COMMUNITY NURSE INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY NURSE INC (EIN 04-2104019)
Tax period
2010-07-01 to 2011-06-30
Filed
2011-12-21
IRS object ID
201133559349300313
Schema version
2010v3.4
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)
Timestamp2011-12-21T14:17:24-06:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BRAD BORBIDGE PABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1197 LOUDON ROAD STE 350AddressLine1
CityCONCORDCity
StateNHState
ZIP Code03301ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN042104019EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY NURSE AND HOSPICE CARE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCOMMNameControl
Phone5089926278Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line162 CENTER STREETAddressLine1
CityFAIRHAVENCity
StateMAState
ZIP Code02719ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJANE STANKIEWICZName
TitleCEOTitle
Phone5089926278Phone
Date Signed2011-11-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDIMITRIOS PANACOPOULOS CPAName
Phone6032240849Phone
Date Prepared2011-10-15DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJANE STANKIEWICZNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line162 CENTER STREETAddressLine1
CityFAIRHAVENCity
StateMAState
ZIP Code02719ZIPCode
FieldValueIRS element (for citing)
Gross Receipts8703775GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.COMMUNITYNURSE.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1916YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionWE ARE A DYNAMIC NOT-FOR-PROFIT HEALTH CARE ORGANIZATION SERVING THE DIVERSE COMMUNITIES OF SOUTHEASTERN MASSACHUSETTS. WE EXCEL IN PROVIDING QUALITY, COST EFFECTIVE, COMPASSIONATE HOME HEALTH AND HOSPICE CARE. OUR GOAL OF OPTIMAL WELLNESS IS ACHIEVED THROUGH CONSISTENT PROFESSIONAL CARE, ON-GOING PATIENT TEACHING, COMPREHENSIVE WELLNESS AND PUBLIC HEALTH PROGRAMS.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees132TotalNbrEmployees
Total Nbr Volunteers62TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year294223ContributionsGrantsPriorYear
Contributions Grants Current Year260790ContributionsGrantsCurrentYear
Program Service Revenue Prior Year8774895ProgramServiceRevenuePriorYear
Program Service Revenue CY8273810ProgramServiceRevenueCY
Investment Income Prior Year20938InvestmentIncomePriorYear
Investment Income Current Year20583InvestmentIncomeCurrentYear
Other Revenue Prior Year135725OtherRevenuePriorYear
Other Revenue Current Year111829OtherRevenueCurrentYear
Total Revenue Prior Year9225781TotalRevenuePriorYear
Total Revenue Current Year8667012TotalRevenueCurrentYear
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 Year6998977SalariesEtcPriorYear
Salaries Etc Current Year6074911SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1737967OtherExpensePriorYear
Other Expenses Current Year2588348OtherExpensesCurrentYear
Total Expenses Prior Year8736944TotalExpensesPriorYear
Total Expenses Current Year8663259TotalExpensesCurrentYear
Revenues Less Expenses Prior Year488837RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3753RevenuesLessExpensesCY
Total Assets BOY4575786TotalAssetsBOY
Total Assets EOY4484725TotalAssetsEOY
Total Liabilities BOY1364694TotalLiabilitiesBOY
Total Liabilities EOY1152610TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3211092NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3332115NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionWE ARE A DYNAMIC NOT-FOR-PROFIT HEALTH CARE ORGANIZATION SERVING THE DIVERSE COMMUNITIES OF SOUTHEASTERN MASSACHUSETTS. WE EXCEL IN PROVIDING QUALITY, COST EFFECTIVE, COMPASSIONATE HOME HEALTH AND HOSPICE CARE. OUR GOAL OF OPTIMAL WELLNESS IS ACHIEVED THROUGH CONSISTENT PROFESSIONAL CARE, ON-GOING PATIENT TEACHING, COMPREHENSIVE WELLNESS AND PUBLIC HEALTH PROGRAMS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense7035893Expense
Revenue8273810Revenue
DescriptionTHE AGENCY'S PRIMARY PURPOSES ARE TO PROVIDE HOME HEALTH CARE AND HOSPICE SERVICES TO RESIDENTS RESIDING IN THE CITY OF FAIRHAVEN AND SURROUNDING COMMUNITIES.Description
Total Program Service Expense7035893TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
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 Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109610NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees132NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
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 Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
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 Line1JANE STANKIEWICZBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5089926278TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line162 CENTER STREETAddressLine1
CityFAIRHAVENCity
StateMAState
ZIP Code02719ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per WeekAverageHoursPerWeekOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
RICHARD ARTHUR
MEMBERX000
PAT FLYNN
MEMBERX000
LINDA BURKE
MEMBERX000
RUTH GLICKSMAN
MEMBERX000
JOAN HEALY
MEMBERX000
FREDERIC HOOD
MEMBERX000
ROSEMARY QUINN
MEMBERX000
ELIZABETH WEINBERG
MEMBERX000
CALVIN SIEGAL
TREASURERX000
JUNE SMITH
CHAIRPERSONX000
ERIC STRAND
VICE CHAIRPERSONX000
JANE STANKIEWICZ
CEO17931801093235.00X
RANDY MANCHESTER
CFO14593001268335.00X
SUSAN SULLIVAN
IT/QA MANAGER10470701787935.00X
FieldValueIRS element (for citing)
Total Reportable Comp From Org429955TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation41494TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
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 Line1CMIT SOLUTIONS OF BOSTONBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1119 BRAINTREE ST SUITE 601AddressLine1
CityBOSTONCity
StateMAState
ZIP Code02134ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesIT MAINTENANCE/CONSULTINGDescriptionOfServices
Compensation138502Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Federated Campaigns25912FederatedCampaigns
Government Grants115223GovernmentGrants
All Other Contributions119655AllOtherContributions
Total Contributions260790TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionHOME CARE AND HOSPICEDescription
Business Code621610BusinessCode
Total Revenue Column8273810TotalRevenueColumn
Related Or Exempt Function Income8273810RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue8273810TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column20583TotalRevenueColumn
Exclusion$20,583ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events148592GrossIncomeFundraisingEvents
Fundraising Direct Expenses36763FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column111829TotalRevenueColumn
Exclusion$111,829ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column8667012TotalRevenueColumn
Related Or Exempt Function Income8273810RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$132,412ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total348863Total
Management And General348863ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4862400Total
Program Services4197362ProgramServices
Management And General665038ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total77601Total
Program Services62787ProgramServices
Management And General14814ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total371035Total
Program Services300204ProgramServices
Management And General70831ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total415012Total
Program Services335786ProgramServices
Management And General79226ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total3663Total
Management And General3663ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total40200Total
Management And General40200ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1133690Total
Program Services928664ProgramServices
Management And General205026ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total48273Total
Program Services39058ProgramServices
Management And General9215ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total80327Total
Program Services64993ProgramServices
Management And General15334ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total124259Total
Program Services100538ProgramServices
Management And General23721ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total57889Total
Program Services46838ProgramServices
Management And General11051ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total138600Total
Program Services120644ProgramServices
Management And General17956ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total46053Total
Program Services37261ProgramServices
Management And General8792ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total41190Total
Program Services33327ProgramServices
Management And General7863ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total28414Total
Program Services22990ProgramServices
Management And General5424ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PROGRAM SUPPLIES284128284128
OTHER EXPENSES21387417304540829
TELEPHONE13560110971525886
PRINTING AND PUBLICATIO1096418871120930
EQUIPMENT RENTAL/REPAIR585964741011186

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total43950Total
Program Services42432ProgramServices
Management And General1518ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8663259Total
Program Services7035893ProgramServices
Management And General1627366ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2304039BOY
EOY2108155EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY19646BOY
EOY33352EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY970147BOY
EOY898892EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY190507BOY
EOY215979EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1082747LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec773941LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY319769BOY
EOY308806EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY771678BOY
EOY919541EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4575786BOY
EOY4484725EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY992253BOY
EOY814971EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY372441BOY
EOY337639EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1364694BOY
EOY1152610EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2672255BOY
EOY2678386EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2378BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY536459BOY
EOY653729EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3211092BOY
EOY3332115EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4575786BOY
EOY4484725EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses3753ReconcilationRevenueExpenses
Reconcilation Other Changes117270ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 Years520038CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years543943CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years301067CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year294223CurrentTaxYearMinus1Year
Current Tax Year260790CurrentTaxYear
Total1920061Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6957699CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8002042CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8501007CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8774895CurrentTaxYearMinus1Year
Current Tax Year8273810CurrentTaxYear
Total40509453Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7477737CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8545985CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8802074CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9069118CurrentTaxYearMinus1Year
Current Tax Year8534600CurrentTaxYear
Total42429514Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years10000CurrentTaxYearMinus2Years
Total10000Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years10000CurrentTaxYearMinus2Years
Total10000Total
FieldValueIRS element (for citing)
Public Support Total50942419514PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years40740CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years54268CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years45556CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year20938CurrentTaxYearMinus1Year
Current Tax Year20583CurrentTaxYear
Total182085Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years40740CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years54268CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years45556CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year20938CurrentTaxYearMinus1Year
Current Tax Year20583CurrentTaxYear
Total182085Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7518477CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8600253CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8847630CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9090056CurrentTaxYearMinus1Year
Current Tax Year8555183CurrentTaxYear
Total42611599Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99550PublicSupportPercentage509
Prior Year Support Percentage0.99500PriorYearSupportPercentage
Investment Income Percentage0.00430InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00470PriorYrInvestIncomePercentage
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 D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis71200OtherCostOrOtherBasis
Book Value71200BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis452832OtherCostOrOtherBasis
Depreciation278685Depreciation
Book Value174147BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis558715OtherCostOrOtherBasis
Depreciation495256Depreciation
Book Value63459BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings308806TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
ASSETS LIMITED AS TO USE174650
BENEFICIAL INTEREST IN PERPETUAL TRUST653729
DUE FROM AFFILIATE91162
FieldValueIRS element (for citing)
Total Book Value Other Assets919541TotalBookValueOtherAssets
Total Revenue8667012TotalRevenue
Total Expenses8663259TotalExpenses
Excess Or Deficit For Year3753ExcessOrDeficitForYear
Other$117,270OtherAmount
Total Adjustments117270TotalAdjustments
Excess Or Deficit Per FS121023ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt8667012TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal8667012RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9908667012TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt8663259TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal8663259ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9908663259TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierExplanationExplanation
PART XI, LINE 8 - OTHER ADJUSTMENTS:CHANGE IN MARKET VALUE OF PERPETUAL TRUST 117,270.
INCOME TAXES 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 ASSOCIATIONS TAX POSITIONS AND CONCLUDED THAT THE ASSOCIATION HAS NO UNRELATED BUSINESS INCOME OR UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GALA EVENTNameOfEvent1
Gross Receipts Event149129GrossReceiptsEvent1
Gross Revenue Event149129GrossRevenueEvent1
Other Direct Expenses Event112332OtherDirectExpensesEvent1
Name Of Event2CHEST FESTNameOfEvent2
Gross Receipts Event210163GrossReceiptsEvent2
Gross Revenue Event210163GrossRevenueEvent2
Other Direct Expenses Event2171OtherDirectExpensesEvent2
Total Number Of Other Events3TotalNumberOfOtherEvents
Gross Receipts Other Events28939GrossReceiptsOtherEvents
Gross Revenue Other Events28939GrossRevenueOtherEvents
Other Direct Expenses Other Events9195OtherDirectExpensesOtherEvents
Gross Receipts Total88231GrossReceiptsTotal
Gross Revenue Total Events88231GrossRevenueTotalEvents
Other Direct Expenses Total Events21698OtherDirectExpensesTotalEvents
Direct Expense Summary Events21698DirectExpenseSummaryEvents
Net Income Summary66533NetIncomeSummary

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 Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JANE STANKIEWICZ
15631802300000000109320190250000
RANDY MANCHESTER
12693001900000000126830158613000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 7ReturnReference
ExplanationEMPLOYEE APPRECIATION BONUSES WERE AWARDED TO EMPLOYEES INCLUDING THE OFFICERS.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11THE BOARD TREASURER RECEIVES AND REVIEWS THE 990, AND ALL OTHER BOARD MEMBERS ARE NOTIFIED THAT THERE IS A COPY AVAILABLE FOR REVIEW AT THE ASSOCIATION.
THE BOARD OF DIRECTORS REVIEWS ANNUALLY AND DISCLOSES ANY CONFLICTS.FORM 990, PART VI, SECTION B, LINE 12C
CEO AND CFO SALARIES AND BENEFITS ARE COMPARED WITH OTHER LIKE ORGANIZATION'S BY THE BOARD AND THE BOARD APPROVES THEIR SALARIES.FORM 990, PART VI, SECTION B, LINE 15
UPON REQUESTFORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:CHANGE IN MARKET VALUE OF PERPETUAL TRUST 117,270. TOTAL TO FORM 990, PART XI, LINE 5: 117,270.FORM 990, PART XI, LINE 5:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY NURSE PRIVATE CARE INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line162 CENTER STREETAddressLine1
CityFAIRHAVENCity
StateMAState
ZIP Code02719ZIPCode
FieldValueIRS element (for citing)
EIN300596585EIN
Primary ActivitiesPRIVATE DUTY SERVICESPrimaryActivities
Legal Domicile StateMALegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status509 (A) (2)PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org1ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
COMMUNITY NURSE PRIVATE CARE INC
N911524FMV
COMMUNITY NURSE PRIVATE CARE INC
M60000FMV

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