2016-08-11T15:48:57-05:00 2015-09-30 263753134 CBIZ TOFIAS 500 BOYLSTON STREET BOSTON MA 02116 990 2014-10-01 042103812 CIRCLE HOME INC CIRC 9784599343 847 ROGERS STREET NO 201 LOWELL MA 01852 RACHEL CHADDOCK EXECUTIVE DIRECTOR 9784599343 2016-08-09 1 JOSEPH GISO P00030126 6177610600 2016-08-09 2014 2016-12-15 16:53:06Z X RACHEL CHADDOCK 847 ROGERS STREET NO 201 LOWELL MA 01852 13023724 0 X WWW.CIRCLEHOMEHEALTH.ORG X 1909 MA TO PROMOTE HEATLHCARE SERVICES TO SELECTED PATIENTS, IN THEIR HOMES, REGARDLESS OF ABILITY TO PAY. 18 18 178 30 0 0 265293 384260 9687834 12464530 116374 174934 0 0 10069501 13023724 0 0 0 0 7270724 9892924 0 0 16349 3008013 3393235 10278737 13286159 -209236 -262435 10809809 11086852 4501124 6187792 6308685 4899060 X CIRCLE HOME, INC. ENABLES INDIVIDUALS TO REMAIN SAFELY IN THEIR HOMES BY PROVIDING THE HIGHEST QUALITY HOME HEALTH, HOSPICE, AND OTHER COMMUNITY HEALTH SERVICES. 0 0 9270713 10302656 HOME HEALTH CARE - PROVIDE NECESSARY CARE & TREATMENT TO PATIENTS, IN THEIR HOMES, WITHOUT REGARD FOR THEIR ABILITY TO PAY. THIS CARE IS MORE COST EFFECTIVE, FOR CERTAIN POPULATIONS, THAN INPATIENT CARE.HOME HEALTH CARE IS FOR PATIENTS WHO HAVE DIFFICULTY GETTING OUT OF THE HOUSE, AND WHO NEED HELP WITH:*RECOVERY AFTER SURGERY OR A HOSPITAL STAY*HEALING AFTER A SERIOUS INJURY*COPING WITH A MAJOR CHANGE IN HEALTH*MEDICAL TREATMENTS THAT REQUIRE A NURSE OR THERAPIST*PREVENTING COMPLICATIONS AFTER CHILDBIRTH*LEARNING HOW TO SUCCESSFULLY MANAGE A CHRONIC DISEASE 1736252 2161874 HOSPICE CARE - PROVIDE NECESSARY CARE AND COMFORT MEASURES TO TERMINALLY ILL PATIENTS, IN THEIR HOMES, WITHOUT REGARD FOR THEIR ABILITY TO PAY. THIS CARE IS MORE COST EFFECTIVE THAN MOST SETTINGS, PROVIDES RESPITE AND COMFORT TO THE FAMILY BY OVERSEEING THEIR CARE AS WELL AS ACTING AS A RESOURCE FOR THE PATIENTS, CAREGIVERS AND MEDICAL PROFESSIONALS.PATIENTS AND FAMILIES BENEFIT FROM: *PROTECTION FROM PAIN AND DISTRESSING SYMPTOMS*LIVING WITH PERSONAL DIGNITY*FEELING THE COMFORT OF LOVED ONES*ENJOYING SPECIAL MOMENTS*FINISHING SOMETHING IMPORTANT*ACHIEVING EMOTIONAL AND SPIRITUAL PEACE*SAYING A GRACEFUL GOODBYEOUR HOSPICE PROGRAM IS DESIGNED TO HELP YOU MEET THESE GOALS. IT'S MEDICALLY GENTLE CARE, FOCUSED ON YOU AND YOUR LOVED ONES, AND BROUGHT TO YOU AT HOME BY A TEAM OF NURSES, SOCIAL WORKERS, SPIRITUAL COUNSELORS, AIDES AND VOLUNTEERS. 11006965 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 0 0 1 178 1 0 0 0 0 0 0 0 0 0 0 X 18 18 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X RACHEL CHADDOCK EXECUTIVE DIRECTOR 9784599343 847 ROGERS STREET SUITE 201 LOWELL MA 01852 STEVEN JONCAS PRESIDENT 1.00 X X 0 0 0 GINGER PEARSON FIRST VICE PRESIDENT 1.00 X X 0 0 0 MICHAEL KING SECOND VICE PRESIDENT 1.00 X X 0 0 0 SUSAN GREEN ASSISTANT TREASURER 1.00 X X 0 0 0 BRIAN STAFFORD TREASURER 1.00 X X 0 0 0 LEONORE OUELLETTE RECORDING SECRETARY 1.00 X X 0 0 0 DANIEL MANSUR DIRECTOR 0.50 X 0 0 0 JAMES O'DONNELL DIRECTOR 0.50 X 0 0 0 TUSHAR PATEL MD DIRECTOR 0.50 X 0 0 0 JOSEPH WHITE DIRECTOR 0.50 X 0 0 0 MARGARET LEMIRE-BERTHEL DIRECTOR 0.50 X 0 0 0 NAOMI PRENDERGAST DIRECTOR 0.50 X 0 0 0 LINDA WELCH DIRECTOR 0.50 X 0 0 0 ROBERT BURNS DIRECTOR 0.50 X 0 0 0 EFFIE DRAGON DIRECTOR 0.50 X 0 0 0 NORMAND DESCHENE DIRECTOR 0.50 X 0 0 0 STEVE LAROCHELLE DIRECTOR 0.50 X 0 0 0 PETER O'HEARN DIRECTOR 0.50 X 0 0 0 RACHEL CHADDOCK EXECUTIVE DIRECTOR 37.50 X 156347 0 14732 ROBERT YOUNG CHIEF FINANCIAL OFFICER 37.50 X 184609 0 19168 CYNTHIA ROCHE DIRECTOR OF CLINICAL SERVICES 37.50 X 121190 0 4335 STEPHEN KIRSCH DIRECTOR OF HUMAN RESOURCES 37.50 X 103613 0 3632 SARAH ANDERSEN QUALITY & PERFORMANCE IMPROVEMENT DIRECTOR 37.50 X 98168 0 2618 IRENE EGAN DIRECTOR OF COMMUNITY RELATIONS & DEVELOPMENT 37.50 X 95213 0 12275 759140 0 56760 4 0 1 0 LOWELL GENERAL HOSPITAL 295 VARNUM AVE LOWELL MA 01854 IT SUPPORT 1096263 COMMONWEALTH NURSING SERVICES 40 CHURCH ST LOWELL MA 01852 HEALTH CARE 561624 PINNACLE CONSTRUCTION CO 160 LORUM ST TEWKSBRY MA 01876 CONSTRUCTION 561624 METLIFE PO BOX 824417 PHILADELPHIA PA 19182 FINANCE 300336 FIDELITY 245 SUMMER ST BOSTON MA 02210 FINANCE 286205 5 384260 384260 HOMECARE 621610 10302656 10302656 HOSPICE 621610 2161874 2161874 12464530 96791 96791 64000 14143 0 0 64000 14143 78143 78143 13023724 12464530 0 174934 168215 168215 8175512 6885803 1289709 262646 204679 57967 684611 550075 134536 601940 504023 97917 213456 60302 153154 68100 1000 67100 836270 836270 199190 174533 24657 319731 255807 63924 196397 195194 1203 17472 16582 890 2906 2906 80731 80731 65169 270 64899 PER DIEM NURSING HOME 266230 266230 COMPUTER REPAIRS & MAIN 185266 185266 RX EXP - OTHER PAYORS 165691 165691 THERAPY EQUIPMENT EXPEN 136885 136885 639741 568355 55037 16349 13286159 11006965 2262845 16349 84236 602022 2898464 2708412 117191 67661 1860298 586634 937067 1273664 6772851 6435093 10809809 11086852 1420736 1873224 548458 516485 2531930 3798083 4501124 6187792 X 6308685 4899060 6308685 4899060 10809809 11086852 X -262435 -454531 -692659 X 0 1 X 1 0 X 169070 231439 285221 140293 384260 1210283 10159822 11394589 11867989 9812834 12464530 55699764 10328892 11626028 12153210 9953127 12848790 56910047 0 0 0 56910047 5231 45531 89592 83467 96790 320611 5231 45531 89592 83467 96790 320611 10334123 11671559 12242802 10036594 12945580 57230658 0.99440 0.99570 0.00560 0.00430 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 927765 15463 912302 932533 571171 361362 1273664 BONDS FUND 2330000 F SMALL CAP FUNDS 412554 F LARGE CAP FUNDS 3112860 F INTERNATIONAL EQUITY FUNDS 579679 F 6435093 ACCRUED PENSION 3798083 3798083 X 12969193 -454531 400000 -54531 13023724 0 13023724 14378818 1092659 1092659 13286159 0 13286159 PART X, LINE 2: AS A PUBLIC CHARITY, CIRCLE HOME, INC., "THE VNA," 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 VNA'S TAX POSITION AND CONCLUDED THAT THE VNA HAS NO UNRELATED BUSINESS INCOME OR UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE CONSOLIDATED FINANCIAL STATEMENTS. MANAGEMENT BELIEVES THE VNA IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2012. PART XI, LINE 2D - OTHER ADJUSTMENTS: TRANSFER FROM AFFILIATE - COMMONWEALTH NURSING SERVICES, INC. 400,000. PART XII, LINE 2D - OTHER ADJUSTMENTS: DEFINED BENEFIT PENSION ADJUSTMENT 1,092,659. 1 X X X 0 0 0 0 0 0 0 0 0 RACHEL CHADDOCK EXECUTIVE DIRECTOR 155250 0 0 0 1097 0 1651 0 13081 0 171079 0 0 0 ROBERT YOUNG CHIEF FINANCIAL OFFICER 183512 0 0 0 1097 0 5577 0 13591 0 203777 0 0 0 BOD OF CIRCLE HOME INC AND CNS NURSING HOME CARE INC INDIVIDUAL BOARD MEMBERS REPRESENT BOTH ENTITIES THE BOARD OF DIRECTORS OF CIRCLE HOME, INC. ARE ALSO THE DIRECTORS OF CNS NURSING HOME CARE, INC. CIRCLE HOME, INC. CONTRACTS WITH CNS NURSING HOME CARE, INC. FOR HOME HEALTH AIDES. 0 DANIEL MANSUR BOARD MEMBER THAT HAS PROVIDED LEGAL SERVICES TO ORGANIZATION 14819 DANIEL MANSUR IS A PARTNER OF THE FIRM - LAW OFFICE OF DANIEL J. MANSUR AND HAS AN 100% OWNERSHIP INTEREST IN THE LAW FIRM. 0 EFFIE DRAGON BOARD MEMBER PURCHASED A BUILDING FROM ENTITY 825000 EFFIE DRAGON IS CO-OWNER OF CENTRAL PLAZA REALTY, LLC WITH HER HUSBAND. CIRCLE HOME, INC. SOLD A BUILDING TO ENTITY. 0 FORM 990, PART VI, SECTION A, LINE 2 NORMAND DESCHENE IS A DIRECTOR AND THE PRESIDENT/CEO OF CIRCLE HEALTH, INC. WHICH IS THE PARENT OF CIRCLE HOME, INC. HE IS ALSO THE CEO OF THE LOWELL GENERAL HOSPITAL, A SUBSIDIARY OF CIRCLE HEALTH, INC. HE IS ALSO A DIRECTOR OF ENTERPRISE BANK. SUSAN GREEN IS THE EXECUTIVE VICE PRESIDENT AND CFO OF CIRCLE HEALTH, INC. AND THE LOWELL GENERAL HOSPITAL. JOSEPH WHITE IS A DIRECTOR AND PRESIDENT OF THE LOWELL GENERAL HOSPITAL, A SUBSIDIARY OF CIRCLE HEALTH, INC AND ALSO AN OFFICER OF CIRCLE HEALTH, INC. NAOMI PRENDERGAST IS A DIRECTOR OF CIRCLE HOME, INC. AND ON THE BOARD OF GOVERNERS FOR CIRCLE HEALTH, INC., AS WELL AS THE CEO OF D'YOUVILLE LIFE & WELLNESS COMMUNITY. CIRCLE HOME, INC. IS A VENDOR OF D'YOUVILLE LIFE & WELLNESS. CIRCLE HOME INC.'S CFO ALSO SERVES AS A DIRECTOR OF D'YOUVILLE LIFE & WELLNESS COMMUNITY. MARGARET LEMIRE-BERTHEL IS A DIRECTOR AS WELL AS AN EMPLOYEE OF THE LOWELL GENERAL HOSPITAL; A SUBSIDIARY OF CIRCLE HEALTH, INC. JAMES O'DONNELL IS A DIRECTOR AS WELL AS A CORPORATOR OF THE LOWELL GENERAL HOSPITAL. DANIEL MANSUR IS A DIRECTOR AS WELL AS A DIRECTOR OF THE LOWELL GENERAL HOSPITAL AND VICE CHAIR CIRCLE HEALTH, INC. AS A PRACTICING ATTORNEY, HIS CLIENT LIST INCLUDES OTHER DIRECTORS. TUSHAR PATEL, M.D. IS A DIRECTOR AS WELL AS THE PRESIDENT OF THE MEDICAL STAFF OF THE LOWELL GENERAL HOSPITAL. STEVEN JONCAS IS A DIRECTOR AS WELL AS A CORPORATOR OF THE LOWELL GENERAL HOSPITAL. HE ALSO PROVIDES REAL ESTATE CONSULTING SERVICES TO THE LOWELL COMMUNITY HEALTH CENTER WHO IS INTERESTED IN PROVIDING LEASED SPACE TO CIRCLE HOME, INC. BRAIN STAFFORD IS A DIRECTOR AS WELL AS A DIRECTOR OF THE LOWELL GENERAL HOSPITAL. THE LOWELL GENERAL HOSPITAL IS A SUBSIDIARY OF CIRCLE HEALTH, INC. AS A PRACTICING PUBLIC ACCOUNTANT HIS CLIENT LIST INCLUDES OTHER DIRECTORS. EFFIE DRAGON IS A DIRECTOR AND AN OFFICER OF CENTRAL PLAZA REALTY. CIRCLE HOME, INC. LEASES PARKING SPACES FROM CENTRAL PLAZA REALTY. CENTRAL PLAZA REALTY PURCHASED A BUILDING AND LAND FROM CIRCLE HOME, INC. IN 2015. PETER T. O'HEARN IS A DIRECTOR AS WELL AS A CORPORATOR OF THE LOWELL GENERAL HOSPITAL. PETER ALSO WRITES A SMALL FIDELITY BOND FOR THE PENSION PLAN. GINGER PEARSON IS ON THE BOARD OF GOVERNORS FOR CIRCLE HEALTH, INC. AND IS A DIRECTOR OF CIRCLE HOME, INC. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE CORPORATE MEMBER OF CIRCLE HOME, INC. IS CIRCLE HEALTH, INC. FORM 990, PART VI, SECTION A, LINE 7A A MINIMUM OF 80% OF THE DIRECTORS OF CIRCLE HOME, INC. ARE CLASSIFIED AS CIRCLE HEALTH, INC. DIRECTORS. THE BALANCE ARE CIRCLE HOME, INC. DIRECTORS FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER OF CIRLCE HOME, INC. IS CIRCLE HEALTH, INC. CIRCLE HEALTH HAS THE FOLLOWING RESERVE POWERS: - ORGANIZE OR ACQUIRE AN AFFILIATE OR SUBSIDIARY; - AUTHORIZE THE DISSOLUTION, MERGER OR CONSOLIDATION OF THE CORPORATION; - AUTHORIZE THE SALE OR OTHER TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS; - AMEND THE CORPORATION'S ARTICLES OF ORGANIZATION OR BYLAWS; - ADOPT ANNUAL OPERATING OR CAPITAL BUDGETS; - AUTHORIZE OFF-BUDGET EXPENDITURES ABOVE $100,000; - ADOPT STRATEGIC PLANS; - COMMENCE ANY CLINICAL SERVICE THAT WAS NOT OFFERED BY THE CORPORATION AS OF THE EFFECTIVE DATE OF THIS BYLAW PROVISION OR TERMINATE ANY CLINICAL SERVICE THAT WAS OFFERED BY THE CORPORATION AS OF SUCH DATE; - BORROW MONEY, UNLESS ALREADY APPROVED IN THE CORPORATION'S CURRENT BUDGET; - UNDERTAKE COMMUNITY-WIDE FUND-RAISING ACTIVITIES; - CHANGE THE CORPORATION'S INDEPENDENT AUDITOR; - ENGAGE THE EXECUTIVE DIRECTOR OF THE CORPORATION; AND - ADOPT OR MAKE MATERIAL MODIFICATIONS TO PERSONNEL POLICIES AND PROCEDURES INCLUDING POLICIES WITH REGARD TO COMPENSATION AND BENEFITS. IN ADDITION, IN ORDER TO FACILITATE THE DEVELOPMENT OF AN EFFECTIVE INTEGRATED HEALTH CARE DELIVERY SYSTEM UNDER THE AUSPICES OF THE MEMBER, AND IN ORDER TO ASSURE THAT THE PUBLIC PERCEPTION OF THE MEMBER AND THE CONSTITUENTS OF ITS SYSTEM IS ONE OF COORDINATION, THE MEMBER SHALL HAVE THE FOLLOWING POWERS WITH RESPECT TO THE CORPORATION: - TO REQUIRE THE CORPORATION TO INITIATE STRATEGIC PLANNING PROCESSES CONSISTENT WITH THOSE OF THE MEMBER AND THE OTHER CONSTITUENTS OF ITS HEALTH CARE SYSTEM. - TO REQUIRE THE CORPORATION TO COORDINATE CLINICAL SERVICES WITH THE MEMBER AND THE OTHER CONSTITUENTS OF ITS HEALTH CARE SYSTEM. - TO REQUIRE THE CORPORATION TO COORDINATE FUND-RAISING ACTIVITIES WITH THE MEMBER AND THE OTHER CONSTITUENTS OF ITS HEALTH CARE SYSTEM. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE COMPLETE FORM 990 IS EMAILED TO THE BOARD OF DIRECTORS FOR THEIR REVIEW AND COMMENT PRIOR TO FILING. ANY IDENTIFIED CHANGES BASED UPON COMMENTS ARE MADE AS INDICATED. FORM 990, PART VI, SECTION B, LINE 12C ALL NEW HIRES AND NEW BOARD MEMBERS RECEIVE THE ORGANIZATION'S CORPORATE COMPLIANCE PLAN. THEY DISCLOSE AT THAT POINT IN TIME ANY CONFLICTS OF INTEREST. BOARD MEMBERS ALSO COMPLETE A 990 QUESTIONAIRE. ON AN ANNUAL BASIS EMPLOYEES ALSO REVIEW THE CORPORATE COMPLIANCE PLAN AND INDICATE ANY POTENTIAL CONFLICTS OF INTEREST. BOARD MEMBERS ON AN ANNUAL BASIS REVIEW THE BYLAWS RELATING TO CONFLICT OF INTEREST AND COMPLETE A 990 QUESTIONAIRE. FORM 990, PART VI, SECTION B, LINE 15 ON AN ANNUAL BASIS THE ORGANIZATION PARTICIPATES IN A SALARY SURVEY AND EVALUATES ALL POSITIONS AGAINST THE SURVEY. THE INFORMATION IS SHARED WITH THE BOARD PRESIDENT FOR REVIEW WHEN EVALUATING THE EXECUTIVE DIRECTORS SALARY AND ANY COMPENSATION CHANGES. OFFICERS ARE NOT PAID. FOR KEY EMPLOYEES, THE SALARY SURVEY IS REVIEWED ANNUALLY BY HUMAN RESOURCES AND THE EXECUTIVE DIRECTOR. BASED UPON THAT SURVEY SALARY RANGES OR PAY MAY BE ADJUSTED. THIS INFORMATION IS SHARED WITH THE PERSONNEL COMMITTEE BY THE EXECUTIVE DIRECTOR. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILALE UPON REQUEST. FORM 990, PART XI, LINE 9: TRANSFER FROM AFFILIATE - COMMONWEALTH NURSING SERVICES, INC. 400,000. DEFINED BENEFIT PENSION ADJUSTMENT -1,092,659. CNS NURSING HOME CARE INC AKA COMMONWEALTH NURSING SERVICES INC 847 ROGERS STREET SUITE 201 LOWELL MA 01852 043489814 HEALTH CARE SERVICES MA CIRCLE HOME INC C 378885 2460434 1.00000 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 CNS NURSING HOME CARE INC AKA COMMONWEALTH NURSING SERVICES INC P 558750 FMV CNS NURSING HOME CARE INC AKA COMMONWEALTH NURSING SERVICES INC Q 77513 FMV