2018-11-15T08:12:47-06:00 2017-12-31 410746749 CLIFTONLARSONALLEN LLP 610 W GERMANTOWN PIKE STE 400 PLYMOUTH MEETING PA 19462 990 2017-01-01 452652624 CANCER SUPPORT COMMUNITY MASSACHUSETTS SOUTH SHORE INC CANC 7816592342 120 LONGWATER CIRCLE NORWELL MA 02061 RENEE MCINNES CEO 7816592342 2018-11-13 1 BERNADETTE O'TOOLE CPA P00229258 2156433900 67.137.57.251 2018-11-13 15:03:59 ES P 839A7130264BF8A4AA8E0E9B35915F0C6C2A2968 2F542D77562765624DD25E3C4252385A52575023 2017 2019-02-21 02:37:17Z RENEE MCINNES 120 LONGWATER CIRCLE NORWELL MA 02061 236898 0 X N/A X 2011 MA TO ASSIST PEOPLE AFFECTED BY CANCER 8 8 0 35 0 0 149471 148798 0 0 0 0 64318 47247 213789 196045 0 0 0 0 0 0 0 0 2445 321981 344714 321981 344714 -108192 -148669 34617 172749 34617 123624 0 49125 TO ASSIST PEOPLE AFFECTED BY CANCER, ENHANCE THEIR HEALTH AND WELL-BEING THROUGH PARTICIPATION IN PROFESSIONAL PROGRAMS OF EMOTIONAL SUPPORT, EDUCATION, AND HOPE PROVIDED BY OR ARRANGED THROUGH THE CORPORATION 0 0 208470 0 0 TO ASSIST PEOPLE AFFECTED BY CANCER, ENHANCE THEIR HEALTH AND WELL-BEING THROUGH PARTICIPATION IN PROFESSIONAL PROGRAMS OF EMOTIONAL SUPPORT, EDUCATION, AND HOPE PROVIDED BY OR ARRANGED THROUGH THE CORPORATION 208470 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 4 0 0 0 0 0 0 0 1 1 0 0 0 0 X 8 8 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 ANN GREENE CLERK 1.00 0.00 X X 0 0 0 CAROLINE CORBIN DIRECTOR 1.00 0.00 X 0 0 0 MELANIE JOHNSON DIRECTOR 1.00 0.00 X 0 0 0 MARK MACDONALD DIRECTOR 1.00 0.00 X 0 0 0 KATHY TEDESCHI DIRECTOR 1.00 0.00 X 0 0 0 ELIZABETH WELCH 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 211937 1 35971 112827 13659 148798 88100 35971 40853 47247 47247 196045 0 0 47247 X 7667 6517 997 153 222464 104558 117906 887 754 115 18 11737 9976 1526 235 1680 1428 218 34 79353 67450 10316 1587 1546 1314 201 31 329 280 43 6 1189 1011 155 23 FUNDRAISING EXPENSES 14023 11920 1823 280 EQUIPMENT RENTAL/REPAIR 1972 1676 256 40 1867 1586 243 38 344714 208470 133799 2445 119622 18930 49570 11978 1038 5947 3428 3709 2519 34617 172749 3822 1303 30795 122321 34617 123624 X 49125 0 49125 34617 172749 X -148669 197794 X 0 1 X 1 0 X 134587 104326 146470 98991 148798 633172 134587 104326 146470 98991 148798 633172 633172 132737 155241 89202 64318 47247 488745 1121917 0.56440 0.42430 X 5947 3428 2519 2519 DUE TO AFFILIATES 122321 122321 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. FESTIVAL OF WREATHS 110979 35971 75008 18784 16043 CSC FALL EVENT 10448 10448 400 5626 121427 35971 85456 19184 21669 40853 44603 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 CANCER SUPPORT COMMUNITY MASSACHUSETTS SOUTH SHORE, 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 CANCER SUPPORT COMMUNITY MASSACHUSETTS SOUTH SHORE, 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 $7,667 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 17,918. MANAGEMENT AND GENERAL EXPENSES 20,206. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 38,124. DIRECTOR SERVICES: PROGRAM SERVICE EXPENSES 78,089. MANAGEMENT AND GENERAL EXPENSES 88,057. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 166,146. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 8,551. MANAGEMENT AND GENERAL EXPENSES 9,643. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,194. FORM 990, PART XI, LINE 9: TRANSFER FROM AFFILIATE 197,794. NVNA FOUNDATION INC 120 LONGWATER DRIVE NORWELL MA 02061 273458384 SUPPORT MA 501(C)(3) LINE 12B, II N/A 0 NVNA WORKS INC 2048 WASHINGTON STREET HANOVER MA 02339 273458349 PRIVATE DUTY HEALTH CARE MA 501(C)(3) LINE 10 NVNA FOUNDATION INC 0 NORWELL VISITING NURSE ASSOCIATION INC 120 LONGWATER DRIVE NORWELL MA 02061 042104797 HOME HEALTH CARE MA 501(C)(3) LINE 10 NVNA FOUNDATION INC 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 1 1 0 0 1