2021-08-16T11:34:47-05:00 2020-09-30 263753134 CBIZ MHM LLC 500 BOYLSTON STREET BOSTON MA 02116 990 2019-10-01 472250732 WELLFORCE INC WELL 9789422220 800 DISTRICT AVENUE NO 520 BURLINGTON MA 01803 SUSAN GREEN EXEC. VP AND CFO 9789422220 2021-08-11 1 BRENDA L BOOTH P01342395 6177610600 2021-08-11 2019 2022-09-23 18:48:47Z MICHAEL DANDORPH 800 DISTRICT AVENUE NO 520 BURLINGTON MA 01803 530151 0 X WWW.WELLFORCE.ORG X 2014 MA CARE INTEGRATION, POPULATION HEALTH MANAGEMENT, PATIENT ACCESS AND OPERATIONAL PERFORMANCE. 24 19 53 21 0 107973 0 0 250000 503640 81190 26511 0 0 331190 530151 44152 6000 0 0 9186884 11840237 0 0 0 15904143 11003165 25135179 22849402 -24803989 -22319251 137294159 334551155 16440040 222997074 120854119 111554081 X HEALTHCARE IS TRANSFORMING AS IT CONTINUES TO RESPOND TO NUMEROUS PRESSURES (I.E., REIMBURSEMENT REDUCTIONS; GOVERNMENT MANDATES; SYSTEM CONSOLIDATION; TECHNOLOGY AND RETAIL ENTRANTS). WELLFORCE IS RESPONDING PROACTIVELY TO ADDRESS THESE PRESSURES AND POSITION THE HEALTH SYSTEM TO:DELIVER ON ITS MISSION: TO RELENTLESSLY FOCUS ON HELPING PEOPLE ACHIEVE BETTER HEALTH.REALIZE ITS VISION: TO CREATE A HEALTHIER SYSTEM OF CARE THAT ANTICIPATES PEOPLE'S NEEDS AND IS CONSTANTLY INNOVATING TO DELIVER HIGH-QUALITY, AFFORDABLE CARE LOCALLY AND CONVENIENTLY.INTERNALIZE ITS VALUES:-COLLABORATION-RESPECT-INNOVATION-SERVICE-EXCELLENCE 0 0 10983694 6000 503640 TUFTS MEDICAL CENTER PARENT, INC. AND CONSOLIDATED AFFILIATES ("TUFTS MC"), CIRCLE HEALTH, INC. AND CONSOLIDATED AFFILIATES ("CIRCLE HEALTH"), MELROSEWAKEFIELD HEALTHCARE, INC. AND CONSOLIDATED AFFILIATES, FORMERLY HALLMARK HEALTH CORPORATION ("MELROSEWAKEFIELD"), AND HOME HEALTH FOUNDATION, INC. AND ITS AFFILIATES ("HHF") ARE THE MEMBERS OF WELLFORCE, INC. ("WELLFORCE"), WHICH IS HEREINAFTER REFERRED TO AS THE "SYSTEM". THE SYSTEM REPRESENTS A UNIQUE MODEL THAT SERVES THE HEALTH NEEDS OF COMMUNITIES WHILE ENHANCING THE AFFORDABILITY OF CARE. THE SYSTEM FOCUSES ON CARE INTEGRATION, POPULATION HEALTH MANAGEMENT, PATIENT ACCESS, AND OPERATIONAL PERFORMANCE.WELLFORCE IS DESIGNED TO ENHANCE THE DELIVERY OF PATIENT-CENTERED CARE AND IMPROVE ACCESS TO HIGH-QUALITY, CLINICALLY INTEGRATED HEALTHCARE SERVICES FOR PATIENTS THROUGHOUT MANY COMMUNITIES IN THE COMMONWEALTH OF MASSACHUSETTS. WELLFORCE IS WORKING TO FACILITATE IMPLEMENTATION OF A COMMON, COORDINATED APPROACH, ACROSS THE THREE AFFILIATING HEALTH CARE SYSTEMS, TO POPULATION HEALTH MANAGEMENT. THIS WILL ALLOW FOR INNOVATION IN CARE MANAGEMENT MODELS, DISSEMINATION OF BEST PRACTICES, SHARED INFRASTRUCTURE AND INFORMATION SYSTEMS, AND INCREASED SCALE TO SERVE A GREATER POPULATION BASE. THE ROLE OF WELLFORCE FOR TUFTS MC, CIRCLE HEALTH, MELROSEWAKFIELD AND HHF WILL FACILITATE RATIONALIZING CARE DELIVERY TO ASSURE THAT SERVICES ARE PROVIDED IN THE MOST EFFICIENT SETTING, WITH INCENTIVES FOR CLOSE COLLABORATION AMONG PHYSICIANS, FACILITIES AND OTHER HEALTH CARE PROVIDERS. THE ROLE OF WELLFORCE WILL ALSO SERVE TO FOSTER EFFECTIVE CLINICAL INTEGRATION ACROSS THE CONTINUUM OF CARE, INCLUDING IMPLEMENTING STRATEGIES PROMOTING RISK-SHARING AND HIGH PERFORMANCE OUTCOMES. THROUGH WELLFORCE, TUFTS MC, CIRCLE HEALTH, MELROSEWAKFIELD AND HHF WILL DEFINE A COMMON SET OF RESPONSIBILITIES THAT HONORS THEIR RESPECTIVE AUTONOMY WHILE PROMOTING A COLLABORATIVE AND COMPREHENSIVE FUTURE-LOOKING STRATEGIC VISION PROACTIVELY RESHAPING HOW HEALTH CARE IS PROVIDED.WELLFORCE CARE PLAN, LLC IS AN ACCOUNTABLE CARE ORGANIZATION FORMED FOR THE PURPOSE OF ENTERING INTO AN AGREEMENT WITH A MANAGED CARE ORGANIZATION TO PARTICIPATE COLLECTIVELY IN THE MASSHEALTH ACCOUNTABLE CARE ORGANIZATION PROGRAM. 10983694 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 847 0 1 53 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 24 19 0 0 0 0 0 1 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 MA X X SUSAN GREEN 9789422220 800 DISTRICT AVE BURLINGTON MA 01803 MICHAEL DANDORPH PRESIDENT & CEO 49.00 1.00 X X 0 0 0 RAYMOND ANSTISS JR TRUSTEE 1.00 1.00 X 0 0 0 PAUL BARDARO TRUSTEE 1.00 1.00 X 0 0 0 PETER BATES MD TRUSTEE 1.00 1.00 X 0 0 0 HARRIS BERMAN MD TRUSTEE (UNTIL DEC. 2019) 1.00 1.00 X 0 0 0 JOSEPH CAMPANELLI TRUSTEE 1.00 1.00 X 0 0 0 GARY CAMPBELL TRUSTEE 1.00 1.00 X 0 0 0 JOHN CARSON PH D TRUSTEE 1.00 1.00 X 0 0 0 SCOTT COLLINS TRUSTEE 1.00 1.00 X 0 0 0 JACK CLANCY TRUSTEE 1.00 1.00 X 0 0 0 MICHELE CRAGE MD TRUSTEE (UNTIL FEB. 2020) 1.00 1.00 X 0 0 0 K ERIC HENRIKSON MD TRUSTEE 1.00 6.00 X 0 0 0 JAMES HERRINGTON TRUSTEE 1.00 0.00 X 0 0 0 JOHN KEENAN TRUSTEE 1.00 0.00 X 0 0 0 GENIA LONG TRUSTEE 1.00 1.00 X 0 0 0 JOSEPH PENNACCHIO MD TRUSTEE 1.00 42.00 X 0 420321 24408 DAVID PICKUL MD TRUSTEE 1.00 0.00 X 0 0 0 NAOMI PRENDERGAST TRUSTEE 1.00 1.00 X 0 0 0 PETER ROMAN MD TRUSTEE 1.00 0.00 X 0 0 0 SUSAN M SANDBERG TRUSTEE 1.00 42.00 X 0 708368 29475 ROBERT SWANSON TRUSTEE 1.00 0.00 X 0 0 0 MICHAEL TARNOFF MD TRUSTEE 1.00 39.00 X 0 491033 40853 CHRISTOPHER VINCZE TRUSTEE 1.00 0.00 X 0 0 0 JOSEPH WHITE TRUSTEE 1.00 49.00 X 0 1067368 21785 CLARISSA YANG MD TRUSTEE 1.00 39.00 X 0 759822 2135 ELLEN ZANE CHAIR 1.00 2.00 X X 0 0 0 MICHAEL WAGNER MD-UNTIL 120 TRUSTEE, INTERIM CEO & CPE 39.00 1.00 X X 1608006 0 162130 MICHAEL APKON MD TRUSTEE (UNTIL SEPT. 2020) 1.00 49.00 X 0 1587424 73558 PAUL SUMMERGRAD MD TRUSTEE (UNTIL FEB. 2020) 1.00 39.00 X 0 521959 49473 WILLIAM SHICKOLOVICH EXECUTIVE VP & CIO 49.00 1.00 X 533832 0 7077 JEFFREY WEINSTEIN ESQ EXEC. VP & GENERAL COUNSEL & SEC. 49.00 1.00 X 626380 0 16112 DEBORAH JOELSON EXEC. VP & CHIEF STRATEGY OFFICER 49.00 1.00 X 685385 0 15775 SUSAN GREEN EXECUTIVE VP & CFO 49.00 1.00 X 799109 0 19738 SABRINA GRANVILLE CHIEF HUMAN RESOURCE OFFICER 38.00 12.00 X 401441 133814 27683 JEFFREY GROSS SR. VP, BUSINESS DEVELOPMENT 30.00 20.00 X 192192 128128 73735 CHRISTOPHER JOHNSON SR. VP, SUPPLY CHAIN 49.00 1.00 X 284897 0 42110 BROOKE TYSON-HYNES SR. VP OF MARKETING COMM. 25.00 25.00 X 189492 125621 35689 CHARLES WHIPPLE SR. VP, DEPUTY GENERAL COUNSEL 1.00 39.00 X 0 345133 30770 DUDLEY ABBE SR. VP, SUPPORT SERVICES 40.00 0.00 X 218909 0 5224 JOHN GUGLIOTTA VP, SUPPLY CHAIN 40.00 0.00 X 251240 0 36968 JOSEPH GARBIEL DIR. OF TALENT ACQUISITION 40.00 0.00 X 203230 0 17337 OLGA ROUDIK DIR. OF HR SYSTEM SOLUTIONS 40.00 0.00 X 174989 0 18609 JOHN SULLIVAN DIR. OF PURCHASING MATERIAL MGMT 40.00 0.00 X 167649 0 33759 6336751 6288991 784403 13 0 1 0 HEALTHLINK ADVISORS INC 9720 EXECUTIVE CENTER DRIVE NORTH ST PETERSBURG FL 33702 STRATEGIC ADVISORS IT 630075 ALVAREZ & MARSAL HEALTHCARE IND GROUP 260 FRANKLIN STREET SUITE 210 BOSTON MA 02110 MANAGEMENT CONSULTING 620613 NICHOLS MANAGEMENT GROUP LTD 28 LONG SANDS RD YORK ME 03909 CLINICAL LABORATORY CONSULTING 264193 CENTER FOR APPLIED RESEARCH INC 4001 SOUTH DAHLIA STREET ENGLEWOOD CO 80113 CONSULTING 199869 HURON CONSULTING SERVICES LLC 100 HIGH ST 2301 BOSTON MA 02110 CONSULTING 175000 8 HEALTH CARE SERVICES 621300 503640 503640 503640 26511 26511 530151 503640 0 26511 X 6000 6000 6307798 6307798 2562047 2562047 2509049 2509049 461343 461343 442204 221102 221102 106700 106700 8232466 4116233 4116233 144532 144532 1816 1816 725406 725406 77616 77616 52019 52019 72727 72727 1147679 1035193 112486 22849402 10983694 11865708 0 8538322 6175640 18214 475932 920191 430378 621243 181163 481824 440080 766374 0 123070012 323721796 3517436 3289115 137294159 334551155 6200996 69723976 4393851 0 5845193 153273098 16440040 222997074 X 120854119 111554081 120854119 111554081 137294159 334551155 X -22319251 13019213 X 0 1 X 1 0 X X 3 THE LOWELL GENERAL HOSPITAL 042103590 3 1 0 0 TUFTS MEDICAL CENTER INC 043400617 3 1 0 0 MELROSEWAKEFIELD HEALTHCARE INC 042767880 3 1 0 0 3 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 SECTION A. ALL SUPPORTING ORGANIZATIONS EFFECTIVE JANUARY 1, 2018 TUFTS MEDICAL CENTER PARENT, INC. AND CONSOLIDATED AFFILIATES ("TUFTS MC"), CIRCLE HEALTH, INC. AND CONSOLIDATED AFFILIATES ("CIRCLE HEALTH") AND MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION AND CONSOLIDATED AFFILIATES ("HALLMARK HEALTH"), BECAME THE FOUNDING MEMBERS OF WELLFORCE, INC. ("WELLFORCE"), WHICH IS HEREINAFTER REFERRED TO AS THE "SYSTEM." WELLFORCE WILL PROVIDE ASSISTANCE IN POPULATION HEALTH MANAGEMENT AS A SUPPORTING ORGANIZATION TO TUFTS MEDICAL CENTER, HALLMARK HEALTH, AND THE LOWELL GENERAL HOSPITAL, ALL OF WHICH ARE 501(C)(3) TAX EXEMPT ORGANIZATIONS. THIS WILL ALLOW FOR INNOVATION IN CARE MANAGEMENT MODELS, DISSEMINATION OF BEST PRACTICES, AND SHARED INFRASTRUCTURE AND INFORMATION SYSTEMS. TUFTS MC, HALLMARK HEALTH AND LGH WOULD CARRY OUT THESE ACTIVITIES ON THEIR OWN IF THEY WERE NOT PERFORMED BY WELLFORCE. WELLFORCE IS THE COMMON PARENT, INC. ("TUFTS MC PARENT") CIRCLE HEALTH, INC. ("CIRCLE HEALTH") AND HALLMARK HEALTH, ALL 501(C)(3) ORGANIZATIONS. UNTIL SEPTEMBER 30, 2020, EACH OF TUFTS MC PARENT AND CIRCLE HEALTH WILL APPOINT 7 OF THE 22 TRUSTEES OF WELLFORCE, AND THE 22ND TRUSTEE WILL BE APPOINTED BY TUFTS MC PARENT, HALLMARK HEALTH AND CIRCLE HEALTH JOINTLY. THEREAFTER, EACH OF TUFTS MC PARENT, HALLMARK HEALTH AND CIRCLE HEALTH WILL APPOINT 3 TRUSTEES OF WELLFORCE, AND THE REMAINING TRUSTEES WILL BE ELECTED BY THE TRUSTEES OF WELLFORCE THEN IN OFFICE. WHILE WELLFORCE'S GOVERNING DOCUMENTS DO NOT EXPRESSLY REQUIRE THAT A MAJORITY OF ITS GOVERNING BOARD CONSISTS OF INDIVIDUALS WHO ALSO SERVE ON THE GOVERNING BOARD(S) OF THE SUPPORTED ORGANIZATION(S), WELLFORCE BELIEVES THAT IT MEETS TEST 1 BECAUSE, DURING AN INITIAL TRANSITION PERIOD OF SIX YEARS, A MAJORITY OF ITS CURRENT GOVERNING BOARD ALSO SERVE ON THE GOVERNING BOARD(S) OF THE SUPPORTED ORGANIZATION(S), AND THE APPOINTMENT PROCESS WILL ALLOW FOR A MAJORITY OF THE GOVERNING BOARD TO CONTINUE TO CONSIST OF INDIVIDUALS WHO ALSO SERVE ON THE GOVERNING BOARD(S) OF THE SUPPORTED ORGANIZATION(S). AFTER THE INITIAL TRANSITION PERIOD, (I) THREE OF THE TRUSTEES WILL BE APPOINTED BY CIRCLE HEALTH, (II) THREE OF THE TRUSTEES WILL BE APPOINTED BY TUFTS MC PARENT, (III), THREE OF THE TRUSTEES WILL BE APPOINTED BY HALLMARK HEALTH, THE PRESIDENT AND CEO OF WELLFORCE SHALL BE AN EX OFFICIO TRUSTEE, AND (IV) THE REMAINING TRUSTEES SHALL BE ELECTED BY A MAJORITY VOTE OF THE TRUSTEES OF WELLFORCE THEN IN OFFICE. CURRENTLY, A SIGNIFICANT NUMBER OF THE WELLFORCE TRUSTEES ARE ALSO ON THE GOVERNING BOARD OF LGH, HALLMARK HEALTH AND TUFTS MC, RESULTING IN MAJORITY WHO ALSO SERVE ON THE GOVERNING BOARD(S) OF THE SUPPORTED ORGANIZATION(S), WITH ONE VACANCY. IN APPOINTING FUTURE TRUSTEES, TUFTS MC PARENT, HALLMARK HEALTH, CIRCLE HEALTH AND THE TRUSTEES OF WELLFORCE WILL ENSURE THAT A MAJORITY OF THE TRUSTEES OF WELLFORCE ALSO SERVE ON THE GOVERNING BOARD(S) OF THE SUPPORTED ORGANIZATION(S). 145328 29726 115602 386717 151437 235280 89198 89198 440080 INVESTMENT IN SUBSIDIARY 120147478 F YANKEE ALLIANCE 6235486 F OTHER INVESTMENTS 197338832 F 323721796 DUE TO AFFILIATES 149844886 LEASE LIABILITY 3428212 153273098 13549364 13019213 13019213 530151 0 530151 22849402 0 22849402 0 22849402 PART XI, LINE 2D - OTHER ADJUSTMENTS: INTERENTITY NET ASSET TRANSFERS 13,019,213. 1 THE SCHWARTZ CENTER FOR COMPASSIONATE CARE 100 CAMBRIDGE STREET BOSTON MA 02114 041564655 501(C)(3) 5000 SPONSOR EVENT 1 0 PART I, LINE 2: WELLFORCE, INC. RESPONDS TO SPECIFIC REQUESTS FOR FUNDING TO LOCAL AGENCIES AND ORGANIZATIONS RELATED TO COMMUNITY BENEFIT EVENTS AND NEEDS. WELLFORCE, INC. REQUIRES THAT THE ORGANIZATION STATE THE NATURE OF THEIR NEED PRIOR TO THEM MAKING THE CONTRIBUTION AND, IN THE CASE OF MAJOR DONATIONS AN ANNUAL REPORT IS REQUESTED WHICH DETAILS HOW SUCH DONATED FUNDS WERE SPENT. X X X X X X 0 1 0 0 0 0 0 1 0 JOSEPH PENNACCHIO MD TRUSTEE 0 416154 0 0 0 4167 0 5204 0 19204 0 444729 0 0 SUSAN M SANDBERG TRUSTEE 0 596100 0 101745 0 10523 0 6000 0 23475 0 737843 0 0 MICHAEL TARNOFF MD TRUSTEE 0 442290 0 40000 0 8743 0 28000 0 12853 0 531886 0 0 JOSEPH WHITE TRUSTEE 0 741129 0 251164 0 75075 0 8400 0 13385 0 1089153 0 0 CLARISSA YANG MD TRUSTEE 0 593651 0 138461 0 27710 0 0 0 2135 0 761957 0 0 MICHAEL WAGNER MD-UNTIL 120 TRUSTEE, INTERIM CEO & CPE 1144143 0 315000 0 148863 0 142800 0 19330 0 1770136 0 113048 0 MICHAEL APKON MD TRUSTEE (UNTIL SEPT. 2020) 0 1054258 0 500000 0 33166 0 35538 0 38020 0 1660982 0 0 PAUL SUMMERGRAD MD TRUSTEE (UNTIL FEB. 2020) 0 429614 0 49875 0 42470 0 28000 0 21473 0 571432 0 0 WILLIAM SHICKOLOVICH EXECUTIVE VP & CIO 392527 0 77326 0 63979 0 0 0 7077 0 540909 0 0 0 JEFFREY WEINSTEIN ESQ EXEC. VP & GENERAL COUNSEL & SEC. 440901 0 83716 0 101763 0 8298 0 7814 0 642492 0 0 0 DEBORAH JOELSON EXEC. VP & CHIEF STRATEGY OFFICER 412510 0 73500 0 199375 0 8400 0 7375 0 701160 0 102754 0 SUSAN GREEN EXECUTIVE VP & CFO 540278 0 145956 0 112875 0 8400 0 11338 0 818847 0 0 0 SABRINA GRANVILLE CHIEF HUMAN RESOURCE OFFICER 259395 86465 107193 35731 34853 11618 6300 2100 14462 4821 422203 140735 0 0 JEFFREY GROSS SR. VP, BUSINESS DEVELOPMENT 160818 107212 24090 16060 7284 4856 27732 18488 16509 11006 236433 157622 0 0 CHRISTOPHER JOHNSON SR. VP, SUPPLY CHAIN 238361 0 36125 0 10411 0 38001 0 4109 0 327007 0 0 0 BROOKE TYSON-HYNES SR. VP OF MARKETING COMM. 184459 109650 0 13563 5033 2408 4037 16596 13168 1888 206697 144105 0 0 CHARLES WHIPPLE SR. VP, DEPUTY GENERAL COUNSEL 0 289325 0 46208 0 9600 0 0 0 30770 0 375903 0 0 DUDLEY ABBE SR. VP, SUPPORT SERVICES 187834 0 21978 0 9097 0 0 0 5224 0 224133 0 0 0 JOHN GUGLIOTTA VP, SUPPLY CHAIN 219300 0 27125 0 4815 0 33193 0 3775 0 288208 0 0 0 JOSEPH GARBIEL DIR. OF TALENT ACQUISITION 184475 0 18375 0 380 0 8743 0 8594 0 220567 0 0 0 OLGA ROUDIK DIR. OF HR SYSTEM SOLUTIONS 161186 0 13602 0 201 0 10437 0 8172 0 193598 0 0 0 JOHN SULLIVAN DIR. OF PURCHASING MATERIAL MGMT 152019 0 15146 0 484 0 9777 0 23982 0 201408 0 0 0 PART I, LINE 4B SECTION 457(F) RETIREMENT PLAN EMPLOYER DEFERRALS: DR. MICHAEL WAGNER, M.D. - $134,400 JEFFREY GROSS - $38,500 CHRISTOPHER JOHNSON - $32,760 PART I, LINE 7 BONUSES ARE PAID AS INDICATED ON SCHEDULE J, PART II. BONUS PAID TO OFFICERS ARE APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD. OTHER BONUSES ARE APPROVED BY THE OFFICERS OF THE HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF TRUSTEES SHALL CONSIST OF TWENTY-FOUR (24) PERSONS, WHO SHALL BE DESIGNATED OR ELECTED AT THE ANNUAL MEETING, OR AT ANY REGULAR MEETING OR SPECIAL MEETING CALLED FOR THE PURPOSE AS FOLLOWS AND SHALL BE COMPOSED AS FOLLOWS DURING THE PERIOD COMMENCING ON OCTOBER 1, 2018: - FOR SO LONG AS THE CORPORATION IS THE SOLE MEMBER OF CIRCLE, SEVEN (7) OF THE TRUSTEES SHALL BE DESIGNATED BY CIRCLE. - FOR SO LONG AS THE CORPORATION IS THE SOLE MEMBER OF TUFTS, SEVEN (7) OF THE TRUSTEES SHALL BE DESIGNATED BY TUFTS. - FOR SO LONG AS THE CORPORATION IS THE SOLE MEMBER OF HALLMARK HEALTH, SEVEN (7) OF THE TRUSTEES SHALL BE DESIGNATED BY MELROSEWAKEFIELD. - FOR SO LONG AS THE CORPORATION IS THE SOLE MEMBER OF HALLMARK HEALTH, ONE (1) OF THE TRUSTEES SHALL BE DESIGNATED BY HOME HEALTH FOUNDATION. - FOR SO LONG AS THE CORPORATION IS THE SOLE MEMBER OF EACH OF THE FOUNDING MEMBERS, ONE (1) PERSON JOINTLY DESIGNATED BY THE FOUNDING MEMBERS WHO SHALL NOT BE A TRUSTEE, OFFICER, EMPLOYEE, PHYSICIAN AFFILIATED WITH CIRCLE, TUFTS, MELROSEWAKEFIELD, OR HOME HEALTH FOUNDATION OR THEIR RESPECTIVE AFFILIATES. - THE CHIEF EXECUTVE OFFICER OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B WELLFORCE, INC'S 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM IN ACCORDANCE WITH INFORMATION PROVIDED BY THE FINANCE DEPARTMENT. THE FINANCE DEPARTMENT REVIEWED AND MADE RECOMMENDATIONS BASED UPON THE DRAFT PRIOR TO ITS PRESENTATION TO THE FULL BOARD OF DIRECTORS. BASED UPON THIS REVIEW, THE FINANCE DEPARTMENT FORMED A RECOMMENDATION TO THE BOARD OF DIRECTORS AS TO THE ACCEPTABILITY AND CONTENT OF THE FILING. ALL MEMBERS OF THE BOARD OF DIRECTORS WERE PROVIDED A COPY OF THE COMPLETED 990 BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C WELLFORCE, INC. FOLLOWS THE CONFLICT OF INTEREST POLICY OF LOWELL GENERAL HOSPITAL. ALL TRUSTEES, OFFICERS AND KEY EMPLOYEES SIGN AN ANNUAL CONFLICT OF INTEREST STATEMENT FOLLOWING THE POLICY OF LOWELL GENERAL HOSPITAL AS OUTLINED BELOW: ALL OFFICERS, BOARD MEMBERS, AND KEY EMPLOYEES ARE SUBJECT TO THE CONFLICT OF INTEREST POLICY. ANY ACTUAL OR POTENTIAL CONFLICTS ARE FORWARDED TO THE COMPLIANCE COMMITTEE FOR CONSIDERATION. IN THE EVENT OF AN ACTUAL OR POTENTIAL CONFLICT, THE CONFLICTED INDIVIDUAL IS PROHIBITED FROM PARTICIPATING IN DELIBERATIONS OR DECISIONS RELATING TO THE MATTER. A COMPLIANCE COMMITTEE MEETING IS HELD EVERY OTHER MONTH TO ADDRESS CONCERNS. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR THE CEO AND OTHER OFFICERS FOLLOWS THE PROCESS OF LOWELL GENERAL HOSPITAL AS OUTLINED BELOW: A THIRD PARTY CONSULTANT IS HIRED FOR AN INDEPENDENT ASSESSMENT OF APPROPRIATE SALARY RANGES FOR THE OFFICERS OF THE ORGANIZATION SUCH AS THE CEO, COO, AND CFO. THIS ASSESSMENT IS REVIEWED BY THE COMPENSATION COMMITTEE AND A RECOMMENDATION IS GIVEN TO THE EXECUTIVE COMMITTEE ON SALARY INCREASES AND BONUSES. FORM 990, PART VI, SECTION C, LINE 19 WELLFORCE, INC'S FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC THROUGH THE MASSACHUSETTS'S ATTORNEY GENERAL'S WEBSITE. WELLFORCE, INC. DOES NOT MAKE ITS GOVERNING DOCUMENTS OR ITS CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. THE 990 IS AVAILABLE ON THE MASSACHUSETT'S ATTORNEY GENERAL'S WEBSITE AND WWW.GUIDESTAR.ORG. FORM 990, PART IX, LINE 11G PROFESSIONAL CONSULTING FEES: PROGRAM SERVICE EXPENSES 4,116,233. MANAGEMENT AND GENERAL EXPENSES 4,116,233. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,232,466. FORM 990, PART XI, LINE 9: INTERENTITY NET ASSET TRANSFERS 13,019,213. LGH MEDICAL GROUP LLC 295 VARNUM AVE LOWELL MA 01854 205671277 MEDICAL SERVICES MA 0 0 CIRCLE HEALTH PHYSICIANS INC LGH CANCERCARE ASSOCIATES LLC 295 VARNUM AVE LOWELL MA 01854 043483462 MEDICAL SERVICES MA 0 0 CIRCLE HEALTH PHYSICIANS INC LGH WOMANHEALTH LLC 295 VARNUM AVE LOWELL MA 01854 262057970 MEDICAL SERVICES MA 0 0 CIRCLE HEALTH PHYSICIANS INC LGH MERRIMACK VALLEY CARDIOLOGY ASSOCIATES LLC 295 VARNUM AVE LOWELL MA 01854 452014433 MEDICAL SERVICES MA 0 0 CIRCLE HEALTH PHYSICIANS INC CIRCLE HEALTH URGENT CARE LLC 295 VARNUM AVE LOWELL MA 01854 471122896 MEDICAL SERVICES MA 0 0 CIRCLE HEALTH PHYSICIANS INC CIRCLE HEALTH PHARMACY LLC 295 VARNUM AVE LOWELL MA 01854 001352934 MEDICAL SERVICES MA 0 0 CIRCLE HEALTH PHYSICIANS INC LGH PROFESSIONAL SERVICES LLC 295 VARNUM AVE LOWELL MA 01854 611844933 MEDICAL SERVICES MA 0 0 CIRCLE HEALTH PHYSICIANS INC WELLFORCE CARE PLAN LLC 800 DISTRICT AVE BURLINGTON MA 01803 001274839 ACO MA 14071 7874822 WELLFORCE INC 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 CNS NURSING HOME CARE INC 847 ROGERS STREET SUITE 201 LOWELL MA 01852 371836433 HOME CARE SERVICES MA 501(C)(3) LINE 10 CIRCLE HOME INC 1 CIRCLE HOME INC 847 ROGERS STREET SUITE 201 LOWELL MA 01852 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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