CROTCHED MOUNTAIN COMMUNITY CARE INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- CROTCHED MOUNTAIN COMMUNITY CARE INC (EIN 02-0404562)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2016-05-12
- IRS object ID
- 201641339349302239
- Schema version
- 2014v6.0
- 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 | 2016-05-12T11:02:44-05:00 | ReturnTs |
| Tax Period End | 2015-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 010523282 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Berry Dunn McNeil & Parker LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 1100 | AddressLine1Txt |
| City | Portland | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 041041100 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020404562 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Crotched Mountain Community Care Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CROT | BusinessNameControlTxt |
| Phone | 6035473311 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 Verney Drive | AddressLine1Txt |
| City | Greenfield | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03047 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Thomas Zubricki | PersonNm |
| Person Title | CFO & Treasurer | PersonTitleTxt |
| Phone | 6035473311 | PhoneNum |
| Signature | 2016-05-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Barbara J McGuan CPA | PreparerPersonNm |
| PTIN | P00219457 | PTIN |
| Phone | 2077752387 | PhoneNum |
| Preparation | 2016-05-11 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Donald L Shumway | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 Verney Drive | AddressLine1Txt |
| City | Greenfield | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03047 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,916,967 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.cmf.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1986 | FormationYr |
| Legal Domicile State | NH | LegalDomicileStateCd |
| Activity Or Mission | Crotched Mountain Community Care provides care management and care coordination services to seniors and adults with disabilities so that they can continue to live in their own homes. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 3 | VotingMembersIndependentCnt |
| Total Employee | 30 | TotalEmployeeCnt |
| Total Volunteers | 6 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $110,504 | PYContributionsGrantsAmt |
| CY Contributions Grants | $53,475 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,766,168 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,863,492 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $2,876,672 | PYTotalRevenueAmt |
| CY Total Revenue | $2,916,967 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,822,281 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,889,302 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $892,299 | PYOtherExpensesAmt |
| CY Other Expenses | $947,297 | CYOtherExpensesAmt |
| PY Total Expenses | $2,714,580 | PYTotalExpensesAmt |
| CY Total Expenses | $2,836,599 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $162,092 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $80,368 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,114,417 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,189,045 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $153,821 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $172,100 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $960,596 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,016,945 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | The mission of Crotched Mountain Community Care, Inc. is to provide quality support, advocacy, and community connections to residents of New Hampshire, including caregivers, their family members, and individuals who are seeking to achieve and maintain a safe and healthy lifestyle at home in their community. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $2,076,183 | ExpenseAmt |
| Revenue | $2,289,266 | RevenueAmt |
| Desc | Crotched Mountain began our Community Care program in 1986. CMCC provides quality support, advocacy, and community connections to residents of New Hampshire, including caregivers, their family members, and individuals who are seeking to achieve and maintain a safe and healthy lifestyle at home in their community. Our care management services include: in-home assessment; development of a plan of care; referrals to home care agencies to provide the care needed to continue living independently and safely in your home; ongoing monitoring of the care plan; ongoing advocacy and care coordination with the home care agencies providing care, the client's physician and any other community resources needed to meet client needs; arrangement for transportation to medical appointments as needed; a liaison to the family who may live at a distance to keep them updated and informed as to their relative's well being; assistance with applications and benefit management when necessary including state assistance programs; ongoing support, advocacy, and community connections; a sliding fee scale based on income. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $589,533 | ExpenseAmt |
| Revenue | $574,226 | RevenueAmt |
| Desc | Crotched Mountain is the fiscal agent for the ServiceLink Resource Center of Rockingham County, NH. ServiceLink Resource Centers are New Hampshire's resource for information and much more. ServiceLink Resource Centers are dedicated to helping older adults, adults with disabilities or chronic illness, and their families solve problems with a personal touch. There are no fees for eligibility for these services. ServiceLink was established in 2000 as a statewide network of locally administered programs serving every community in New Hampshire. There are 10 programs throughout the state and over 50 satellite sites. ServiceLink Centers have developed local partnerships with community organizations, businesses, and individuals to address the needs of residents and identify the concerns for older adults, adults with disabilities and/or chronic illness, and family caregivers. ServiceLink Resource Center of Rockingham County serves all residents of Rockingham County as well as anyone in need of information regarding this area. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $2,665,716 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 9 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 30 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 3 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NH | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Thomas Zubricki | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6035473311 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 Verney Drive | AddressLine1Txt |
| City | Greenfield | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03047 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| James W Varnum | |||||||
| Chairman | 0.50 | 4.50 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Marshall Rowe | |||||||
| Past Vice Chairman | 0.50 | 4.50 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Benjamin F Gayman | |||||||
| Secretary | 0.50 | 4.50 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Donald L Shumway | |||||||
| President & CEO | 0.50 | 44.00 | Yes (X) | Yes (X) | $0 | $238,047 | $0 |
| David H Barnes | |||||||
| Director | 0.50 | 4.50 | Yes (X) | $0 | $0 | $0 | |
| Bruce King | |||||||
| Vice Chairman | 0.50 | 4.50 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| James C Piet | |||||||
| Director | 0.50 | 4.50 | Yes (X) | $0 | $0 | $0 | |
| Michael Redmond | |||||||
| Vice President | 0.50 | 44.00 | Yes (X) | $0 | $153,611 | $14,646 | |
| Margaret Lins | |||||||
| Vice President | 40.00 | 0.00 | Yes (X) | $74,895 | $0 | $6,911 | |
| Deborah DeCicco | |||||||
| Assistant Secretary | 0.50 | 44.00 | Yes (X) | $0 | $49,191 | $9,327 | |
| Thomas Zubricki | |||||||
| CFO & Treasurer | 0.50 | 44.00 | Yes (X) | $0 | $169,059 | $16,287 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $74,895 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $609,908 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $47,171 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Personal Touch | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5 Dartmouth Drive Suite 302 | AddressLine1Txt |
| City | Londonderry | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03053 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | Nursing Services | ServicesDesc |
| Compensation | $222,551 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $22,215 | RelatedOrganizationsAmt |
| All Other Contributions | $31,260 | AllOtherContributionsAmt |
| Total Contributions | $53,475 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Care Management Fees | 624310 | $2,851,792 | $2,851,792 |
| Other Income | 624310 | $11,700 | $11,700 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,863,492 | TotalProgramServiceRevenueAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,916,967 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,863,492 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,806 | TotalAmt |
| Program Services | $76,878 | ProgramServicesAmt |
| Management And General | $4,928 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,465,544 | TotalAmt |
| Program Services | $1,377,257 | ProgramServicesAmt |
| Management And General | $88,287 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $230,503 | TotalAmt |
| Program Services | $216,617 | ProgramServicesAmt |
| Management And General | $13,886 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $111,449 | TotalAmt |
| Program Services | $104,735 | ProgramServicesAmt |
| Management And General | $6,714 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $165,949 | TotalAmt |
| Program Services | $155,952 | ProgramServicesAmt |
| Management And General | $9,997 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $438,268 | TotalAmt |
| Program Services | $411,866 | ProgramServicesAmt |
| Management And General | $26,402 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,213 | TotalAmt |
| Program Services | $3,019 | ProgramServicesAmt |
| Management And General | $194 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,330 | TotalAmt |
| Program Services | $69,852 | ProgramServicesAmt |
| Management And General | $4,478 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $333 | TotalAmt |
| Program Services | $313 | ProgramServicesAmt |
| Management And General | $20 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $141,619 | TotalAmt |
| Program Services | $133,088 | ProgramServicesAmt |
| Management And General | $8,531 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,740 | TotalAmt |
| Program Services | $61,780 | ProgramServicesAmt |
| Management And General | $3,960 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $742 | TotalAmt |
| Program Services | $697 | ProgramServicesAmt |
| Management And General | $45 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,933 | TotalAmt |
| Program Services | $4,636 | ProgramServicesAmt |
| Management And General | $297 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Miscellaneous Expense | $49,819 | $46,817 | $3,002 |
| Supplies | $2,351 | $2,209 | $142 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,836,599 | TotalAmt |
| Program Services | $2,665,716 | ProgramServicesAmt |
| Management And General | $170,883 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | Yes (X) | InfoInScheduleOPartXInd |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $568,277 | BOYAmt |
| EOY | $191,044 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $246,743 | BOYAmt |
| EOY | $363,876 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,574 | BOYAmt |
| EOY | $7,574 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $242,982 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $221,159 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,448 | BOYAmt |
| EOY | $21,823 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $284,375 | BOYAmt |
| EOY | $604,728 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,114,417 | BOYAmt |
| EOY | $1,189,045 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $153,821 | BOYAmt |
| EOY | $172,100 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $153,821 | BOYAmt |
| EOY | $172,100 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $831,055 | BOYAmt |
| EOY | $911,423 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,358 | BOYAmt |
| EOY | $68,409 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,183 | BOYAmt |
| EOY | $37,113 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $960,596 | BOYAmt |
| EOY | $1,016,945 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,114,417 | BOYAmt |
| EOY | $1,189,045 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $80,368 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$24,019 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $21,684 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $19,939 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $94,611 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $110,504 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $53,475 | CurrentTaxYearAmt |
| Total | $300,213 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,871,230 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,694,768 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,726,816 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,766,168 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,863,492 | CurrentTaxYearAmt |
| Total | $13,922,474 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,892,914 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,714,707 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,821,427 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,876,672 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,916,967 | CurrentTaxYearAmt |
| Total | $14,222,687 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $14,222,687 | PublicSupportTotal509Amt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,892,914 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,714,707 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,821,427 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,876,672 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,916,967 | CurrentTaxYearAmt |
| Total | $14,222,687 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 1.00000 | PublicSupportCY509Pct |
| Public Support PY509 | 1.00000 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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 | $242,982 | OtherCostOrOtherBasisAmt |
| Depreciation | $221,159 | DepreciationAmt |
| Book Value | $21,823 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $21,823 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Interest in Net Assets of Crotched Mountain Foundation | $105,522 |
| Due from Affiliates | $499,206 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $604,728 | TotalBookValueOtherAssetsAmt |
| Total Rev Etc Audited Fincl Stmt | $2,892,948 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $2,892,948 | RevenueSubtotalAmt |
| Other Revenues Not Included | $24,019 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $24,019 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $2,916,967 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $2,836,599 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $2,836,599 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $2,836,599 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part XI, Line 4b - Other Adjustments: | FormAndLineReferenceDesc |
| Explanation | Change in Interest in Net Assets of CMF 24,019. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Donald L Shumway | ||||||||||||||
| President & CEO | $0 | $238,047 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $238,047 | $0 | $0 |
| Michael Redmond | ||||||||||||||
| Vice President | $0 | $153,611 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $14,646 | $0 | $168,257 | $0 | $0 |
| Thomas Zubricki | ||||||||||||||
| CFO & Treasurer | $0 | $169,059 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $16,287 | $0 | $185,346 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Related Organization | FormAndLineReferenceDesc |
| Explanation | All officer's compensation reported as paid by a related organization was paid by Crotched Mountain Foundation. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 2 | Benjamin Gayman and David Barnes are both Shareholders and Directors of Devine, Millimet & Branch. |
| Form 990, Part VI, Section B, line 11 | Form 990 is reviewed by the Organization's Board of Directors before it is filed. |
| Form 990, Part VI, Section B, line 12c | An Annual Disclosure statement is requested by the Secretary of the Board of Directors. The Secretary follows up with all the Board members to ensure the form is submitted. Conflicts of interest, if any, are published in the local papers. The public is able to comment on disclosures that they are aware of but that may not have not been included in the publication. |
| Form 990, Part VI, Section B, line 15 | The Organization's CEO and other officers are compensated by the parent organization, Crotched Mountain Foundation. There is no compensation review conducted by the filing organization; however, Crotched Mountain Foundation's Board of Directors approve the CEO's compensation annually. They request information from compensation consultants and review other market data. For other officers, and key employees, the human resource director reviews market data in order to set salary ranges. The HR director and the CEO determine compensation. |
| Form 990, Part VI, Section C, line 19 | The Organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. |
| Form 990, Part IX, line 11g | Other Fees: Program service expenses 411,866. Management and general expenses 26,402. Fundraising expenses 0. Total expenses 438,268. |
| Form 990, Part X, Line 10: Land, Buildings, and Equipment | Section 1.263(a)-3(n) Election: Crotched Mountain Community Care, Inc. 1 Verney Drive Greenfield, NH 03047 EIN: 02-0404562 Crotched Mountain Community Care, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n). |
| Form 990, Part XI, line 9: | Change in Interest in Net Assets of CMF -24,019. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Crotched Mountain Foundation | |||||||||||
| 1 Verney Drive | Greenfield | NH | 03047 | 020222168 | Rehabilitative and Residential Support | NH | 501(c)(3) | Line 7 | N/A | 0 | |
| Crotched Mountain Rehabilitation Center | |||||||||||
| 1 Verney Drive | Greenfield | NH | 03047 | 222541478 | Rehabilitative Care Facility | NH | 501(c)(3) | Line 2 | 0 | Crotched Mountain Foundation | |
| CMRS Inc | |||||||||||
| 1 Verney Drive | Greenfield | NH | 03047 | 222849875 | Care Management Facility | NH | 501(c)(3) | Line 9 | 0 | Crotched Mountain Foundation | |
| CMRS II Inc | |||||||||||
| 1 Verney Drive | Greenfield | NH | 03047 | 222540660 | Residential and Day Support | NH | 501(c)(3) | Line 9 | 0 | Crotched Mountain Foundation | |
| CMRS IV Inc | |||||||||||
| 1 Verney Drive | Greenfield | NH | 03047 | 223292356 | Residential and Day Support | NH | 501(c)(3) | Line 9 | 0 | Crotched Mountain Foundation | |
| CMRS Whitefield Inc | |||||||||||
| 1 Verney Drive | Greenfield | NH | 03047 | 222540983 | Residential and Day Support | NH | 501(c)(3) | Line 9 | 0 | Crotched Mountain Foundation | |
| Crotched Mountain of New York I East Greenbush Inc | |||||||||||
| 1 Verney Drive | Greenfield | NH | 03047 | 141785202 | Residential and Day Support | NH | 501(c)(3) | Line 9 | 0 | Crotched Mountain Foundation | |
| NH Assistive Technology Center | |||||||||||
| 1 Verney Drive | Greenfield | NH | 03047 | 020488042 | Home Healthcare Services Delivery | NH | 501(c)(3) | Line 7 | 0 | Crotched Mountain Foundation | |
| Sunnyfield Farm Inc | |||||||||||
| 1 Verney Drive | Greenfield | NH | 03047 | 201700093 | Vocational and Social Support | NH | 501(c)(3) | Line 11a, I | 0 | Crotched Mountain Foundation | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| C-MAT Inc | |||||||||
| 1 Verney Drive | Greenfield | NH | 03047 | 550838643 | Medical Equipment Wholesaler | NH | Crotched Mountain Foundation | C | 0 |
| CRUT Frank W Bartlett Trust | |||||||||
| C/O Debra A Green Bank of America N | New York | NY | 10036 | Perpetual Trust | NH | Crotched Mountain Foundation | T | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |