2019-08-09T10:38:08-05:00 2018-09-30 861065772 Deloitte Tax LLP Two Jericho Plaza Jericho NY 11753 990 2017-10-01 042105803 Visiting Nurse Association & Hospice of Western New England Inc VISI 4137940000 30 Capital Drive Suite A West Springfield MA 01089 Dennis W Chalke SVP Finance, CFO & Treasurer 4137940000 2019-08-09 1 Jeanne Fahrenbach P01365953 5169187000 208.99.255.205 2019-08-09 09:14:32 ED P D33FA7F254BC09848346BBAA17B51EB9116DA51E D6D028B83EC7BAE48696A0FE418AC7215527A94E 2017 2019-02-21 02:37:17Z X Dennis W Chalke 759 Chestnut Street Springfield MA 01107 42306875 0 X See Schedule O X 1914 MA The mission of the organization is to improve the health of the people in our communities every day, with quality and compassion. 21 17 268 80 0 9102 192410 411752 20686123 24046096 70359 62183 405667 2031844 21354559 26551875 0 0 0 0 15463091 16203796 0 0 0 7447032 8016590 22910123 24220386 -1555564 2331489 9397848 7629525 12206972 9239587 -2809124 -1610062 The mission of the organization is to improve the health of the people in our communities every day, with quality and compassion. 0 0 13112977 18527362 Home Care: The Home Care Program of Visiting Nurse Association and Hospice of Western New England serves about 7000 patients annually. The services, aimed at allowing patients to recuperate while remaining in the comfort of their homes, include skilled nursing, rehabilitation therapy, medical social work and personal care. The organization assists patients with self-management of chronic disease such as heart failure through technology and teaching by incorporating telemonitoring into the plan of care. Currently, VNAH provides remote telemonitoring to approximately 125 patients. 5502375 7550578 Hospice: The Hospice and Palliative Care Program of Visiting Nurse Association and Hospice of Western New England provides end of life care for patients in the community, assisted living facilities and skilled nursing facilities. The program coordinates care for an average daily census of about 100 to 150 patients of all ages. Hospice has an interdisciplinary approach using nursing, social work, chaplains and hospice aides. A unique feature of hospice is its strong team of volunteers which number nearly a 100 and who provide such services as errands, respite and companionship as well as legal counsel from volunteer attorneys. 18615352 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 1 0 1 45 0 1 268 1 1 1 0 0 0 0 0 0 0 0 0 X 21 17 1 1 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 MA X Dennis W Chalke Baystate Health Inc 4137940000 759 Chestnut Street Springfield MA 01199 X Anne M Paradis Chair 1.00 2.00 X X 0 0 0 John F Maybury Vice Chair 1.00 1.00 X X 0 0 0 Adrian J Levsky Trustee 1.00 1.00 X 0 0 0 Claudia R Coplein DO Trustee 1.00 1.00 X 0 0 0 Colleen W Holmes Trustee 1.00 1.00 X 0 0 0 Edward J Noonan Trustee 1.00 1.00 X 0 0 0 Grace Makari-Judson MD Trustee/Hematologist (thru 12/31/17) 1.00 40.00 X 340368 0 77945 Gregory L Braden MD Trustee 1.00 1.00 X 0 0 0 Harriet A DeVerry Trustee 1.00 1.00 X 0 0 0 Hector Toledo Trustee 1.00 1.00 X 0 0 0 Irene Rodriguez Martin Trustee (as of 1/1/18) 1.00 1.00 X 0 0 0 James P Sadowsky Trustee (through 12/31/17) 1.00 2.00 X 0 0 0 James R Phaneuf Trustee 1.00 1.00 X 0 0 0 John A Egelhofer MD Trustee 1.00 1.00 X 0 0 0 John H Davis Trustee (through 12/31/17) 1.00 1.00 X 0 0 0 Kathleen B Scoble Trustee 1.00 1.00 X 0 0 0 Kevin P Moriarty MD Trustee/ Chief Ped Surgery 1.00 40.00 X 686449 0 38262 Maria P Goncalves Trustee (as of 1/1/18) 1.00 1.00 X 0 0 0 Mark A Keroack MD Trustee 1.00 49.00 X 0 1888794 32862 Paul R Murphy Trustee 1.00 1.00 X 0 0 0 Robert J Bacon Trustee 1.00 1.00 X 0 0 0 Robert L Pura PhD Trustee 1.00 1.00 X 0 0 0 Timothy F Farrell Trustee 1.00 1.00 X 0 0 0 Victor Woolridge Trustee (through 12/31/17) 1.00 1.00 X 0 0 0 William R Webber Trustee 1.00 1.00 X 0 0 0 Dennis Chalke Treasurer 1.00 49.00 X 0 994659 87008 Kristin R Delaney Clerk 1.00 39.00 X 0 143978 37512 Madeline Torres Assistant Clerk 1.00 40.00 X 0 57772 15600 Maura McQueeney President (through 11/30/17) 50.00 0.00 X 0 254406 133485 Nancy Shendell-Falik President (as of 12/1/17) 5.00 45.00 X 0 840145 211038 Martin Degen Sr Dir VNA 30.00 20.00 X 0 193219 32212 Heidi Landers Enterprise Dir Home Health 30.00 20.00 X 155761 0 10246 Jody A Dion Dir Hospice & Palliative Care 50.00 0.00 X 140306 0 11831 Roxanna Harper Dir Clinical Ops 50.00 0.00 X 132009 0 26689 Anne Davidson Hospice RN II 50.00 0.00 X 126695 0 4025 Wendy C Drake Dir Rehab 50.00 0.00 X 123539 0 6607 Cynthia L Forte Hospice RN 50.00 0.00 X 112998 0 23965 1818125 4372973 749287 11 0 1 1 Baystate Administrative Services 759 Chestnut St Springfield MA 01079 Administrative Services 1841040 Quality In Real Time 15 Verbena Ave Suite 210 Floral Park NY 11001 Administrative Services 606092 Shiftwise 1800 SW 1st Ave Suite 510 Portland OR 97201 Contracted Labor (RN/PT) 500594 Verizon Wireless PO Box 15108 Albany NY 122125108 Telephone Services 292742 Bonavita Wiilliam 28 Shady LN Wilbraham MA 010952010 Consulting Services 256325 8 116616 288638 6498 411752 Net Patient Services 621610 23694764 23694764 Telehealth Program Funding 621610 213520 213520 Rents from Affiliates 531120 137287 137287 Copy of Medical Records 621610 525 525 24046096 53202 53202 15763981 15755000 8981 8981 8981 Management Assessment 900099 2012965 2012965 HNE Surplus Sharing 900099 18879 18879 2031844 26551875 26077940 0 62183 166008 166008 13306503 11850513 1455990 305469 291872 13597 1439606 1421591 18015 986210 943322 42888 2097465 2097465 8958 8958 6002 6002 2313 2313 2204659 1444495 760164 23344 5316 18028 1204231 1157436 46795 776126 508398 267728 405691 92871 312820 556388 532711 23677 29775 13247 16528 475413 475413 110026 95658 14368 Ambulance Services 45048 45048 Recruitment 45023 44553 470 Temp Help 26128 26128 24220386 18615352 5605034 0 182620 13332 4490969 4385599 82365 166330 6023463 5235612 2457516 787851 2184378 2276413 9397848 7629525 9127663 6253001 756047 1132581 2323262 1854005 12206972 9239587 X -4626975 -3510968 209714 263211 1608137 1637695 -2809124 -1610062 9397848 7629525 X 2331489 86280 -1218707 X 0 1 X 1 0 X 185271 157859 181932 192410 411752 1129224 23392913 19813360 20156127 20160550 26077940 109600890 23578184 19971219 20338059 20352960 26489692 110730114 0 0 0 110730114 8526 20244 31216 33105 62183 155274 8526 20244 31216 33105 62183 155274 23586710 19991463 20369275 20386065 26551875 110885388 0.99860 0.99910 0.00140 0.00090 X 0 0 0 0 0 0 0 0 1 2313 2313 0 Part II-B, Line 1: Line 1(i), Other activities: Lobbying expenditures are incurred through membership dues paid to home health care industry trade associations. Lobbying Expenses: Home Care Alliance of MA: Dues: $12,850 Lobbying amount: 14.10% = $1,812 Hospice Palliative Care of MA: Dues: $5,278 Lobbying amount: 9.5% = $501 Total lobbying amount = $2,313 0 76357 45183 31174 5947106 5190429 756677 787851 Beneficial Interest in Baystate Health Foundation 2276413 2276413 Malpractice Reserve 89000 Pension Liability 1765005 1854005 Schedule D Part V Additional Information: Part V: Certain endowments are held at Baystate Health Foundation (BHF), an affiliate, and are reported as temporarily restricted and permanently restricted but Part V has not been completed as it is already addressed on BHF's Form 990 (EIN 04-3549011). X X X X 1 1 0 0 0 0 0 0 0 Grace Makari-Judson MD Trustee/Hematologist (thru 12/31/17) 291317 0 44081 0 4970 0 56259 0 21686 0 418313 0 0 0 Kevin P Moriarty MD Trustee/ Chief Ped Surgery 543203 0 100207 0 43039 0 22950 0 15312 0 724711 0 0 0 Mark A Keroack MD Trustee 0 1001554 0 525000 0 362240 0 17550 0 15312 0 1921656 0 0 Dennis Chalke Treasurer 0 518753 0 189630 0 286276 0 58410 0 28598 0 1081667 0 0 Kristin R Delaney Clerk 0 128397 0 14975 0 606 0 13738 0 23774 0 181490 0 0 Maura McQueeney President (through 11/30/17) 0 196705 0 43113 0 14588 0 115799 0 17686 0 387891 0 0 Nancy Shendell-Falik President (as of 12/1/17) 0 554723 0 262899 0 22523 0 185570 0 25468 0 1051183 0 0 Martin Degen Sr Dir VNA 0 158654 0 25254 0 9311 0 8761 0 23451 0 225431 0 0 Heidi Landers Enterprise Dir Home Health 137045 0 14909 0 3807 0 7187 0 3059 0 166007 0 0 0 Jody A Dion Dir Hospice & Palliative Care 119952 0 13303 0 7051 0 6577 0 5254 0 152137 0 0 0 Roxanna Harper Dir Clinical Ops 110246 0 11970 0 9793 0 12136 0 14553 0 158698 0 0 0 Part I, Line 3 The compensation committee of Baystate Health, Inc. (the parent organization of the health care system to which the filing organization belongs) has been appointed through board resolution as the compensation committee of the filing organization. The compensation committee reviews and approves the compensation philosophy that is used to administer the specific pay decisions for the President of the filing organization. The compensation committee consists entirely of individuals serving on the board of the filing organization. The compensation of the current President of the filing organization was reviewed and determined by the compensation committee of Baystate Health, Inc. (the parent organization of the health care system to which the filing organization belongs). The individuals responsible for deliberating the compensation arrangement for the President would be those individuals who do not have a conflict of interest with respect to the compensation arrangement and would be considered independent for compensation deliberation purposes. The compensation of the President is established based on information provided by independent third party consultants for reasonableness and appropriate comparability data.The compensation is then established, reviewed and approved by the duly authorized compensation committee of Baystate Health, Inc. and all such deliberations and decisions are documented contemporaneously. Part I, Lines 4a-b Line 4a: Maura McQueeney received salary continuation of 6 1/2 months according to a severance and release agreement. She received $8,686 in 2017 and will receive $102,650 in 2018. Line 4b: Dennis W. Chalke - Supplemental Retirement of $186,459 is included in column B. This amount was earned and paid in 2017. Mark A. Keroack, MD - Total Supplemental Retirement of $334,356 is included in column B. This amount was earned in 2017. Grace Makari-Judson, MD- Supplemental Retirement of $9,031 is included in column B. This amount was earned in 2017. Kevin P. Moriarty, MD - Supplemental Retirement of $39,037 is included in column B. This amount was earned and paid in 2017. Nancy Shendell-Falik- Supplemental Retirement of $168,020 is included in column C. This amount was earned in 2017. Form 990, Part VI, Section A, line 1 The filing organization has a standing executive committee, which is entitled to act between meetings of the Board, on all matters as to which the Board is entitled to act and permitted by law to delegate to a committee. Form 990, Part VI, Section A, line 2 Two or more of the persons listed in this Form 990 Part VII have a business relationship with each other by virtue of sitting on one or more Boards of Directors or by serving in an employment relationship with one or more entities in the Baystate Group of affiliated entities and in the community. The following trustees, officers, or key employees have a business relationship: (1) Grace P. Makari-Judson, MD, James P. Sadowsky and John H. Davis, (2) Paul R. Murphy and Robert L. Pura, PhD, (3) John F. Maybury and Mark A. Keroack, MD, (4) Hector F. Toledo and Timothy F. Farrell, (5) Claudia R. Coplein, DO and Victor Woolridge, (6) Colleen W. Holmes and James P. Sadowsky, (7) John F. Maybury and Anne M. Paradis. Form 990, Part VI, Section A, line 3 Visiting Nurse Association and Hospice of Western New England, Inc. is affiliated with Baystate Administrative Services, Inc. (BAS) which is a 501(c) (3) organization. Information Technology, Human Resources, Finance, Treasury, Accounting and other management and support functions are delegated to BAS. Form 990, Part VI, Section A, line 6 The filing organization has one member, Baystate Health, Inc. (BH) Form 990, Part VI, Section A, line 7a The Board of Trustees of the filing organization are the same individuals serving as members of the Board of Trustees of BH. The Board of Trustees of BH are elected annually by the Board of Trustees of BH at their annual meeting. Form 990, Part VI, Section A, line 8b: The Trustees of Visiting Nurse Association & Hospice of Western New England, Inc. meet during certain scheduled Baystate Health, Inc. (BH) board meetings. The BH Board of Trustees and its committees, including the Audit and Compliance Committee, contemporaneously document meetings and actions relative to Visiting Nurse Association & Hospice of Western New England, Inc. as well as the annual acceptance of the audited financial statements. Form 990, Part VI, Section B, line 11b Prior to the filing of this return appropriate parts of this Form 990 were reviewed by representatives from the Tax, Finance, and Human Resources Departments of Baystate Health, Inc. (the parent organization of the health care system to which the filing organization belongs) and by outside legal counsel. The entire return was reviewed by a tax expert from an outside accounting firm. The entire return was also reviewed prior to filing by the Audit and Compliance Committee of Baystate Health, Inc., which also includes some of the officers and trustees of the filing organization. This committee also reviews the audited financial statements for the health system. The Form 990 was provided to all members of the Board of Trustees prior to filing. Form 990, Part VI, Section B, line 12c Visiting Nurse Association & Hospice of Western New England, Inc. is an affiliate of Baystate Health, Inc (BH). Baystate Health, Inc. and its affiliated entities have a comprehensive conflict of interest policy applicable to all of the affiliated entities. All directors, trustees, officers, key employees, and highest compensated employees of BH and its affiliates are asked to complete an annual "conflict of interest" form. We utilize an electronic database to receive and manage all conflict of interest submissions. This information is reviewed by the Chief Compliance Officer, Chief Executive Officer, Chair of the Board of Trustees, Chief General Counsel and the Chair of the Audit & Compliance Committee. A summary of the conflict of interest disclosures is provided to the Baystate Health Board of Trustees and the Tax Department. Potential conflict of interest transactions are reviewed as appropriate under the policy, which provides for recusal from discussion and deliberation by any party with a potential conflict of interest. Form 990, Part VI, Section B, line 15 The compensation committee of Baystate Health, Inc. (the parent organization of the health care system to which the filing organization belongs) has been appointed through board resolution as the compensation committee of the filing organization. The compensation committee reviews and approves the compensation philosophy that is used to administer the specific pay decisions for the President and employees of the filing organization. The compensation of the President of the filing organization is determined by the member of the President's Cabinet (the Health System's senior leadership) responsible for that filing organization, in consultation with Human Resources, based on information provided by independent third party consultants for reasonableness including appropriate comparability data and based on the Executive Compensation Philosophy Statement established by the compensation committee. The compensation of other officers and employees of the filing organization is determined by the President of the filing organization in accordance with the Executive Compensation Philosophy Statement, in consultation with Human Resources, based on information provided by independent third party consultants for reasonableness including appropriate comparability data or the Baystate Health Board approved budget and wage program for each fiscal year. Form 990, Part VI, Section C, line 19 The organization makes its conflict of interest policy and financial statements available to the public at www.baystatehealth.org. Articles of organization and bylaws are generally available at the Commonwealth of Massachusetts website. Form 990, Part VII, Section A, Line 5 Certain officers or trustees of the filing organization are paid by an entity, Baystate Medical Practices, Inc. (BMP) EIN 04-2888373, which is part of the health care system to which the filing organization belongs but does not meet the technical requirements as a "Related Organization" per Schedule R. Compensation from BMP to the officers and trustees of the filing organization therefore, is reported as paid from an unrelated organization in Line 5 and according to the instructions reported as though paid by the filing organization. Form 990, Part XI, line 9: Minimum Pension Liability Adjustment 288,810. Transfer from Affiliates -1,507,517. Baystate Health Inc 759 Chestnut Street Springfield MA 01199 042105941 Healthcare System Parent MA 501 (c ) (3) 7 Baystate Health Inc 0 Baystate Medical Center Inc 759 Chestnut Street Springfield MA 01199 042790311 Acute Care Teaching Hospital MA 501 (c ) (3) 3 Baystate Health Inc 0 Baystate Franklin Medical Center 164 High Street Greenfield MA 01301 042103575 Hospital MA 501 (c ) (3) 3 Baystate Health Inc 0 Baystate Wing Hospital Corporation 40 Wright Street Palmer MA 01069 222519813 Hospital MA 501 (c ) (3) 3 Baystate Health Inc 0 Baystate Total Home Care Inc 50 Maple Street Springfield MA 01199 203260764 Real Estate and Other MA 501 (c ) (3) 12b, II Baystate Medical Center Inc 0 Baystate Administrative Services Inc 759 Chestnut Street Springfield MA 01199 222747685 Administrative services MA 501 (c ) (3) 12c, III Baystate Health Inc 0 Baystate Health Foundation Inc 759 Chestnut Street Springfield MA 01199 043549011 Fundraising MA 501 (c ) (3) 7 Baystate Health Inc 0 Baystate Noble Hospital Corporation 115 West Silver Street Westfield MA 010861634 222537423 Hospital MA 501 (c ) (3) 3 Baystate Health Inc 0 Westfield Medical Corporation 115 West Silver Street Westfield MA 010861634 043127730 Healthcare MA 501 (c ) (3) 12a, I Baystate Noble Hospital Corporation 0 Noble Visiting Nurse Services Inc 77 Mill Street Westfield MA 01085 222757446 Homehealth and Hospice care MA 501 (c ) (3) 10 Visiting Nurse Assn and Hospice of Western New England Inc 1 Health New England Inc Monarch Place Suite 1500 Springfield MA 011441500 042864973 HMO/Insurance MA 501 (c ) (4) Baystate Health Inc 0 HNE of Connecticut Inc Monarch Place Suite 1500 Springfield MA 011441500 465190134 HMO/Insurance CT 501 (c ) (4) Health New England 0 Baystate Health Systems Inc Health & Welfare Benefits Plan 759 Chestnut Street Springfield MA 01199 222531644 Voluntary Employees' Benefit Association MA 501 (c ) (9) Baystate Health Inc 0 HNE Advisory Services Inc Monarch Place Suite 1500 Springfield MA 011441500 043012347 Administrative Services MA HNE Holding Corporation C 0 HNE Insurance Services Inc Monarch Place Suite 1500 Springfield MA 011441500 043183019 Ancilliary Insurance MA HNE Holding Corporation C 0 Ingraham Corporation 759 Chestnut Street Springfield MA 01199 043016257 Health care and other business activities MA Baystate Health Inc C 0 HNE Holding Corporation Monarch Place Suite 1500 Springfield MA 011441500 464620480 Holding shares in subsidiary corporations MA Health New England Inc C 0 HNE Insurance Company Inc Monarch Place Suite 1500 Springfield MA 011441500 454462433 Health Ins svcs for Mass Medicare supplement members MA HNE Holding Corporation C 0 Baystate Health Insurance Company LTD North Church St Georgetown CJ 980421413 Offshore captive insurance CJ Baystate Health Inc C 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 1 1 0 1 Noble Visiting Nurse ServicesInc L 1431715 Fair Market Value Health New England Inc L 2332535 Fair Market Value Noble Visiting Nurse ServicesInc S 208247 Actual Cost