2020-08-17T12:17:29-05:00 2019-09-30 263753134 CBIZ MHM LLC 500 BOYLSTON STREET BOSTON MA 02116 990 2018-10-01 472250732 WELLFORCE INC WELL 9789422220 800 DISTRICT AVENUE NO 520 BURLINGTON MA 01803 SUSAN GREEN EXEC. VP AND CFO 9789422220 2020-08-13 1 BRENDA L BOOTH P01342395 6177610600 2020-08-13 207.172.72.163 2020-08-13 08:16:30 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 AAFE5242E44AA74A98A743050A15125E154A43A4 2018 2020-09-23 17:36:50Z MICHAEL WAGNER 800 DISTRICT AVENUE NO 520 BURLINGTON MA 01803 331190 0 X WWW.WELLFORCE.ORG X 2014 MA CARE INTEGRATION, POPULATION HEALTH MANAGEMENT, PATIENT ACCESS AND OPERATIONAL PERFORMANCE. 24 17 0 18 0 0 0 0 1264043 250000 0 81190 0 0 1264043 331190 20000 44152 0 0 9556057 9186884 0 0 0 11523262 15904143 21099319 25135179 -19835276 -24803989 6457112 137294159 7485666 16440040 -1028554 120854119 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 24888480 44152 250000 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. 24888480 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 24 17 0 0 1 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 NORMAND E DESCHENE PRES. OF BOARD & CEO (UNTIL 1/1/19) 50.00 0.00 X X 1656224 0 20921 RAYMOND ANSTISS JR TRUSTEE 1.00 1.00 X 0 0 0 PAUL BARDARO TRUSTEE 1.00 1.00 X 0 0 0 HARRIS BERMAN MD TRUSTEE 1.00 1.00 X 0 0 0 JOE 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 JACK CLANCY TRUSTEE 1.00 1.00 X 0 0 0 SCOTT COLLINS TRUSTEE 1.00 1.00 X 0 0 0 MICHELE CRAGE MD TRUSTEE 1.00 1.00 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 DAVID PICKUL MD TRUSTEE 1.00 39.00 X 0 71437 0 PETER ROMAN MD TRUSTEE 1.00 0.00 X 0 0 0 PAUL SUMMERGRAD MD TRUSTEE 1.00 39.00 X 0 539567 48303 ROBERT SWANSON TRUSTEE 1.00 0.00 X 0 0 0 CHRISTOPHER VINCZE TRUSTEE 1.00 0.00 X 0 0 0 MICHAEL WAGNER MD TRUSTEE, CEO & CHIEF PHYSICIAN EXEC. 39.00 1.00 X X 1380542 0 189615 JOSEPH WHITE TRUSTEE 1.00 49.00 X 0 1324761 20921 ELLEN ZANE CHAIR 1.00 2.00 X X 0 0 0 MICHAEL APKON MD TRUSTEE 1.00 49.00 X 0 227178 23413 K ERIC HENRIKSON MD TRUSTEE 1.00 6.00 X 0 0 0 JOSEPH PENNACCHIO MD TRUSTEE 1.00 42.00 X 0 408035 25488 SUSAN M SANDBERG TRUSTEE 1.00 42.00 X 0 242077 6277 SUSAN GREEN EXECUTIVE VP & CFO 49.00 1.00 X 731087 0 27467 DEBORAH JOELSON EXEC. VP & CHIEF STRATEGY OFFICER 49.00 1.00 X 641356 0 91681 JEFFREY WEINSTEIN ESQ EXEC. VP & GENERAL COUNSEL & SEC. 49.00 1.00 X 683777 0 23100 MICHELLE DAVIS VP OF EXTERNAL AFFAIRS 1.00 49.00 X 0 233198 21509 BROOKE TYSON-HYNES SR. VP OF MARKETING COMM. 25.00 25.00 X 200889 200888 36188 SABRINA GRANVILLE CHIEF HUMAN RESOURCE OFFICER 38.00 12.00 X 359956 119986 27519 WILLIAM SHICKOLOVICH EXECUTIVE VP & CIO 49.00 1.00 X 617730 0 89983 JEFFREY GROSS SR. VP, BUSINESS DEVELOPMENT 30.00 20.00 X 191184 127456 38425 CHRISTOPHER JOHNSON SR. VP, SUPPLY CHAIN 49.00 1.00 X 316217 0 32130 MALISA SCHULYER VP, GOVERNMENT AFFAIRS 25.00 25.00 X 101969 101968 23190 CHARLES WHIPPLE SR. VP, DEPUTY GENERAL COUNSEL 1.00 39.00 X 0 415254 32148 ALAN MACDONALD FORMER TRUSTEE 0.00 0.00 X 0 197900 230 6880931 4209705 778508 11 1 1 0 NAVIGANT 125 HIGH STREET SUITE 401 BOSTON MA 02110 STRATEGIC PLANNING 1178465 STRATA DECISION TECHNOLOGY 200 E RANDOLPH STREET 49TH FL CHICAGO IL 60601 DECISION SUPPORT 651533 WITTKIEFFER INC 2015 SPRING ROAD SUITE 510 CHICAGO IL 60523 LEADERSHIP CONSULTING 417020 HEALTHLINK ADVISORS INC 9720 EXECUTIVE CENTER DRIVE NORTH ST PETERSBURG FL 33702 STRATEGIC ADVISORS IT 307285 NEAL HOGAN ENTERPRISES 77 PISCATAQUA STREET NEW CASTLE NH 03854 STRATEGIC ADVISORS 292000 12 HEALTH CARE SERVICES 621300 250000 250000 250000 81190 81190 331190 250000 0 81190 X 44152 44152 8804696 8804696 132820 132820 249368 215687 33681 263198 263198 128000 128000 13175153 13175153 364562 364562 1387115 1387115 11000 11000 297688 274431 23257 85306 85306 86431 79679 6752 60204 55501 4703 45486 45486 25135179 24888480 246699 0 4885561 8538322 182921 782276 920191 607045 125221 301315 481824 766374 123070012 305039 3517436 6457112 137294159 5834558 6200996 4393851 1651108 5845193 7485666 16440040 X -1028554 120854119 -1028554 120854119 6457112 137294159 X -24803989 146686662 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 9909 135419 351017 115312 235705 110700 110700 481824 INVESTMENT IN SUBSIDIARY 119905606 F YANKEE ALLIANCE 3164406 F 123070012 DUE TO AFFILIATES 5352863 SECURITY DEPOSITS 492330 5845193 147017852 146686662 146686662 331190 0 331190 25135179 0 25135179 0 25135179 PART XI, LINE 2D - OTHER ADJUSTMENTS: INTERENTITY NET ASSET TRANSFERS 26,781,056. TRANSFER INHERENT ASSETS FROM RELATED ORGANIZATIONS 119,905,606. 1 THE SCHWARTZ CENTER 100 CAMBRIDGE STREET BOSTON MA 02114 041564655 501(C)(3) 5500 SPONSOR EVENT TRUSTEES OF TUFTS UNIVERSITY OFFICE TRUSTEES BALLOU HALL MEDFORD MA 02155 042103634 501(C)(3) 5000 SPONSOR EVENT AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVENUE DALLAS TX 75231 135613797 501(C)(3) 15000 SPONSOR EVENT NACD NEW ENGLAND CHAPTER 10 BACK RIVER ROAD AMESBURY MA 01913 522314113 501(C)(3) 6000 SPONSOR EVENT MASS ASSOCIATION MENTAL HEALTH 50 FEDERAL STREET BOSTON MA 02110 042104711 501(C)(3) 5000 SPONSOR EVENT HOME HEALTH FOUNDATION 360 MERRIMACK STREET LAWRENCE MA 01843 222587225 501(C)(3) 5000 SPONSOR EVENT 6 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 1 1 X X X X X X 0 1 0 0 0 0 0 1 0 NORMAND E DESCHENE PRES. OF BOARD & CEO (UNTIL 1/1/19) 1092300 0 366053 0 197871 0 8250 0 12671 0 1677145 0 0 0 PAUL SUMMERGRAD MD TRUSTEE 0 448658 0 71250 0 19659 0 27500 0 20803 0 587870 0 0 MICHAEL WAGNER MD TRUSTEE, CEO & CHIEF PHYSICIAN EXEC. 906375 0 307500 0 166667 0 120250 0 69365 0 1570157 0 0 0 JOSEPH WHITE TRUSTEE 0 679599 0 157248 0 487914 0 8250 0 12671 0 1345682 0 0 MICHAEL APKON MD TRUSTEE 0 221029 0 0 0 6149 0 0 0 23413 0 250591 0 0 JOSEPH PENNACCHIO MD TRUSTEE 0 408035 0 0 0 0 0 4999 0 20489 0 433523 0 0 SUSAN M SANDBERG TRUSTEE 0 194427 0 0 0 47650 0 0 0 6277 0 248354 0 0 SUSAN GREEN EXECUTIVE VP & CFO 540301 0 155461 0 35325 0 8250 0 19217 0 758554 0 0 0 DEBORAH JOELSON EXEC. VP & CHIEF STRATEGY OFFICER 421326 0 125803 0 94227 0 61450 0 30231 0 733037 0 0 0 JEFFREY WEINSTEIN ESQ EXEC. VP & GENERAL COUNSEL & SEC. 455168 0 139549 0 89060 0 3768 0 19332 0 706877 0 0 0 MICHELLE DAVIS VP OF EXTERNAL AFFAIRS 0 233000 0 0 0 198 0 2581 0 18928 0 254707 0 0 BROOKE TYSON-HYNES SR. VP OF MARKETING COMM. 156570 156570 40198 40198 4121 4120 4018 4018 14076 14076 218983 218982 0 0 SABRINA GRANVILLE CHIEF HUMAN RESOURCE OFFICER 261425 87142 78125 26042 20406 6802 6188 2063 14451 4817 380595 126866 0 0 WILLIAM SHICKOLOVICH EXECUTIVE VP & CIO 426080 0 116177 0 75473 0 60050 0 29933 0 707713 0 0 0 JEFFREY GROSS SR. VP, BUSINESS DEVELOPMENT 158364 105576 25369 16912 7451 4968 6444 4296 16611 11074 214239 142826 0 0 CHRISTOPHER JOHNSON SR. VP, SUPPLY CHAIN 240252 0 65978 0 9987 0 5165 0 26965 0 348347 0 0 0 MALISA SCHULYER VP, GOVERNMENT AFFAIRS 79903 79903 21972 21971 94 94 0 0 11595 11595 113564 113563 0 0 CHARLES WHIPPLE SR. VP, DEPUTY GENERAL COUNSEL 0 297282 0 49248 0 68724 0 0 0 32148 0 447402 0 0 ALAN MACDONALD FORMER TRUSTEE 0 101438 0 0 0 96462 0 0 0 230 0 198130 0 0 PART I, LINE 1A THE HOSPITAL HAS ENTERED INTO RESTRICTIVE ENDORSEMENT BONUS ARRANGEMENTS ("REBA'S") WITH THE FOLLOWING EMPLOYEES AS PART OF A RETIREMENT RETENTION PROGRAM: JOSEPH WHITE - PRESIDENT - THE LOWELL GENERAL HOSPITAL AMOUNTS PAID BY THE HOSPITAL UNDER THE ARRANGEMENT ARE REQUIRED TO BE REPAID TO THE HOSPITAL IF LENGTH OF SERVICE REQUIREMENTS ARE NOT MET. AMOUNTS PAID UNDER THE REBA ARRANGEMENTS ARE TREATED AS TAXABLE COMPENSATION IN THE YEAR PAID BY THE HOSPITAL. THIS ARRANGEMENT WAS APPROVED BY THE HOSPITAL'S COMPENSATION COMMITTEE AS DOCUMENTED IN THE COMMITTEE MINUTES. THE W-2 COMPENSATION REPORTED FOR MR. WHITE - PRESIDENT - THE LOWELL GENERAL HOSPITAL ON FORM 990, SCHEDULE J, PART II, COLUMN B(III) INCLUDES $426,404 PAID IN 2018 IN CONNECTION WITH THE REBA ARRANGEMENT. PART I, LINE 4B THE HOSPITAL HAS ENTERED INTO A SPLIT-DOLLAR LIFE INSURANCE AGREEMENT WITH NORMAND DESCHENE - PRESIDENT OF BOARD & CEO - THE LOWELL GENERAL HOSPITAL. PREMIUMS PAID IN CALENDAR 2018 WERE $125,648. ALL PREMIUMS WILL BE REPAID TO THE HOSPITAL. 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. PART 1, LINE 4B: SECTION 457(F) RETIREMENT PLAN EMPLOYER DEFERRALS: MICHAEL WAGNER, $112,000 DEBORAH C. JOELSON, $53,200 WILLIAM J. SHICKOLOVICH, $51,800 JEFFREY GROSS, $3,270 FORM 990, PART VI, SECTION A, LINE 4 THE BYLAWS AND ARTICLES WERE UPDATED TO INCLUDE HOME HEALTH FOUNDATION, INC. (EIN: 22-2587225) AS AN ASSOCIATED MEMBER WITH THE RIGHT TO ONE BOARD SEAT. 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 WELLFORCE INC. DOES NOT DIRECTLY COMPENSATE ITS CEO OR ANY OTHER OFFICERS. 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 13,175,153. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,175,153. FORM 990, PART XI, LINE 9: INTERENTITY NET ASSET TRANSFERS 26,781,056. TRANSFER INHERENT ASSETS FROM RELATED ORGANIZATIONS 119,905,606. 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 70190 8255753 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) 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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