2018-09-28T15:16:42-05:00 2017-12-31 410746749 CLIFTONLARSONALLEN LLP 300 CROWN COLONY DRIVE SUITE 310 QUINCY MA 02169 990 2017-01-01 042676008 HENRY C NEVINS HOME INC HENR 9786827611 10 INGALLS COURT METHUEN MA 01844 JAMES MOCERA TREASURER 9786727611 2018-08-20 1 HEMALI PATEL P01337292 6179848100 67.137.57.251 2018-08-20 15:39:29 ED P 839A7130264BF8A4AA8E0E9B35915F0C6C2A2968 1A53DBAE8AE3BFC29E9AECF52760C2CD4F90396B 2017 2018-06-14 16:35:46Z JOYCE SHANNON 10 INGALLS COURT METHUEN MA 01844 14460628 0 X WWW.NEVINSFAMILY.ORG X 1979 MA TO PROVIDE MEDICAL, NURSING & REHAB CARE FOR INDIVIDUALS WHOSE FUNCTION HAS BEEN IMPAIRED. 8 8 361 71 0 0 845 650 14242965 14450568 937 656 18259 8754 14263006 14460628 0 0 0 0 9619545 10307720 0 0 0 5367627 4679482 14987172 14987202 -724166 -526574 9133837 9130504 7360008 7408899 1773829 1721605 HENRY C. NEVINS HOME, INC.'S MISSION IS TO PROVIDE COMPREHENSIVE MEDICAL, NURSING AND REHABILITATIVE CARE FOR INDIVIDUALS WHOSE FUNCTION HAS BEEN IMPAIRED BY INJURY, ILLNESS OR AGING. 0 0 14036504 14459322 NURSING HOME OPERATION - NEVINS NURSING & REHABILITATION CENTER PROVIDES COMPREHENSIVE MEDICAL, NURSING AND REHABILITATIVE CARE FOR INDIVIDUALS WHOSE FUNCTION HAS BEEN IMPAIRED BY INJURY, ILLNESS OR AGING. 14036504 1 0 0 1 0 0 0 0 0 0 1 0 0 1 0 1 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 26 0 361 1 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 1 1 0 MA X SHARON WALSH 9786827611 10 INGALLS COURT METHUEN MA 01844 PATRICIA DEMERS CHAIRPERSON 0.40 0.60 X X 0 0 0 ALAN P SHAFER DIRECTOR 0.40 0.60 X 0 0 0 ELIZABETH FAWCETT CLERK 0.40 0.60 X X 0 0 0 MARIA BONANNO DIRECTOR 0.40 0.60 X 0 0 0 THERESE LEONE DIRECTOR 0.40 0.60 X 0 0 0 JAMES MOCERA TREASURER 0.40 0.60 X X 0 0 0 NOREEN WIGHT DIRECTOR 0.40 0.60 X 0 0 0 RAYMOND WROBEL DIRECTOR 0.40 0.60 X 0 0 0 JOYCE SHANNON PRESIDENT & CEO 26.00 14.00 X 246668 0 20150 EMMY KIMORI LPN 57.00 X 125071 0 9131 NARDA PIMENTAL RN 67.00 X 112532 0 674 BARBARA STRZYKALSKI DIRECTOR OF REHAB. 40.00 X 105236 0 16550 MARY BETH HILLARD DIRECTOR OF NURSING 40.00 X 104294 0 9816 693801 0 56321 5 0 1 0 GORDON FOOD (PERKINS) 630 HANCOCK RD TAUNTON MA 02780 FOOD 366703 PARTNERS PHARMACY 50 LAWRENCE RD SPRINGFIELD MA 07081 PHARMACY 260285 GERIATRIC MEDICAL SUPPLY PO BOX 2503 WOBURN MA 01888 MEDICAL SUPPLIES 209551 PARAMOUNT HEALTHCARE 2 COURTHOUSE LN UNIT 6 CHELMSFORD MA 01824 NURSING AGENCY 190088 LEVI & WONG DESIGN ASSOC 45 WALDEN ST CONCORD MA 01742 ARCHITECT 163221 6 650 650 NURSING HOME REVENUE 623000 14450568 14450568 14450568 656 656 8754 8754 8754 14460628 14459322 0 656 266818 266818 8391653 8217233 174420 975401 911249 64152 673848 629529 44319 37813 37813 82314 82314 2664 1766 898 427304 417070 10234 7479 7479 138881 115325 23556 339990 339990 1557 1557 202030 202030 550346 550346 145318 145318 MASS. STATE USER FEE AS 1000307 1000307 SUPPLIES AND EXPENSE 924138 924138 ANCILLARIES 530724 530724 BAD DEBTS 233337 233337 55280 49922 5358 14987202 14036504 950698 0 656528 667401 1544218 1792923 37682 39247 13223874 7939122 5695868 5284752 1199541 1346181 9133837 9130504 1296369 1455973 6063639 5952926 7360008 7408899 X 1773829 1721605 1773829 1721605 9133837 9130504 X -526574 474350 X 0 1 X 1 1 1 X 5155 112 64 845 650 6826 14195217 13459281 13748637 14242965 14459322 70105422 14200372 13459393 13748701 14243810 14459972 70112248 0 0 0 70112248 25942 195 2231 937 656 29961 25942 195 2231 937 656 29961 45335 15082 11301 18259 8754 98731 14271649 13474670 13762233 14263006 14469382 70240940 0.99820 0.99260 0.00040 0.00740 X 0 0 0 0 0 0 0 0 1 2664 2664 0 PART II-B, LINE 1: MEMBERSHIP DUES PAID TO HEALTH CARE ASSOCIATIONS WHERE A PORTION OF DUES IS RELATED TO LOBBYING. 80560 80560 80408 152 80560 80395 13 80408 295146 295146 4695322 3924470 770852 5020067 1418153 3601914 3213339 2596499 616840 5284752 INTEREST RECEIVABLE 5517 SOFTWARE, NET 261 CONSTRUCTION IN PROGRESS 694506 OTHER RECEIVABLES 487 FUNDED RESERVES 645213 RELATED PARTY LOANS 197 1346181 X 14460628 0 14460628 0 14460628 14987202 0 14987202 0 14987202 PART X, LINE 2: THE ORGANIZATION IS A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE ORGANIZATION FILES AS A TAX-EXEMPT ORGANIZATION. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, THE ORGANIZATION'S RETURNS ARE OPEN FOR EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES FOR THREE YEARS AFTER FILING. X X 0 0 0 0 0 0 0 0 0 JOYCE SHANNON PRESIDENT & CEO 229907 0 16761 0 0 0 0 0 20150 0 266818 0 0 0 PART I, LINE 3 COMPENSATION REVIEW FOR CEO, EXECUTIVE DIRECTOR, OTHER OFFICERS AND KEY EMPLOYEES IS APPROVED BY INDEPENDENT PERSONS WITH THE USE OF COMPARABILITY DATA AND APPROVED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE COMPLETE FORM 990 IS REVIEWED AND PROVIDED TO THE BOARD BEFORE FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C EACH DIRECTOR, OFFICER, EMPLOYEE, AND MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS, SHALL COMPLETE, SIGN AND DELIVER TO THE CHAIR OF THE BOARD, A CONFLICT OF INTEREST POLICY ANNUAL STATEMENT AT THE TIME OF HIS OR HER INITIAL ELECTION OR APPOINTMENT AND ANNUALLY THEREAFTER. THE CONFLICTS OF INTEREST POLICY ANNUAL STATEMENT SHALL BE IN SUCH FORM AS IS DEEMED APPROPRIATE BY THE PRESIDENT WITH ADVICE FROM THE ORGANIZATION'S COUNSEL AS NEEDED. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION REVIEW FOR CEO, EXECUTIVE DIRECTOR, OTHER OFFICERS AND KEY EMPLOYEES IS APPROVED BY INDEPENDENT PERSONS WITH THE USE OF COMPARABILITY DATA AND APPROVED BY THE BOARD OF DIRECTORS. APPROVED COMPENSATION IS NOTED IN THE BOARD OF DIRECTORS' MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST -50,650. EQUITY TRANSFER FROM AFFILIATE 525,000. NEVINS COMMUNITY SERVICES INC 12 INGALLS COURT METHUEN MA 01844 042210743 ELDERLY HOUSING MA 501(C)(3) LINE 11 0 NEVINS MANOR INC 10 INGALLS COURT METHUEN MA 01844 043265310 ELDERLY HOUSING MA 501(C)(3) LINE 11 0 NEVINS FAMILY OF SERVICES INC 10-12 INGALLS COURT METHUEN MA 01844 464006584 ELDERLY HOUSING MA 501(C)(3) LINE 11 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 0 0