COMMUNITY NURSES HOME SUPPORT SERVICE: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY NURSES HOME SUPPORT SERVICE (EIN 25-1623601)
Tax period
2013-07-01 to 2014-06-30
Filed
2015-02-12
IRS object ID
201530439349300343
Schema version
2013v4.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2015-02-12T15:42:36-06:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1910 E ST LOUIS 200/PO BOX 1190AddressLine1
CitySPRINGFIELDCity
StateMOState
ZIP Code658062523ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN251623601EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY NURSES HOME SUPPORT SERVICES INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of% REBECCA NELSONInCareOfNm
Business Name ControlCOMMBusinessNameControlTxt
Phone8147814714PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1757 JOHNSONBURG ROADAddressLine1
Address Line2Suite 200AddressLine2
CityST MARYSCity
StatePAState
ZIP Code15857ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonREBECCA NELSONPersonNm
Person TitleCEOPersonTitleTxt
Phone8147814714PhoneNum
Signature2014-12-09SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBrian D ToddPreparerPersonNm
PTINP00422601PTIN
Phone8147814714PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerREBECCA NELSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1757 JOHNSONBURG ROAD SUITE 200AddressLine1
CityST MARYSCity
StatePAState
ZIP Code15857ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$2,246,949GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.COMMUNITYNURSES.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1990FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionTO PROVIDE PRIVATE DUTY HOME COMPANION, RESPITE, PERSONAL CARE, AND HOMEMAKER SERVICES FOR PATIENTS. ADULT DAY AND LIMITED HOME HEALTH ARE ALSO OFFERED FOR A FULL RANGE OF SERVICES.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee217TotalEmployeeCnt
Total Volunteers12TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$6,143PYContributionsGrantsAmt
CY Contributions Grants$5,402CYContributionsGrantsAmt
PY Program Service Revenue$2,255,695PYProgramServiceRevenueAmt
CY Program Service Revenue$2,239,748CYProgramServiceRevenueAmt
PY Investment Income$996PYInvestmentIncomeAmt
CY Investment Income$1,799CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$2,262,834PYTotalRevenueAmt
CY Total Revenue$2,246,949CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,744,922PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,741,425CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$432,792PYOtherExpensesAmt
CY Other Expenses$445,968CYOtherExpensesAmt
PY Total Expenses$2,177,714PYTotalExpensesAmt
CY Total Expenses$2,187,393CYTotalExpensesAmt
PY Revenues Less Expenses$85,120PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$59,556CYRevenuesLessExpensesAmt
Total Assets BOY$752,889TotalAssetsBOYAmt
Total Assets EOY$926,559TotalAssetsEOYAmt
Total Liabilities BOY$292,505TotalLiabilitiesBOYAmt
Total Liabilities EOY$182,739TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$460,384NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$743,820NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE SUPPORT SERVICES FOR PATIENTS WITHIN A COMMUNITY-BASED, NON-PROFIT AGENCY. SEE SCHEDULE O FOR MORE INFORMATION.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,517,641ExpenseAmt
Revenue$2,239,748RevenueAmt
DescCOMMUNITY NURSES HOME SUPPORT SERVICES IS AN EXPERIENCED, RELIABLE HOME CARE PROVIDER WITH A LONG-STANDING REPUTATION FOR QUALITY CARE. THE ORGANIZATION PROVIDES A WIDE VARIETY OF SERVICES GEARED TOWARD HELPING PEOPLE WHO ARE SICK OR DISABLED REMAIN IN THE COMFORT AND SECURITY OF THEIR OWN HOMES. EMPLOYING AN AVERAGE OF 141 EMPLOYEES, THE ORGANIZATION PROVIDED 116,305 SERVICE HOURS OF PRIVATE DUTY IN-HOME COMPANION RESPITE, PERSONAL CARE, AND HOMEMAKER SUPPORT SERVICES TO APPROXIMATELY 461 PATIENTS DURING THE YEAR ENDED 6/30/2014.Desc
Total Program Service Expenses$1,517,641TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee217EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonREBECCA NELSONPersonNm
Phone8147814714PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1757 JOHNSONBURG ROAD SUITE 200AddressLine1
CityST MARYSCity
StatePAState
ZIP Code15857ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
DON FLEMING
CHAIRMAN1.02.0Yes (X)Yes (X)$0$0$0
MARK JACOB
VICE-CHAIRMAN0.51.0Yes (X)Yes (X)$0$0$0
MARY AGNES MARSHALL
SECRETARY/TREASURER0.51.0Yes (X)Yes (X)$0$0$0
GENNARO AIELLO
BOARD MEMBER0.751.5Yes (X)$0$0$0
JERRY CARIBARDI
BOARD MEMBER0.51.0Yes (X)$0$0$0
DUANE DUFFY
BOARD MEMBER0.51.0Yes (X)$0$0$0
PAULA EDDY
BOARD MEMBER0.51.0Yes (X)$0$0$0
DONNA HOLLY
BOARD MEMBER THROUGH 1/140.51.0Yes (X)$0$0$0
GEORGE KING
BOARD MEMBER0.51.0Yes (X)$0$0$0
RON KING
BOARD MEMBER THROUGH 1/140.51.0Yes (X)$0$0$0
JIM BYHAM
BOARD MEMBER0.751.5Yes (X)$0$0$0
REBECCA NELSON
BOARD MEMBER / CEO8.040.0Yes (X)Yes (X)$0$132,508$6,366
KEVIN OKNEFSKI
BOARD MEMBER BEGINNING 5/140.751.5Yes (X)$0$0$0
ROSE CAMPBELL
BOARD MEMBER BEGINNING 8/131.040.0Yes (X)$0$70,775$5,822
JUNE SORG
BOARD MEMBER BEGINNING 6/140.751.5Yes (X)$0$0$0
GEORGIANN HOLLY
BOARD MEMBER BEGINNING 5/140.51.0Yes (X)$0$0$0
JENNIFER CATALANO
CFO6.030.0Yes (X)$0$54,071$2,038
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$257,354TotReportableCompRltdOrgAmt
Total Other Compensation$14,226TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$5,402AllOtherContributionsAmt
Total Contributions$5,402TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE621610$2,236,776$2,236,776
OTHER REVENUE900099$2,972$2,972
FieldValueIRS element (for citing)
Total Program Service Revenue$2,239,748TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,799TotalRevenueColumnAmt
Exclusion$1,799ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,246,949TotalRevenueColumnAmt
Related Or Exempt Func Income$2,239,748RelatedOrExemptFuncIncomeAmt
Exclusion$1,799ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,517,376TotalAmt
Program Services$1,142,952ProgramServicesAmt
Management And General$374,424ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$9,171TotalAmt
Program Services$6,908ProgramServicesAmt
Management And General$2,263ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$96,901TotalAmt
Program Services$72,990ProgramServicesAmt
Management And General$23,911ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$117,977TotalAmt
Program Services$88,865ProgramServicesAmt
Management And General$29,112ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$220,305TotalAmt
Management And General$220,305ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,263TotalAmt
Program Services$2,015ProgramServicesAmt
Management And General$248ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$107,198TotalAmt
Program Services$97,232ProgramServicesAmt
Management And General$9,966ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$35,944TotalAmt
Program Services$32,008ProgramServicesAmt
Management And General$3,936ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$44,035TotalAmt
Program Services$39,213ProgramServicesAmt
Management And General$4,822ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$188TotalAmt
Program Services$167ProgramServicesAmt
Management And General$21ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,051TotalAmt
Program Services$2,717ProgramServicesAmt
Management And General$334ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtFundraisingFundraisingAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBT$22,364$22,364$0
MEDICAL SUPPLIES & DRUGS$6,871$6,871$0
LICENSES, DUES, SUBSCRIPTIONS$3,600$3,206$0$394
MISCELLANEOUS$149$133$0$16

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,187,393TotalAmt
Program Services$1,517,641ProgramServicesAmt
Management And General$669,752ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$300BOYAmt
EOY$300EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$409,918BOYAmt
EOY$586,971EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$310,245BOYAmt
EOY$304,395EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,313BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$37,944LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,051LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$31,113BOYAmt
EOY$34,893EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$752,889BOYAmt
EOY$926,559EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$75,266BOYAmt
EOY$88,900EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$190BOYAmt
EOY$40EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$217,049BOYAmt
EOY$93,799EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$292,505BOYAmt
EOY$182,739EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$460,384BOYAmt
EOY$743,820EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$460,384BOYAmt
EOY$743,820EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$752,889BOYAmt
EOY$926,559EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$59,556ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$223,880OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,635CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,996CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,440CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,143CurrentTaxYearMinus1YearAmt
Current Tax Year$5,402CurrentTaxYearAmt
Total$26,616TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,218,864CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,105,548CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,905,784CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,255,695CurrentTaxYearMinus1YearAmt
Current Tax Year$2,239,748CurrentTaxYearAmt
Total$10,725,639TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,220,499CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,112,544CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,912,224CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,261,838CurrentTaxYearMinus1YearAmt
Current Tax Year$2,245,150CurrentTaxYearAmt
Total$10,752,255TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$10,752,255PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$518CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$996CurrentTaxYearMinus1YearAmt
Current Tax Year$1,799CurrentTaxYearAmt
Total$3,313TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$518CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$996CurrentTaxYearMinus1YearAmt
Current Tax Year$1,799CurrentTaxYearAmt
Total$3,313TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,220,499CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,112,544CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,912,742CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,262,834CurrentTaxYearMinus1YearAmt
Current Tax Year$2,246,949CurrentTaxYearAmt
Total$10,755,568TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99969PublicSupportCY509Pct
Public Support PY5090.99994PublicSupportPY509Pct
Investment Income CY0.00031InvestmentIncomeCYPct
Investment Income PY0.00006InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp
LandLandGrp
BuildingsBuildingsGrp

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$30,062OtherCostOrOtherBasisAmt
Depreciation$2,417DepreciationAmt
Book Value$27,645BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,882OtherCostOrOtherBasisAmt
Depreciation$634DepreciationAmt
Book Value$7,248BookValueAmt
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildingsGrp
Total Book Value Land Buildings$34,893TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO AFFILIATESDesc
Amt$93,799Amt
FieldValueIRS element (for citing)
Total Liability$93,799TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$2,224,585TotalRevEtcAuditedFinclStmtAmt
Other Revenue-$22,364OtherRevenueAmt
Revenue Not Reported-$22,364RevenueNotReportedAmt
Revenue Subtotal$2,246,949RevenueSubtotalAmt
Total Revenue Per Form990$2,246,949TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,165,029TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$2,165,029ExpensesSubtotalAmt
Other Expenses Not Included$22,364OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$22,364ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$2,187,393TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART X, LINE 2UNCERTAIN TAX POSITIONS MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
SCHEDULE D, PART XI, LINE 2DOTHER REVENUE INCLUDED ON LINE 1, BUT NOT FORM 990, PART VIII, LINE 12 BAD DEBT EXPENSE $(22,364)
SCHEDULE D, PART XII, LINE 4BOTHER EXPENSES INCULDED ON FORM 990, PART IX, LINE 25, BUT NOT LINE 1 BAD DEBT EXPENSE $22,364

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 1MISSION COMMUNITY NURSES HOME SUPPORT SERVICES, INC. IS A PRIVATE DUTY AGENCY, DUAL-LICENSED IN HOME HEALTH AND HOME CARE IN NORTHWESTERN PA. THEY PROVIDE FOR LIMITED HOME HEALTH SERVICES, SUCH AS LAB DRAWS AND MEDICATION MANAGEMENT, FOR THOSE INDIVIDUALS FINDING IT DIFFICULT TO TRAVEL. THEY PROVIDE FOR HOME CARE SERVICES SUCH AS PERSONAL CARE/BATHING, MEAL PREPARATION, HOUSEKEEPING, AND MEDICATION REMINDERS TO ALLOW PATIENTS TO REMAIN COMFORTABLY IN THEIR HOMES. FOR THOSE THAT DESIRE SOCIALIZATION, OUR ADULT DAY SERVICES PROVIDE FOR SUPERVISED CARE AND ACTIVITIES TO ENGAGE THE CLIENTS BOTH MENTALLY AND EMOTIONALLY. COMMUNITY NURSES, INC. AND ITS SUBSIDIARIES BELIEVE IN PROVIDING SERVICES ALONG THE CONTINUUM OF CARE TO ALLOW INDIVIDUALS OF EVERY AGE TO REMAIN IN THE COMFORT OF THEIR HOMES FOR AS LONG AS THEY SO CHOOSE.
FORM 990, PART VI, SECTION A, LINE 2FAMILY OR BUSINESS RELATIONSHIPS PAULA FRITZ EDDY AND JUNE SORG HAVE A BUSINESS RELATIONSHIP. PAULA FRITZ EDDY AND GENNARO AIELLO HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 3 MANAGEMENT CONTROL THE ORGANIZATION'S NON-PROFIT, EXEMPT, PARENT ORGANIZATION, COMMUNITY NURSES, INC., PROVIDES MANAGEMENT SERVICES TO COMMUNITY NURSES HOME HEALTH SUPPORT SERVICES, INC.
FORM 990, PART VI, SECTION A, LINE 6, 7A, 7BMEMBERS ELK REGIONAL HEALTH CENTER, INC. (ELK), AND PENN HIGHLANDS HEALTHCARE (PHH) HOLDS CERTAIN POWERS OVER CNI AND ITS SUBSIDIARIES, INCLUDING THE ELECTION AND REMOVAL OF OFFICERS AND DIRECTORS AND ANY AND ALL AMENDMENTS TO THE BYLAWS OR OTHER ORGANIZATIONAL/GOVERNANCE DOCUMENTS. PHH AND ELK SHALL HAVE THE FOLLOWING POWERS WITH RESPECT TO THE ELECTION AND REMOVAL OF DIRECTORS: PRIOR TO THE END OF PHH'S FISCAL YEAR, THE PHH BOARD WILL MEET TO ELECT THE DIRECTORS, WITH THE EXCEPTION OF EX-OFFICIO DIRECTORS. AT LEAST SIXTY (60) DAYS IN ADVANCE OF THIS MEETING, ELK SHALL PROVIDE TO PHH'S GOVERNANCE/NOMINATING COMMITTEE (THE "PHH GOVERNANCE/NOMINATING COMMITTEE") A LIST OF ONE OR MORE CANDIDATES (THE NUMBER OF CANDIDATES TO BE DETERMINED IN THE PHH GOVERNANCE/NOMINATING COMMITTEE'S DISCRETION) FOR EACH EXPIRING DIRECTOR POSITION, WITH THE EXCEPTION OF ANY EXOFFICIO DIRECTORS. THE LIST OF CANDIDATES SHALL HAVE BEEN DEVELOPED BY ELK IN CONSULTATION WITH THE BOARD OF CNI AND ITS SUBSIDIARIES. THE PHH GOVERNANCE/NOMINATING COMMITTEE SHALL REVIEW EACH CANDIDATE IN ACCORDANCE WITH THE CRITERIA SET FORTH IN THE PHH BYLAWS, THE CRITERIA, IF ANY, SET FORTH IN CNHSS'S BYLAWS OR POLICIES FOR WHICH SAID CANDIDATE IS BEING CONSIDERED FOR BOARD SERVICE, AND THE POLICIES AND RULES OF PHH, INCLUDING, WITHOUT LIMITATION, THE CONFLICT INTEREST POLICY (ALL OF WHICH SHALL BE REFERRED TO COLLECTIVELY HEREIN AS THE "ELIGIBILITY CRITERIA") AND DEVELOP A LIST OF ONE OR MORE CANDIDATES FOR EACH OPEN POSITION (THE NUMBER OF CANDIDATES TO BE DETERMINED IN THE PHH GOVERNANCE/NOMINATING COMMITTEE'S DISCRETION). ONCE THE SLATE OF CANDIDATES IS NOMINATED BY THE PHH GOVERNANCE/NOMINATING COMMITTEE, THE BOARD OF ELK SHALL SUBMIT TO THE PHH BOARD FOR ELECTION SUCH SLATE OF CANDIDATES FOR THE OPEN BOARD POSITIONS. THE PHH BOARD MAY ELECT BY A VOTE OF THE MAJORITY OR REFUSE TO ELECT EACH CANDIDATE SUBMITTED BY THE BOARD OF ELK AND MAY NOT ELECT ANY CANDIDATE NOT SUBMITTED BY THE BOARD OF ELK AND NOMINATED BY THE PHH GOVERNANCE/NOMINATING COMMITTEE. THE BOARD OF PHH HAS THE POWER TO REMOVE SUCH DIRECTOR AT ANY TIME WITH OR WITHOUT CAUSE. IN THE EVENT THAT CNHSS DESIRES TO FILL A VACANCY OCCURRING ON ITS BOARD, THE PHH GOVERNANCE/NOMINATING COMMITTEE AND THE BOARD OF PHH, AT THE REQUEST OF ELK, SHALL ACT TO FILL SUCH VACANCY. SUBJECT TO THE APPROVAL OF ELK AND PHH AS SET FORTH IN THE BYLAWS, THE ARTICLES AND THE BYLAWS MAY BE ALTERED, AMENDED, OR REPEALED AND NEW BYLAWS OR ARTICLES MAY BE ADOPTED BY THE AFFIRMATIVE VOTE OF TWO-THIRDS (2/3) OF THE BOARD. WRITTEN NOTICE OF THE INTENT TO AMEND THE BYLAWS OR THE ARTICLES AND A DRAFT OF THE PROPOSED CHANGE SHALL BE SENT TO ALL DIRECTORS, BY THE SECRETARY, AT LEAST FIVE (5) DAYS PRIOR TO ANY MEETING AT WHICH AMENDMENT OF THE BYLAWS OR THE ARTICLES IS INTENDED.
FORM 990, PART VI, SECTON B, LINE 11BFORM 990 REVIEW PROCESS THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. A DRAFT OF THE 990 IS THOROUGHLY REVIEWED BY THE CFO AND CEO. AFTER ALL CHANGES ARE MADE, IT IS PRESENTED TO THE BOARD OF DIRECTORS BEFORE BEING FILED.
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST POLICY COMPLIANCE EVERY YEAR, A QUESTIONNAIRE REGARDING BUSINESS AND FAMILY RELATIONSHIPS IS GIVEN TO THE BOARD OF DIRECTORS & OFFICERS. THESE QUESTIONNAIRES ARE THEN REVIEWED AND ANY CONFLICTS ARE BROUGHT TO THE ATTENTION OF THE BOARD. ANY BOARD MEMBER WITH A CONFLICT OF INTEREST MUST ABSTAIN FROM VOTING ON ANY ISSUES RELATED TO THAT CONFLICT.
FORM 990, PART VI, SECTION B, LINES 15A & 15BCOMPENSATION DETERMINATION SALARIES ARE REVIEWED ANNUALLY DURING THE BUDGET PROCESS, COMPARED TO THE HOME CARE SALARY & BENEFITS REPORT PRODUCED BY THE NATIONAL ASSOCIATION OF HOMECARE FOR REASONABLENESS, AND APPROVED BY THE BOARD OF DIRECTORS. THE CEO'S AND CFO'S COMPENSATION ARE SPECIFICALLY APPROVED BY THE BOARD.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENT AVAILABILITY THE ARTICLES OF INCORPORATION ARE AVAILABLE ON THE PENNSYLVANIA DEPARTMENT OF STATE'S WEBSITE. ALL DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST.
FORM 990, PART XI, LINE 9OTHER CHANGES IN NET ASSETS FAIR VALUE ADJUSTMENT $ 6,831* TRANSFER FROM AFFILIATE 217,049 ---------- TOTAL $ 223,880 *IN OCTOBER 2012, ELK REGIONAL HEALTH CENTER (HEALTH CENTER) SIGNED AN AFFILIATION AGREEMENT EFFECTIVE JULY 1, 2013, WITH PENN HIGHLANDS HEALTHCARE, A PENNSYLVANIA NONPROFIT CORPORATION (PENN HIGHLANDS). PENN HIGHLANDS BECAME THE SOLE MEMBER OF THE HEALTH CENTER. THE AFFILIATION AGREEMENT REQUIRED ASSETS AND LIABILITIES BE RECORDED AT FAIR VALUE AS OF JULY 1, 2013, ON THE PENN HIGHLANDS HEALTHCARE FINANCIAL STATEMENTS. THE HEALTH CENTER ELECTED TO PUSH DOWN ANY FAIR VALUE ADJUSTMENTS TO THE STANDALONE HEALTH CENTER FINANCIAL STATEMENTS. AS A RESULT, A CONSOLIDATED $5,084,233 ADJUSTMENT WAS MADE PRIMARILY TO ADJUST THE CARRYING VALUE OF PROPERTY AND EQUIPMENT TO FAIR VALUE. EACH ENTITY WAS ALLOCATED THEIR SHARE OF THE ADJUSTMENT, AND THE FAIR VALUE ADJUSTMENT IS REPORTED IN THE RECONCILIATION AMOUNT ABOVE. THE AMOUNTS REPORTED ON SCHEDULE D, PART VI, INCLUDE THIS ADJUSTMENT TO FAIR VALUE.
FORM 990, PART XII, LINE 2CCHANGE IN OVERSIGHT OR SELECTION PROCESS AS A RESULT OF THE AMENDMENT OF THE BYLAWS RELATED TO THE MERGER WITH PENN HIGHLANDS HEALTHCARE (PHH), PHH NOW HOLDS THE SOLE POWER OVER THE SELECTION OF THE INDEPENDENT ACCOUNTANT.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (15 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationInd
ELK REGIONAL HEALTH CENTER
763 JOHNSONBURG ROADST MARYSPA15857250585280HEALTH CAREPA501(C)(3)3PHHfalse
ELK REGIONAL HEALTH CENTER FOUNDATION
763 JOHNSONBURG ROADST MARYSPA15857251636685SUPPORTPA501(C)(3)11A IPHHfalse
ELCO HOUSING
759 JOHNSONBURG ROADST MARYSPA15857251639115HOUSINGPA501(C)(3)7PHHfalse
ELK REGIONAL PROFESSIONAL GROUP INC
763 JOHNSONBURG ROADST MARYSPA15857251875183HEALTH CAREPA501(C)(3)3PHHfalse
ELK REGONIAL HEALTH CENTER AUXILIARY
763 JOHNSONBURG ROADST MARYSPA15857251429093SUPPORTPA501(C)(3)7PHHfalse
ELK REGIONAL HEALTH SYSTEM
763 JOHNSONBURG ROADST MARYSPA15857251636723HEALTH CAREPA501(C)(3)9NAfalse
COMMUNITY NURSES HOME HEALTH & HOSPICE
757 JOHNSONBURG ROAD STE 200ST MARYSPA15857250996070HEALTH CAREPA501(C)(3)9CNIfalse
COMMUNITY NURSES INC
757 JOHNSONBURG ROAD STE 200ST MARYSPA15857251623598HEALTH CAREPA501(C)(3)9PHHfalse
PENN HIGHLANDS HEALTHCARE INC
PO BOX 447DUBOISPA15801320345810HEALTH CAREPA501(C)(3)11C III-FINAfalse
DUBOIS REGIONAL MEDICAL CENTER
100 HOSPITAL AVEDUBOISPA15801251490707HOSPITALPA501(C)(3)3PHHfalse
BROOKVILLE HOSPITAL
100 HOSPITAL ROADBROOKVILLEPA15825250984595HOSPITALPA501(C)(3)3PHHfalse
NATHANIEL D YINGLING CANCER CENTER
815 DOCTORS DRCLEARFIELDPA16830205114093RADIATION ONCPA501(C)(3)3PHHfalse
CLEAR-MED PROVIDER CORPORATION
PO BOX 1260CLEARFIELDPA16830251657668OUTPATIENTPA501(C)(3)3PHHfalse
DRMC EMPLOYEE BENEFITS PLAN TRUST
100 HOSPITAL AVEDUBOISPA15801256332829DRMC EMPL BENPA501(C)(9)PHHfalse
CLEARFIELD HOSPITAL
809 TURNPIKE DRCLEARFIELDPA16830250979346HOSPITALPA501(C)(3)3PHHfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

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