2012-07-03T14:13:33-05:00 2011-09-30 BRAD BORBIDGE PA 197 LOUDON ROAD STE 350 CONCORD NH 03301 990 2010-10-01 042435675 HOME HEALTH VNA INC HOME 9785524000 360 MERRIMACK STREET BUILDING 9 LAWRENCE MA 01843 ANTHONY JORGE 6032240849 2012-07-03 1 DIMITRIOS PANACOPOULOS CPA 6032240849 2010 2016-02-24 21:20:13Z ANTHONY JORGE 360 MERRIMACK STREET BUILDING 9 LAWRENCE MA 01843 40314042 0 X WWW.HOMEHEALTHVNA.ORG X 1968 MA HOME HEALTH VNA, INC. PRIMARY PURPOSE IS TO PROVIDE HOME HEALTH CARE SERVICES. 14 13 481 3 0 0 387235 273989 41156378 40013561 55184 26492 0 0 41598797 40314042 0 0 0 0 26704933 27328007 0 0 0 8608338 9231616 35313271 36559623 6285526 3754419 16240206 16404956 11544621 10504512 4695585 5900444 HOME HEALTH VNA, INC. PRIMARY PURPOSE IS TO PROVIDE HOME HEALTH CARE SERVICES. 0 0 31490318 40013561 HOME CARE - PROVIDES ACUTE HEALTH CARE SERVICES TO PATIENTS WHO CAN BE CARED FOR AT HOME 31490318 1 1 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 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 0 1 21 0 1 481 1 0 0 0 0 0 0 0 0 0 0 X 14 13 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 MA X X ANTHONY JORGE 9785524000 360 MERRIMACK STREET BLDG 9 LAWRENCE MA 01843 JOHN G ALBERT 37.50 X X 0 152370 9812 DAVID W NESBITT X 0 0 0 ATTY DANIEL A HAYES JR X 0 0 0 RON J POLLINA X 0 0 0 MARY JANE WERNER X 0 0 0 JOHN CHEMALY X 0 0 0 SCOTT COLLINS X 0 0 0 ILA S COX X 0 0 0 DEBRA S GRABOWSKI X 0 0 0 DR JOEL B HELLMANN X 0 0 0 DENNIS C INGRAM X 0 0 0 BARBARA B SAGER X 0 0 0 ELLEN K ZAPPALA X 0 0 0 KEITH N SOUCIE X 0 0 0 JOAN STYLES HULL 37.50 X 0 195636 12221 ANTHONY JORGE 37.50 X 0 192437 10767 GAIL DELANEY-WOOLFORD 37.50 X 162966 0 7331 DIPTI SHAH 40.00 X 176096 0 10519 JEFFREY DOUCETTE 40.00 X 164449 0 4850 LISA AYLWARD 37.50 X 137610 0 15230 NANCY DOWNEY 37.50 X 115016 0 8325 MARK MCDONALD 40.00 X 123762 0 14632 879899 540443 93687 6 0 1 0 COREMEDICAL GROUP 4 KEEWAYDIN DRIVE SALEM NH 03079 PT & RN SERVICES 383366 SUPPLEMENTAL HEALTH CARE P O BOX 27124 SALT LAKE CITY UT 84127 PT SERVICES 238686 2 9741 164791 99457 273989 HOME CARE 621610 40013561 40013561 40013561 26492 26492 40314042 40013561 0 26492 170297 170297 22411897 19683772 2728125 626888 551130 75758 2409184 2118039 291145 1709741 1503122 206619 7064 7064 38000 38000 1263964 1111217 152747 145796 128177 17619 37932 33348 4584 1055574 928010 127564 538293 473241 65052 709272 623558 85714 32568 28632 3936 1125 989 136 186042 163559 22483 77558 68185 9373 INTERCOMPANY CONTRACTS 2717428 1643275 1074153 TELEPHONE 609591 535923 73668 BAD DEBTS 554000 554000 PROGRAM SUPPLIES 549372 549372 OTHER EXPENSE 214420 188508 25912 493617 433964 59653 36559623 31490318 5069305 0 5290973 5810149 84880 0 7394703 5067499 365101 390631 3735967 2925764 869641 810203 2035322 2047088 199586 2279386 16240206 16404956 2815006 2570178 2134295 2006301 6595320 5928033 11544621 10504512 X 4517973 5678159 177612 222285 4695585 5900444 16240206 16404956 X 3754419 -2549560 X X 0 1 1 X 0 X 472727 336797 365061 387235 273989 1835809 32466468 35242920 37713473 41156378 40013561 186592800 32939195 35579717 38078534 41543613 40287550 188428609 0 0 0 188428609 108935 111158 117675 55184 26492 419444 108935 111158 117675 55184 26492 419444 33048130 35690875 38196209 41598797 40314042 188848053 0.99780 0.99710 0.00220 0.00290 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 646848 258237 388611 3089119 2667527 421592 810203 ASSETS LIMITED AS TO USE 222285 DUE FROM THIRD PARTY PAYERS 1553 DUE FROM AFFILIATES 2055548 2279386 DUE TO THIRD PARTY PAYORS 5928033 5928033 40314042 36559623 3754419 -2549560 -2549560 1204859 40314042 0 40314042 0 40314042 36559623 0 36559623 0 36559623 PART XI, LINE 8 - OTHER ADJUSTMENTS: EQUITY TRANSFER TO HOME HEALTH FOUNDATION, INC. -2,549,560. FORM 990. PART IV, LINE 11F: THE ASSOCIATION CONSISTS OF FOUR PUBLIC CHARITIES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. 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 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. 1 X 0 0 0 0 0 0 0 0 0 JOHN G ALBERT 0 117370 0 35000 0 0 0 0 0 9812 0 162182 0 0 JOAN STYLES HULL 0 146166 0 49470 0 0 0 0 0 12221 0 207857 0 0 ANTHONY JORGE 0 180437 0 12000 0 0 0 0 0 10767 0 203204 0 0 GAIL DELANEY-WOOLFORD 150966 0 12000 0 0 0 0 0 7331 0 170297 0 0 0 DIPTI SHAH 175346 0 750 0 0 0 0 0 10519 0 186615 0 0 0 JEFFREY DOUCETTE 163699 0 750 0 0 0 0 0 4850 0 169299 0 0 0 LISA AYLWARD 136610 0 1000 0 0 0 0 0 15230 0 152840 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 HOME HEALTH FOUNDATION, INC., ACTING THROUGH ITS BOARD OF TRUSTEES, SHALL BE THE SOLE MEMBER OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER SHALL ELECT AND MAY REMOVE OR SUSPEND THE TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER SHALL HAVE THE RIGHT TO APPROVE EACH OF THE FOLLOWING ACTIONS OF THE BOARD OF TRUSTEES, AND SUCH ACTIONS BY THE BOARD SHALL NOT BE EFFECTIVE UNLESS AND UNTIL APPROVED BY THE MEMBER: A)THE ADOPTION OF ANNUAL OPERATING AND CAPITAL BUDGETS; B)THE ADOPTION OF ANY LONG RANGE PLANS OF THE CORPORATION; C)THE DECISION TO ESTABLISH A NEW PROGRAM OF SERVICE OR TO DISCONTINUE AN EXISTING PROGRAM; D)THE APPROVAL OF ANY BORROWING BY THE CORPORATION; E)THE EXPENDITURE, DISPOSITION, DONATION, OR ACQUISITION BY PURCHASE, LEASE OR OTHER MEANS, OF CORPORATE ASSETS, OTHER THAN IN THE ORDINARY COURSE OF BUSINESS OR BUDGETED ITEMS; F)THE MERGER OR CONSOLIDATION OF THE CORPORATION WITH ANY OTHER CORPORATION, AND THE FORMATION OR DISSOLUTION OF SUBSIDIARIES; G)THE CONDUCT OF ANY FUND RAISING ACTIVITIES; H)THE SELECTION OR EMPLOYMENT OF LEGAL COUNSEL OR CERTIFIED PUBLIC ACCOUNTANTS, WHETHER FOR SPECIAL PROJECTS OR ON A REGULAR BASIS; AND I)THE EXECUTION OF LEASES FOR EQUIPMENT OR REAL ESTATE, THE EXECUTION OF MAJOR CONTRACTS, AND THE APPROVAL OF INDIVIDUALS AUTHORIZED TO SIGN CHECKS. FORM 990, PART VI, SECTION B, LINE 11 THE 990 WILL BE REVIEWED BY MANAGEMENT, AND CURRENT CHAIRMAN AND TREASURER OF THE BOARD OF TRUSTEES PRIOR TO SIGNING. FORM 990, PART VI, SECTION B, LINE 12C ANY POTENTIAL CONFLICTS ARE REVIEWED BY THE CEO. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION STUDY OF LIKE POSITIONS PREPARED EVERY OTHER YEAR AND REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: EQUITY TRANSFER TO HOME HEALTH FOUNDATION, INC. -2,549,560. TOTAL TO FORM 990, PART XI, LINE 5: -2,549,560. FORM 990. PART XII, LINE 2C. NO CHANGE FROM PRIOR YEAR. HOME HEALTH FOUNDATION INC 360 MERRIMACK STREET LAWRENCE MA 01843 222587225 MANAGEMENT SERVICES MA 501 (C)(3) 509 (A)(3) TYPE II N/A 0 HOME CARE INC 360 MERRIMACK STREET LAWRENCE MA 01843 042854358 HOME HEALTH SUPPORTIVE SERVICES MA 501 (C)(3) 509(A)(2) N/A 0 MERRIMACK VALLEY HOSPICE INC 360 MERRIMACK STREET LAWRENCE MA 01843 043024278 HOSPICE SERVICES MA 501 (C)(3) 509 (A)(2) N/A 0 0 0 0 1 0 0 0 0 0 0 1 1 1 1 1 1 1 0