STRATEGY STUDIO / PUBLIC DATA EXPLORER

CROTCHED MOUNTAIN COMMUNITY CARE INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
CROTCHED MOUNTAIN COMMUNITY CARE INC (EIN 02-0404562)
Tax period
2013-07-01 to 2014-06-30
Filed
2015-05-12
IRS object ID
201541329349301719
Schema version
2013v4.0
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

FieldValueIRS element (for citing)
Return2015-05-12T10:33:50-05:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN010523282PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Berry Dunn McNeil & Parker LLCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO Box 1100AddressLine1
CityPortlandCity
StateMEState
ZIP Code041041100ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN020404562EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Crotched Mountain Community Care IncBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlCROTBusinessNameControlTxt
Phone6035473311PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 Verney DriveAddressLine1
CityGreenfieldCity
StateNHState
ZIP Code03047ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonThomas ZubrickiPersonNm
Person TitleCFO & TreasurerPersonTitleTxt
Phone6035473311PhoneNum
Signature2015-05-05SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBarbara J McGuan CPAPreparerPersonNm
PTINP00219457PTIN
Phone2077752387PhoneNum
Preparation2015-05-05PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-04-25 22:37:26ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDonald L ShumwayPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 Verney DriveAddressLine1
CityGreenfieldCity
StateNHState
ZIP Code03047ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$2,876,672GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.cmf.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1986FormationYr
Legal Domicile StateNHLegalDomicileStateCd
Activity Or MissionCrotched 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 Body5VotingMembersGoverningBodyCnt
Voting Members Independent2VotingMembersIndependentCnt
Total Employee35TotalEmployeeCnt
Total Volunteers6TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$94,611PYContributionsGrantsAmt
CY Contributions Grants$110,504CYContributionsGrantsAmt
PY Program Service Revenue$2,726,816PYProgramServiceRevenueAmt
CY Program Service Revenue$2,766,168CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$2,821,427PYTotalRevenueAmt
CY Total Revenue$2,876,672CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,807,696PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,822,281CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$895,157PYOtherExpensesAmt
CY Other Expenses$892,299CYOtherExpensesAmt
PY Total Expenses$2,702,853PYTotalExpensesAmt
CY Total Expenses$2,714,580CYTotalExpensesAmt
PY Revenues Less Expenses$118,574PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$162,092CYRevenuesLessExpensesAmt
Total Assets BOY$971,388TotalAssetsBOYAmt
Total Assets EOY$1,114,417TotalAssetsEOYAmt
Total Liabilities BOY$163,868TotalLiabilitiesBOYAmt
Total Liabilities EOY$153,821TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$807,520NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$960,596NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionThe 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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$2,117,359ExpenseAmt
Revenue$2,377,614RevenueAmt
DescCrotched 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

FieldValueIRS element (for citing)
Expense$427,681ExpenseAmt
Revenue$388,554RevenueAmt
DescCrotched 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
FieldValueIRS element (for citing)
Total Program Service Expenses$2,545,040TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document7IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee35EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member2IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Thomas ZubrickiBusinessNameLine1
FieldValueIRS element (for citing)
Phone6035473311PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 Verney DriveAddressLine1
CityGreenfieldCity
StateNHState
ZIP Code03047ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
James W Varnum
Chairman0.504.50Yes (X)Yes (X)$0$0$0
Deanna S Howard
Past Chairman0.504.50Yes (X)Yes (X)$0$0$0
Marshall Rowe
Vice Chairman0.504.50Yes (X)Yes (X)$0$0$0
Cynthia Yuknewicz
Past Vice Chairman0.504.50Yes (X)Yes (X)$0$0$0
Benjamin F Gayman
Secretary0.504.50Yes (X)Yes (X)$0$0$0
Donald L Shumway
President & CEO0.5044.00Yes (X)Yes (X)$0$256,044$0
David H Barnes
Director0.504.50Yes (X)$0$0$0
Michael Redmond
Vice President0.5044.00Yes (X)$0$165,036$14,683
Margaret Lins
Vice President40.000.00Yes (X)$85,501$0$6,835
Deborah DeCicco
Assistant Secretary0.5044.00Yes (X)$0$46,571$8,841
Thomas Zubricki
CFO & Treasurer0.5044.00Yes (X)$0$153,257$12,032
FieldValueIRS element (for citing)
Total Reportable Comp From Org$85,501TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$620,908TotReportableCompRltdOrgAmt
Total Other Compensation$42,391TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Personal TouchBusinessNameLine1

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line15 Dartmouth Drive Suite 302AddressLine1
CityLondonderryCity
StateNHState
ZIP Code03053ZIPCode
FieldValueIRS element (for citing)
ServicesNursing ServicesServicesDesc
Compensation$207,608CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Related Organizations$25,377RelatedOrganizationsAmt
All Other Contributions$85,127AllOtherContributionsAmt
Total Contributions$110,504TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Care Management Fees624310$2,719,838$2,719,838
Other Income624310$46,330$46,330
FieldValueIRS element (for citing)
Total Program Service Revenue$2,766,168TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,876,672TotalRevenueColumnAmt
Related Or Exempt Func Income$2,766,168RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$92,336TotalAmt
Program Services$86,569ProgramServicesAmt
Management And General$5,767ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,370,886TotalAmt
Program Services$1,285,267ProgramServicesAmt
Management And General$85,619ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$251,946TotalAmt
Program Services$236,211ProgramServicesAmt
Management And General$15,735ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$107,113TotalAmt
Program Services$100,423ProgramServicesAmt
Management And General$6,690ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$165,894TotalAmt
Program Services$155,533ProgramServicesAmt
Management And General$10,361ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$390,175TotalAmt
Program Services$365,807ProgramServicesAmt
Management And General$24,368ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$753TotalAmt
Program Services$706ProgramServicesAmt
Management And General$47ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$78,711TotalAmt
Program Services$73,795ProgramServicesAmt
Management And General$4,916ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$5,242TotalAmt
Program Services$4,915ProgramServicesAmt
Management And General$327ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$147,893TotalAmt
Program Services$138,656ProgramServicesAmt
Management And General$9,237ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$62,215TotalAmt
Program Services$58,329ProgramServicesAmt
Management And General$3,886ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$211TotalAmt
Program Services$198ProgramServicesAmt
Management And General$13ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,645TotalAmt
Program Services$3,417ProgramServicesAmt
Management And General$228ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Miscellaneous Expense$36,684$34,393$2,291
Supplies$876$821$55

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,714,580TotalAmt
Program Services$2,545,040ProgramServicesAmt
Management And General$169,540ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$43,008BOYAmt
EOY$568,277EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$78,035BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$442,257BOYAmt
EOY$246,743EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$7,574BOYAmt
EOY$7,574EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$223,674LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$216,226LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$11,092BOYAmt
EOY$7,448EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$389,422BOYAmt
EOY$284,375EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$971,388BOYAmt
EOY$1,114,417EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$163,868BOYAmt
EOY$153,821EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$163,868BOYAmt
EOY$153,821EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$668,962BOYAmt
EOY$831,055EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$97,187BOYAmt
EOY$90,358EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$41,371BOYAmt
EOY$39,183EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$807,520BOYAmt
EOY$960,596EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$971,388BOYAmt
EOY$1,114,417EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$162,092ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$9,016OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$103,965CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$21,684CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,939CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$94,611CurrentTaxYearMinus1YearAmt
Current Tax Year$110,504CurrentTaxYearAmt
Total$350,703TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,835,316CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,871,230CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,694,768CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,726,816CurrentTaxYearMinus1YearAmt
Current Tax Year$2,766,168CurrentTaxYearAmt
Total$13,894,298TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,939,281CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,892,914CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,714,707CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,821,427CurrentTaxYearMinus1YearAmt
Current Tax Year$2,876,672CurrentTaxYearAmt
Total$14,245,001TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$14,245,001PublicSupportTotal509Amt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,939,281CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,892,914CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,714,707CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,821,427CurrentTaxYearMinus1YearAmt
Current Tax Year$2,876,672CurrentTaxYearAmt
Total$14,245,001TotalAmt
FieldValueIRS element (for citing)
Public Support CY5091.00000PublicSupportCY509Pct
Public Support PY5091.00000PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$223,674OtherCostOrOtherBasisAmt
Depreciation$216,226DepreciationAmt
Book Value$7,448BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$7,448TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
Interest in Net Assets of Crotched Mountain Foundation$129,541
Due from Affiliates$154,834
FieldValueIRS element (for citing)
Total Book Value Other Assets$284,375TotalBookValueOtherAssetsAmt
Total Rev Etc Audited Fincl Stmt$2,867,656TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$2,867,656RevenueSubtotalAmt
Other Revenues Not Included$9,016OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$9,016RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$2,876,672TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,714,580TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$2,714,580ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$2,714,580TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart XI, Line 4b - Other Adjustments:FormAndLineReferenceDesc
ExplanationChange in Interest in Net Assets of CMF 9,016.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Donald L Shumway
President & CEO$0$256,044$0$0$0$0$0$0$0$0$0$256,044$0$0
Michael Redmond
Vice President$0$165,036$0$0$0$0$0$0$0$14,683$0$179,719$0$0
Thomas Zubricki
CFO & Treasurer$0$153,257$0$0$0$0$0$0$0$12,032$0$165,289$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceRelated organization:FormAndLineReferenceDesc
ExplanationAll 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 ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 2Benjamin Gayman and David Barnes are both Shareholders and Directors of Devine, Millimet & Branch.
Form 990, Part VI, Section B, line 11Form 990 is reviewed by the Organization's Board of Directors before it is filed.
Form 990, Part VI, Section B, line 12cAn 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 15The 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 19The Organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.
Form 990, Part IX, line 11gOther Fees: Program service expenses 365,807. Management and general expenses 24,368. Fundraising expenses 0. Total expenses 390,175.
Form 990, Part XI, line 9:Change in Interest in Net Assets of CMF -9,016.
Form 990, Part XII, Line 2cThe audit process has not changed from the prior year.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Crotched Mountain Foundation
1 Verney DriveGreenfieldNH03047020222168Rehabilitative and Residential SupportNH501(c)(3)Line 7N/A0
Crotched Mountain Rehabilitation Center
1 Verney DriveGreenfieldNH03047222541478Rehabilitative Care FacilityNH501(c)(3)Line 20Crotched Mountain Foundation
CMRS Inc
1 Verney DriveGreenfieldNH03047222849875Care Management FacilityNH501(c)(3)Line 90Crotched Mountain Foundation
CMRS II Inc
1 Verney DriveGreenfieldNH03047222540660Residential and Day SupportNH501(c)(3)Line 90Crotched Mountain Foundation
CMRS IV Inc
1 Verney DriveGreenfieldNH03047223292356Residential and Day SupportNH501(c)(3)Line 90Crotched Mountain Foundation
CMRS Whitefield Inc
1 Verney DriveGreenfieldNH03047222540983Residential and Day SupportNH501(c)(3)Line 90Crotched Mountain Foundation
Crotched Mountain of New York I East Greenbush Inc
1 Verney DriveGreenfieldNH03047141785202Residential and Day SupportNH501(c)(3)Line 90Crotched Mountain Foundation
NH Assistive Technology Center
1 Verney DriveGreenfieldNH03047020488042Home Healthcare Services DeliveryNH501(c)(3)Line 70Crotched Mountain Foundation
Sunnyfield Farm Inc
1 Verney DriveGreenfieldNH03047201700093Vocational and Social SupportNH501(c)(3)Line 11a, I0Crotched Mountain Foundation

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Entity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
C-MAT Inc
1 Verney DriveGreenfieldNH03047550838643Medical Equipment WholesalerNHCrotched Mountain FoundationC0
CRUT Frank W Bartlett Trust
C/O Debra A Green Bank of America NNew YorkNY10036Perpetual TrustNHCrotched Mountain FoundationT0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd