHER GIALLONGO P01514264 6177427788 2015 2016-12-15 16:53:06Z SHAWN POTTER 210 MARKET STREET LYNN MA 01901 16661265 0 X WWW.ALLCAREVNA.ORG X 1963 MA THE PROVISION OF HOME HEALTH, NURSING AND RESTORATIVE THERAPY SERVICES. 7 7 217 0 0 0 310 505 15293077 16658445 2009 2128 655 187 15296051 16661265 0 0 0 0 11575890 11889650 0 0 0 5220469 5558233 16796359 17447883 -1500308 -786618 3212276 3932518 1146578 1292180 2065698 2640338 THE PROVISION OF HOME HEALTH, NURSING AND RESTORATIVE THERAPY SERVICES. 0 0 11729433 16658632 THE PROVISION OF HOME HEALTH, NURSING AND RESTORATIVE THERAPY SERVICES. DURING 2015 ALL CARE VISITING NURSE ASSOCIATION PROVIDED 121,815 VISITS. 11729433 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 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 0 0 0 1 10 0 1 217 1 0 0 0 0 0 0 0 0 0 0 X 7 7 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X X DANIEL MEYLER 7812441100 210 MARKET STREET LYNN MA 01901 LOUIS FENTON VICE PRESIDENT 2.00 X 0 0 0 CHARLES POWERS DIRECTOR 2.00 X 0 0 0 SANDRA CROSS DIRECTOR 2.00 X 0 0 0 WILLIAM FROST SECRETARY 2.00 X 0 0 0 KENNETH HARDING DIRECTOR 2.00 X 0 0 0 RONALD PLOTKA DDS TREASURER 2.00 X 0 0 0 NICK KOSTAN DIRECTOR 2.00 X 0 0 0 SHAWN POTTER PRESIDENT/CEO 1.00 37.50 X 0 360271 122174 DANIEL MEYLER CFO 1.00 37.50 X 0 167053 18927 ROBERT FORD VP, CLINICAL SERVICES 37.50 X 138675 0 16710 AMY JANE LIPPA COMM HEALTH NURSE 58.80 X 124235 0 5838 MARY ELLEN DAWLEY QUAL. INS. DIR. 37.50 X 115197 0 3565 MARY WINTERS VP OF OPERATIONS 37.50 X 129710 0 3515 LANA DUROCHER DIRECTOR OF BUSINESS DEVELOPMENT 37.50 X 118873 0 14603 626690 527324 185332 5 0 1 0 HEALTH MANAGEMENT SERVICES INC 210 MARKET STREET LYNN MA 01901 MANAGEMENT COMPANY 2420903 CORE MEDICAL GROUP 2 KEEWAYDIN DRIVE SALEM NH 03079 CONTRACT STAFFING 111831 2 505 505 PATIENT SERVICE REVENUE 621610 16658445 16658445 16658445 2128 2128 MISCELLANEOUS 621610 187 187 187 16661265 16658632 0 2128 10207834 8573223 1634611 123942 96211 27731 818605 740222 78383 739269 604993 134276 2420903 2420903 20004 20004 1062320 958845 103475 28239 28239 414434 414434 21828 21828 291455 281900 9555 30217 30217 522505 522505 103806 103806 SUPPLIES 247956 247956 DUES & PUBLICATIONS 155402 155402 MINOR EQUIPMENT 79836 79836 REPAIRS & MAINTENANCE 50677 50677 108651 108651 17447883 11729433 5718450 0 542930 1029876 2256433 2607690 189389 166400 394321 265769 223524 128552 3212276 3932518 1110837 1265982 35741 26198 1146578 1292180 X 2065698 2640338 2065698 2640338 3212276 3932518 X -786618 1361258 X 0 1 X 1 0 X 334 2409 957 310 505 4515 15988101 15477866 15880456 15293077 16658445 79297945 15988435 15480275 15881413 15293387 16658950 79302460 0 0 0 79302460 1879 1977 2039 2009 2128 10032 1879 1977 2039 2009 2128 10032 354 538 413 655 187 2147 15990668 15482790 15883865 15296051 16661265 79314639 0.99980 0.99980 0.00010 0.00010 X 0 0 0 0 0 0 0 0 1 1000 1000 0 PART II-B, LINE 1: LOBBYING EXPENSES INCLUDED 10% OF VNA'S EXPENDITURES SUPPORT ANNUAL DUES PAID $10,000 (NAHC) 2400 813 1587 391921 264956 126965 128552 CURRENT PORTION OF CAPITAL LEASE OBLIGATION 8566 CAPITAL LEASE OBLIGATION, NET CURRENT PORTION 17632 26198 X PART X, LINE 2: ALL CARE VISITING NURSE ASSOCIATION OF GREATER LYNN, INC. IS EXEMPT FROM INCOME TAX ON RELATED INCOME UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, THE ORGANIZATION ANNUALLY EVALUATES ITS TAX STATUS AND TAX POSITIONS TAKEN WITH RESPECT TO ITS OPERATIONS AND FINANCIAL POSITION. X X X X X 0 1 0 0 0 0 0 0 0 SHAWN POTTER PRESIDENT/CEO 0 356760 0 0 0 3511 0 106625 0 15549 0 482445 0 0 DANIEL MEYLER CFO 0 164493 0 0 0 2560 0 4383 0 14544 0 185980 0 0 ROBERT FORD VP, CLINICAL SERVICES 135052 0 0 0 3623 0 3641 0 13069 0 155385 0 0 0 PART I, LINE 4B THE ORGANIZATION'S PRESIDENT/CEO SHAWN POTTER PARTICIPATES IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN THROUGH THE ORGANIZATION'S SOLE CORPORATE MEMBER, HEALTH MANAGEMENT SERVICES, INC. DEFERRED COMPENSATION REPORTED FOR THE YEAR ENDED DECEMBER 31, 2015 UNDER THIS PLAN IS $100,000. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION'S MANAGEMENT DUTIES ARE HANDLED BY ONE OF ITS RELATED ENTITIES, HEALTH MANAGEMENT SERVICES, INC. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY AT THE HMS, INC. EXECUTIVE COMMITTEE MEETING BEFORE IT IS SIGNED AND FILED. FORM 990, PART VI, SECTION B, LINE 12C THE POLICY IS MONITORED THROUGH ORIENTATION AND ANNUAL TRAINING. ENFORCEMENT HAS NOT BEEN AN ISSUE, BUT WOULD OCCUR IF NECESSARY. FORM 990, PART VI, SECTION B, LINE 15 ALL DIRECTOR SALARIES ARE REVIEWED AND APPROVED BY A VOTE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION'S FORM 990 IS AVAILABLE TO THE PUBLIC UPON REQUEST AND CAN BE FOUND AT THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST AND CAN BE FOUND AT THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITE. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: EQUITY TRANSFER 1,361,258. ALL CARE RESOURCES INC 210 MARKET STREET LYNN MA 01901 042805564 HEALTHCARE SERVICES MA 501(C)(3) 9 HEALTH MANAGEMENT SERVICES INC 0 ALL CARE ADULT DAY HEALTH CENTER INC 210 MARKET STREET LYNN MA 01901 760799712 HEALTHCARE SERVICES MA 501(C)(3) 9 HEALTH MANAGEMENT SERVICES INC 0 THE VISITING NURSE ASSOCIATION FOUNDATION INC 210 MARKET STREET LYNN MA 01901 222581936 DEVELOPMENT & FUNDRAISING MA 501(C)(3) 9 HEALTH MANAGEMENT SERVICES INC 0 HEALTH MANAGEMENT SERVICES INC 210 MARKET STREET LYNN MA 01901 222581863 MANAGEMENT COMPANY MA 501(C)(3) 11 N/A 0 ALL CARE HOSPICE INC 210 MARKET STREET LYNN MA 01901 352231860 HEALTHCARE SERVICES MA 501(C)(3) 9 HEALTH MANAGEMENT SERVICES INC 0 VNA VENTURES INC 210 MARKET STREET LYNN MA 01901 042942852 REAL ESTATE MANAGEMENT MA N/A C 0 ALL CARE INFUSION THERAPY COMPANY INC 210 MARKET STREET LYNN MA 01901 043120267 HEALTH SERVICES MA N/A C 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0