2020-08-17T16:14:05-05:00 2019-09-30 263753134 CBIZ MHM LLC 500 BOYLSTON STREET BOSTON MA 02116 990 2018-10-01 222587225 HOME HEALTH FOUNDATION INC HOME 9785524000 360 MERRIMACK STREET BUILDING 9 LAWRENCE MA 01843 KAREN GOMES PRESIDENT/CEO 9785524000 2020-08-17 1 BRENDA L BOOTH P01342395 6177610600 2020-08-17 207.172.72.163 2020-08-17 16:12:06 ED P AAFE5242E44AA74A98A743050A15125E154A43A4 AAFE5242E44AA74A98A743050A15125E154A43A4 2018 2020-09-22 18:59:49Z KAREN GOMES 360 MERRIMACK STREET BUILDING 9 LAWRENCE MA 01843 6151763 0 X WWW.HOMEHEALTHFOUNDATION.ORG X 1984 MA HOME HEALTH FOUNDATION, INC. PRIMARY PURPOSES ARE TO ACT AS A HOLDING COMPANY AND PROVIDE MANAGEMENT SERVICES TO AFFILIATED HOME CARE PROVIDERS PROVIDING SERVICES TO PATIENTS IN THE MERRIMACK VALLEY AND OTHER REGIONS, INCLUDING SOUTHERN NEW HAMPSHIRE AND THE SEACOAST. 17 12 38 13 0 0 104747 93783 3094148 3421964 3255804 2636016 0 0 6454699 6151763 0 0 0 0 3178989 3023435 0 0 268962 839325 1632360 4018314 4655795 2436385 1495968 98033464 108360585 5873807 8860001 92159657 99500584 HOME HEALTH FOUNDATION, INC. PRIMARY PURPOSES ARE TO ACT AS A HOLDING COMPANY AND PROVIDE MANAGEMENT SERVICES TO AFFILIATED HOME CARE PROVIDERS PROVIDING SERVICES TO PATIENTS IN THE MERRIMACK VALLEY AND OTHER REGIONS, INCLUDING SOUTHERN NEW HAMPSHIRE AND THE SEACOAST. 0 0 2044903 3421964 PROVIDES GENERAL ADMINISTRATIVE OVERSIGHT TO FIVE NOT-FOR-PROFIT HEALTH CARE SUBSIDIARIES AND ARRANGES FOR CONTRACT SERVICES PROVIDED TO THE SAME FIVE SUBSIDIARIES. 2044903 1 1 0 0 0 0 0 0 0 1 0 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 13 0 1 38 1 0 0 0 0 0 0 0 0 0 0 0 0 X 17 12 0 0 1 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 39.50 0.50 X X 400512 0 9552 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 NAOMI PRENDERGAST CO VICE CHAIR 0.50 3.00 X X 0 0 0 SUSAN GREEN TREASURER 0.50 49.50 X X 0 731087 27467 DEBRA S GRABOWSKI CLERK 0.50 3.00 X X 0 0 0 JOHN P CHEMALY TRUSTEE 0.50 3.00 X 0 0 0 KARA DOYLE TRUSTEE 0.50 3.00 X 0 0 0 EDA GEORGE RN PH D TRUSTEE 0.50 9.00 X 0 0 0 DANIEL A HAYES JR TRUSTEE 0.50 3.00 X 0 0 0 DR JOEL B HELLMANN TRUSTEE 0.50 3.00 X 0 0 0 DAVID W NESBITT TRUSTEE 0.50 3.00 X 0 0 0 JOHN F PROCHILO TRUSTEE 0.50 3.00 X 0 0 0 SUSAN M SANDBERG TRUSTEE 0.50 42.50 X 0 242077 6277 KEITH N SOUCIE TRUSTEE 0.50 3.00 X 0 0 0 DR MICHAEL WAGNER MD TRUSTEE 0.50 39.50 X 0 1380542 189615 JOSEPH WHITE TRUSTEE 0.50 49.50 X 0 1324761 20921 ELLEN ZAPPALA TRUSTEE (UNTIL 1/3/19) 0.50 3.00 X 0 0 0 DIANE FARRAHER-SMITH CHIEF CLINICAL INTEGRATION OFFICER 1.00 39.00 X 0 345397 24837 PATRICIA BUIOCCHI CHIEF OPERATING OFFICER 37.50 0.00 X 235301 0 19240 DONNA BEAUDIN CORPORATE COMPLIANCE OFFICER 37.50 0.00 X 176790 0 36358 DONNA DEVEAU VP OF EXTERNAL RELATIONS 37.50 0.00 X 172043 0 3292 PAMELA STRELETSKY FORMER VP OF FINANCE 0.00 0.00 X 307504 0 26641 1292150 4023864 364200 5 1 1 0 BERRYDUNN 1000 ELM STREET 15TH FLOOR MANCHESTER NH 031011730 AUDIT & TAX 148622 BARRETT & SINGAL PC ONE BEACON STREET SUITE 1320 BOSTON MA 021083113 LEGAL 118000 2 5000 88783 93783 MANAGEMENT FEES 561000 3421964 3421964 3421964 1658532 1658532 977484 0 977484 977484 977484 6151763 3421964 0 2636016 400512 400512 2115247 1374756 572222 168269 72295 37751 28845 5699 277796 182182 95614 157585 98718 46391 12476 51490 51490 33747 33747 329791 15568 314223 3416 3416 41487 18663 22824 27693 27693 50625 28222 22301 102 6315 6315 232384 232384 612000 612000 14119 14119 TELEPHONE 26129 26129 PRINTING & PUBLICATIONS 23421 7326 3619 12476 POSTAGE & SHIPPING 1008 1008 EQUIP. RENTAL & MAINT. 30 30 178705 64580 67009 47116 4655795 2044903 2341930 268962 115525 899406 36291 232842 0 5575 88451681 86338846 7017900 9424392 13871591 98033464 108360585 667052 443541 5206755 8416460 5873807 8860001 X 92143657 99484584 16000 16000 92159657 99500584 98033464 108360585 X 1495968 -1737270 7582229 X 0 1 X 1 0 X X 5 HOME HEALTH VNA INC 042435675 10 1 0 0 HOME CARE INC 042854358 10 1 0 0 MERRIMACK VALLEY HOSPICE INC 043024278 10 1 0 0 CIRCLE HOME INC 042103812 10 1 0 0 HALLMARK HEALTH VISITING NURSE ASSOCIATION AND HOSPICE INC 042437064 10 1 0 0 5 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 PART IV, SECTION A, LINE 5A: PURSUANT TO A CHANGE IN HOME HEALTH FOUNDATION'S ("HHF") BYLAWS EFFECTIVE 10/1/18, HALLMARK HEALTH VISITING NURSE ASSOCIATION & HOSPICE, INC. (EIN: 04-2437064) AND CIRCLE HOME, INC. (EIN: 04-2103812) BECAME SUPPORTED ORGANIZATIONS OF HHF. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 16000 16000 16000 16000 16000 16000 16000 16000 16000 16000 0.00000 0.00000 1.00000 0 0 0 DUE FROM AFFILIATES 13871591 13871591 DUE TO AFFILIATES 8346460 OTHER LIABILITIES 70000 8416460 103871416 -1737270 99725886 97988616 5882800 268963 268963 6151763 4386832 0 4386832 268963 268963 4655795 PART V, LINE 4: RESTRICTED BY DONORS TO BE MAINTAINED BY THE ASSOCIATION IN PERPETUITY, THE INCOME IS AVAILABLE FOR OPERATIONS AND HOSPICE AND PALLIATIVE NURSING EDUCATION PROGRAMS. PART XI, LINE 2D - OTHER ADJUSTMENTS: GAIN ON RE-VALUATION - WELLFORCE TRANSACTION 99,725,886. PART XI, LINE 4B - OTHER ADJUSTMENTS: EXPENSES NETTED WITH UNRESTRICTED GIFT REVENUE 268,963. PART XII, LINE 4B - OTHER ADJUSTMENTS: EXPENSES NETTED WITH UNRESTRICTED GIFT REVENUE 268,963. X 1 1 0 0 0 0 0 1 0 KAREN E GOMES PRESIDENT/CEO 302600 0 97912 0 0 0 9552 0 0 0 410064 0 0 0 SUSAN GREEN TREASURER 0 540301 0 155461 0 35325 0 8250 0 19217 0 758554 0 0 SUSAN M SANDBERG TRUSTEE 0 194427 0 0 0 47650 0 0 0 6277 0 248354 0 0 DR MICHAEL WAGNER MD TRUSTEE 0 906375 0 307500 0 166667 0 120250 0 69365 0 1570157 0 0 JOSEPH WHITE TRUSTEE 0 679599 0 157248 0 487914 0 8250 0 12671 0 1345682 0 0 DIANE FARRAHER-SMITH CHIEF CLINICAL INTEGRATION OFFICER 0 258760 0 18408 0 68229 0 0 0 24837 0 370234 0 0 PATRICIA BUIOCCHI CHIEF OPERATING OFFICER 212794 0 22507 0 0 0 8823 0 10417 0 254541 0 0 0 DONNA BEAUDIN CORPORATE COMPLIANCE OFFICER 135571 0 41219 0 0 0 7544 0 28814 0 213148 0 0 0 DONNA DEVEAU VP OF EXTERNAL RELATIONS 130824 0 41219 0 0 0 3292 0 0 0 175335 0 0 0 PAMELA STRELETSKY FORMER VP OF FINANCE 181308 0 0 0 126196 0 6945 0 19696 0 334145 0 0 0 PART I, LINES 4A-B SEVERANCE PAYMENTS PAID IN CALENDAR YEAR 2018: PAMELA STRELETSKY - $126,196 SECTION 457(F) RETIREMENT PLAN EMPLOYER DEFERRALS: DR. MICHAEL WAGNER, M.D. - $112,000 PART I, LINE 7 BONUSES ARE APPROVED BY THE BOARD, AND ARE BASED ON PERFORMANCE. FORM 990, PART VI, SECTION A, LINE 4 THE BYLAWS WERE AMENDED TO UPDATE THE SOLE MEMBER OF THE CORPORATION TO BE WELLFORCE, INC. FORM 990, PART VI, SECTION A, LINE 6 WELLFORCE, INC. SHALL BE THE SOLE MEMBER OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER SHALL ELECT AND MAY 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 PREPARED ANNUALLY 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. FORM 990, PART XI, LINE 9: GAIN ON RE-VALUATION - WELLFORCE TRANSACTION 99,725,886. ELIMINATE PRIOR UNRESTRICTED NET ASSETS DUE TO MERGER WITH WELLFORCE, INC. -92,143,657. 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) LINE 10 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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MA 501(C)(3) LINE 12B, II TUFTS MEDICAL CENTER PARENT INC 1 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 MERRMIACK STREET LAWRENCE MA 01843 222587225 MANAGEMENT SERVICES MA 501(C)(3) LINE 12B, II WELLFORCE INC 1 HOME HEALTH VNA INC 360 MERRMIACK STREET LAWRENCE MA 01843 042435675 HOME HEALTH CARE MA 501(C)(3) LINE 10 HOME HEALTH FOUNDATION INC 1 MERRIMACK VALLEY HOSPICE INC 360 MERRMIACK STREET LAWRENCE MA 01843 043024278 HOSPICE SERVICES MA 501(C)(3) LINE 10 HOME HEALTH FOUNDATION INC 1 HOME CARE INC 360 MERRMIACK STREET 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 CIRCLE HEALTH INC 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 0.65000 MEDFORD LAWRENCE REAL ESTATE LLC 55 CHRISTYS DRIVE BROCKTON MA 02301 320553759 MEDICAL OFFICE BUILDING MA MELROSEWAKEFIELD HEALTHCARE INC RELATED 0 0 WELLFORCE INDEMNITY COMPANY LTD 800 WASHINGTON STREET BOSTON MA 02111 980444573 CAPTIVE INSURANCE CJ TUFTS MEDICAL CENTER INC C 1 HALLMARK HEALTH ENTERPRISES INC 585 LEBANON STREET MELROSE MA 02176 042475660 OTHER HEALTH SERVICES MA MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION C 1 LAWRENCE MELROSE MEDICAL ELECTRONICS RECORD INC 170 GOVERNORS AVE MEDFORD MA 02155 421685777 ELECTRONIC MEDICAL RECORDS MA MELROSEWAKEFIELD HEALTHCARE INC C 0 HALLMARK HEALTH PHO INC 170 GOVERNORS AVE MEDFORD MA 02155 461134759 PHYSICIAN HOSPITAL ORGANIZATION MA MELROSEWAKEFIELD HEALTHCARE INC C 0 LGH SERVICES INC 295 VARNUM AVENUE LOWELL MA 01854 042854673 MEDICAL SERVICES MA CIRCLE HEALTH 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 MANAGEMENT SERVICES INC 295 VARNUM AVENUE LOWELL MA 01854 042919244 MEDICAL SERVICES 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 0 0 0 1 1 0 0 0 0 0 0 1 1 1 1 0 0 1 0 HOME CARE INC D 3804633 BOOK VALUE MERRIMACK VALLEY HOSPICE INC E 8246437 BOOK VALUE HOME HEALTH VNA INC D 3484349 BOOK VALUE WELLFORCE INC E 125000 BOOK VALUE MERRIMACK VALLEY HOSPICE INC M 1441638 BOOK VALUE HOME HEALTH VNA INC M 1973448 BOOK VALUE HOME CARE INC M 123147 BOOK VALUE WELLFORCE INC R 3775604 BOOK VALUE MERRIMACK VALLEY HOSPICE INC D 6582609 BOOK VALUE