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 273458384 NVNA FOUNDATION INC NVNA 7816592342 120 LONGWATER DRIVE NORWELL MA 02061 RENEE MCINNES CEO 7816592342 2018-11-13 1 BERNADETTE O'TOOLE CPA P00229258 2156433900 67.137.57.251 2018-11-13 14:18:38 ES P 1A53DBAE8AE3BFC29E9AECF52760C2CD4F90396B 2F542D77562765624DD25E3C4252385A52575023 2017 2019-02-21 02:37:17Z RENEE MCINNES 120 LONGWATER DRIVE NORWELL MA 02061 0 0 X WWW.NVNA.ORG X 2010 MA TO ADVANCE, ENGAGE IN & CARRY OUT ACTIVITIES THAT FURTHER & PROMOTE THE GOALS OF THE SUBSIDIARIES 11 11 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 TO SUPPORT AND BENEFIT NORWELL VISITING NURSE ASSOCIATION, INC., NVNA WORKS, INC., AND CANCER SUPPORT COMMUNITY MASSACHUSETTS SOUTH SHORE, INC., COLLECTIVELY REFERRED TO AS 'THE SUPPORTED ORGANIZATIONS'. 0 0 0 0 0 TO SUPPORT AND BENEFIT NORWELL VISITING NURSE ASSOCIATION, INC., NVNA WORKS, INC., AND CANCER SUPPORT COMMUNITY MASSACHUSETTS SOUTH SHORE, INC. 1 0 0 0 0 0 0 0 0 0 0 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 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 1 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 0 0 0 MA X RENEE MCINNES 7816592342 120 LONGWATER DRIVE NORWELL MA 02061 THOMAS O'MARA PRESIDENT 1.00 3.00 X X 0 0 0 LINDA MAHONEN VICE PRESIDENT 1.00 1.00 X X 0 0 0 KEVIN CALLANAN CLERK 1.00 2.00 X X 0 0 0 WILLIAM SCALZULLI TREASURER 1.00 3.00 X X 0 0 0 ED FORD DIRECTOR 1.00 1.00 X 0 0 0 LEE HEILER DIRECTOR 1.00 1.00 X 0 0 0 ELLEN HOADLEY DIRECTOR 1.00 2.00 X 0 0 0 PAUL MILES DIRECTOR 1.00 1.00 X 0 0 0 DEIRDRE PRESCOTT DIRECTOR 1.00 1.00 X 0 0 0 BEN BEMBENEK DIRECTOR 1.00 1.00 X 0 0 0 SHAUN GOLDEN DIRECTOR 1.00 1.00 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 0 0 0 0 0 0 0 0 0 0 0 0 0 X 0 0 0 0 0 X 0 1 X 1 0 X X X 3 NORWELL VISITING NURSE ASSOCATION INC 042104797 10 1 0 0 NVNA WORKS INC 273458349 10 1 0 0 CANCER SUPPORT COMMUNITY MASSACHUSETTS SOUTH SHORE INC 452652624 7 1 0 0 3 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 PART IV, SECTION A, LINE 1: NORWELL VISITING NURSE ASSOCIATION, INC., AND NVNA WORKS, INC., ARE NAMED IN THE ORGANIZATION'S ARTICLES OF INCORPORATION, DATED SEPTEMBER 16, 2010. CANCER SUPPORT COMMUNITY MASSACHUSETTS SOUTH SHORE, INC., WAS INCORPORATED ON AUGUST 8, 2011, AND IS NAMED IN THE ORGANIZATION'S AMENDED BYLAWS DATED JULY 24, 2014. 0 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 FOUNDATION, 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 FOUNDATION, INC. FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE PRESIDENT, VICE 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 DID NOT INCUR ANY EXPENSES FOR NVNA MANAGEMENT SERVICES THAT WERE RENDERED BY THE TOP MANAGEMENT AND TOP FINANCIAL OFFICIAL TO 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. NORWELL VISITING NURSE ASSOCATION INC 120 LONGWATER DRIVE NORWELL MA 02061 042104797 HOME HEALTH CARE MA 501(C)(3) LINE 10 NVNA FOUNDATION INC 1 NVNA WORKS INC 2048 WASHINGTON STREET HANOVER MA 02339 273458349 PRIVATE DUTY HEALTH CARE MA 501(C)(3) LINE 10 NVNA FOUNDATION INC 1 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0