ATLANTIC HEALTH SYSTEM: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- ATLANTIC HEALTH SYSTEM (EIN 22-2865641)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-11-12
- IRS object ID
- 202033179349304018
- Schema version
- 2019v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-11-12T12:08:01-06:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 221866743 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GERMAN VREELAND & ASSOCIATES LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2 RIDGEDALE AVE SUITE 300 | AddressLine1Txt |
| City | CEDAR KNOLLS | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 079271119 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222865641 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ADULT DAY CENTER OF THE VISITING | BusinessNameLine1Txt |
| Business Name Line2 | NURSE ASSOCIATION OF SOMERSET HILLS | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ADUL | BusinessNameControlTxt |
| Phone | 9087660180 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 MOUNT AIRY ROAD | AddressLine1Txt |
| City | BASKING RIDGE | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07920 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAN POWELL | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 9086471077 | PhoneNum |
| Signature | 2020-08-28 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | VICTOR MAISANO CPA | PreparerPersonNm |
| PTIN | P00359999 | PTIN |
| Phone | 9736052777 | PhoneNum |
| Preparation | 2020-11-12 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 47.21.148.26 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-11-12 | IPDt |
| IP Tm | 12:08:01 | IPTm |
| IP Timezone | CS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 0988D9FB492933F92E5F1F50824D3900D067B770 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 0988D9FB492933F92E5F1F50824D3900D067B770 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DAN POWELL | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 MOUNT AIRY ROAD | AddressLine1Txt |
| City | BASKING RIDGE | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07920 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $389,080 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.VISITINGNURSE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1988 | FormationYr |
| Legal Domicile State | NJ | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE INDIVIDUALS AND FAMILIES WITH COMPREHENSIVE, HIGH QUALITY, COST-EFFECTIVE HOME AND COMMUNITY HEALTH CARE SERVICES, REGARDLESS OF ABILITY TO PAY, USING PARTNERSHIPS WHERE APPROPRIATE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 18 | VotingMembersIndependentCnt |
| Total Employee | 9 | TotalEmployeeCnt |
| Total Volunteers | 20 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $54,072 | PYContributionsGrantsAmt |
| CY Contributions Grants | $55,103 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $273,669 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $327,646 | CYProgramServiceRevenueAmt |
| PY Investment Income | $539 | PYInvestmentIncomeAmt |
| CY Investment Income | $946 | CYInvestmentIncomeAmt |
| PY Other Revenue | $5,916 | PYOtherRevenueAmt |
| CY Other Revenue | $5,385 | CYOtherRevenueAmt |
| PY Total Revenue | $334,196 | PYTotalRevenueAmt |
| CY Total Revenue | $389,080 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $228,186 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $258,741 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $296,659 | PYOtherExpensesAmt |
| CY Other Expenses | $306,758 | CYOtherExpensesAmt |
| PY Total Expenses | $524,845 | PYTotalExpensesAmt |
| CY Total Expenses | $565,499 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$190,649 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$176,419 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $237,582 | TotalAssetsBOYAmt |
| Total Assets EOY | $107,083 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $38,306 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $84,226 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $199,276 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $22,857 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE INDIVIDUALS AND FAMILIES WITH COMPREHENSIVE, HIGH QUALITY, COST-EFFECTIVE HOME AND COMMUNITY HEALTH CARE SERVICES, REGARDLESS OF ABILITY TO PAY, USING PARTNERSHIPS WHERE APPROPRIATE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $371,320 | ExpenseAmt |
| Revenue | $328,146 | RevenueAmt |
| Desc | GERIATRIC DAYCARE SERVICES, INCLUDING PROGRAMS OF NUTRITION, EDUCATION, AND RECREATION. | Desc |
| Total Program Service Expenses | $371,320 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 5 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 9 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 18 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NJ | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ADULT DAY CENTER OF THE VISITING NU | PersonNm |
| Phone | 9087660180 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 MOUNT AIRY ROAD | AddressLine1Txt |
| City | BASKING RIDGE | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07920 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| DAN POWELL | |||||||
| CEO | 40.00 | Yes (X) | $0 | $548,175 | $77,735 | ||
| PETER MERCER | |||||||
| CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| REGGIE YOSKOWITZ | |||||||
| 1ST VICE CHA | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| ELLIOT STEIN | |||||||
| 2ND VICE CHA | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| JAMES HELPINSTILL | |||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| KATHY CUMMINS | |||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| EVELYN PRATHER | |||||||
| TRUSTEE | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| MAUREEN ZAMPELLA | |||||||
| TRUSTEE | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| LESLEY HETHERINGTON | |||||||
| TRUSTEE | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| DENISE COYLE | |||||||
| TRUSTEE | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| JUDITH HAZLEWOOD | |||||||
| TRUSTEE | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| SUSAN LICHTENBERGER | |||||||
| TRUSTEE | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| BARBARA NIEDZ | |||||||
| TRUSTEE | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| CHARLES A REID III | |||||||
| TRUSTEE | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| JANET ROBERTSON | |||||||
| TRUSTEE | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| MYRA MCGINLEY | |||||||
| TRUSTEE | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| ROBERT GOLDBERG | |||||||
| TRUSTEE | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| ELLEN CHRISTMAN | |||||||
| TRUSTEE | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| C WALTER ZIMMERMAN | |||||||
| TRUSTEE | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| NICHOLAS K KOUYIALIS | |||||||
| VICE-PRES. F | 40.00 | Yes (X) | $0 | $237,684 | $41,424 | ||
| MARIE SPERBER | |||||||
| VICE-PRES. B | 40.00 | Yes (X) | $0 | $188,066 | $29,593 | ||
| JUDY A ADAMCSIK | |||||||
| VICE-PRES. O | 40.00 | Yes (X) | $0 | $206,873 | $31,799 | ||
| DEBRA E HOPPEL | |||||||
| DIRECTOR OF | 40.00 | $0 | $171,913 | $17,784 | Yes (X) | ||
| JENNIFER CUFF | |||||||
| NURSE | 40.00 | $0 | $113,951 | $26,968 | Yes (X) | ||
| NELA LICASTRO | |||||||
| NURSE | 40.00 | $0 | $111,175 | $15,776 | Yes (X) | ||
| RITA TRUEX | |||||||
| NURSE | 40.00 | $0 | $140,777 | $29,302 | Yes (X) | ||
| DONNA R LONGOSZ | |||||||
| PHYSICAL THE | 40.00 | $0 | $112,435 | $6,730 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Reportable Comp Rltd Org | $1,831,049 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $277,111 | TotalOtherCompensationAmt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Fundraising | $20,000 | FundraisingAmt |
| All Other Contributions | $35,103 | AllOtherContributionsAmt |
| Total Contributions | $55,103 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| DAYCARE FEES | 621610 | $322,741 | $322,741 |
| SALES TO AFFILIATES | $4,905 | $4,905 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $327,646 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $946 | TotalRevenueColumnAmt |
| Exclusion | $946 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $4,885 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $20,000 | ContriRptFundraisingEventAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,885 | TotalRevenueColumnAmt |
| Exclusion | $4,885 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $500 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $500 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $500 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $389,080 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $328,146 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $5,831 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $220,931 | TotalAmt |
| Program Services | $220,931 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,182 | TotalAmt |
| Program Services | $23,182 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,628 | TotalAmt |
| Program Services | $14,628 | ProgramServicesAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $265,938 | TotalAmt |
| Program Services | $71,759 | ProgramServicesAmt |
| Management And General | $194,179 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,754 | TotalAmt |
| Program Services | $10,754 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $620 | TotalAmt |
| Program Services | $620 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| MUSIC THERAPY | $23,612 | $23,612 |
| PAYROLL SERVICE | $2,416 | $2,416 |
| MISCELLANEOUS | $2,101 | $2,101 |
| COMMUNICATION SERVICES | $748 | $748 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $569 | TotalAmt |
| Program Services | $569 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $565,499 | TotalAmt |
| Program Services | $371,320 | ProgramServicesAmt |
| Management And General | $194,179 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $224,121 | BOYAmt |
| EOY | $89,121 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,747 | BOYAmt |
| EOY | $12,868 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $8,598 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,504 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,714 | BOYAmt |
| EOY | $5,094 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $237,582 | BOYAmt |
| EOY | $107,083 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,760 | BOYAmt |
| EOY | $22,835 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,546 | BOYAmt |
| EOY | $13,225 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $48,166 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,306 | BOYAmt |
| EOY | $84,226 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $199,276 | BOYAmt |
| EOY | $22,857 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $199,276 | BOYAmt |
| EOY | $22,857 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $237,582 | BOYAmt |
| EOY | $107,083 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$176,419 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $85,773 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $69,248 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $59,983 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $54,072 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $55,103 | CurrentTaxYearAmt |
| Total | $324,179 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $85,773 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $69,248 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $59,983 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $54,072 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $55,103 | CurrentTaxYearAmt |
| Total | $324,179 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $324,179 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $178 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $252 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $240 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $539 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $946 | CurrentTaxYearAmt |
| Total | $2,155 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $35,633 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $24,375 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,729 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,416 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,885 | CurrentTaxYearAmt |
| Total | $85,038 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $411,372 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $776,806 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.78800 | PublicSupportCY170Pct |
| Public Support PY170 | 0.75370 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,598 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,504 | DepreciationAmt |
| Book Value | $5,094 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $5,094 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO AFFILIATED ORGANIZATION | Desc |
| Amt | $48,166 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $48,166 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PAGE 3, PART X | FormAndLineReferenceDesc |
| Explanation | THE ASSOCIATION FOLLOWS FASB ASC 740 "INCOME TAXES" WHICH CLARIFIES THE ACCOUNTING AND RECOGNITION FOR TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN. THE ASSOCIATION RECOGNIZES THE TAX BENEFITS FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT, BASED ON THE TECHNICAL MERITS, THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITY. FOR THE YEAR ENDED DECEMBER 31, 2019, THE ASSOCIATION HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAINTIES IN INCOME TAXES. IN ADDITION, THE ASSOCIATION HAS NOT INCURRED ANY INCOME TAX RELATED PENALTIES OR INTEREST FOR THE YEAR ENDED DECEMBER 31, 2019, AND IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE INTERNAL REVENUE SERVICE FOR THE YEARS PRIOR TO 2016. | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF | Event1Nm |
| Gross Receipts Event1 | $20,000 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $20,000 | CharitableContriEvent1Amt |
| Gross Receipts Total | $20,000 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $20,000 | CharitableContributionsTotAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt |
|---|---|---|---|---|---|
| DAN POWELL | |||||
| CEO | $393,175 | $155,000 | $46,800 | $30,935 | $625,910 |
| NICHOLAS K KOUYIALIS | |||||
| VICE-PRES. FINANCE | $208,684 | $29,000 | $26,072 | $15,352 | $279,108 |
| MARIE SPERBER | |||||
| VICE-PRES. BUSINESS | $169,066 | $19,000 | $21,285 | $8,308 | $217,659 |
| JUDY A ADAMCSIK | |||||
| VICE-PRES. OPERATION | $185,373 | $21,500 | $21,531 | $10,268 | $238,672 |
| DEBRA E HOPPEL | |||||
| DIRECTOR OF HOSPICE | $157,663 | $14,250 | $17,784 | $189,697 | |
| RITA TRUEX | |||||
| NURSE | $121,777 | $19,000 | $18,592 | $10,710 | $170,079 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PAGE 1, PART I, LINE 4 | FormAndLineReferenceDesc |
| Explanation | DAN POWELL 0 30,000 0 NICHOLAS K. KOUYIALIS 0 11,500 0 MARIE SPERBER 0 10,000 0 JUDY A. ADAMCSIK 0 9,000 0 DEBRA E. HOPPEL 0 7,500 0 RITA TRUEX 0 10,000 0 | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 | ON MARCH 12, 2019 THE ORGANIZATION SIGNED A NON-BINDING LETTER OF INTENT TO AFFILIATE WITH ATLANTIC HEALTH SYSTEM (THE "SYSTEM") IN NEW JERSEY, AND ON JANUARY 1, 2020 THE AFFILIATION WAS EXECUTED. THE ORGANIZATION BECAME A SUBSIDIARY OF THE SYSTEM THAT BECAME THE SOLE MEMBER OF THE ORGANIZATION. THE ORGANIZATION WAS RENAMED ATLANTIC VISITING NURSE AND IS RESPONSIBLE FOR ALL HOME HEALTH CARE AND HOSPICE SERVICES PROVIDED BY THE SYSTEM. IT WILL OPERATE UNDER THE EMPLOYER IDENTIFICATION NUMBER OF ATLANTIC VISITING NURSE. THE ORGANIZATION WILL CONTINUE TO OPERATE TO WRAP-UP ALL BUSINESS OPERATIONS AND A FINAL 990 WILL ULTIMATELY BE FILED. |
| FORM 990, PAGE 1, PART I, LINE 6 | VOLUNTEERS PROVIDE VARIOUS SUPPORT SERVICES FOR THE ORGANIZATION. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE BOARD OF TRUSTEES REVIEWS THE 990 PRIOR TO FILING. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE BOARD OF TRUSTEES ANNUALLY UPDATES AND SIGNS A STATEMENT DISCLOSING INTERESTS THAT COULD GIVE RISE TO CONFLICT. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES REVIEWS ANNUALLY THE PERFORMANCE AND COMPENSATION OF THE EXECUTIVE DIRECTOR. |
| FORM 990, PAGE 6, PART VI, LINE 15B | THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES REVIEWS ANNUALLY THE PERFORMANCE AND COMPENSATION OF ANY OTHER OFFICERS OR KEY EMPLOYEES. |
| FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| VISITING NURSE ASSOCIATION OF SOMER | ||||||||||
| 200 MOUNT AIRY ROAD | BASKING RIDGE | NJ | 07920 | 222888648 | MANAGEMENT | NJ | 501C | 7 | NA | false |
| VISITING NURSE ASSOC OF SH COMMUNI | ||||||||||
| 200 MOUNT AIRY ROAD | BASKING RIDGE | NJ | 07920 | 223413041 | HEALTH | NJ | 501C | 10 | VNA OF SH | false |
| VISITING NURSE ASSOCIATION OF SH HO | ||||||||||
| 200 MOUNT AIRY ROAD | BASKING RIDGE | NJ | 07920 | 221487373 | HEALTH | NJ | 501C | 7 | VNA OF SH | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| VISITING NURSE ASSOCIATION OF SOMER | ||
| M | $265,938 | FAIR MARKET VALUE |
| VNA COMMUNITY HEALTH SERVICES | ||
| L | $4,905 | FAIR MARKET VALUE |