2011-10-21T12:26:22-05:00 2010-12-31 BRAD BORBIDGE PA 197 LOUDON ROAD STE 350 CONCORD NH 03301 990 2010-01-01 042104797 NORWELL VISITING NURSE ASSOCIATION INC NORW 7816592342 91 LONGWATER CIRCLE NORWELL MA 02061 MARY DOHERTY 7816592342 2011-10-20 1 DIMITRIOS PANACOPOULOS CPA 6032240849 2010 2016-03-07 17:11:31Z NORWELL VISITING NURSE ASSOCIATION A MARY DOHERTY 91 LONGWATER CIRCLE NORWELL MA 02061 17564157 0 X WWW.NVNA.ORG X 1924 MA TO PROVIDE QUALITY HOME HEALTH AND HOSPICE CARE, WELLNESS AND PUBLIC HEALTH SERVICES IN THE COMMUNITY. 16 15 239 12 0 0 112432 159005 14078914 16124580 1221268 1228174 44272 17941 15456886 17529700 0 0 0 0 9344890 11065906 0 0 37431 3049897 3350810 12394787 14416716 3062099 3112984 14820339 18348744 1726773 2142194 13093566 16206550 X TO PROVIDE QUALITY HOME HEALTH AND HOSPICE CARE, WELLNESS AND PUBLIC HEALTH SERVICES IN THE COMMUNITY. 0 1 12117702 16124580 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. 12117702 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 10 0 1 239 1 0 0 0 0 0 1 1 0 0 0 0 X 16 15 0 0 1 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 MA X MARY DOHERTY 7816592342 91 LONGWATER CIRCLE NORWELL MA 02061 BRUCE GRAHAM X 0 0 0 SEAN RYAN X 0 0 0 ROBERT DWYER X 0 0 0 ILANA QUIRK X 0 0 0 DAVID BARCOMB X 0 0 0 SUSAN CARSON X 0 0 0 KEVIN CALLANAN X 0 0 0 KATHLEEN DONAHUE X 0 0 0 DONALD JBEAUDETTE EDD X 0 0 0 ELLEN HOADLEY X 0 0 0 CAROL MACNEILL X 0 0 0 CHRIS PERKETT X 0 0 0 JEAN B SNOW X 0 0 0 JEFF HELM X 0 0 0 CHRIS FAHEY X 0 0 0 JIM FITZPATRICK X 0 0 0 MARY E DOHERTY 40.00 X 164047 0 11050 DAVID TAGLIAMONTE 40.00 X 96937 0 19238 FRANCINE COLUCI 40.00 X 100117 0 19298 RUDI GERHARD 40.00 X 122978 0 20322 GAIL GAZELLE 30.00 X 120468 0 14657 ANDREW SCOTT 40.00 X 109546 0 3972 JACQUELINE CROSSEN-SILLS 40.00 X 106801 0 5806 IRENE TOOMEY 40.00 X 103440 0 19454 924334 0 113797 7 0 1 0 TRANSFORMATION MANAGEMENT PO BOX 320552 BOSTON MA 02132 MANAGEMENT, LEADERSHIP 123345 1 34407 3826 120772 159005 HOME HEALTH 621610 16124580 16124580 16124580 345802 345802 882372 882372 882372 882372 52398 34407 34457 17941 17941 17529700 16124580 0 1246115 410687 410687 8822449 7741267 1081182 238932 201396 37536 859154 724180 134974 734684 619265 115419 6842 6842 43000 43000 105107 88595 16512 322498 230474 92024 127816 107736 20080 41898 35316 6582 243651 205373 38278 287373 242227 45146 373845 332038 41807 78382 66068 12314 74876 63113 11763 61123 51521 9602 PROGRAM SUPPLIES 655379 655379 OTHER EXPENSES 425413 358581 66832 EQUIPMENT RENTAL/REPAIR 238995 201449 37546 TELEPHONE 97813 82447 15366 PRINTING AND PUBLICATIO 91514 77137 14377 75285 34140 3714 37431 14416716 12117702 2261583 37431 676565 681433 1981305 2453371 259398 88357 868349 711891 96144 156458 11682704 14714434 124223 254691 14820339 18348744 980172 1171320 675156 846505 71445 124369 1726773 2142194 X 13093566 16206550 13093566 16206550 14820339 18348744 3112984 0 X X 0 1 1 X 0 X 80259 75676 85777 112432 124598 478742 9316396 10264234 11367382 14078914 16124580 61151506 9396655 10339910 11453159 14191346 16249178 61630248 0 0 0 61630248 140927 212205 335746 307361 345802 1342041 140927 212205 335746 307361 345802 1342041 9537582 10552115 11788905 14498707 16594980 62972289 0.97870 0.98100 0.02130 0.01900 X 112007 84005 28002 756342 627886 128456 156458 NON CURRENT LIABILITY - 457 PLAN 119985 DUE TO THIRD PARTY PAYERS 4384 124369 17529700 14416716 3112984 0 3112984 17424593 0 17424593 105107 105107 17529700 14311609 0 14311609 105107 105107 14416716 INVESTMENT EXPENSES NETTED AGAINST INCOME 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 AND WORKS. IT IS EXPECTED THE APPLICATION 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 86805 34407 52398 26156 8301 86805 34407 52398 26156 8301 34457 17941 X X X X X 0 1 0 0 0 0 0 1 0 MARY E DOHERTY 160976 0 3071 0 0 0 0 0 11050 0 175097 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). 48137 DULCE WAS PAID AS AN EMPLOYEE OF NVNA (W-2 WAGES $13,737), AND SHE WAS PAID AS A CONTRACTOR BEFORE BEING AN EMPLOYEE TO ASSIST WITH THE WORKS STARTUP (1099 WAGES $34,400). 0 CHANGES IN PROGRAM SERVICES FORM 990, PART III, LINE 3 NVNA WORKS, INC. WAS CREATED FROM NORWELL VISITING NURSE ASSOCIATION, INC. PRIVATE DUTY PROGRAM. FORM 990, PART VI, SECTION A, LINE 4 THE BY-LAWS WERE REVISED TO ADD SOLE MEMBERSHIP OF THE ORGANIZATION AS NVNA FOUNDATION, INC. AND DEFINED THE SOLE MEMBER'S POWERS AND RIGHTS OVER THE ORGANIZATION. 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 FORM 990. PART XII, LINE 2C. NO CHANGE FROM PRIOR YEAR. 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 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0