2012-08-15T08:30:00-05:00 2011-12-31 020400296 BRAD BORBIDGE PA 197 LOUDON ROAD STE 350 CONCORD NH 03301 990 2011-01-01 042104797 NORWELL VISITING NURSE ASSOCIATION INC NORW 7816592342 120 LONGWATER DRIVE NORWELL MA 02061 MARY DOHERTY 7816592342 2012-08-17 1 DIMITRIOS PANACOPOULOS CPA P01603705 6032240849 2011 2016-02-24 21:20:13Z X NORWELL VISITING NURSE ASSOCIATION AND HOSPICE MARY DOHERTY 120 LONGWATER DRIVE NORWELL MA 02061 17026892 0 X WWW.NVNA.ORG X 1924 MA TO PROVIDE QUALITY HOME HEALTH AND HOSPICE CARE, WELLNESS AND PUBLIC HEALTH SERVICES IN THE COMMUNITY. 15 15 214 36 0 0 159005 162921 16124580 16452757 1228174 108214 17941 46653 17529700 16770545 0 0 0 0 11065906 12368309 0 0 36384 3350810 3412571 14416716 15780880 3112984 989665 18348744 19396729 2142194 2200514 16206550 17196215 TO PROVIDE QUALITY HOME HEALTH AND HOSPICE CARE, WELLNESS AND PUBLIC HEALTH SERVICES IN THE COMMUNITY. 0 0 13092931 16452757 TO PROVIDE COMPREHENSIVE HOME HEALTH AND HOSPICE SERVICES, AND TO PROMOTE AND TO MAINTAIN COMMUNITY HEALTH TO THE TOWN OF NORWELL AND THE SURROUNDING COMMUNITIES. 13092931 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 1 0 0 0 0 0 0 1 0 0 0 0 1 13 0 1 214 1 0 0 0 0 0 1 1 0 0 0 0 X 15 15 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 MA X MARY DOHERTY 7816592342 120 LONGWATER DRIVE NORWELL MA 02061 BRUCE GRAHAM 0.00 X 0 0 0 SEAN RYAN 0.00 X 0 0 0 ROBERT DWYER 0.00 X 0 0 0 ILANA QUIRK 0.00 X 0 0 0 DAVID BARCOMB 0.00 X 0 0 0 SUSAN CARSON 0.00 X 0 0 0 KEVIN CALLANAN 0.00 X 0 0 0 KATHLEEN DONAHUE 0.00 X 0 0 0 DONALD JBEAUDETTE EDD 0.00 X 0 0 0 ELLEN HOADLEY 0.00 X 0 0 0 CAROL MACNEILL 0.00 X 0 0 0 CHRIS PERKETT 0.00 X 0 0 0 JEAN B SNOW 0.00 X 0 0 0 JEFF HELM 0.00 X 0 0 0 CHRIS FAHEY 0.00 X 0 0 0 MARY E DOHERTY 40.00 X 306894 0 14117 DAVID TAGLIAMONTE 40.00 X 110378 0 21893 FRANCINE COLUCI 40.00 X 98745 0 21449 RUDI GERHARD 40.00 X 130369 0 22154 GAIL GAZELLE 30.00 X 230374 0 17479 ANDREW SCOTT 40.00 X 134335 0 5270 JACQUELINE CROSSEN-SILLS 40.00 X 114043 0 7928 IRENE TOOMEY 40.00 X 112050 0 21496 1237188 0 131786 6 0 1 0 TRANSFORMATION MANAGEMENT PO BOX 320552 BOSTON MA 02132 MANAGEMENT, LEADERSHIP 117638 1 162921 162921 HOME HEALTH 621610 16452757 16452757 16452757 324193 324193 215979 -215979 -215979 -215979 87021 40368 46653 46653 16770545 16452757 0 154867 431955 431955 9945535 8631203 1314332 100760 84276 16484 1064457 890312 174145 825602 690534 135068 54598 54598 46750 46750 79977 66893 13084 304937 152490 152447 82807 69260 13547 31028 25952 5076 107984 90318 17666 329701 275762 53939 378602 338101 40501 102214 85492 16722 94544 79077 15467 76470 63960 12510 PROGRAM SUPPLIES 754551 754551 OTHER EXPENSES 407928 341191 66737 EQUIPMENT RENTAL/REPAIR 198326 165880 32446 TELEPHONE 123227 103067 20160 238927 184612 17931 36384 15780880 13092931 2651565 36384 681433 803229 2453371 2680008 88357 160278 1064085 806435 156458 257650 14714434 15321248 254691 174316 18348744 19396729 1171320 1305955 846505 858363 124369 36196 2142194 2200514 X 16206550 17196215 16206550 17196215 18348744 19396729 989665 0 X 0 1 1 X 0 X 75676 85777 112432 124598 162921 561404 10264234 11367382 14078914 16124580 16452757 68287867 10339910 11453159 14191346 16249178 16615678 68849271 0 0 0 68849271 212205 335746 307361 345802 324193 1525307 212205 335746 307361 345802 324193 1525307 10552115 11788905 14498707 16594980 16939871 70374578 0.97830 0.97870 0.02170 0.02130 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 196138 106497 89641 867947 699938 168009 257650 DUE TO THIRD PARTY PAYERS 4384 DUE TO AFFILIATES 31812 36196 16770545 15780880 989665 989665 16690568 0 16690568 79977 79977 16770545 15700903 0 15700903 79977 79977 15780880 INVESTMENT EXPENSES NETTED AGAINST INCOME PART IV, LINE 11F - THE VNA IS A PUBLIC CHARITY UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AN APPLICATION FOR DETERMINATION AS A PUBLIC CHARITY UNDER SECTION 501(C)(3) IS IN PROCESS FOR THE FOUNDATION, WORKS AND CSC. IT IS EXPECTED THE APPLICATIONS WILL BE APPROVED AND PUBLIC CHARITY STATUS AWARDED. AS PUBLIC CHARITIES, 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 INCOME TAX. MANAGEMENT HAS EVALUATED THE ASSOCIATIONS TAX POSITIONS AND CONCLUDED THAT THE ASSOCIATION HAS NO UNRELATED BUSINESS INCOME OR UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE CONSOLIDATED FINANCIAL STATEMENTS. GOLF TOURNAMENT 87021 87021 5000 29524 5844 87021 87021 5000 29524 5844 40368 46653 X X X X X X 0 1 0 0 0 0 0 1 0 MARY E DOHERTY 154704 0 4871 0 147319 0 0 0 14117 0 321011 0 0 0 RUDI GERHARD 89211 0 2638 0 38520 0 0 0 22154 0 152523 0 0 0 GAIL GAZELLE 229993 0 381 0 0 0 0 0 17479 0 247853 0 0 0 PART I, LINE 4B THE ASSOCIATION MAINTAINS A NONQUALIFIED INTERNAL REVENUE CODE SECTION 457 (F) DEFERRED COMPENSATION PLAN. WITH LIMITED EXCEPTIONS, EMPLOYER CONTRIBUTIONS TO THE PLAN ARE NOT VESTED UNTIL THE EMPLOYEE REACHES AGE 65 AT WHICH TIME THE CONTRIBUTIONS BECOME 100% VESTED IN THE EMPLOYEE. AN EMPLOYEE BECOMES A PARTICIPANT AND CONTRIBUTIONS MADE UNDER THE PLAN ARE AT THE SOLE DISCRETION OF THE ASSOCATION. THE ONLY EMPLOYEE WHO HAS BEEN DESIGNATED BY THE BOARD OF DIRECTORS TO PARTICIPATE IN THE PLAN IS MARY E. DOHERTY, EXECUTIVE DIRECTOR. PART I, LINE 7 BONUSES ARE PROVIDED TO STAFF AT THE DISCRETION OF THE BOARD OF DIRECTORS. DULCE GRIFFIN SISTER-IN-LAW TO MARY DOHERTY (EXECUTIVE DIRECTOR). 57029 DULCE IS AN EMPLOYEE OF NVNA. 0 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION 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 POWERS OF THE MEMBER INCLUDES ELECTION OF THE DIRECTORS OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B THE POWERS OF THE MEMBER INCLUDES THE FOLLOWING: -AUTHORIZATION OR APPROVAL OF ANY AMENDMENT TO THE ARTICLES OF ORGANIZATION OF THE CORPORATION. -AUTHORIZATION OR APPROVAL OF ANY AMENDMENT TO THE BY-LAWS OF THE CORPORATION. -AUTHORIZATION OR APPROVAL OF ANY CHANGE TO THE NAME OF THE CORPORATION. -AUTHORIZATION OR APPROVAL OF ANY MERGER, CONSOLIDATIONM REORGANIZATION, OR SALE, TRANSFER, DISPOSITION, PLEDGE OR HYPOTHECATION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION. -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 CORPORATION AND ANY THIRD PARTY IN WHICH THE CORPORATION 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. -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 CORPORATION, OR ANY LIQUIDATING DISTRIBUTION BY THE CORPORATION. -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 CORPORATION. -AUTHORIZATION OR APPROVAL OF ANY ACQUISITION OR LEASE OF, OR INTEREST IN, REAL ESTATE, BY THE CORPORATION. -AUTHORIZATION OR APPROVAL OF UNDERTAKING ANY EXPENDITURE OUTSIDE OF THE ANNUAL BUDGET WHETHER BY CONTRACT OR OTHERWISE, IN EXCESS OF $25,000. -AUTHORIZATION OR APPROVAL OF THE SETTLEMENT OF ANY LITIGATION OR OTHER DISPUTE INVOLVING THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11 THE EXECUTIVE DIRECTOR AND THE CFO REVIEW THE 990. IT IS THEN REVIEWED BY THE FINANCE COMMITTEE, WHICH MAKES A REPORT TO THE FULL BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C BOARD SIGNS POLICY ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 THE CEO'S SALARY IS DETERMINED BY THE BOARD OF DIRECTORS; CFO AS WELL AS OTHER DIRECTORS ARE EVALUATED BY THE CEO BASED ON PERFORMANCE. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST FRIENDS OF THE NORWELL VISITING NURSE ASSOCIATION 91 LONGWATER CIRCLE NORWELL MA 02061 043254429 FUNDRAISING MA 501(C)(3) BOX 7 N/A 0 NVNA FOUNDATION INC 91 LONGWATER CIRCLE NORWELL MA 02061 273458384 SUPPORT MA 501(C)(3) 509(A)(3) N/A 0 NVNA WORKS INC 2048 WASHINGTON ST HANOVER MA 02339 273458349 PRIVATE DUTY HEALTH CARE MA 501(C)(3) 509(A)(2) N/A 0 CANCER SUPPORT COMMUNITY MASSACHUSETTS SOUTH SHORE INC 120 LONGWATER DRIVE NORWELL MA 02061 452652624 CANCER SUPPORT MA 501(C)(3) BOX 7 N/A 0 0 0 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0