2022-08-12T15:50:27-05:00 2021-09-30 263753134 CBIZ MHM LLC 500 BOYLSTON STREET BOSTON MA 02116 990 2020-10-01 042435675 HOME HEALTH VNA INC HOME 9785524000 360 MERRIMACK STREET BUILDING 9 LAWRENCE MA 01843 KAREN GOMES PRESIDENT/CEO 9785524000 2022-08-10 1 KAREN GOMES 999009999 BRENDA L BOOTH P01342395 6177610600 2022-08-10 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z KAREN GOMES 360 MERRIMACK STREET BUILDING 9 LAWRENCE MA 01843 15829621 0 X WWW.HOMEHEALTHFOUNDATION.ORG X 1968 MA HOME HEALTH VNA, INC. PRIMARY PURPOSE IS TO PROVIDE HOME HEALTH CARE SERVICES. 14 9 278 12 0 0 1179474 2147164 13391980 13682287 24084 170 3500000 0 18095538 15829621 0 0 0 0 17705752 12892932 0 0 0 7724948 4617925 25430700 17510857 -7335162 -1681236 11796630 9972991 22819062 22676659 -11022432 -12703668 HOME HEALTH VNA, INC. PRIMARY PURPOSE IS TO PROVIDE HOME HEALTH CARE SERVICES. 0 0 14106846 13682287 HOME CARE - PROVIDES ACUTE HEALTH CARE SERVICES TO PATIENTS WHO CAN BE CARED FOR AT HOME. 14106846 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 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 1 1 0 0 1 26 0 1 278 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 9 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 0.50 42.50 X X 0 389998 14421 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 KARA DOYLE CO VICE CHAIR 0.50 3.00 X X 0 0 0 NAOMI PRENDERGAST CO VICE CHAIR (UNTIL JAN. 2021) 0.50 3.00 X X 0 0 0 SUSAN GREEN TREASURER 0.50 49.50 X X 0 818747 40823 DANIEL A HAYES JR SECRETARY 0.50 3.00 X X 0 0 0 JOHN P CHEMALY TRUSTEE (UNTIL DEC. 2020) 0.50 3.00 X 0 0 0 MICHAEL DANDORPH TRUSTEE 0.50 49.50 X 0 1514157 32232 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 (UNTIL DEC. 2020) 0.50 3.00 X 0 0 0 JOHN F PROCHILO TRUSTEE 0.50 3.00 X 0 0 0 SUSAN M SANDBERG TRUSTEE (UNTIL JULY 2021) 0.50 42.50 X 0 767143 37182 KEITH N SOUCIE TRUSTEE 0.50 3.00 X 0 0 0 DR MICHAEL WAGNER MD TRUSTEE 0.50 49.50 X 0 1178641 184679 JOSEPH WHITE TRUSTEE 0.50 49.50 X 0 1049758 23820 DR RAYMOND H LEWIS JR TRUSTEE 0.50 3.00 X 0 0 0 DIANE FARRAHER-SMITH CHIEF CLINICAL INTEGRATION OFFICER 34.00 6.00 X 267880 0 34800 CHARLES WHIPPLE ESQ ASSISTANT SECRETARY 0.50 42.50 X 0 361220 40435 JASON SHAFER DIR. OF IT SERVICES 37.50 0.00 X 140359 0 30437 EILEEN TREFONIDES DIR. OF ADMIN SERVICES 37.50 0.00 X 191917 0 10403 CHANEL ADU HR DIRECTOR 37.50 0.00 X 137176 0 14181 ANN THIBODEAU CLINICAL DIRECTOR, HOME CARE SERVICES 37.50 0.00 X 129757 0 3742 KAREN WATSON DIR. PROG. DEV. & STAFF CO 37.50 0.00 X 114496 0 16484 981585 6079664 483639 35 0 1 0 HOMECARE HOMEBASE LLC PO BOX 678637 DALLAS TX 75267 MEDICAL AND HEALTH CARE 2278991 CASAMBA 5210 LEWIS RD 10 AGOURA HILLS CA 91301 TECHNOLOGY 113208 2 2094783 52381 2147164 HOME CARE 621610 11007267 11007267 INTERCOMPANY CLINICAL FEES 561000 2675020 2675020 13682287 170 170 15829621 13682287 0 170 315788 315788 10266878 9048958 1217920 232900 204396 28504 1208254 839960 368294 869112 753893 115219 28116 28116 27600 27600 645384 593287 52097 48222 48222 354838 354838 763972 763972 201346 201112 234 29980 26585 3395 354320 354320 72000 72000 CLINICAL FEES 1102621 1102621 PHONES & AIR CARDS 336155 336155 MEDICAL SUPPLIES 175708 175708 COMMUNITY OUTREACH 88142 80330 7812 389521 389521 17510857 14106846 3404011 0 958115 152125 3250681 3215697 331422 1812368 690914 1507590 1121454 6080244 5152293 11796630 9972991 3187936 1121598 439323 692737 2137139 1662723 17054664 19199601 22819062 22676659 X -11022432 -12703668 -11022432 -12703668 11796630 9972991 -1681236 0 X 0 1 X 1 0 X 343389 637510 63485 1179474 2147164 4371022 28626480 26019074 24423416 13391980 13682287 106143237 28969869 26656584 24486901 14571454 15829451 110514259 0 0 0 110514259 23235 49627 28521 24084 170 125637 23235 49627 28521 24084 170 125637 28993104 26706211 24515422 14595538 15829621 110639896 0.99890 0.99880 0.00110 0.00120 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 27600 27600 0 PART II-B, LINE 1: HOME HEALTH VNA PAYS MEMBERSHIP DUES TO NATIONAL ASSOCIATION FOR HOME CARE & HOSPICE ("NAHC"). NAHC MAY ENGAGE IN LOBBYING ACTIVITIES, AS SUCH A PORTION OF THE DUES MAY BE ATTRIBUTABLE TO LOBBYING ACTIVITIES. HOME HEALTH VNA HAS NO DIRECT LOBBYING ACTIVITY OR ANY CONTROL OVER THE LOBBYING ACTIVITIES PERFORMED BY NAHC. 200000 30000 170000 1612368 660914 951454 1121454 INSURANCE RECEIVABLE 3500000 RIGHT OF USE ASSETS 1652293 5152293 DUE TO AFFILIATES 16886424 MCR ADVANCE 2313177 19199601 15829621 0 15829621 0 15829621 17510857 0 17510857 0 17510857 0 1 0 0 0 0 0 1 0 MICHAEL DANDORPH TRUSTEE 0 1104636 0 395000 0 14521 0 0 0 32232 0 1546389 0 0 DR MICHAEL WAGNER MD TRUSTEE 0 875149 0 160500 0 142992 0 148388 0 36291 0 1363320 0 126728 JOSEPH WHITE TRUSTEE 0 795692 0 184449 0 69617 0 8550 0 15270 0 1073578 0 0 SUSAN GREEN TREASURER 0 594206 0 109704 0 114837 0 12001 0 28822 0 859570 0 87557 SUSAN M SANDBERG TRUSTEE (UNTIL JULY 2021) 0 619843 0 137700 0 9600 0 14292 0 22890 0 804325 0 0 KAREN E GOMES PRESIDENT/CEO 0 339372 0 50626 0 0 0 10403 0 4018 0 404419 0 0 CHARLES WHIPPLE ESQ ASSISTANT SECRETARY 0 306020 0 45600 0 9600 0 8359 0 32076 0 401655 0 0 DIANE FARRAHER-SMITH CHIEF CLINICAL INTEGRATION OFFICER 242380 0 25500 0 0 0 9692 0 25108 0 302680 0 0 0 EILEEN TREFONIDES DIR. OF ADMIN SERVICES 174416 0 17501 0 0 0 6735 0 3668 0 202320 0 0 0 JASON SHAFER DIR. OF IT SERVICES 128359 0 12000 0 0 0 0 0 30437 0 170796 0 0 0 CHANEL ADU HR DIRECTOR 124936 0 12240 0 0 0 5062 0 9119 0 151357 0 0 0 PART I, LINE 3 COMPENSATION SETTING PROCEEDURES OF THE PRESIDENT/CEO ARE ESTABLISHED BY HOME HEALTH FOUNDATION, INC., A RELATED ORGANIZATION. 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 HOME HEALTH FOUNDATION, INC., ACTING THROUGH ITS BOARD OF TRUSTEES, SHALL BE THE SOLE MEMBER OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER SHALL ELECT AND MAY REMOVE 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 IS PREPARED EVERY OTHER YEAR 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 WELLFORCE CLINICALLY INTEGRATED NETWORK 800 DISTRICT AVENUE BURLINGTON MA 01803 871600172 HEALTH CARE MA 501(C)(3) LINE 10 WELLFORCE INC 1 CNS NURSING HOME CARE INC 360 MERRIMACK STREET BUILDING 9 LAWRENCE MA 01843 371836433 HOME CARE SERVICES MA 501(C)(3) LINE 10 CIRCLE HOME INC 1 CIRCLE HOME INC 360 MERRIMACK STREET BUILDING 9 LAWRENCE MA 01843 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 LOWELL GENERAL HOSPITAL AUXILIARY 295 VARNUM AVENUE LOWELL MA 01854 223459303 SUPPORTING ORGANIZATION MA 501(C)(3) LINE 12A, I N/A 0 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 MERRIMACK STREET BUILDING 9 LAWRENCE MA 01843 222587225 MANAGEMENT SERVICES MA 501(C)(3) LINE 12B, II WELLFORCE INC 1 HOME HEALTH VNA INC 360 MERRIMACK STREET BUILDING 9 LAWRENCE MA 01843 042435675 HOME HEALTH CARE MA 501(C)(3) LINE 10 HOME HEALTH FOUNDATION INC 1 MERRIMACK VALLEY HOSPICE INC 360 MERRIMACK STREET BUILDING 9 LAWRENCE MA 01843 043024278 HOSPICE SERVICES MA 501(C)(3) LINE 10 HOME HEALTH FOUNDATION INC 1 HOME CARE INC 360 MERRIMACK STREET BUILDING 9 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 WELLFORCE CLINICALLY INTEGRATED NETWORK 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 HALLMARK HEALTH ENTERPRISES INC 585 LEBANON STREET MELROSE MA 02176 042475660 OTHER HEALTH SERVICES MA MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION C 1 HALLMARK HEALTH PHO INC 170 GOVERNORS AVE MEDFORD MA 02155 461134759 PHYSICIAN HOSPITAL ORGANIZATION MA MELROSEWAKEFIELD HEALTHCARE INC C 0 LAWRENCE MELROSE MEDICAL ELECTRONICS RECORD INC 170 GOVERNORS AVE MEDFORD MA 02155 421685777 ELECTRONIC MEDICAL RECORDS MA MELROSEWAKEFIELD HEALTHCARE INC C 0 LGH MANAGEMENT SERVICES INC 295 VARNUM AVENUE LOWELL MA 01854 042919244 MEDICAL SERVICES MA LGH SERVICES 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 MEDICAL SERVICES INC 295 VARNUM AVENUE LOWELL MA 01854 261889904 MEDICAL SERVICES MA LGH SERVICES INC C 1 LGH SERVICES INC 295 VARNUM AVENUE LOWELL MA 01854 042854673 MEDICAL SERVICES MA CIRCLE HEALTH INC C 1 WELLFORCE INDEMNITY COMPANY LTD 800 WASHINGTON STREET BOSTON MA 02111 980444573 CAPTIVE INSURANCE CJ TUFTS MEDICAL CENTER INC C 1 0 0 0 1 1 0 0 0 0 0 0 1 1 1 1 0 0 0 0 HOME HEALTH FOUNDATION INC M 412368 BOOK VALUE MERRIMACK VALLEY HOSPICE INC L 1043472 BOOK VALUE HOME HEALTH FOUNDATION INC L 554760 BOOK VALUE HALLMARK HEALTH VISITING NURSE ASSOC L 396252 BOOK VALUE CIRCLE HOME INC L 642412 BOOK VALUE MERRIMACK VALLEY HOSPICE INC L 1043472 BOOK VALUE CIRCLE HOME INC D 1912362 BOOK VALUE HALLMARK HEALTH VNA INC D 908708 BOOK VALUE HOME HEALTH FOUNDATION INC E 15306485 BOOK VALUE MERRIMACK VALLEY HOSPICE INC E 7428808 BOOK VALUE CNS NURING HOME CARE INC D 111541 BOOK VALUE