2018-11-15T08:13:23-06:00 2017-12-31 410746749 CLIFTONLARSONALLEN LLP 610 W GERMANTOWN PIKE STE 400 PLYMOUTH MEETING PA 19462 990 2017-01-01 273458349 NVNA WORKS INC NVNA 7816592342 2048 WASHINGTON STREET HANOVER MA 02339 RENEE MCINNES CEO 7816592342 2018-11-13 1 BERNADETTE O'TOOLE CPA P00229258 2156433900 67.137.57.251 2018-11-13 15:32:34 ES P 1A53DBAE8AE3BFC29E9AECF52760C2CD4F90396B 2F542D77562765624DD25E3C4252385A52575023 2017 2019-02-21 02:37:17Z RENEE MCINNES 2048 WASHINGTON STREET HANOVER MA 02339 2168964 0 X WWW.NVNAWORKS.ORG X 2010 MA TO OFFER A FULL RANGE OF PRIVATE PAY HOME CARE SERVICES TO KEEP PEOPLE HEALTHY & SAFE IN THEIR HOMES 7 7 126 7 0 0 350 0 2445389 2168964 0 0 0 0 2445739 2168964 0 0 0 0 1539282 1373000 0 0 35827 477002 540736 2016284 1913736 429455 255228 567778 712686 120858 89492 446920 623194 TO OFFER PRIVATE DUTY NURSING AND OTHER AFFORDABLE HOME CARE SERVICES SO AS TO PRESERVE AND PROMOTE THE HEALTH, WELL BEING, AND DIGNITY OF THE COMMUNITY. 0 0 1580171 0 2168964 PRIVATE DUTY NURSING AND OTHER AFFORDABLE HOME CARE SERVICES 1580171 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 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 0 0 0 1 0 0 126 1 0 0 0 0 0 0 0 0 0 0 X 7 7 0 1 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 0 0 0 MA X RENEE MCINNES 7816592342 120 LONGWATER CIRCLE NORWELL MA 02061 THOMAS O'MARA PRESIDENT 1.00 3.00 X X 0 0 0 WILLIAM SCALZULLI TREASURER 1.00 3.00 X X 0 0 0 KEVIN B CALLANAN CLERK 1.00 2.00 X X 0 0 0 SEAN T RYAN DIRECTOR 1.00 0.00 X 0 0 0 ELLEN M HOADLEY DIRECTOR 1.00 3.00 X 0 0 0 PETER M DILLON DIRECTOR 1.00 0.00 X 0 0 0 ELLEN ALLEN DIRECTOR 1.00 0.00 X 0 0 0 RENEE MCINNES CEO 10.00 30.00 X 0 219412 2347 CHRISTY CAMPEA CFO 10.00 30.00 X 0 148207 16873 MARY DOHERTY FORMER EXECUTIVE DIRECTOR 10.00 30.00 X 0 270278 63 0 637897 19283 0 1 1 0 NORWELL VISITING NURSE ASSOCIATION INC 120 LONGWATER DRIVE NORWELL MA 02061 MANAGEMENT, ADMIN AND PROGRAM SERVICES 430851 1 PRIVATE DUTY 621610 2168964 2168964 2168964 2168964 2168964 0 0 X 1251013 1063361 162632 25020 121987 103689 15858 2440 58395 49636 7591 1168 374056 271442 97580 5034 5415 4603 704 108 10449 8881 1358 210 6068 5158 789 121 32304 27458 4200 646 19546 16614 2541 391 125 106 16 3 1022 869 133 20 ANSWERING SERVICE 2765 2350 359 56 EQUIPMENT RENTAL/REPAIR 1467 1247 191 29 ADMINISTRATIVE EXPENSES 1377 1170 179 28 PROGRAM SUPPLIES 1120 952 146 22 26627 22635 3461 531 1913736 1580171 297738 35827 375950 469651 166446 223929 3550 705 5110 1533 4599 3577 17233 14824 567778 712686 23830 26775 97028 62717 120858 89492 X 446920 623194 446920 623194 567778 712686 X 255228 -78954 X 0 1 X 1 0 X 174 350 524 1940769 1757645 2169012 2445389 2168964 10481779 1940769 1757645 2169186 2445739 2168964 10482303 0 0 0 10482303 1940769 1757645 2169186 2445739 2168964 10482303 1.00000 1.00000 0.00000 0.00000 X 5110 1533 3577 3577 X 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. 1 0 0 0 0 0 0 0 0 RENEE MCINNES CEO 0 218912 0 500 0 0 0 0 0 2347 0 221759 0 0 CHRISTY CAMPEA CFO 0 147707 0 500 0 0 0 0 0 16873 0 165080 0 0 MARY DOHERTY FORMER EXECUTIVE DIRECTOR 0 0 0 0 0 270278 0 0 0 63 0 270341 0 0 PART I, LINE 3 ALL COMPENSATION DISCLOSED ON SCHEDULE J, PART II IS FROM NORWELL VISITING NURSE ASSOCIATION, INC. (NVNA), A RELATED 501(C)(3) PUBLIC CHARITY. NVNA HAS AN EXTENSIVE COMPENSATION REVIEW PROCESS WHICH INCLUDES THE USE OF A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, FORM 990S OF OTHER LIKE ORGANIZATIONS, COMPENSATION SURVEYS AS WELL AS APPROVAL BY THE BOARD OF DIRECTOR OR COMPENSATION COMMITTEE AND A WRITTEN EMPLOYMENT CONTRACT. NO COMPENSATION IS PAID BY OR ON BEHALF OF NVNA WORKS, INC. PART I, LINE 4A MARY DOHERTY RECEIVED $270,278 IN SEVERANCE WHEN SHE LEFT HER POSITION AS EXECUTIVE DIRECTOR. THE ENTIRE SEVERANCE IS AN OBLIGATION OF NVNA, NO PAYMENTS WERE MADE BY NVNA WORKS, INC. FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE PRESIDENT, TREASURER, AND CLERK. THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE, DURING INTERVALS BETWEEN MEETINGS OF THE BOARD, ALL THE POWERS VESTED IN THE BOARD, EXCEPT THAT THE EXECUTIVE COMMITTEE MAY NOT ELECT DIRECTORS OR OFFICERS, FILL VACANCIES IN SUCH OFFICES, OR REMOVE OFFICERS OR DIRECTORS FROM OFFICE. FORM 990, PART VI, SECTION A, LINE 3 NORWELL VISITING NURSE ASSOCIATION, INC. (NVNA), A RELATED 501(C)(3) PUBLIC CHARITY, WAS CONTRACTED WITH TO PROVIDE MANAGEMENT SERVICES TO THE ORGANIZATION. RENEE MCINNES, CEO OF NVNA, SERVED AS THE TOP MANAGEMENT OFFICIAL FOR THE ORGANIZATION AND IS ALSO CONSIDERED AN OFFICER OF NVNA. CHRISTY CAMPEA, CFO OF NVNA, SERVED AS THE TOP FINANCIAL OFFICIAL FOR THE ORGANIZATION AND IS ALSO CONSIDERED AN OFFICER OF NVNA. IN 2017, THE ORGANIZATION INCURRED EXPENSES OF $58,395 FOR NVNA MANAGEMENT SERVICES THAT WERE RENDERED BY THE TOP MANAGEMENT AND TOP FINANCIAL OFFICIAL TO THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION 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 DETERMINE ANNUALLY THE NUMBER OF DIRECTORS FOR THE ENSUING YEAR AND ELECT ALL DIRECTORS AS NEEDED TO MATCH THAT NUMBER. 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 MEMBERS PURSUANT TO LAW OR THE ARTICLES OF ORGANIZATION: (A) ELECTION OF THE DIRECTORS; (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 IN WHICH THE ORGANIZATION WILL HAVE MORE THAN A TWENTY PERCENT INTEREST IN THE REVENUES OR PROFITS OF THE JOINT VENTURE, EXCLUDING CONTRACTS IN THE ORDINARY COURSE OF BUSINESS; (G) AUTHORIZATION OR APPROVAL OF ANY PLAN OF 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, OR 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 OR LEASE OF, OR 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 (L) 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. THE CFO REVIEWS THE FORM 990, AND THEN A DRAFT OF THE FORM 990 IS DISTRIBUTED TO THE CEO AND ALL BOARD MEMBERS FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY APPLIES TO DESIGNATED PERSONS AS DEFINED IN THE POLICY TO INCLUDE: MEMBERS OF THE BOARD OF DIRECTORS (DIRECTORS), MEMBERS OF THE ADMINISTRATION AND SENIOR MANAGEMENT, MEMBERS OF COMMITTEES WHEN THE COMMITTEE HAS THE AUTHORITY OF THE BOARD, ALL PERSONS WITH THE AUTHORITY TO PURCHASE, SELECT, OR INFLUENCE THE PURCHASE OF GOODS OR SERVICES ON BEHALF OF THE FOUNDATION, AND ANY OTHER PERSONS WHOM THE BOARD DESIGNATES. THE CONFLICT OF INTEREST POLICY REQUIRES THAT DESIGNATED PERSONS FULLY DISCLOSE ANY POTENTIAL CONFLICTS. CONFLICTS ARE REPORTED TO DIRECTORS THAT ARE FREE OF CONFLICTS. THE BOARD DETERMINES IF A POTENTIAL CONFLICT IS AN ACTUAL CONFLICT. TO ENSURE REGULAR MONITORING OF THE POLICY, AT LEAST ANNUALLY THE DIRECTORS ARE REQUIRED TO REVIEW AND SIGN THE CONFLICT OF INTEREST POLICY. IF A CONFLICT WERE TO ARISE, ACTION STEPS COULD RANGE FROM RECUSAL TO TERMINATION DEPENDING ON THE TYPE AND EXTENT OF THE CONFLICT. 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 IX, LINE 11G ADMINISTRATIVE SERVICES: PROGRAM SERVICE EXPENSES 213,922. MANAGEMENT AND GENERAL EXPENSES 32,717. FUNDRAISING EXPENSES 5,034. TOTAL EXPENSES 251,673. NURSING SERVICES: PROGRAM SERVICE EXPENSES 45,397. MANAGEMENT AND GENERAL EXPENSES 51,192. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 96,589. CAREGIVER SERVICES: PROGRAM SERVICE EXPENSES 851. MANAGEMENT AND GENERAL EXPENSES 959. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,810. OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 11,272. MANAGEMENT AND GENERAL EXPENSES 12,712. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,984. FORM 990, PART XI, LINE 9: TRANSFER TO AFFILIATE -78,954. NVNA FOUNDATION INC 120 LONGWATER DRIVE NORWELL MA 02061 273458384 SUPPORT MA 501(C)(3) LINE 12B, II N/A 0 NORWELL VISITING NURSE ASSOCATION INC 120 LONGWATER DRIVE NORWELL MA 02061 042104797 HOME HEALTH CARE MA 501(C)(3) LINE 10 NVNA FOUNDATION INC 0 CANCER SUPPORT COMMUNITY MASSACHUSETTS SOUTH SHORE INC 120 LONGWATER DRIVE NORWELL MA 02061 452652624 CANCER SUPPORT MA 501(C)(3) LINE 7 NVNA FOUNDATION INC 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 1 1 0 1 0