2015-08-14T12:12:48-05:00 2014-09-30 020400296 Brad Borbidge PA 197 Loudon Road Concord NH 03301 990 2013-10-01 222757446 Noble Visiting Nurse & Hospice Services Inc NOBL 4135627049 77 Mill Street No 207 Westfield MA 01085 David Mol Executive Director 4135627049 2015-08-14 1 Dimitrios Panacopoulos CPA P01603705 6032240849 2013 2016-04-25 22:37:26Z David Mol 77 Mill Street No 207 Westfield MA 01085 8831860 0 X www.noblehospice.org X 1986 MA To provide comprehensive home care services, including skilled nursing, medical social services, with the provision of necessary supplies, to individuals and families in their places of residence for the purpose of promoting, maintaining or restoring health, minimizing the effects of illness and disability, and maximizing the level of independence. 11 9 110 9 0 0 109127 103055 6501879 8662981 325 49 29660 38836 6640991 8804921 0 0 0 0 4426354 6068311 0 0 16555 2266016 2859535 6692370 8927846 -51379 -122925 1570430 2255821 1224041 2032357 346389 223464 X To provide comprehensive home care services, including skilled nursing, medical social services, with the provision of necessary supplies, to individuals and families in their places of residence for the purpose of promoting, maintaining or restoring health, minimizing the effects of illness and disability, and maximizing the level of independence. 0 0 7967029 8662981 Provides home health care and hospice including nursing, therapy, and home health aide services. 7967029 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 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 6 0 1 110 1 0 0 0 0 0 1 1 0 0 X 11 9 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 MA X David Mol 4135627049 77 Mill Street Westfield MA 01085 Ted Cassell Chairperson 0.00 X X 0 0 0 Meghan Hibner Treasurer 0.00 X X 0 0 0 Holly Lewis Board Member 0.00 X 0 0 0 Ronald Bryant President & CEO 1.00 X 0 383971 28011 Amy Cordes Board Member 0.00 X 0 0 0 Amber Danahey Board Member 0.00 X 0 0 0 Michael J Smith Board Member 0.00 X 0 0 0 Daniel Howard Board Member 0.00 X 0 0 0 John Shaver Board Member 1.00 X 0 181150 6324 Frances Horrigan Board Member 0.00 X 0 0 0 Mary Alice Santos Board Member 0.00 X 0 0 0 David Mol Executive Director 40.00 X 121464 0 6270 121464 565121 40605 1 0 1 0 Fandotech 893 Main Street Manchester CT 06040 Computer Services 136649 Allscripts LLC 24630 Network Place Chicago IL 60673 Computer Services 118950 2 33020 70035 103055 Home Care 621610 8662981 8662981 8662981 49 49 65775 26939 38836 38836 8804921 8662981 0 38885 127734 127734 4957617 4501561 456056 92978 82406 10572 483656 428664 54992 406326 360127 46199 24183 24183 258933 203807 55126 471666 418038 53628 136780 121228 15552 294927 261394 33533 78774 69817 8957 275988 275614 374 8110 7188 922 10947 9702 1245 94449 83710 10739 21587 19133 2454 Program Supplies 475975 475975 Hospice Program Expense 321302 321302 Postage and Shipping 151423 134206 17217 Telephone 136427 120915 15512 98064 72242 9267 16555 8927846 7967029 944262 16555 24467 91608 1190569 1814674 36487 46784 770420 467665 318907 302755 1570430 2255821 876998 1397249 309816 285067 14128 250750 23099 99291 1224041 2032357 X 319664 206511 26725 16953 346389 223464 1570430 2255821 -122925 0 X 0 1 X 1 0 X 130402 123097 100254 109127 103055 565935 3940210 4989317 5242651 6501879 8662981 29337038 4070612 5112414 5342905 6611006 8766036 29902973 0 0 0 29902973 2695 2654 253 325 49 5976 2695 2654 253 325 49 5976 4073307 5115068 5343158 6611331 8766085 29908949 0.99980 0.99960 0.00020 0.00040 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 69477 19665 49812 700943 448000 252943 302755 Due To Affiliates 99291 99291 X 8804921 0 8804921 0 8804921 8927846 0 8927846 0 8927846 Part X, Line 2: The Association is a public charity under Section 501(c)(3) of the Internal Revenue Code. As a public charity, the Association 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 tax. Management has evaluated the Association's tax position and concluded that the Association has no unrelated business income or uncertain tax positions that require adjustment to the financial statements. Wine Tasting 41720 41720 15233 Golf Tournament 24055 24055 11706 65775 65775 26939 26939 38836 X 1 1 0 0 0 0 0 0 0 0 0 Ronald Bryant President & CEO 0 344547 0 39424 0 0 0 0 0 28011 0 411982 0 0 John Shaver Board Member 0 181150 0 0 0 0 0 0 0 6324 0 187474 0 0 Form 990, Part VI, Section A, line 6 The sole member of the corporation shall be Noble Health Systems, Inc. Form 990, Part VI, Section A, line 7a The sole member elects the board of trustees memebers. Form 990, Part VI, Section A, line 7b The member shall have all rights and powers conferred on members of non-profit corporations under the laws of the commonwealth of Massachusetts. The member shall have such other powers as specified in the articles of Organization and bylaws. Form 990, Part VI, Section B, line 11 A copy of this Form 990 was provided to the Finance Committee of the Organization's affiliate, Noble Health Systems, Inc., for their review, discussion and comment prior to filing. It was also distributed to the full Boards of Trustees of both Noble Health Systems, Inc. and Noble Visiting Nurse & Hospice Services, Inc. prior to filing. Form 990, Part VI, Section B, line 12c Conflict of interest is discussed at the annual meeting after the election of officers and board members and each year at this meeting all board members signed a conflict of interest and confidentiality statement. Form 990, Part VI, Section B, line 15 Compensation for the Executive Director is complete by Board Committee with the use of compensation & benefits Survey completed by the Massachusetts Foundation for Home Health. Form 990, Part VI, Section C, line 19 Upon request. Westfield Medical Corporation 115 West Silver Street Westfield MA 01086 043127730 Physician Services MA 501 (c)(3) 509 (a)(3) type I N/A 0 Baystate Noble Hospital Corporation 115 West Silver Street Westfield MA 01086 222537523 Hospital MA 501 (c)(3) 3 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0