2015-10-23T16:03:05-05:00 2014-12-31 042571780 ALEXANDER ARONSON FINNING & CO PC 21 EAST MAIN STREET WESTBORO MA 01581 990 2014-01-01 042105918 NATICK VISITING NURSE ASSOC INC NATI 5086533081 209 WEST CENTRAL STREET NO 313 NATICK MA 01760 JUDITH BOYKO CHIEF EXECUTIVE OFFICER 5086533081 2015-10-22 1 MATTHEW R HUTT CPA P01070603 5083669100 2015-09-27 2014 2016-02-25 16:41:14Z JUDITH BOYKO 209 WEST CENTRAL STREET NO 313 NATICK MA 01760 6091546 0 X WWW.NATICKVNA.ORG X 1914 MA NATICK VNA IS A NON-PROFIT ORGANIZATION ESTABLISHED IN NOVEMBER 1914, TO PROVIDE PREMIER HOME HEALTH SERVICES IN THE METROWEST AREA OF BOSTON. 7 7 52 54 0 0 1045093 511773 4788984 4240849 165349 214798 56961 62760 6056387 5030180 0 0 0 0 2731972 2476416 0 0 126669 3171504 3104645 5903476 5581061 152911 -550881 4076583 3723872 562689 830121 3513894 2893751 X NATICK VNA, A NON-PROFIT AGENCY, IS COMMITTED TO EXCELLENCE IN PROVIDING CARING AND COMPASSIONATE MULTI-DISCIPLINARY HEALTH CARE SERVICES TO PATIENTS IN THEIR HOMES. THROUGH THE GENEROSITY OF THE DONORS AND COMMUNITIES, NATICK VNA ENDEAVORS TO PROVIDE SERVICES REGARDLESS OF A PERSON'S ABILITY TO PAY. 0 0 1968842 2105931 SKILLED NURSING- SKILLED NURSING SERVICES ARE AVAILABLE TO ANY INDIVIDUAL WITHIN THE NATICK VNA SERVICE AREA REGARDLESS OF THEIR ABILITY TO PAY. A REGISTERED NURSE (RN) CONDUCTS AN IN-HOME EVALUATION TO ASSESS NEEDS. THE RN CONTACTS PHYSICIANS TO COORDINATE CARE AND DEVELOP A PLAN THAT WILL SUPPORT IN RECOVERY AND ILLNESS OR DISEASE MANAGEMENT SO THAT THE PATIENT CAN REMAIN SAFELY IN THEIR HOME. HE OR SHE HELPS TO DETERMINE IF THE NURSING CARE IS COVERED BY THE PATIENT'S INSURANCE PLAN, AND HELPS TO OBTAIN THE RESOURCES NEEDED TO RECEIVE HEALTH CARE AT HOME. NURSING SERVICES INCLUDE: ACUTE AND CHRONIC DISEASE CARE AND MANAGEMENT, ACUTE ILLNESS AND POST-SURGICAL RECOVERY, PHYSICAL ASSESSMENT AND MONITORING, BLOOD SAMPLE COLLECTION, OXYGEN ANALYSIS AND MONITORING, WOUND AND OSTOMY CARE, CATHETER CARE AND MANAGEMENT, MEDICATION AND MEDICAL SUPPLY MANAGEMENT, OTHER TREATMENTS YOUR PHYSICIAN MAY ORDER, ILLNESS, DISEASE, MEDICATION, AND DIET INSTRUCTION AND PLANNING, COMPLEX CARE COORDINATION, TELEMONITORING, PAIN AND SYMPTOM MANAGEMENT, CARE MANAGEMENT FOR ALZHEIMER'S DISEASE, HEART DISEASE, CONGESTIVE HEART FAILURE AND DIABETES,SAFETY RISK ASSESSMENT AND INJURY PREVENTION, WOUND CARE AND HEALING, AND PALLIATIVE AND END-OF-LIFE CARE. 229950 641739 HOME CARE AIDE SERVICES- HOME CARE AIDES ASSIST PATIENTS WITH PERSONAL CARE AND ACTIVITIES OF DAILY LIVING INCLUDING: BATHING, FEEDING, GROOMING, DRESSING, ORAL HEALTH, SHAMPOO, SHAVING, NAIL CARE, AMBULATION, EXERCISES UNDER THE SUPERVISION OF A NURSE OR THERAPIST, MEDICATION REMINDERS, MEAL PREPARATION, LAUNDRY, AND LIGHT HOUSEKEEPING. THE HOME CARE AIDE WORKS AS A MEMBER OF A TEAM OF PROFESSIONALS WHO PROVIDE NURSING, REHABILITATION, NUTRITION, AND OTHER THERAPEUTIC SERVICES TO PATIENTS IN THEIR HOMES. ALL HOME CARE AIDES ARE CERTIFIED THROUGH SPECIAL TRAINING, TESTING, AND SKILLS ASSESSMENT, WHICH ARE MANDATED BY THE FEDERAL GOVERNMENT AS PART OF MEDICARE/MEDICAID REGULATIONS. IN ADDITION, HOME CARE AIDES COMPLETE A MINIMUM OF 12 HOURS OF IN-SERVICE EDUCATION ANNUALLY. 784828 1168170 PHYSICAL THERAPY-PHYSICAL THERAPY HELPS INDIVIDUALS RESTORE PHYSICAL FUNCTION AND PREVENT DISABILITY. PHYSICAL THERAPISTS EVALUATE AND TREAT PEOPLE WHO HAVE MEDICAL PROBLEMS OR OTHER HEALTH-RELATED CONDITIONS THAT LIMIT THEIR ABILITIES TO MOVE AND FUNCTION IN THEIR DAILY LIVES. PHYSICAL THERAPY TYPICALLY INCLUDES CUSTOMIZED TREATMENT PROGRAMS TO IMPROVE ONE'S FUNCTIONAL ABILITY, DEVELOPMENT OF PLANS USING THE TREATMENT TECHNIQUES THAT PROMOTE THE ABILITY TO MOVE, INCREASE STRENGTH AND BALANCE, REDUCE PAIN, DECREASE SWELLING, RESTORE FUNCTION, AND PREVENT DISABILITY AND COMPREHENSIVE HOME SAFETY EVALUATION WITH ENVIRONMENTAL RECOMMENDATIONS. 42666 84682 SPEECH THERAPY-SPEECH LANGUAGE THERAPY IS SKILLED TREATMENT THAT HELPS INDIVIDUALS WITH DISORDERS OF SPEECH, LANGUAGE, AND SWALLOWING. COMMUNICATION DISORDERS CAN BE CONGENITAL OR ACQUIRED AND CAN AFFECT INDIVIDUALS OF ANY AGE. SPEECH LANGUAGE PATHOLOGISTS (SLPS) EVALUATE AND TREAT THESE DISORDERS. SPEECH THERAPY TYPICALLY INCLUDES CUSTOMIZED TREATMENT PROGRAMS TO IMPROVE ONE'S SPEECH OR SWALLOWING ABILITIES, COGNITIVE ASSESSMENT AND GUIDANCE TO FAMILY MEMBERS AND CAREGIVERS. 99014 167056 OCCUPATIONAL THERAPY-OCCUPATIONAL THERAPY HELPS PEOPLE PARTICIPATE IN THE THINGS THEY WANT AND NEED TO DO THROUGH THE THERAPEUTIC USE OF EVERYDAY ACTIVITIES (OCCUPATIONS). SERVICES MAY INCLUDE COMPREHENSIVE EVALUATIONS OF AN INDIVIDUAL'S HOME AND OTHER ENVIRONMENTS, RECOMMENDATIONS AND TRAINING FOR ADAPTIVE EQUIPMENT, GUIDANCE AND EDUCATION FOR FAMILY MEMBERS AND CAREGIVERS AND CUSTOMIZED TREATMENT PROGRAMS TO IMPROVE ONE'S ABILITY TO PERFORM DAILY ACTIVITIES. 66151 73271 SOCIAL SERVICES- AT THE NATICK VNA, SOCIAL WORKERS WORK WITH INTERDISCIPLINARY TEAMS OF NURSES, PHYSICAL THERAPISTS, OCCUPATIONAL THERAPISTS, SPEECH THERAPISTS, NUTRITIONISTS, AND HOME CARE AIDES TO ASSIST PATIENTS AND FAMILIES. SOCIAL WORKERS HELP PEOPLE OVERCOME SOME OF LIFE'S MOST DIFFICULT CHALLENGES, INCLUDING: PHYSICAL ILLNESS, POVERTY, DISCRIMINATION, ABUSE, ADDICTION, DIVORCE, LOSS, UNEMPLOYMENT, EDUCATIONAL PROBLEMS, DISABILITY, AND MENTAL ILLNESS. SOCIAL WORKERS HELP PREVENT CRISES AND COUNSEL INDIVIDUALS, FAMILIES, AND COMMUNITIES SO THAT THEY CAN COPE MORE EFFECTIVELY WITH THE STRESSES OF EVERYDAY LIFE. THEY ARE ABLE TO GUIDE PATIENTS AND THEIR FAMILIES THROUGH THE CHALLENGING DECISION-MAKING PROCESS THAT ARISES WHEN A HOME NO LONGER MEETS PATIENT NEEDS. SOCIAL WORKERS ADVISE PATIENTS AND THEIR FAMILIES ABOUT OPTIONS SUCH AS INDEPENDENT AND ASSISTED LIVING FACILITIES, SKILLED NURSING FACILITIES, OR OTHER LONG-TERM PLACEMENTS. 264076 PRESCRIPTION DRUG ASSISTANCE- METROWEST MEDS IS A PROGRAM OF THE NATICK VNA SUPPORTED MOSTLY BY THE METROWEST COMMUNITY HEALTH CARE FOUNDATION AS WELL AS OTHER FOUNDATIONS. THE PROGRAM IS DESIGNED TO HELP ELIGIBLE UNINSURED AND UNDERINSURED INDIVIDUALS RECEIVE PRESCRIPTION MEDICATIONS FOR FREE OR AT A DISCOUNTED RATE. 471907 325009 3455527 1 1 0 0 0 1 0 0 0 0 1 0 0 0 1 1 1 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 16 0 1 52 1 0 0 0 0 0 1 1 0 0 0 0 X 7 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X JUDITH BOYKO CEO 5086533081 209 WEST CENTRAL STREET SUITE 313 NATICK MA 01760 MICHAEL J MURPHY CHAIR 1.00 X X 0 0 0 DAVID B SHOREY TREASURER 1.00 X X 0 0 0 LYNN FALWELL TRUSTEE 1.00 X 0 0 0 DANIEL MAINZER VICE CHAIR 1.00 X 0 0 0 JUDITH B HAM CLERK 1.00 X 0 0 0 ARNOLD ZALTAS EMERITUS TRUSTEE 1.00 X 0 0 0 CLINT HEYD TRUSTEE 1.00 X 0 0 0 JUDITH BOYKO CHIEF EXECUTIVE OFFICER 32.00 X 0 146703 24022 CLAIRE COFRAN CHIEF FINANCIAL OFFICER 40.00 X 0 141073 22609 WENDY COFRAN CHIEF INFORMATION OFFICER 40.00 X 0 120553 29603 LINDA BILLOWS LIAISON NURSE 40.00 X 0 125511 11425 0 533840 87659 1 0 1 0 CENTURY HEALTH SYSTEMS INC 209 WEST CENTRAL STREET SUITE 316 NATICK MA 01760 MANAGEMENT SERVICES 1359103 DISTINGUISHED CARE OPTIONS INC 209 WEST CENTRAL STREET SUITE 315 NATICK MA 01760 HOME CARE AIDE SERVICES 272645 COMMUNITY HEALTH NETWORK 747 WASHINGTON STREET HOLLISTON MA 01746 NURSING SERVICES 124866 3 5748 22787 483238 4976 511773 NET PATIENT FEES 621610 4240849 4240849 4240849 91567 91567 1179693 1056462 123231 123231 123231 67664 22787 4904 62760 62760 5030180 4240849 0 277558 X 2075327 1896700 128847 49780 54848 51650 2256 942 180747 167930 7192 5625 165494 151019 10083 4392 1370703 1359103 11600 2095 2095 14893 14893 669807 495681 174126 30135 21066 8830 239 130933 86857 41409 2667 134771 27551 97096 10124 69105 67777 777 551 11654 2983 7087 1584 5335 5335 22349 17316 5033 60025 32651 24478 2896 DUES, SUBSCRIPTIONS, AN 273607 198087 69276 6244 EQUIPMENT RENTAL AND MA 116851 97457 19394 MEDICAL AND PROGRAM SUP 83862 83862 COMPUTER SERVICE 67137 56785 10352 41383 155 11203 30025 5581061 3455527 1998865 126669 418054 142062 511780 293317 200207 239070 175000 425000 78501 76391 104712 88934 38127 15778 2654914 2532254 4076583 3723872 524745 819516 26904 11040 10605 562689 830121 X 2729917 2116360 783977 777391 3513894 2893751 4076583 3723872 X -550881 -67557 -1705 X X 0 1 X 1 0 X 705051 712334 669092 1045093 511773 3643343 705051 712334 669092 1045093 511773 3643343 1971725 1671618 133191 113359 104905 83697 91567 526719 4170062 26772135 0.40090 0.41670 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 242963 1 1 104712 88934 15778 15778 ANNUITY PAYMENT LIABILITY 10605 10605 X 4931145 -67557 -31478 -99035 5030180 0 5030180 5551288 0 5551288 29773 29773 5581061 PART X, LINE 2: THE V.N.A. ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES IN ACCORDANCE WITH ASC TOPIC, INCOME TAXES. THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN TAX POSITIONS AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT REGARDING A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE V.N.A. HAS DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS WHICH QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS AT DECEMBER 31, 2013. THE V.N.A.'S INFORMATION RETURNS ARE SUBJECT TO EXAMINATION BY THE FEDERAL AND STATE JURISDICTIONS AND GENERALLY REMAIN OPEN FOR THE MOST RECENT THREE YEARS. PART XI, LINE 2D - OTHER ADJUSTMENTS: INDIRECT FUNDRAISING EXPENSES -29,773. CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENT -1,705. PART XII, LINE 4B - OTHER ADJUSTMENTS: INDIRECT FUNDRAISING EXPENSES 29,773. FRESH TASTE 90451 22787 67664 2685 2219 90451 22787 67664 2685 2219 4904 62760 X X 0 0 0 0 0 0 0 0 0 JUDITH BOYKO CHIEF EXECUTIVE OFFICER 0 146703 0 0 0 0 0 0 0 24022 0 170725 0 0 CLAIRE COFRAN CHIEF FINANCIAL OFFICER 0 141073 0 0 0 0 0 0 0 22609 0 163682 0 0 WENDY COFRAN CHIEF INFORMATION OFFICER 0 120553 0 0 0 0 0 0 0 29603 0 150156 0 0 JUDITH BOYKO OFFICER OF CENTURY HEALTH SYSTEMS, INC. 170725 JUDITH IS THE CEO OF CENTURY HEALTH SYSTEMS, INC. (CHS). CHS IS THE SOLE MEMBER OF THE VNA. JUDITH IS ALSO THE CEO OF NATICK VISITING NURSE ASSOCIATION. CHS PROVIDED MANAGEMENT SERVICES TO NATICK VISITING NURSE ASSOCIATION. 0 CLAIRE COFRAN OFFICER OF CENTURY HEALTH SYSTEMS, INC. 163682 CLAIRE IS THE CFO OF CENTURY HEALTH SYSTEMS, INC. (CHS). CHS IS THE SOLE MEMBER OF NATICK VISITING NURSE ASSOCIATION. CLAIRE IS ALSO THE CFO OF NATICK VISITING NURSE ASSOCIATION. CHS PROVIDED MANAGEMENT SERVICES TO NATICK VISITING NURSE ASSOCIATION. 0 FORM 990, PART VI, SECTION A, LINE 6 CENTURY HEALTH SYSTEMS, INC. IS THE SOLE MEMBER OF NATICK VNA AND ELECTS THE PRESIDENT AND VICE PRESIDENT OF THE NATICK VNA'S BOARD OF TRUSTEES AND APPROVES THE ENTIRE SLATE OF OFFICERS. FORM 990, PART VI, SECTION A, LINE 7A CENTURY HEALTH SYSTEMS, INC. ELECTS THE PRESIDENT AND VICE PRESIDENT OF THE NATICK VNA'S BOARD OF TRUSTEES AND APPROVES THE ENTIRE SLATE OF OFFICERS. FORM 990, PART VI, SECTION A, LINE 7B CENTURY HEALTH SYSTEMS, INC. ELECTS THE PRESIDENT AND VICE PRESIDENT OF THE NATICK VNA'S BOARD OF TRUSTEES AND APPROVES THE ENTIRE SLATE OF OFFICERS. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE TAX RETURN IS FORWARDED TO THE TREASURER OF THE BOARD OF TRUSTEES FOR REVIEW AND APPROVAL PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C MANAGEMENT REVIEWS THE WRITTEN CONFLICT OF INTEREST POLICY WITH THE BOARD OF TRUSTEES' MEMBERS, OFFICERS, DIRECTORS, AND KEY EMPLOYEES ANNUALLY. ANY AND ALL TRANSACTIONS OR ACTIVITIES THAT MAY BE CONSIDERED AS SUCH ARE DISCLOSED AND DOCUMENTED. FORM 990, PART VI, SECTION B, LINE 15 NATICK VNA USES A MANAGEMENT COMPANY TO CONTRACT THE CEO POSITION. NATICK VNA'S BOARD DISCUSSES THE CEO'S PERFORMANCE WITH THE MANAGEMENT COMPANY PRIOR TO THE CEO'S ANNUAL PERFORMANCE REVIEW. THE NATICK VNA'S BOARD CAN DISCUSS THE COMPENSATION AND BENEFIT PACKAGE OF THE CEO WITH THE MANAGEMENT COMPANY AT ANYTIME. OTHER EMPLOYEES: THE CEO AND CFO/COO DETERMINE JOINTLY THE DIRECTOR OF NURSING AND ALL OTHER KEY EMPLOYEE'S COMPENSATIONS AND BENEFIT PACKAGES FOLLOWING THEIR ANNUAL PERFORMANCE REVIEWS. THEY UTILIZE THE HOME CARE ALLIANCE'S COMPENSATION GUIDE THAT IS PRODUCED ANNUALLY FROM A SURVEY OF VARIOUS HOME HEALTH ORGANIZATIONS TO COMPARE AND ADJUST COMPENSATION AS NEEDED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 495,681. MANAGEMENT AND GENERAL EXPENSES 174,126. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 669,807. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENT -1,705. FORM 990, PART XII, LINE 2C: NATICK VISITING NURSE ASSOCIATION HAS A FINANCE COMMITTEE WHICH ASSUMES THE RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT. CENTURY HEALTH SYSTEMS INC 209 WEST CENTRAL STREET SUITE 311 NATICK MA 01760 043566661 HEALTHCARE PROGRAMS MA 501(C)(3) 9 NONE 0 DISTINGUISHED CARE OPTIONS INC 209 WEST CENTRAL STREET SUITE 227 NATICK MA 01760 300214976 PRIVATE DUTY MA CENTURY HEALTH SYSTEMS INC C 0 0 0 0 1 0 0 0 0 0 0 1 0 1 0 0 0 1 0 0 CENTURY PROVIDES MANAGEMENT SERVICES TO THE NATICK VNA Q 1359103 MANAGEMENT AGREEMENT THE NATICK VNA LEASES ITS FACILITY FROM CENTURY K 124347 LEASE AGREEMENT DISTINGUISHED CARE OPTIONS PROVIDE HOME HEALTH AIDES SERVICES TO NATICK VNA M 287107 MANAGEMENT AGREEMENT CENTURY PROVIDES MANAGEMENT SERVICES TO THE NATICK VNA D 250000 LOAN CENTURY PROVIDES MANAGEMENT SERVICES TO THE NATICK VNA D 175000 LOAN