2022-11-11T08:35:49-06:00 2021-12-31 010523282 Berry Dunn McNeil & Parker LLC 1000 Elm Street 4th Floor Manchester NH 03101 990 2021-01-01 042104797 Norwell Visiting Nurse Association Inc NORW 7816592342 120 Longwater Drive Norwell MA 02061 Renee McInnes CEO 7816592342 2022-11-10 1 Renee McInnes 999009999 Melissa Magoon CPA P01712842 6036697337 2022-11-10 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z NVNA and Hospice Renee McInnes 120 Longwater Drive Norwell MA 02061 34228837 0 X www.nvna.org X 1924 MA To provide quality home health and hospice care, wellness and public health services in the community. 13 12 346 75 0 0 1989765 7321307 23886129 26899653 357 135 -33137 -265516 25843114 33955579 0 0 0 0 20994870 22895560 0 0 703216 5675537 7034842 26670407 29930402 -827293 4025177 15653786 14913766 7613186 2547989 8040600 12365777 To provide quality home health and hospice care, wellness and public health services in the community. 0 0 25099480 26899653 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. 25099480 1 1 0 1 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 0 0 0 0 0 0 0 1 0 0 0 1 39 0 1 346 1 0 0 0 0 0 0 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 Joseph Glynn Controller 7816592342 120 Longwater Drive Norwell MA 02061 William Scalzulli President 1.00 2.00 X X 0 0 0 Mary Sweeney Vice President 1.00 2.00 X X 0 0 0 Karen Mullaney Treasurer 1.00 2.00 X X 0 0 0 Ben Bembenek Clerk 1.00 2.00 X X 0 0 0 Alan Berrick Director 1.00 1.00 X 0 0 0 Anita Comerford Director 1.00 0.00 X 0 0 0 Shaun Golden Director 1.00 0.00 X 0 0 0 Elena Kirkiles Director 1.00 1.00 X 0 0 0 Linda Mahonen Director 1.00 1.00 X 0 0 0 Kendra McKinley Director 1.00 1.00 X 0 0 0 Donna Pineau Director 1.00 1.00 X 0 0 0 Deirdre Prescott Director 1.00 1.00 X 0 0 0 Renee McInnes CEO 20.00 20.00 X X 240179 0 6130 VIcki Donlan Past Director 1.00 1.00 X 0 0 0 Kathleen Powers Past VP Strategic Partnerships 20.00 20.00 X 214256 0 34107 Marina Androssova MD 40.00 0.00 X 244005 0 16638 Michael Rogers VP Advancement 10.00 30.00 X 216063 0 16108 Nicole DePace Director, Palliative Care 40.00 0.00 X 155941 0 15516 Bernadette Ward VP Clinical Ops 40.00 0.00 X 154933 0 38528 Laura Wallace RN 40.00 0.00 X 136403 0 2250 1361780 0 129277 36 0 1 0 Berry Dunn 1000 Elm St - 4th Floor Manchester NH 031011730 Consultants/Accounting Firm 438398 CHN Health Care Group Inc 747 Washington St Holliton MA 01746 Contractors/RN 254832 Brightree Home Health & Hospice LLC PO Box 101233 Atlanta GA 303921233 Patient Care Documentation 250513 Supplemental Health Care Services Inc PO Box 677896 Dallax TX 752677896 Contractors/RN 239691 Health Recovery Solutions Inc 50 Harrison St-Ste 310 Hoboken NJ 07030 Telemedicine Software 166700 10 365771 5020804 1934732 20248 7321307 Patient Service Revenue 621610 26364675 26364675 Management Fee Revenue 561000 522626 522626 Misc Revenue 541900 12352 12352 26899653 1064 1064 6813 7742 -929 -929 -929 0 365771 265516 -265516 -265516 33955579 26899653 0 -265381 495672 495672 18701243 16441127 1786386 473730 311072 272159 31080 7833 1855039 1621329 187046 46664 1532534 1315221 179459 37854 117112 117112 64400 64400 1410127 662364 747763 84564 84564 500096 429183 70913 434372 372778 61594 1099683 943748 155935 288520 247608 40912 93880 80568 13312 489107 419752 69355 184273 184273 Program Supplies 1270492 1270492 Other Expenses 998216 838878 106767 52571 29930402 25099480 4127706 703216 X 4139650 3205572 592545 593608 1312658 1469934 4670194 5116478 454697 214523 8150058 3928549 4412032 4221509 72010 92142 15653786 14913766 2570951 2064334 42750 68400 4999485 415255 7613186 2547989 X 6283434 10654288 1757166 1711489 8040600 12365777 15653786 14913766 X 4025177 300000 X 0 1 X 1 0 X 822126 847935 1284234 1989765 7321307 12265367 22031486 22779768 23630320 23886129 26899653 119227356 22853612 23627703 24914554 25875894 34220960 131492723 15000 11000 41000 106000 173000 0 15000 11000 41000 106000 173000 131319723 369886 146996 3296 2267 1064 523509 369886 146996 3296 2267 1064 523509 44409 65375 17525 127309 23267907 23840074 24935375 25878161 34222024 132143541 0.99380 0.98850 0.00400 0.00840 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 4820 4820 0 Part II-B, Line 1: NVNA pays dues to various organizations where a portion of the dues goes towards lobbying. 270000 270000 4556700 1603154 2953546 382773 275735 107038 2728399 1992689 735710 212186 56971 155215 4221509 Due to Third-Party Payers 4384 Due to Affiliates 307525 CARES Act Refundable Advances 103346 415255 X 34521095 565516 565516 33955579 0 33955579 30195918 265516 265516 29930402 0 29930402 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. Part XI, Line 2d - Other Adjustments: Fundraising Expenses 265,516. Transfer from Affiliate 300,000. Part XII, Line 2d - Other Adjustments: Fundraising Expenses 265,516. THE TWELVE 334371 334371 181745 Bella Vita 16400 16400 451 7 15000 15000 83320 365771 365771 265516 265516 -265516 X X X X X X 0 0 0 0 0 0 0 1 0 Marina Androssova MD 243267 0 0 0 738 0 6219 0 10419 0 260643 0 0 0 Kathleen Powers Past VP Strategic Partnerships 192768 0 20000 0 1488 0 0 0 34107 0 248363 0 0 0 Renee McInnes CEO 204638 0 15000 0 20541 0 6056 0 74 0 246309 0 0 0 Michael Rogers VP Advancement 175660 0 40310 0 93 0 4265 0 11843 0 232171 0 0 0 Bernadette Ward VP Clinical Ops 146086 0 6000 0 2847 0 4285 0 34243 0 193461 0 0 0 Nicole DePace Director, Palliative Care 145281 0 10000 0 660 0 4043 0 11473 0 171457 0 0 0 Part I, Line 7 Renee McInnes' bonus is managed and evaluated by the Board of Directors and is based on a combination of an employment contract and performance metrics. Other members of senior leaderships' bonuses are based on performance-based assessments of key metrics by the CEO. The CEO has discretion of up to $25k to approve bonuses to other members of leadership. Form 990, Part VI, Section A, line 1a The Executive Committee shall consist of the President, Vice President, Treasurer, Clerk and Alternative Clerk (if any). The Executive Committee shall have and may exercise all the powers of the Board except for the power to elect directors or officers, fill vacancies in such offices, remove officers or directors from office, change the number of directors, amend the bylaws of the corporation, hire or fire the Chief Executive Officer, approve or change the annual budget, authorize major structural decisions (including, but not limited to, mergers), or change the principal office of the corporation. The Executive Committee is expected to apprise the Board as soon as reasonably practicable but no later than the next meeting of the Board of any actions that it has taken, and any matters on which it expects to take action. The Executive Committee shall act as the communication link to the Chief Executive Officer. Form 990, Part VI, Section A, line 6 The sole member of the Corporation 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, after considering the recommendations of the Members Nominating Committee, determine annually the number of directors and elect all directors as needed to match that number. Every reasonable effort shall be made to have director representation from the communities served by the corporation. 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 member pursuant to law, these bylaws or the articles of organization: (a) Election of the Directors, other than to fill vacancies; (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, excluding contracts in the ordinary course of business; (g) Authorization of any plan of dissolution, petition for 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, and 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, disposition or lease of, or any 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 (k) 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 with input from management and staff. Then a draft of the Form 990 is distrubited to the CEO and all board members for review prior to filing. Form 990, Part VI, Section B, line 12c The corporation is committed to pursuing its mission and conducting its affairs in accordance with high professional and ethical standards which include the avoidance of detrimental conflicts of interest. The corporation believes that avoiding such conflicts is imperative in preserving the public's trust. Persons who agree to serve the corporation should not use their position for personal gain, or to expose the corporation to potential harm as a result of conflict of interest. The corporation has adopted a conflict of interest policy which applies to deliberations by the Board and its committees. The Board shall be updated annually as to conflicts of interest as described in the conflict of interest policy. 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 X, Line 10: Land, Buildings, and Equipment: Section 1.263(a)-3(n) Election: Norwell Visiting Nurse Association, Inc. 120 Longwater Drive Norwell, MA 02061 EIN: 04-2104797 Section 1.263(a)-3(n) Election: Norwell Visiting Nurse Association, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n). Form 990, Part XI, line 9: Transfer from Affiliate 300,000. 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 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0