2011-11-03T13:59:44-05:00 2010-12-31 ALEXANDER ARONSON FINNING & CO PC 21 EAST MAIN STREET WESTBORO MA 01581 990 2010-01-01 042105918 NATICK VISITING NURSE ASSOC INC NATI 5086533081 209 WEST CENTRAL STREET NO 313 NATICK MA 01760 JUDITH BOYKO 5086533081 2011-10-28 1 MATTHEW R HUTT CPA 5083669100 2011-10-28 2010 2016-03-07 17:11:31Z JUDITH BOYKO 209 WEST CENTRAL STREET NO 313 NATICK MA 01760 8471083 0 X WWW.NATICKVNA.ORG X 1914 MA NATICK VNA IS A NOT-FOR-PROFIT AGENCY COMMITTED TO EXCELLENCE IN PROVIDING CARING AND COMPASSIONATE MULTI-DISCIPLINARY HEALTH CARE SERVICES TO PATIENTS IN THEIR HOMES. THROUGH THE GENEROSITY OF OUR DONORS AND OUR COMMUNITIES, WE ENDEAVOR TO PROVIDE SERVICES REGARDLESS OF A PERSON'S ABILITY TO PAY. 7 7 75 50 0 0 725361 705051 7067590 6499196 13793 136085 44784 53093 7851528 7393425 0 0 0 0 3582117 3595303 0 0 239863 4209325 4173403 7791442 7768706 60086 -375281 5065372 4708995 775030 566942 4290342 4142053 X NATICK VNA IS A NOT-FOR-PROFIT AGENCY COMMITTED TO EXCELLENCE IN PROVIDING CARING AND COMPASSIONATE MULTI-DISCIPLINARY HEALTH CARE SERVICES TO PATIENTS IN THEIR HOMES. THROUGH THE GENEROSITY OF OUR DONORS AND OUR COMMUNITIES, NATICK VNA ENDEAVORS TO PROVIDE SERVICES REGARDLESS OF A PERSON'S ABILITY TO PAY. 0 0 2884105 2635768 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. 936139 1487350 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. 991265 1680350 PHYSICAL THERAPY- THE PHYSICAL THERAPISTS THAT COMPRISE OUR REHABILITATION TEAM TREAT A WIDE VARIETY OF DIAGNOSES. HOME CARE AIDES WHO SPECIALIZE IN CARING FOR REHABILITATION PATIENTS ASSIST THEM WITH PATIENT TREATMENT AND PERSONAL CARE, AND HELP WITH PATIENT ACTIVITIES OF DAILY LIVING (ADLS). ONE OF THE GOALS OF OUR REHABILITATION TEAM IS TO TURN INPATIENTS INTO OUTPATIENTS. PATIENTS REQUIRE IN-HOME REHABILITATION SERVICES AFTER BEING DISCHARGED FROM A VARIETY OF HEALTH FACILITIES, INCLUDING HOSPITALS (AFTER AN EARLY DISCHARGE FROM ORTHOPEDIC SURGERIES INCLUDING TOTAL JOINTS OR ORTHOPEDIC REPAIR OF FRACTURES), REHABILITATION HOSPITALS, SKILLED NURSING FACILITIES, OR NURSING HOMES. DOCTOR'S OFFICES ALSO REFER PATIENTS TO OUR CARE. 61920 91393 SPEECH THERAPY- THE SPEECH THERAPISTS THAT COMPRISE OUR REHABILITATION TEAM TREAT A WIDE VARIETY OF DIAGNOSES. HOME CARE AIDES WHO SPECIALIZE IN CARING FOR REHABILITATION PATIENTS ASSIST THEM WITH PATIENT TREATMENT AND PERSONAL CARE, AND HELP WITH PATIENT ACTIVITIES OF DAILY LIVING (ADLS). ONE OF THE GOALS OF OUR REHABILITATION TEAM IS TO TURN INPATIENTS INTO OUTPATIENTS. PATIENTS REQUIRE IN-HOME REHABILITATION SERVICES AFTER BEING DISCHARGED FROM A VARIETY OF HEALTH FACILITIES, INCLUDING HOSPITALS (AFTER AN EARLY DISCHARGE FROM ORTHOPEDIC SURGERIES INCLUDING TOTAL JOINTS OR ORTHOPEDIC REPAIR OF FRACTURES), REHABILITATION HOSPITALS, SKILLED NURSING FACILITIES, OR NURSING HOMES. DOCTOR'S OFFICES ALSO REFER PATIENTS TO OUR CARE. 154000 274358 OCCUPATIONAL THERAPY-THE OCCUPATIONAL THERAPISTS THAT COMPRISE OUR REHABILITATION TEAM TREAT A WIDE VARIETY OF DIAGNOSES. HOME CARE AIDES WHO SPECIALIZE IN CARING FOR REHABILITATION PATIENTS ASSIST THEM WITH PATIENT TREATMENT AND PERSONAL CARE, AND HELP WITH PATIENT ACTIVITIES OF DAILY LIVING (ADLS). ONE OF THE GOALS OF OUR REHABILITATION TEAM IS TO TURN INPATIENTS INTO OUTPATIENTS. PATIENTS REQUIRE IN-HOME REHABILITATION SERVICES AFTER BEING DISCHARGED FROM A VARIETY OF HEALTH FACILITIES, INCLUDING HOSPITALS (AFTER AN EARLY DISCHARGE FROM ORTHOPEDIC SURGERIES INCLUDING TOTAL JOINTS OR ORTHOPEDIC REPAIR OF FRACTURES), REHABILITATION HOSPITALS, SKILLED NURSING FACILITIES, OR NURSING HOMES. DOCTORS' OFFICES ALSO REFER PATIENTS TO OUR CARE. 77105 73552 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. 230592 256425 PRESCRIPTION DRUG ASSISTANCE- METROWEST MEDS IS A PROGRAM OF THE NATICK VNA SUPPORTED BY THE METROWEST COMMUNITY HEALTH CARE FOUNDATION THAT IS DESIGNED TO HELP ELIGIBLE UNINSURED AND UNDERINSURED INDIVIDUALS RECEIVE PRESCRIPTION MEDICATIONS FOR FREE OR AT A DISCOUNTED RATE. 523617 695728 5335126 1 1 0 0 0 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 0 1 17 0 75 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 X JUDITH BOYKO CEO 5086533081 209 WEST CENTRAL STREET SUITE 313 NATICK MA 01760 MICHAEL J MURPHY 1.00 X X 0 0 0 JAMES M LEE 1.00 X X 0 0 0 LYNN FALWELL 1.00 X 0 0 0 LUCY WEST 1.00 X X 0 0 0 JOHN W BREEN 1.00 X 0 0 0 JOAN HOLMES 1.00 X 0 0 0 DANIEL MAINZER 1.00 X 0 0 0 JUDITH BOYKO 40.00 X 0 175939 29521 CLAIRE COFRAN 40.00 X 0 140811 23000 ELLEN MUNROE 40.00 X 111425 0 7963 111425 316750 60484 1 0 1 0 CENTURY HEALTH SYSTEMS INC 209 WEST CENTRAL STREET SUITE 316 NATICK MA 01760 EXECUTIVE MGMT., BILLING, IT, FINANCE 1795919 NEW CENTURY HOMECARE SERVICES INC 209 WEST CENTRAL STREET SUITE 311 NATICK MA 01760 HOME CARE AIDE SERVICES 526987 ADVOCATES 27 HOLLIS STREET FRAMINGHAM MA 01702 HOME CARE AIDE SERVICES 393569 COMMUNITY HEALTH NETWORK 747 WASHINGTON STREET HOLLISTON MA 01746 NURSING SERVICES 155226 CAREANYWARE INC 1903 N HARRISON AVE SUITE 200 CARY NC 27513 COMPUTER SUPPORT 126640 5 8221 11890 684940 705051 NET PATIENT FEES 621610 6499196 6499196 6499196 133191 133191 1076320 1073426 2894 2894 2894 57325 11890 4232 53093 53093 7393425 6499196 0 189178 3012170 2892248 119922 106495 100630 5865 242352 234437 7915 234286 225344 8942 1770000 1770000 1185 1185 19542 19542 1307716 1173147 125569 9000 100687 48016 47225 5446 177677 57214 100919 19544 75882 73456 850 1576 16845 8898 3861 4086 8311 8311 22948 22948 56806 31252 21408 4146 DUES, SUBSCRIPTIONS, AN 220237 173144 43929 3164 COMPUTER SERVICE 137132 128145 8987 MEDICAL AND PROGRAM SUP 105718 105718 FUNDRAISING COSTS 37405 37405 PROMOTION AND PUBLICITY 35648 12870 19945 2833 79664 39348 30297 10019 7768706 5335126 2193717 239863 1222049 616448 31957 314283 456536 150947 87357 581493 534066 24718 47427 3321418 3501227 5065372 4708995 614723 513036 144345 38581 15962 15325 775030 566942 X 3908845 3739963 381497 402090 4290342 4142053 5065372 4708995 X -375281 226992 X X 0 1 1 X 0 X 543058 506767 544336 725361 705051 3024573 543058 506767 544336 725361 705051 3024573 773748 2250825 97375 94149 131500 106915 133191 563130 3587703 37354509 0.62740 0.60740 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 581493 534066 47427 47427 ANNUITY PAYMENT LIABILITY 15325 15325 7393425 7768706 -375281 228495 -1503 226992 -148289 7584515 228495 -37405 191090 7393425 0 7393425 7732804 1503 1503 7731301 37405 37405 7768706 PART XI, LINE 8 - OTHER ADJUSTMENTS: CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENT -1,503. PART XII, LINE 2D - OTHER ADJUSTMENTS: INDIRECT FUNDRAISING EXPENSES -37,405. PART XIII, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS 1,503. PART XIII, LINE 4B - OTHER ADJUSTMENTS: INDIRECT FUNDRAISING EXPENSES 37,405. THE V.N.A. FOLLOWS THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES STANDARD WHICH REQUIRES THE V.N.A. TO REPORT UNCERTAIN TAX POSITIONS, RELATED INTEREST AND PENALTIES, AND TO ADJUST ITS ASSETS AND LIABILITIES RELATED TO UNRECOGNIZED TAX BENEFITS AND ACCRUED INTEREST AND PENALTIES ACCORDINGLY. AS OF DECEMBER 31, 2010, THE V.N.A. DETERMINED THAT THERE ARE NO MATERIAL UNRECOGNIZED TAX BENEFITS TO REPORT. THE V.N.A. FILES INFORMATION RETURNS IN THE UNITED STATES FEDERAL AND MASSACHUSETTS STATE JURISDICTIONS. THE V.N.A. IS NO LONGER SUBJECT TO EXAMINATIONS FOR THESE RETURNS BEFORE DECEMBER 31, 2007. FRESH TASTE 69215 11890 57325 2685 1547 69215 11890 57325 2685 1547 4232 53093 0 0 0 0 1 0 0 0 0 JUDITH BOYKO 0 175939 0 0 0 0 0 0 0 29521 0 205460 0 0 CLAIRE COFRAN 0 140811 0 0 0 0 0 0 0 23000 0 163811 0 0 PART I, LINE 5 JUDITH BOYKO, CEO, AND CLAIRE COFRAN, CFO/COO, ARE OFFICERS OF CENTURY HEALTH SYSTEMS AND PROVIDE MANAGEMENT SERVICES TO NATICK VISITING NURSE ASSOCIATION. JUDITH BOYKO OFFICER OF CENTURY HEALTH SYSTEMS, INC. 205460 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. 163811 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 228,495. CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENT -1,503. TOTAL TO FORM 990, PART XI, LINE 5: 226,992. THE NATICK VISITING NURSE ASSOCIATION, INC. 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 NEW CENTURY HOMECARE SERVICES INC 209 WEST CENTRAL STREET SUITE 227 NATICK MA 01760 300214976 PRIVATE DUTY MA CENTURY HEALTH SYSTEMS INC C 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 0 CENTURY PROVIDES MANAGEMENT SERVICES TO THE NATICK VNA P 1770000 THE NATICK VNA LEASES ITS FACILITY FROM CENTURY J 157554 NEW CENTURY PROVIDES HOME HEALTH AIDES SERVICES TO NATICK VNA L 526987