CARERESOURCE HAWAII: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CARERESOURCE HAWAII (EIN 99-0250062)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-04-22
IRS object ID
201431129349300538
Schema version
2012v2.3
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)
Timestamp2014-04-22T19:23:22-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line14370 LA JOLLA VILLAGE DRIVE STE 500AddressLine1
CitySAN DIEGOCity
StateCAState
ZIP Code92122ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN990250062EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CARERESOURCE HAWAIIBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% Thad WakasugiInCareOfName
Name ControlCARENameControl
Phone8085994999Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1680 IWILEI ROADAddressLine1
Address Line2Suite 660AddressLine2
CityHONOLULUCity
StateHIState
ZIP Code968175392ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTHAD WAKASUGIName
TitleINTERIM EXECUTIVE DIRECTORTitle
Date Signed2014-04-22DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone8585357200Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonCONSTANCE BLACKNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1680 IWILEI ROAD SUITE 600AddressLine1
CityHONOLULUCity
StateHIState
ZIP Code968175392ZIPCode
FieldValueIRS element (for citing)
Gross Receipts13564593GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CARERESOURCEHAWAII.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1996YearFormation
State Legal DomicileHIStateLegalDomicile
Activity Or Mission DescriptionPROVIDE AND MAINTAIN A NONPROFIT HOME HEALTH CARE SERVICE TO PROVIDE MEDICAL SERVICES FOR MEMBERS OF THE PUBLIC IN THEIR HOMES AND THEREBY PROMOTE THE HEALTH OF THE COMMUNITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees440TotalNbrEmployees
Total Nbr Volunteers7TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year10000ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year13310698ProgramServiceRevenuePriorYear
Program Service Revenue CY13564593ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year13320698TotalRevenuePriorYear
Total Revenue Current Year13564593TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year11389725SalariesEtcPriorYear
Salaries Etc Current Year11687723SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1766136OtherExpensePriorYear
Other Expenses Current Year1861900OtherExpensesCurrentYear
Total Expenses Prior Year13155861TotalExpensesPriorYear
Total Expenses Current Year13549623TotalExpensesCurrentYear
Revenues Less Expenses Prior Year164837RevenuesLessExpensesPriorYear
Revenues Less Expenses CY14970RevenuesLessExpensesCY
Total Assets BOY3843974TotalAssetsBOY
Total Assets EOY4065743TotalAssetsEOY
Total Liabilities BOY1274414TotalLiabilitiesBOY
Total Liabilities EOY1352507TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2569560NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2713236NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense11591633Expense
Grants0Grants
Revenue13564593Revenue
DescriptionCARERESOURCE HAWAII PROVIDED 264,595 HOURS OF NURSING, HOME HEALTH AIDE, AND HOME COMPANION SERVICE AND PROVIDED 22,869 VISITS BY REGISTERED NURSES, LICENSED THERAPISTS, HOME HEALTH AIDES, AND OTHER HEALTH PROFESSIONALS IN PATIENTS' HOMES DURING THIS REPORTING PERIOD.Description
Total Program Service Expense11591633TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees440NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonThad WakasugiNamePerson
Telephone Number8085994999TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1680 Iwilei Road Suite 660AddressLine1
CityHonoluluCity
StateHIState
ZIP Code96817ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
Constance Black
Chairperson2.0XX000
Mark Yamakawa
President1.0XX000
Gregg Oishi
Secretary/Treasurer1.0XX000
Gary Kajiwara
Director1.0X000
Cynthia Kamikawa
Director1.0X000
Quin Ogawa
Director1.0X000
Janice Luke Loo
Director1.0X000
Emilie Smith
Administrator40.0X131528010573
Thad Wakasugi
Interim Executive Director40.0X9920404896
Cynthia Iwata
Medicare Services Manager40.0111100011489X
Joan Liu
Private Duty Manager40.010899203873X
Carin Chan Stevens
Med Cert RN40.010121419483X
FieldValueIRS element (for citing)
Total Reportable Comp From Org552038TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation50314TotalOtherCompensation
Number Individuals GT100 K4NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

FieldValueIRS element (for citing)
Name PersonNoneNamePerson
FieldValueIRS element (for citing)
Address Of ContractorAddressOfContractor
FieldValueIRS element (for citing)
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPatient services revenueDescription
Business Code621610BusinessCode
Total Revenue Column13564593TotalRevenueColumn
Related Or Exempt Function Income13564593RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue13564593TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column13564593TotalRevenueColumn
Related Or Exempt Function Income13564593RelatedOrExemptFunctionIncome

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total251352Total
Management And General251352ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total9261540Total
Program Services8638289ProgramServices
Management And General623251ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1472034Total
Program Services1357469ProgramServices
Management And General114565ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total702797Total
Program Services644228ProgramServices
Management And General58569ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total107Total
Program Services107ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total13445Total
Management And General13445ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total293098Total
Program Services272761ProgramServices
Management And General20337ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total3944Total
Program Services576ProgramServices
Management And General3368ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total113084Total
Program Services53740ProgramServices
Management And General59344ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total300684Total
Program Services141654ProgramServices
Management And General159030ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total349829Total
Program Services63943ProgramServices
Management And General285886ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total99596Total
Program Services99596ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total36003Total
Program Services25253ProgramServices
Management And General10750ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total136621Total
Program Services102520ProgramServices
Management And General34101ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total214590Total
Program Services27544ProgramServices
Management And General187046ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Communication1453576550479853
Medical supplies59459536435816
All other expenses960834480651277

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total13549623Total
Program Services11591633ProgramServices
Management And General1957990ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1730934BOY
EOY1709946EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1773807BOY
EOY1973367EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY59043BOY
EOY65279EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1921422LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1608048LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY276413BOY
EOY313374EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3777BOY
EOY3777EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3843974BOY
EOY4065743EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY840589BOY
EOY1047383EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY433825BOY
EOY305124EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1274414BOY
EOY1352507EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2569560BOY
EOY2713236EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2569560BOY
EOY2713236EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3843974BOY
EOY4065743EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses14970ReconcilationRevenueExpenses
Reconcilation Other Changes128706ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewtrueAccountantCompileOrReview

Accountant Compile Or Review Basis AccountantCompileOrReviewBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
FS AuditedfalseFSAudited
Audit CommitteefalseAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years820CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years45CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10000CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total10865Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13961877CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13778602CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13193976CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13310698CurrentTaxYearMinus1Year
Current Tax Year13564593CurrentTaxYear
Total67809746Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13962697CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13778647CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13193976CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13320698CurrentTaxYearMinus1Year
Current Tax Year13564593CurrentTaxYear
Total67820611Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years138285CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years68914CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years82901CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year84690CurrentTaxYearMinus1Year
Current Tax Year162560CurrentTaxYear
Total537350Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years138285CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years68914CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years82901CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year84690CurrentTaxYearMinus1Year
Current Tax Year162560CurrentTaxYear
Total537350Total
FieldValueIRS element (for citing)
Public Support Total50967283261PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10088CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total10088Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10088CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total10088Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Total0Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13972785CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13778647CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13193976CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13320698CurrentTaxYearMinus1Year
Current Tax Year13564593CurrentTaxYear
Total67830699Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99193PublicSupportPercentage509
Prior Year Support Percentage0.99069PriorYearSupportPercentage
Investment Income Percentage0.00015InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00089PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years
LandLand
BuildingsBuildings

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis138051OtherCostOrOtherBasis
Depreciation128429Depreciation
Book Value9622BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1626658OtherCostOrOtherBasis
Depreciation1323972Depreciation
Book Value302686BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis156713OtherCostOrOtherBasis
Depreciation155647Depreciation
Book Value1066BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings313374TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionPension liabilityDescription
Amount$305,124Amount
FieldValueIRS element (for citing)
Total Of Amounts305124TotalOfAmounts

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONPART III, LINE 1TO OPERATE AND MAINTAIN A NONPROFIT HOME HEALTH CARE SERVICE TO PROVIDE SKILLED NURSING SERVICES AND OTHER DIAGNOSTIC, THERAPEUTIC AND SUPPORTIVE MEDICAL SERVICES FOR MEMBERS OF THE PUBLIC IN THEIR HOMES AND THEREBY TO PROMOTE THE HEALTH OF THE COMMUNITY AND COST EFFECTIVE AND EFFICIENT HEALTH CARE.
DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990FORM 990 PART VI, LINE 11BTHE FORM 990 WILL BE REVIEWED WITH THE SECRETARY / TREASURER OF THE BOARD BY THE CONTROLLER AND THE CONTROLLER WILL DISCUSS THE FORM IN SUMMARY WITH THE WHOLE BOARD AT THE NEXT SCHEDULED QUARTERLY BOARD MEETING. THE COMPLETED COPY WILL BE PRESENTED TO THE BOARD AFTER THE FILING DEADLINE.
DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTERESTFORM 990, PART VI, LINE 12CA CONFLICT OF INTEREST DISCLOSURE FORM IS MAILED TO ALL BOARD MEMBERS AND MANAGERS OF THE COMPANY ANNUALLY FOR COMPLETION. FORMS ARE REVIEWED BY CORPORATE COMPLIANCE OFFICER AND QUEEN'S LEGAL DEPARTMENT. ANY POTENTIAL CONFLICTS ARE BROUGHT TO THE ATTENTION OF THE ADMINISTRATOR AND BOARD, IF NECESSARY, FOR FOLLOW-UP ACTION WITH INDIVIDUALS, RESULTING IN EITHER RELINQUISHING OF CONFLICTED ACTIVITIES OR RESIGNATION OF POSITION.
AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLICFORM 990, PART VI, QUESTION 19THESE DOCUMENTS ARE AVAILABLE AT OUR HOME OFFICE, UPON REQUEST.
OVERSIGHT OR SELECTION PROCESSFORM 990, PART XI, QUESTION 2CTHE COMPANY IS NOT REQUIRED TO HAVE AN AUDITED FINANCIAL STATEMENT AT THIS TIME. AN INDEPENDENT FINANCIAL REVIEW WAS COMPLETED FOR FISCAL YEAR ENDED JUNE 30, 2013.
OTHER CHANGES IN NET ASSETS OR FUND BALANCESFORM 990, PART XI, LINE 5PENSION ADJUSTMENT (GAIN): $128,706

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