2013-07-23T11:59:07-05:00 2012-12-31 010523282 Berry Dunn McNeil & Parker LLC PO Box 1100 Portland ME 041041100 990 2012-01-01 223195337 New England Life Care Inc NEWE 8002906558 600 Southborough Drive South Portland ME 04106 Thomas R Sahrmann 8002906558 2013-07-22 1 Barbara J McGuan CPA P00219457 2077752387 2013-07-22 2012 2016-02-24 21:20:13Z Michael Souza 600 Southborough Drive South Portland ME 04106 26844164 0 X www.nelifecare.org X 1992 ME Delivery of home health care services. 9 9 222 9 0 0 0 0 24945415 26828708 1500 15456 0 0 24946915 26844164 0 0 0 0 11814764 13338372 0 0 0 12878807 12480636 24693571 25819008 253344 1025156 8605260 9743199 3043266 3155849 5561994 6587350 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 21221503 26828708 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 5,988,495 patient days of service since inception to date and 469,908 patient days of service in 2012 for an average length of treatment of 124 days in 2012. 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 17, 2011, that provided accreditation for the next three years. 21221503 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 0 0 0 0 1 28 0 1 222 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 1 1 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 0 ME MA NH X Thomas R Sahrmann 8002906558 600 Southborough Drive South Portland ME 04106 Peter Chalke 1.00 X X 0 0 0 Jeffery P Doran 1.00 X X 0 0 0 Mary Deveau 1.00 X X 0 0 0 Bruce P King 1.00 X 0 0 0 Greg Walker 1.00 X 0 0 0 Jeff Sanders 1.00 X 0 0 0 Lisa Harvey-McPherson 1.00 X 0 0 0 Norm Deschene 1.00 X 0 0 0 Vincent T McDermott 1.00 X 0 0 0 Charles R Gigante 40.00 X 0 0 0 Michael Souza 40.00 X 216731 0 11286 Thomas R Sahrmann 40.00 X 157981 0 25040 Linda Imber 40.00 X 139723 0 12465 Timathy Horton 40.00 X 136592 0 13796 David Bresnahan 40.00 X 135808 0 29253 Beth Kerbel 40.00 X 133058 0 29290 Mark Kislowski 40.00 X 136363 0 25446 1056256 0 146576 15 0 1 0 Alliance Builders Inc 790 Turnpike Street Suite 202 North Andover MA 01845 Contractors 276890 VHA of New England 100 Commercial Street Suite 406 Portland ME 04101 Management Services 113066 2 Patient Service Rev. 621610 27582720 27582720 Miscellaneous Revenue 900099 14036 14036 Bad Debt Provision 621610 -768048 -768048 26828708 15456 0 15456 15456 15456 26844164 26828708 0 15456 411038 411038 10481135 8535833 1945302 282224 235751 46473 2163975 1534133 629842 44251 1920 42331 148547 148547 39762 39762 91600 37862 53738 8704 755 7949 2177326 1714547 462779 74189 74189 1017122 715764 301358 281834 240554 41280 38209 19322 18887 3404 858 2546 355456 240286 115170 253099 253099 Medical Supplies 7923579 7923579 Miscellaneous 23554 20339 3215 25819008 21221503 4597505 0 34878 46800 1404884 1890259 3997239 4503263 862406 944862 275087 241571 1343250 691894 633646 651356 1397120 1465088 8605260 9743199 2954272 3155849 88994 0 3043266 3155849 X 5561994 6587350 5561994 6587350 8605260 9743199 X 1025156 200 X 0 1 X 1 0 X 385776 181690 204086 957474 510204 447270 651356 Due From VHA 14544 Split Dollar Life Insurance 1450544 1465088 26844164 0 26844164 0 26844164 25819008 0 25819008 0 25819008 X X X X 0 0 0 0 0 0 0 0 0 Michael Souza 196731 0 10000 0 10000 0 9756 0 1530 0 228017 0 0 0 Thomas R Sahrmann 157981 0 0 0 0 0 7847 0 17193 0 183021 0 0 0 Linda Imber 139723 0 0 0 0 0 6860 0 5605 0 152188 0 0 0 Timathy Horton 135792 0 800 0 0 0 3548 0 10248 0 150388 0 0 0 David Bresnahan 135308 0 500 0 0 0 6359 0 22894 0 165061 0 0 0 Beth Kerbel 132558 0 500 0 0 0 6238 0 23052 0 162348 0 0 0 Mark Kislowski 135863 0 500 0 0 0 2736 0 22710 0 161809 0 0 0 Form 990, Part VI, Section A, line 3 Charles Gigante, president and CEO, was employed by VHA of New England, an unrelated management company thru 3/31/12. Form 990, Part VI, Section A, line 4 Effective February 28, 2013, the NELC Bylaws have been amended and restated in order to define a Member in good standing. 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 for which a cooperative hospital service organization 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 The general NELC membership hospitals each determine if they would want or need representation on the NELC board. Each member organization is allowed one director on the NELC board. Once a slate is selected the full membership votes on the board appointments. Form 990, Part VI, Section A, line 7b All board members are comprised of directors from member organizations. All board decisions require a majority vote of the existing board members. 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 2012 and 2011 the full NELC board executed formal conflict of interest disclosure forms for 2012 and 2011 respectively. Form 990, Part VI, Section B, line 15 CEO 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. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 9: Member Equity Contributions 200. Explanation of Public Charity Status 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. Net Patient Service Revenue Explanation Form 990, Part VIII, Line 2a: Inception to date, NELC has provided $12,745,077 of uncompensated free care (Charity Care) to patients. Charity care services provided in 2012 amounted to $790,831.