Noble Visiting Nurse Services Inc: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: Noble Visiting Nurse Services Inc (EIN 22-2757446)
Tax period: 2011-10-01 to 2012-09-30
Filed: 2013-08-15
IRS object ID: 201302279349300145
Schema version: 2011v1.5
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-08-15T08:15:19-05:00	Timestamp
Tax Period End Date	2012-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	020400296	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Brad Borbidge PA	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	197 Loudon Road	AddressLine1
City	Concord	City
State	NH	State
ZIP Code	03301	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	222757446	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Noble Visiting Nurse & Hospice Services Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	NOBL	NameControl
Phone	4135627049	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	77 Mill Street No 207	AddressLine1
City	Westfield	City
State	MA	State
ZIP Code	01085	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	David Mol	Name
Title	Executive Director	Title
Phone	4135627049	Phone
Date Signed	2013-08-15	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Dimitrios Panacopoulos CPA	Name
PTIN	P01603705	PTIN
Phone	6032240849	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	David Mol	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	77 Mill Street No 207	AddressLine1
City	Westfield	City
State	MA	State
ZIP Code	01085	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	5390150	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.noblehospice.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1986	YearFormation
State Legal Domicile	MA	StateLegalDomicile
Activity Or Mission Description	To provide comprehensive home care services, including skilled nursing, medical social services, with the provision of necessary supplies, to individuals and families in their places of residence for the purpose of promoting, maintaining or restoring health, minimizing the effects of illness and disability, and maximizing the level of independence.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	12	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	66	TotalNbrEmployees
Total Nbr Volunteers	25	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	123097	ContributionsGrantsPriorYear
Contributions Grants Current Year	100254	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	4989317	ProgramServiceRevenuePriorYear
Program Service Revenue CY	5242651	ProgramServiceRevenueCY
Investment Income Prior Year	2654	InvestmentIncomePriorYear
Investment Income Current Year	253	InvestmentIncomeCurrentYear
Other Revenue Prior Year	15672	OtherRevenuePriorYear
Other Revenue Current Year	24276	OtherRevenueCurrentYear
Total Revenue Prior Year	5130740	TotalRevenuePriorYear
Total Revenue Current Year	5367434	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	3152753	SalariesEtcPriorYear
Salaries Etc Current Year	3695253	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	34199	TotalFundrsngExpCurrentYear
Other Expense Prior Year	1752242	OtherExpensePriorYear
Other Expenses Current Year	1789731	OtherExpensesCurrentYear
Total Expenses Prior Year	4904995	TotalExpensesPriorYear
Total Expenses Current Year	5484984	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	225745	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-117550	RevenuesLessExpensesCY
Total Assets BOY	1274562	TotalAssetsBOY
Total Assets EOY	1249580	TotalAssetsEOY
Total Liabilities BOY	759244	TotalLiabilitiesBOY
Total Liabilities EOY	851812	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	515318	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	397768	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	To provide comprehensive home care services, including skilled nursing, medical social services, with the provision of necessary supplies, to individuals and families in their places of residence for the purpose of promoting, maintaining or restoring health, minimizing the effects of illness and disability, and maximizing the level of independence.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	4589967	Expense
Revenue	5242651	Revenue
Description	Provides home health care and hospice including nursing, therapy, and home health aide services.	Description
Total Program Service Expense	4589967	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	5	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	66	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	12	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	1	LocalChapters
Policies Reference Chapters	1	PoliciesReferenceChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	MA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	David Mol	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	4135627049	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	77 Mill Street	AddressLine1
City	Westfield	City
State	MA	State
ZIP Code	01085	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer
John Liptak
Chairperson	0.00	X	0	0	0
Mary C O'Neil
Secretary	0.00	X	0	0	0
Greg Jerome
Board Member	0.00	X	0	0	0
Jeanne Chistolini
Board Member	0.00	X	0	0	0
Ted Cassell
Treasurer	0.00	X	0	0	0
Stanley Strzempko MD
Board Member	1.00	X	0	315000	527
Robert J O'Brien
Board Member	0.00	X	0	0	0
Holly Lewis
Board Member	0.00	X	0	0	0
Dawn Thomas
Board Member	0.00	X	0	0	0
Ronald Bryant
President & CEO	1.00	X	0	246642	19847
Meghan Hibner
Board Member	0.00	X	0	0	0
Robert Wilcox
Board Member	0.00	X	0	0	0
David Mol
Executive Director	40.00		103566	0	11932	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	103566	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	561642	TotalReportableCompFrmRltdOrgs
Total Other Compensation	32306	TotalOtherCompensation
Number Individuals GT100 K	1	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	Allscripts LLC	BusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	24630 Network Place	AddressLine1
City	Chicago	City
State	IL	State
ZIP Code	60673	ZIPCode

Field	Value	IRS element (for citing)
Description Of Services	Computer Services	DescriptionOfServices
Compensation	134240	Compensation

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	1	NumberOfContractorsGT100K
Government Grants	3740	GovernmentGrants
All Other Contributions	96514	AllOtherContributions
Total Contributions	100254	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	Home Care	Description
Business Code	621610	BusinessCode
Total Revenue Column	5242651	TotalRevenueColumn
Related Or Exempt Function Income	5242651	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	5242651	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	253	TotalRevenueColumn
Exclusion	$253	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	46992	GrossIncomeFundraisingEvents
Fundraising Direct Expenses	22716	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	24276	TotalRevenueColumn
Exclusion	$24,276	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	5367434	TotalRevenueColumn
Related Or Exempt Function Income	5242651	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$24,529	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	115498	Total
Management And General	115498	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	3007903	Total
Program Services	2623533	ProgramServices
Management And General	384370	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	77762	Total
Program Services	65569	ProgramServices
Management And General	12193	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	245172	Total
Program Services	206729	ProgramServices
Management And General	38443	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	248918	Total
Program Services	209888	ProgramServices
Management And General	39030	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	31120	Total
Management And General	31120	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	156331	Total
Program Services	64645	ProgramServices
Management And General	91686	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	241382	Total
Program Services	203533	ProgramServices
Management And General	37849	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	77886	Total
Program Services	65673	ProgramServices
Management And General	12213	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	304381	Total
Program Services	256654	ProgramServices
Management And General	47727	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	74098	Total
Program Services	62479	ProgramServices
Management And General	11619	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	154777	Total
Program Services	154616	ProgramServices
Management And General	161	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	3594	Total
Program Services	3030	ProgramServices
Management And General	564	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	4172	Total
Program Services	3518	ProgramServices
Management And General	654	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	46336	Total
Program Services	39071	ProgramServices
Management And General	7265	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	18084	Total
Program Services	15248	ProgramServices
Management And General	2836	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Program Supplies	381203	381203
Telephone	78039	65802	12237
Hospice Program Expense	49676	49676
Other Expenses	42562	35888	6674

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	126090	Total
Program Services	83212	ProgramServices
Management And General	8679	ManagementAndGeneral
Fundraising	34199	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	5484984	Total
Program Services	4589967	ProgramServices
Management And General	860818	ManagementAndGeneral
Fundraising	34199	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	246630	BOY
EOY	20727	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	597616	BOY
EOY	784084	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	37130	BOY
EOY	31136	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	667925	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	284451	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	372378	BOY
EOY	383474	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	20808	BOY
EOY	30159	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1274562	BOY
EOY	1249580	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	520202	BOY
EOY	631920	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	229142	BOY
EOY	197612	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	9900	BOY
EOY	22280	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	759244	BOY
EOY	851812	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	494510	BOY
EOY	367609	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	20808	BOY
EOY	30159	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	515318	BOY
EOY	397768	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1274562	BOY
EOY	1249580	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	-117550	ReconcilationRevenueExpenses
Reconcilation Other Changes	0	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	114450	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	70662	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	130402	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	123097	CurrentTaxYearMinus1Year
Current Tax Year	100254	CurrentTaxYear
Total	538865	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2709969	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3521966	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3940210	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	4989317	CurrentTaxYearMinus1Year
Current Tax Year	5242651	CurrentTaxYear
Total	20404113	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2824419	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3592628	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	4070612	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	5112414	CurrentTaxYearMinus1Year
Current Tax Year	5342905	CurrentTaxYear
Total	20942978	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Amts From Subst Contributors AmtsFromSubstContributors

Field	Value	IRS element (for citing)
Total	0	Total

Support From DQ Ps Etc SupportFromDQPsEtc

Field	Value	IRS element (for citing)
Total	0	Total

Field	Value	IRS element (for citing)
Public Support Total509	20942978	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	5126	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2919	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2695	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2654	CurrentTaxYearMinus1Year
Current Tax Year	253	CurrentTaxYear
Total	13647	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	5126	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2919	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2695	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2654	CurrentTaxYearMinus1Year
Current Tax Year	253	CurrentTaxYear
Total	13647	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2829545	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3595547	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	4073307	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	5115068	CurrentTaxYearMinus1Year
Current Tax Year	5343158	CurrentTaxYear
Total	20956625	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.99930	PublicSupportPercentage509
Prior Year Support Percentage	0.99910	PriorYearSupportPercentage
Investment Income Percentage	0.00070	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.00090	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	17780	OtherCostOrOtherBasis
Depreciation	14280	Depreciation
Book Value	3500	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	650145	OtherCostOrOtherBasis
Depreciation	270171	Depreciation
Book Value	379974	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	383474	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	Due To Affiliates	Description
Amount	$22,280	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	22280	TotalOfAmounts
Total Revenue	5367434	TotalRevenue
Total Expenses	5484984	TotalExpenses
Excess Or Deficit For Year	-117550	ExcessOrDeficitForYear
Excess Or Deficit Per FS	-117550	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	5367434	TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F990	0	RevenueNotRptdF990
Revenue Subtotal	5367434	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	5367434	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	5484984	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	5484984	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	5484984	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Explanation	Part IV, line 11f: The Association is a public charity under Section 501(c)(3) of the Internal Revenue Code. As a public charity, 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.	Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	Wine Tasting	NameOfEvent1
Gross Receipts Event1	33095	GrossReceiptsEvent1
Gross Revenue Event1	33095	GrossRevenueEvent1
Other Direct Expenses Event1	15551	OtherDirectExpensesEvent1
Name Of Event2	Golf Tournament	NameOfEvent2
Gross Receipts Event2	13897	GrossReceiptsEvent2
Gross Revenue Event2	13897	GrossRevenueEvent2
Other Direct Expenses Event2	7165	OtherDirectExpensesEvent2
Gross Receipts Total	46992	GrossReceiptsTotal
Gross Revenue Total Events	46992	GrossRevenueTotalEvents
Other Direct Expenses Total Events	22716	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	22716	DirectExpenseSummaryEvents
Net Income Summary	24276	NetIncomeSummary

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	0	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Stanley Strzempko MD
0	315000	0	0	0	0	0	0	0	527	0	315527	0	0
Ronald Bryant
0	246642	0	0	0	0	0	0	0	19847	0	266489	0	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReference	ExplanationExplanation
Form 990, Part VI, Section A, line 6	The sole member of the corporation shall be Noble Health Systems, Inc.
Form 990, Part VI, Section A, line 7a	The sole member elects the board of trustees memebers.
Form 990, Part VI, Section A, line 7b	The member shall have all rights and powers conferred on members of non-profit corporations under the laws of the commonwealth of Massachusetts. The member shall have such other powers as specified in the articles of Organization and bylaws.
Form 990, Part VI, Section B, line 11	A copy of this Form 990 was provided to the Finance Committee of the Organization's affiliate, Noble Health Systems, Inc., for their review, discussion and comment prior to filing. It was also distributed to the full Boards of Trustees of both Noble Health Systems, Inc. and Noble Visiting Nurse & Hospice Services, Inc. prior to filing.
Form 990, Part VI, Section B, line 12c	Conflict of interest is discussed at the annual meeting after the election of officers and board members and each year at this meeting all board members signed a conflict of interest and confidentiality statement.
Form 990, Part VI, Section B, line 15	Compensation for the Executive Director is complete by Board Committee with the use of compensation & benefits Survey completed by the Massachusetts Foundation for Home Health.
Form 990, Part VI, Section C, line 19	Upon request.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg
Westfield Medical Corporation
115 West Silver Street	Westfield	MA	01086	043127730	Physician Services	MA	501 (c)(3)	509 (a)(3) type I	N/A	0
Trustees Of Noble Hospital Inc
115 West Silver Street	Westfield	MA	01086	222537523	Hospital	MA	501 (c)(3)	3	N/A	0
Silvermill Realty Corporation
115 West Silver Street	Westfield	MA	01086	222552923	Real Estate Holding	MA	501 (c)(3)	509 (a)(3) type II	N/A	0

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	1	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg