2020-10-22T10:49:07-05:00 2019-12-31 410746749 CLIFTONLARSONALLEN LLP 801 CHERRY ST SUITE 1400 FORT WORTH TX 76102 990 2019-01-01 042676008 HENRY C NEVINS HOME INC HENR 9786827611 10 INGALLS COURT METHUEN MA 01844 JAMES MOCERA TREASURER 9786727611 2020-10-20 1 MICHAELA J CROMAR CPA P00895728 8178775000 2020-10-05 67.137.57.251 2020-10-20 11:25:24 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 D353FB23EEE2D018D41B9D78F944E7F27E0E4970 2019 2021-01-29 14:40:06Z JOYCE SHANNON 10 INGALLS COURT METHUEN MA 01844 14439302 0 X WWW.NEVINSFAMILY.ORG X 1979 MA TO PROVIDE MEDICAL, NURSING & REHAB CARE FOR INDIVIDUALS WHOSE FUNCTION HAS BEEN IMPAIRED. 9 9 329 83 0 0 490 5640 14452092 14411992 720 2037 10526 19633 14463828 14439302 0 0 0 0 10285513 9561359 0 0 0 4759741 5662020 15045254 15223379 -581426 -784077 10510933 13415147 8047084 11410269 2463849 2004878 THE HENRY C. NEVINS HOME, INC.'S MISSION IS TO PROVIDE COMPREHENSIVE MEDICAL, NURSING AND REHABILITATIVE CARE FOR INDIVIDUALS WHOSE FUNCTION HAS BEEN IMPAIRED BY INJURY, ILLNESS OR AGING. 0 0 13423757 14431625 NURSING HOME OPERATION - NEVINS NURSING & REHABILITATION CENTRE PROVIDES COMPREHENSIVE MEDICAL, NURSING AND REHABILITATIVE CARE FOR INDIVIDUALS WHOSE FUNCTION HAS BEEN IMPAIRED BY INJURY, ILLNESS OR AGING. 13423757 1 0 0 1 0 0 0 0 0 0 1 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 38 0 329 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 1 1 0 MA X SHARON WALSH 9786827611 10 INGALLS COURT METHUEN MA 01844 JOYCE SHANNON PRESIDENT & CEO 34.00 6.00 X 217300 0 38613 BRIAN EARNSHAW DIRECTOR OF CLINICAL OPERATIONS 40.00 0.00 X 130785 0 36142 EMMY KIMORI LPN 66.25 0.00 X 122129 0 12995 NARDA PIMENTEL RN 52.73 0.00 X 109792 0 0 SHARON WALSH DIRECTOR OF BUSINESS OPERATIONS 37.00 3.00 X 90295 0 19753 PATRICIA DEMERS CHAIRPERSON 0.40 0.60 X X 0 0 0 ELIZABETH FAWCETT CLERK 0.40 0.60 X X 0 0 0 JAMES MOCERA TREASURER 0.40 0.60 X X 0 0 0 MARIA BONANNO DIRECTOR 0.40 0.60 X 0 0 0 NOREEN WIGHT DIRECTOR 0.40 0.60 X 0 0 0 THERESE LEONE DIRECTOR 0.40 0.60 X 0 0 0 RAYMOND WROBEL DIRECTOR 0.40 0.60 X 0 0 0 CHRISTOPHER NOBILE DIRECTOR 0.40 0.60 X 0 0 0 MELISSA MARRAMA DIRECTOR ( UNTIL APRIL 2019) 0.40 0.60 X 0 0 0 DIANA SHIKRALLAH DIRECTOR 0.40 0.60 X 0 0 0 670301 0 107503 4 0 1 0 CARR ENTERPRISES INC 100 CONIFER HILL DR UNIT 315 DANVERS MA 01923 GENERAL CONTRACTOR 3943818 PREFERRED THERAPY SOLUTIONS LLC 850 SILAS DEANE HWY WETHERSHIELD CT 06109 PT, OT, ST 588193 US FOODS BOX D 3155 BOSTON MA 02241 FOOD DISTRIBUTOR 289468 PARTNERS PHARMACY 50 LAWRENCE ROAD SPRINGFIELD MA 07081 PHARMACY 274491 GERIATRIC MEDICAL SUPPLY PO BOX 2503 WOBURN MA 01888 MEDICAL SUPPLIES 118022 7 5640 5640 NURSING HOME REVENUE 623000 14411992 14411992 14411992 2037 2037 OTHER REVENUE 623990 19633 19633 19633 14439302 14431625 0 2037 255913 255913 7652823 7344625 308198 968150 895459 72691 684473 638716 45757 53081 53081 115695 115695 3517 3517 486827 329905 156922 15674 14383 1291 128774 73527 55247 345406 316208 29198 1238 1149 89 205699 185742 19957 530361 478906 51455 169388 155404 13984 MASS. STATE USER FEE AS 918027 918027 SUPPLY AND EXPENSES 866257 866257 PURCHASED SERVICES 706500 706500 BAD DEBTS 620144 620144 495432 495432 15223379 13423757 1799622 0 908641 563740 2247391 1434192 99127 63585 18574235 8233301 4827775 10340934 2427999 1012696 10510933 13415147 2407254 5978029 86558 13188 5553272 5419052 8047084 11410269 X 2463849 2004878 2463849 2004878 10510933 13415147 X -784077 325106 X X 0 1 X 1 1 1 X 64 845 650 490 5640 7689 13748637 14242965 14459322 14462618 14411992 71325534 13748701 14243810 14459972 14463108 14417632 71333223 0 0 0 71333223 2231 937 656 720 2037 6581 2231 937 656 720 2037 6581 11301 18259 8754 10526 19633 68473 13762233 14263006 14469382 14474354 14439302 71408277 0.99890 0.99900 0.00010 0.00040 X 0 0 0 0 0 0 0 0 1 3517 3517 0 PART II-B, LINE 1: MEMBERSHIP DUES PAID TO HEALTH CARE ASSOCIATIONS WHERE A PORTION OF DUES IS RELATED TO LOBBYING. 80560 80560 295146 295146 4695322 4159237 536085 10059169 1136306 8922863 3524598 2937758 586840 10340934 FUNDED RESERVES 1004612 RELATED PARTY LOANS 250 SOFTWARE, NET 7834 1012696 X 14439302 0 14439302 0 14439302 15223379 0 15223379 0 15223379 PART X, LINE 2: THE ORGANIZATION IS A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE ORGANIZATION FILES AS A TAX-EXEMPT ORGANIZATION. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, THE ORGANIZATION'S RETURNS ARE OPEN FOR EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES FOR THREE YEARS AFTER FILING. THE ORGANIZATION FOLLOWS THE POLICY FOR UNCERTAINTY IN INCOME TAXES TO BE RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THE POLICY PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PRINCIPLES FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. NO UNCERTAIN INCOME TAX POSITIONS WERE IDENTIFIED FOR THE YEAR ENDED DECEMBER 31, 2019. X X 0 0 0 0 0 0 0 0 0 JOYCE SHANNON PRESIDENT & CEO 217300 0 0 0 0 0 0 0 38613 0 255913 0 0 0 BRIAN EARNSHAW DIRECTOR OF CLINICAL OPERATIONS 130568 0 217 0 0 0 0 0 36142 0 166927 0 0 0 PART I, LINE 3 COMPENSATION REVIEW FOR CEO, EXECUTIVE DIRECTOR, OTHER OFFICERS AND KEY EMPLOYEES IS APPROVED BY INDEPENDENT PERSONS WITH THE USE OF COMPARABILITY DATA AND APPROVED BY THE BOARD OF DIRECTORS. THIS WAS LAST PERFORMED AT THE DECEMBER 2019 BOARD MEETING FOR YEAR ENDED 2019. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES THAT HAVE THE AUTHORITY TO ACT ON BEHALF OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE COMPLETE FORM 990 IS REVIEWED AND PROVIDED TO THE BOARD BEFORE FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C EACH DIRECTOR, OFFICER, EMPLOYEE, AND MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS, SHALL COMPLETE, SIGN AND DELIVER TO THE CHAIR OF THE BOARD, A CONFLICT OF INTEREST POLICY ANNUAL STATEMENT AT THE TIME OF HIS OR HER INITIAL ELECTION OR APPOINTMENT AND ANNUALLY THEREAFTER. THE CONFLICTS OF INTEREST POLICY ANNUAL STATEMENT SHALL BE IN SUCH FORM AS IS DEEMED APPROPRIATE BY THE PRESIDENT WITH ADVICE FROM THE ORGANIZATION'S COUNSEL AS NEEDED. BOARD OF DIRECTORS MEMBERS REVIEW AND SIGN THE POLICY ANNUALLY; THERE HAVE BEEN NO CONFLICTS (NO BOARD OF DIRECTORS MEMBERS DO ANY BUSINESS WITH NEVINS OR RECEIVE ANY COMP FROM NEVINS) BUT MONITORING WOULD BE THROUGH YEARLY ATTESTATION BY BOARD AND CONFLICTS WOULD BE DEALT WITH AT THAT LEVEL. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION REVIEW FOR CEO, EXECUTIVE DIRECTOR, OTHER OFFICERS AND KEY EMPLOYEES IS APPROVED BY INDEPENDENT PERSONS WITH THE USE OF COMPARABILITY DATA AND APPROVED BY THE BOARD OF DIRECTORS. APPROVED COMPENSATION IS NOTED IN THE DECEMBER 2019 BOARD OF DIRECTORS' MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: EQUITY TRANSFER FROM AFFILIATE 325,106. FORM 990, PART XII, LINE 2C THE ORGANIZATION DID NOT CHANGE EITHER ITS OVERSIGHT OR SELECTION PROCESS DURING 2019. NEVINS COMMUNITY SERVICES INC 12 INGALLS COURT METHUEN MA 01844 042210743 ELDERLY HOUSING MA 501(C)(3) LINE 10 0 NEVINS MANOR INC 10 INGALLS COURT METHUEN MA 01844 043265310 ELDERLY HOUSING MA 501(C)(3) LINE 10 0 NEVINS FAMILY OF SERVICES INC 10-12 INGALLS COURT METHUEN MA 01844 464006584 ELDERLY HOUSING MA 501(C)(3) LINE 10 0 0 0 1 1 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0