2014-08-05T13:36:56-05:00 2013-12-31 010523282 Berry Dunn McNeil & Parker LLC PO Box 1100 Portland ME 041041100 990 2013-01-01 223195337 New England Life Care Inc NEWE 8002906558 600 Southborough Drive South Portland ME 04106 Thomas R Sahrmann CFO 8002906558 2014-08-04 1 Barbara J McGuan CPA P00219457 2077752387 2014-08-04 2013 2015-11-30 17:44:51Z Michael Souza 600 Southborough Drive South Portland ME 04106 30814278 0 X www.nelifecare.org X 1992 ME Delivery of home health care services. 10 10 207 10 0 0 0 0 26828708 30813478 15456 800 0 0 26844164 30814278 0 0 0 0 13338372 14493453 0 0 0 12480636 15620824 25819008 30114277 1025156 700001 9743199 11481561 3155849 4194210 6587350 7287351 Delivery of home health care services to patients discharged from member hospitals as well as homebound and ambulatory patients living in areas served by the cooperative member hospitals. 0 0 24763455 30813478 New England Life Care (NELC) provided home health services and products to ambulatory and homebound patients in Maine, Massachusetts, Vermont, and New Hampshire. NELC has provided 6,502,224 patient days of service since inception to date and 513,729 patient days of service in 2013 for an average length of treatment of 99 days in 2013. NELC participates in a national benchmarking project where NELC is benchmarked against 200 other home-infusion companies to measure levels of patient satisfaction as well as patient outcomes. 98% of patients rated extremely or mostly satisfied. NELC received the certificate from the Joint Commission, dated March 8, 2014, that provided accreditation for the next three years. 24763455 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 1 0 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 35 0 1 207 1 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 0 ME MA NH VT X Thomas R Sahrmann 8002906558 600 Southborough Drive South Portland ME 04106 Peter Chalke Chairman 1.00 X X 0 0 0 Jeffery P Doran Treasurer 1.00 X X 0 0 0 Mary Deveau Secretary 1.00 X X 0 0 0 Bruce P King Director 1.00 X 0 0 0 Greg Walker Director 1.00 X 0 0 0 Jeff Sanders Director 1.00 X 0 0 0 Lisa Harvey-McPherson Director 1.00 X 0 0 0 Norm Deschene Director 1.00 X 0 0 0 Vincent T McDermott Director 1.00 X 0 0 0 Ryan Thompson Director 1.00 X 0 0 0 Michael Souza President & CEO 40.00 X 319519 0 10472 Thomas R Sahrmann Executive Vice President & CFO 40.00 X 200287 0 26628 Andrew Heindl VP Business Development 40.00 X 162637 0 22259 Mary Pierskalla Director of Pharmacy 40.00 X 150414 0 19042 Mark Kislowski Clinical Pharmacist 40.00 X 134333 0 27920 Joseph Crisitini Interim Pharmacy Manager 40.00 X 133352 0 9423 Jennifer Charron VP Clinical Services 40.00 X 142545 0 32305 1243087 0 148049 18 0 1 0 Ropes & Gray LLP Prudential Towers PO Box 414265 Boston MA 02441 Legal Services 185877 RPH On The Go Inc PO Box 1024640 Atlanta GA 30368 Temporary Staffing Services 132853 2 Patient Service Rev. 621610 31892610 31892610 Miscellaneous Revenue 900099 25900 25900 Bad Debt Provision 621610 -1105032 -1105032 30813478 800 0 800 800 800 30814278 30813478 0 800 556906 556906 11370356 9511310 1859046 356203 296966 59237 2209988 1582834 627154 217260 217260 72772 72772 282166 60237 221929 16517 2013 14504 2321512 1750845 570667 113826 113826 1125127 819914 305213 359227 308855 50372 51062 1618 49444 25764 25764 474002 251697 222305 299900 299900 Medical Supplies 9823173 9823173 Miscellaneous 438516 353993 84523 30114277 24763455 5350822 0 46800 1337258 1890259 0 4503263 5730704 944862 1120958 241571 657524 1604785 605087 651356 999698 1465088 1635419 9743199 11481561 3155849 3494210 700000 3155849 4194210 X 6587350 7287351 6587350 7287351 9743199 11481561 700001 0 X 0 1 X 1 0 X 223288 42576 180712 1381497 562511 818986 999698 Due From VHA 18404 Split Dollar Life Insurance 1617015 1635419 30814278 0 30814278 0 30814278 30114277 0 30114277 0 30114277 X X X X 0 0 0 1 0 1 0 0 0 Michael Souza President & CEO 232500 0 75019 0 12000 0 8378 0 2094 0 329991 0 0 0 Thomas R Sahrmann Executive Vice President & CFO 152893 0 47394 0 0 0 6658 0 19970 0 226915 0 0 0 Andrew Heindl VP Business Development 117525 0 39112 0 6000 0 5600 0 16659 0 184896 0 0 0 Mary Pierskalla Director of Pharmacy 126217 0 24197 0 0 0 8743 0 10299 0 169456 0 0 0 Mark Kislowski Clinical Pharmacist 132333 0 2000 0 0 0 5026 0 22894 0 162253 0 0 0 Jennifer Charron VP Clinical Services 113581 0 28964 0 0 0 8354 0 23951 0 174850 0 0 0 Part I, Line 5 The Organization's bonus compensation structure compensates individuals for achieving specific goals with the overarching criteria that the Organization must achieve its net revenue and net income goals for the calendar year. Part I, Line 6 The Organization's bonus compensation structure compensates individuals for achieving specific goals with the overarching criteria that the Organization must achieve its net revenue and net income goals for the calendar year. Form 990, Part VI, Section A, line 6 Each hospital that the Organization provides services for owns an equity share in New England Life Care, Inc. There is a single class of membership in the Corporation. Any nonprofit hospital located in Maine, New Hampshire, Massachusetts, or Vermont and is authorized to provide services under Internal Revenue Code section 501(e) is qualified for membership and may be elected to membership at any annual or special meeting of the members by a two-thirds majority vote of the entire membership of the Corporation. No member may hold more than one membership in the Corporation. The Corporation shall have no capital stock; however, membership certificates of the Corporation shall be required. No later than the 15th day of the ninth month after the end of each fiscal year, the Corporation shall allocate or pay all of its net earnings to its members on the basis of patronage of the Corporation's services performed for each member. Form 990, Part VI, Section A, line 7a There is a single class of membership in the Corporation. Application for new membership is submitted in writing to the Board of Directors and Board Secretary. Upon a majority approval by the Board, the application is submitted to the full membership for ratification. No Member may hold more than one membership in the corporation. Each Member shall be entitled to vote on each matter submitted to a vote of the membership. A majority of the Members must vote in the affirmative to accept a new member application. Form 990, Part VI, Section A, line 7b All Board Members are comprised of directors from Member Organizations. The Board of Directors shall consist of not less than six and not more than twelve directors. Each director shall serve for a 2 year term. A Member Hospital may nominate a representative to the Board of Directors to fill an open Board position. The composition of the Board of Directors shall be determined periodically by a resolution of the Board of Directors. A director filling a newly created directorship shall be elected by an affirmative vote of a majority of the directors. Vacancies on the Board caused by resignations, removal, disqualification or death of a director may be filled by a new diretor elected by an affirmative vote of a majority of the remaining directors. Form 990, Part VI, Section A, line 8b The Organization has no formal board sub-committee to handle this function. Form 990, Part VI, Section B, line 11 The Organization's CEO and CFO formally review the annual Form 990 with the board chairman and respond to questions from the board chairman and other board members once they have reviewed a copy of the draft document. Form 990, Part VI, Section B, line 12c All employees execute a formal disclosure document on an annual basis. Any apparent conflict is reported to the compliance officer, to legal counsel, and, if appropriate, to the full board. In March 2013, 2012 and 2011 the full NELC board executed formal conflict of interest disclosure forms for 2013, 2012 and 2011 respectively. Form 990, Part VI, Section B, line 15 CEO and CFO compensation is reviewed and approved by the officers of the NELC board. All other NELC officers, and key employee compensation matters are administered internally with board oversight within the budget process and via board review of the employee compensation disclosed on the annual Form 990. Form 990, Part VI, Section C, line 19 The Organization's governing documents, conflict of interest policy, and financial statements are made available to the public upon request. Schedule A, Part 1, Line 3: New England Life Care is a cooperative hospital service organization described in IRC section 170(b)(1)(A)(iii), and is comprised of a number of member hospitals. However, the Organization is not licensed in the State of Maine as a hospital. Accordingly, Schedule H is not being attached, as the Organization does not meet the definition of a hospital for purposes of Schedule H. Form 990, Part VIII, Line 2a: Inception to date, NELC has provided $13,847,274 of uncompensated free care (Charity Care) to patients. Charity care services provided in 2013 amounted to $1,111,011. NELC LLC 4 Constitution Way Suite J Woburn MA 01801 464810145 Home Health Services MA New England Life Care Inc C 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0