NOTRE DAME HEALTH CARE CENTER INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
NOTRE DAME HEALTH CARE CENTER INC (EIN 04-3108782)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-07-26
IRS object ID
201112079349300416
Schema version
2010v3.2
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)
Timestamp2011-07-26T13:03:00-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1300 CROWN COLONY DRIVE SUITE 310AddressLine1
CityQUINCYCity
StateMAState
ZIP Code02169ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN043108782EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NOTRE DAME HEALTH CARE CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNOTRNameControl
Phone5088523011Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1559 PLANTATION STREETAddressLine1
CityWORCESTERCity
StateMAState
ZIP Code01605ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSR PATRICIA MCSHARRY SNDName
TitlePRESIDENTTitle
Phone5088523011Phone
Date Signed2011-07-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBARBARA J MORRISONName
Phone6179848100Phone
Date Prepared2011-07-14DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1NOTRE DAME LT CARE CENTER NOTRE DAMBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonSR PATRICIA MCSHARRY SNNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1559 PLANTATION STREETAddressLine1
CityWORCESTERCity
StateMAState
ZIP Code01605ZIPCode
FieldValueIRS element (for citing)
Gross Receipts21599586GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteNOTREDAMELTCC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1990YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE NURSING & RELATED HEALTHCARE SERVICES TO THE ELDERLYActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees403TotalNbrEmployees
Total Nbr Volunteers40TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year29398ContributionsGrantsPriorYear
Contributions Grants Current Year67437ContributionsGrantsCurrentYear
Program Service Revenue Prior Year18342745ProgramServiceRevenuePriorYear
Program Service Revenue CY19244665ProgramServiceRevenueCY
Investment Income Prior Year231154InvestmentIncomePriorYear
Investment Income Current Year414501InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year18603297TotalRevenuePriorYear
Total Revenue Current Year19726603TotalRevenueCurrentYear
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 Year11155620SalariesEtcPriorYear
Salaries Etc Current Year11494184SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year6608716OtherExpensePriorYear
Other Expenses Current Year7032059OtherExpensesCurrentYear
Total Expenses Prior Year17764336TotalExpensesPriorYear
Total Expenses Current Year18526243TotalExpensesCurrentYear
Revenues Less Expenses Prior Year838961RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1200360RevenuesLessExpensesCY
Total Assets BOY34495039TotalAssetsBOY
Total Assets EOY35537901TotalAssetsEOY
Total Liabilities BOY21493055TotalLiabilitiesBOY
Total Liabilities EOY21623555TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY13001984NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY13914346NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDE NURSING & RELATED HEALTHCARE SERVICES TO THE ELDERLY; NURSING HOME; ASSISTED LIVING AND HOSPICE SERVICESMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense17294168Expense
Revenue19244665Revenue
DescriptionPROVIDE SKILLED NURSING HOME CARE TO THE ELDERLY AND DISABLEDDescription
Total Program Service Expense17294168TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109636NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees403NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1SR MAUREEN O'BRIEN SND TREASURERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5088523011TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1559 PLANTATION STAddressLine1
CityWORCESTERCity
StateMAState
ZIP Code01605ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
SR LORRAINE CONNELL SND
DIRECTOR1.00X000
SR MAUREEN O'BRIEN SND
TREASURER1.00X000
SR MARIE MCDONALD SND
DIRECTOR1.00X000
LEE NORTON KELLY
DIRECTOR1.00X000
SR MARGARET MCCARTHY - SND
DIRECTOR1.00X000
MARGARET COFFIN
EXECUTIVE DIRECTOR40.00X80403017372X
KATHLEEN O'CONNOR
DIRECTOR1.00X000
GARTH JOHNSON
DIRECTOR1.00X000
KATHERINE LEMAY
CEO/ADMINSTRATOR40.00X149722013085X
JOHN H LIND
DIRECTOR1.00X000
SR PATRICIA MCSHARRY
PRESIDENT1.00X000
SR ANDREA WALSH SND
CLERK1.00X000
MS MARY CULHANE
DIRECTOR1.00X000
MS KATHLEEN FISHER
DIRECTOR1.00X000
MS JACQUELYN MCCARTHY
DIRECTOR1.00X000
MS MELISSA MOORE
DIRECTOR1.00X000
SR ELLEN AGRITELLEY SND
CHAIRMAN1.00X000
BEVERLY AMOSAH
NURSE MANAGER40.0010811204624X
DEBRA FORSS
DIRECTOR OF NURSING40.001216080702X
KAREN RIZZO
DIRECTOR OF HOSPICE40.0011564802563X
FieldValueIRS element (for citing)
Total Reportable Comp From Org575493TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation38346TotalOtherCompensation
Number Individuals GT100 K4NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1HEALTHPRO MANAGEMENT INCBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1400 WEST CUMMINGS PARKAddressLine1
CityWOBURNCity
StateMAState
ZIP Code01801ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesREHAB THERAPY SERVICESDescriptionOfServices
Compensation505498Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
All Other Contributions67437AllOtherContributions
Total Contributions67437TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NURSING HOME REVENUE6230001305494213054942
ASSISTED LIVING REVENU62300050625175062517
HOSPICE REVENUE62300010440531044053
EDUCATION CENTER6230008315383153
FieldValueIRS element (for citing)
Total Program Service Revenue19244665TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column342949TotalRevenueColumn
Exclusion$342,949ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1944535Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1872983Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities71552Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column71552TotalRevenueColumn
Exclusion$71,552ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column19726603TotalRevenueColumn
Related Or Exempt Function Income19244665RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$414,501ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total260582Total
Management And General260582ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total9240889Total
Program Services8630763ProgramServices
Management And General610126ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total39240Total
Program Services36650ProgramServices
Management And General2590ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1060673Total
Program Services990669ProgramServices
Management And General70004ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total892800Total
Program Services811020ProgramServices
Management And General81780ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total6811Total
Management And General6811ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total73438Total
Management And General73438ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total22859Total
Management And General22859ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total267944Total
Program Services209114ProgramServices
Management And General58830ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total88621Total
Program Services88621ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total226189Total
Program Services223826ProgramServices
Management And General2363ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1776352Total
Program Services1776352ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total30069Total
Program Services30069ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total4897Total
Program Services4897ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total894506Total
Program Services894506ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total75862Total
Program Services33170ProgramServices
Management And General42692ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
PATIENT CARE EXPENSES20485512048551
USER FEE798354798354
HOSPICE EXPENSES388636388636
EDUCATION CENTER196931196931
BAD DEBTS6595565955

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total66084Total
Program Services66084ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total18526243Total
Program Services17294168ProgramServices
Management And General1232075ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2270568BOY
EOY1801405EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1473321BOY
EOY1385470EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1102975BOY
EOY2297984EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY224629BOY
EOY153045EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis30791813LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec10869198LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY20539559BOY
EOY19922615EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY7437729BOY
EOY8418555EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1446258BOY
EOY1558827EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY34495039BOY
EOY35537901EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1734382BOY
EOY1951807EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY94553BOY
EOY15077EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY17815000BOY
EOY17250000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1849120BOY
EOY2406671EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY21493055BOY
EOY21623555EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY12987145BOY
EOY13873215EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY14839BOY
EOY41131EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13001984BOY
EOY13914346EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY34495039BOY
EOY35537901EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1200360ReconcilationRevenueExpenses
Reconcilation Other Changes-287998ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years30211CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12357CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years36642CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year29398CurrentTaxYearMinus1Year
Current Tax Year67437CurrentTaxYear
Total176045Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years158350579CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16637473CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17804725CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18342745CurrentTaxYearMinus1Year
Current Tax Year19244665CurrentTaxYear
Total230380187Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years158380790CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16649830CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17841367CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18372143CurrentTaxYearMinus1Year
Current Tax Year19312102CurrentTaxYear
Total230556232Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509230556232PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years446222CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years432517CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years305680CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year263905CurrentTaxYearMinus1Year
Current Tax Year342949CurrentTaxYear
Total1791273Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years446222CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years432517CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years305680CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year263905CurrentTaxYearMinus1Year
Current Tax Year342949CurrentTaxYear
Total1791273Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years158827012CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17082347CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18147047CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18636048CurrentTaxYearMinus1Year
Current Tax Year19655051CurrentTaxYear
Total232347505Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99230PublicSupportPercentage509
Prior Year Support Percentage0.99220PriorYearSupportPercentage
Investment Income Percentage0.00770InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00780PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$2,800OtherActivitiesAmount
Total Lobbying Expenditures IIB2800TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF OTHER LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1I:ReturnReference
ExplanationPAID MEMBERSHIP DUES TO STATE HEALTHCARE ORGANIZATIONExplanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance14839BeginningOfYearBalance
Contributions26292Contributions
End Of Year Balance41131EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance8966BeginningOfYearBalance
Contributions9367Contributions
Other Expenditures3494OtherExpenditures
End Of Year Balance14839EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.00000PermanentEndowmentEOYBalance
Term Endowment EOY Balance1.00000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2625000OtherCostOrOtherBasis
Book Value2625000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis24864584OtherCostOrOtherBasis
Depreciation8464242Depreciation
Book Value16400342BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2804483OtherCostOrOtherBasis
Depreciation2176454Depreciation
Book Value628029BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis497746OtherCostOrOtherBasis
Depreciation228502Depreciation
Book Value269244BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings19922615TotalOfBookValueLandBuildings

Other Securities OtherSecurities (3 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
EQUITIES6458769F
FIXED INCOME SECURITIES1842448F
GOLD - FUND117338F
FieldValueIRS element (for citing)
Total Of Book Value Securities8418555TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionUNREALIZED LOSS - INTEREST RATE SWAPDescription
Amount$2,406,671Amount
FieldValueIRS element (for citing)
Total Of Amounts2406671TotalOfAmounts
Total Revenue19726603TotalRevenue
Total Expenses18526243TotalExpenses
Excess Or Deficit For Year1200360ExcessOrDeficitForYear
Net Unrealized GL On Investments269553NetUnrealizedGLOnInvestments
Other-$557,551OtherAmount
Total Adjustments-287998TotalAdjustments
Excess Or Deficit Per FS912362ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt19218814TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments269554NetUnrealizedGainsInvestments
Other Revenues-557551OtherRevenues
Revenue Not Rptd F990-287997RevenueNotRptdF990
Revenue Subtotal19506811RevenueSubtotal
Investment Expenses Not Included22859InvestmentExpensesNotIncluded
Other Revenues Not Included196933OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt219792RevenueNotRptdOnFinStmt
Total Revenue Per Form99019726603TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt18306452TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal18306452ExpensesSubtotal
Investment Expenses Not Included222859InvestmentExpensesNotIncluded2
Other Expenses Not Included196932OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt219791ExpensesNotRptdOnFinStmt
Total Expenses Per Form99018526243TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:TEMPORARILY RESTRICTED NET ASSETS ARE TO BE USED FOR CHAPEL WINDOWS.
PART VI, LINE 8: UNREALIZED LOSS ON INTEREST RATE SWAP $ 557,551 ROUNDING $2 PART XII, LINE 2(D): UNREALIZED LOSS ON INTEREST RATE SWAP $ 557,551 PART XII, LINE 4(B): NON OPERATING REVENUE NET AGAINST EXPENSES $196,931 ROUNDING $2 PART XIII, 4(B): NON OPERATING REVENUE NET AGAINST EXPENSES $196,931 ROUNDING $1

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonKATHERINE LEMAYNamePerson
Base Compensation Filing Org149722BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org1821DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org11264NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org162807TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
GARTH JOHNSON
DIRECTOR OF THIS ORGANIZATION7000IS EMPLOYED BY A CONTRACTOR WHICH RECEIVED FEES FROM THE ORGANIZATION.0
DAVID PUTNAM
MEMBER OF THE FINANCE COMMITTEE22859IS EMPLOYED BY AN INVESTMENT FIRM WHICH RECEIVED FEES FROM THE ORGANIZATION.0
MARY CULHANE
DIRECTOR OF THIS ORGANIZATION15000IS EMPLOYED BY A CONSULTING FIRM WHICH RECEIVED FEES FROM THE ORGANIZATION.0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11A COPY OF THE FORM 990 WAS PRESENTED TO THE BOARD OF THE DIRECTORS AT THE ANNUAL MEETING AND APPROVED.
ALL EMPLOYEES ARE SUBJECT TO THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. DETERMINATIONS ARE MADE AT THE MANAGEMENT LEVEL AND REVIEWED WITH THE ORGANIZATIONAL INTEGRITY OFFICER.FORM 990, PART VI, SECTION B, LINE 12C
PROCESS WAS USED TO ESTABLISH COMPENSATION FOR ADMIN/CEO OF NDLTCC AND EXECUTIVE DIRECTOR OF DU LAC. THIS PROCESS WAS LAST UNDERTAKEN FOR EACH SUCH PERSON IN 2010.FORM 990, PART VI, SECTION B, LINE 15
SR. MAUREEN O'BRIEN, TREASURER 559 PLANTATION STREET WORCESTER, MA 01605FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 269,553. UNREALIZED LOSS ON INTEREST RATE SW -557,551. TOTAL TO FORM 990, PART XI, LINE 5: -287,998.FORM 990, PART XI, LINE 5:
THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.FORM 990, PART XI, LINE 2C

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