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PENACOOK PLACE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
PENACOOK PLACE INC (EIN 23-7090088)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-11
IRS object ID
201333169349301898
Schema version
2012v2.1
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)
Timestamp2013-11-11T13:43:27-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN410746749EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1300 CROWN COLONY DRIVE SUITE 310AddressLine1
CityQUINCYCity
StateMAState
ZIP Code02169ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN237090088EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PENACOOK PLACE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPENANameControl
Phone9783740707Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1150 WATER STREETAddressLine1
CityHAVERHILLCity
StateMAState
ZIP Code01830ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJULIAN RICHName
TitlePRESIDENT/CEOTitle
Phone9783740707Phone
Date Signed2013-11-06DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameROBERT DILLANName
PTINP01688008PTIN
Phone6179848100Phone
Date Prepared2013-11-06DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJULIAN RICHNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1150 WATER STREETAddressLine1
CityHAVERHILLCity
StateMAState
ZIP Code01830ZIPCode
FieldValueIRS element (for citing)
Gross Receipts13041591GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.PENACOOKPLACE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1969YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionTO PROMOTE THE HIGHEST POSSIBLE QUALITY OF LIFE FOR OUR RESIDENTS IN A CLEAN, SAFE, AND ATTRACTIVE ENVIRONMENT. TO CARE FOR OUR RESIDENTS AS WE WOULD WANT TO BE CARED FOR-THE GOLDEN RULE OF PENACOOK PLACE. TO MEET OR EXCEED THE EXPECTATIONS OF OUR RESIDENTS, AS WELL AS OTHERS WITH WHOM WE COME IN CONTACT. TO SHOW HOSPITALITY, COURTESY, COOPERATION AND RESPECT TO ALL RESIDENTS, FAMILY MEMBERS, FELLOW EMPLOYEES, VOLUNTEERS AND VISITORS. TO BE AN INTEGRAL, CONTRIBUTING PART OF THE GREATER HAVERHILL BUSINESS, EDUCATIONAL AND CULTURAL COMMUNITIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees328TotalNbrEmployees
Total Nbr Volunteers24TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year98238ContributionsGrantsPriorYear
Contributions Grants Current Year108791ContributionsGrantsCurrentYear
Program Service Revenue Prior Year13114969ProgramServiceRevenuePriorYear
Program Service Revenue CY12930057ProgramServiceRevenueCY
Investment Income Prior Year20994InvestmentIncomePriorYear
Investment Income Current Year2743InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year13234201TotalRevenuePriorYear
Total Revenue Current Year13041591TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year9340174SalariesEtcPriorYear
Salaries Etc Current Year9442453SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3910745OtherExpensePriorYear
Other Expenses Current Year3534179OtherExpensesCurrentYear
Total Expenses Prior Year13250919TotalExpensesPriorYear
Total Expenses Current Year12976632TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-16718RevenuesLessExpensesPriorYear
Revenues Less Expenses CY64959RevenuesLessExpensesCY
Total Assets BOY6562789TotalAssetsBOY
Total Assets EOY6331384TotalAssetsEOY
Total Liabilities BOY4607231TotalLiabilitiesBOY
Total Liabilities EOY4305977TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1955558NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2025407NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROMOTE THE HIGHEST POSSIBLE QUALITY OF LIFE FOR OUR RESIDENTS IN A CLEAN, SAFE AND ATTRACTIVE ENVIRONMENT. TO CARE FOR OUR RESIDENTS AS WE WOULD WANT TO BE CARED FOR-THE GOLDEN RULE OF PENACOOK PLACE. TO MEET OR EXCEED THE EXPECTATIONS OF OUR RESIDENTS, AS WELL AS OTHERS WITH WHOM WE COME IN CONTACT. TO SHOW HOSPITALITY, COURTESY, COOPERATION AND RESPECT TO ALL RESIDENTS, FAMILY MEMBERS, FELLOW EMPLOYEES, VOLUNTEERS AND VISITORS. TO BE AN INTEGRAL, CONTRIBUTING PART OF THE GREATER HAVERHILL BUSINESS, EDUCATIONAL AND CULTURAL COMMUNITIES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense11921163Expense
Revenue12930057Revenue
DescriptionPENACOOK PLACE, INC. IS A NOT-FOR-PROFIT FACILITY PROVIDING SERVICE TO PRIVATE AND PUBLICLY AIDED PATIENTS. IT OPERATES A 160 BED NURSING HOME FACILITY.Description
Total Program Service Expense11921163TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109630NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees328NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonCHARLES CARROZZANamePerson
Telephone Number9783740707TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1150 WATER STREETAddressLine1
CityHAVERHILLCity
StateMAState
ZIP Code01830ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
WILLIAM J KLUEBER
CHAIR2.00XX000
JULIAN RICH
PRESIDENT/CEO37.50XX153430030149
RONALD GOLDBERG MD
MEMBER/MEDICAL DIRECTOR2.00X000
HOWARD H BROWN
MEMBER2.00X000
FRANK NOVAK
MEMBER2.00X000
JANIS CORDISCHI
MEMBER2.00X000
KALISTER GREEN-BYRD
MEMBER2.00X000
ELAINE DALTON
MEMBER2.00X000
LUCINDA NOLET
MEMBER2.00X000
C CARY REA
MEMBER2.00X000
JOHN G ALBERT
MEMBER2.00X000
DIANE LOVALLO
MEMBER2.00X000
THOMAS L MORTIMER
1ST VICE CHAIR2.00XX000
JOAN HULL
2ND VICE CHAIR2.00XX000
RICHARD SUNDELL
TREASURER2.00XX000
CINDY MRYAN
IMMEDIATE PAST CHAIR2.00XX000
CHARLES CARROZZA
CHIEF FINANCIAL OFFICER37.50X85040016710
FRANCIS W CLEARY JR
CLERK2.00X000
LISA SALTERIO
D.O.N.40.60101263019898X
FieldValueIRS element (for citing)
Total Reportable Comp From Org339733TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation66757TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MORRISON MANAGEMENT SPECIALISTBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 102289AddressLine1
CityATLANTACity
StateGAState
ZIP Code30368ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesDIETARY SERVICESDescriptionOfServices
Compensation669052Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
All Other Contributions108791AllOtherContributions
Total Contributions108791TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT REVENUEDescription
Business Code623000BusinessCode
Total Revenue Column12930057TotalRevenueColumn
Related Or Exempt Function Income12930057RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue12930057TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2743TotalRevenueColumn
Exclusion$2,743ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column13041591TotalRevenueColumn
Related Or Exempt Function Income12930057RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2,743ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total151152Total
Management And General151152ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7721558Total
Program Services7154830ProgramServices
Management And General566728ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total959744Total
Program Services872229ProgramServices
Management And General87515ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total609999Total
Program Services554376ProgramServices
Management And General55623ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total21756Total
Management And General21756ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total19882Total
Management And General19882ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total6680Total
Management And General6680ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total3535Total
Management And General3535ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total562102Total
Program Services562102ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total18666Total
Program Services18666ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total709449Total
Program Services597743ProgramServices
Management And General111706ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total389243Total
Program Services378366ProgramServices
Management And General10877ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total11099Total
Program Services6870ProgramServices
Management And General4229ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total15786Total
Management And General15786ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total270821Total
Program Services270821ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total73740Total
Program Services73740ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
USER FEE882318882318
FOOD399011399011
BAD DEBTS119173119173
TUITION AND EDUCATION1773517735

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total13183Total
Program Services13183ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total12976632Total
Program Services11921163ProgramServices
Management And General1055469ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY597624BOY
EOY333018EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY253581BOY
EOY1474346EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1824831BOY
EOY1345107EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY254283BOY
EOY242913EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis8443587LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec6099936LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2503540BOY
EOY2343651EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY746590BOY
EOY213478EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY382340BOY
EOY378871EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6562789BOY
EOY6331384EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1365556BOY
EOY1243592EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY3241675BOY
EOY3039927EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
EOY22458EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4607231BOY
EOY4305977EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1905558BOY
EOY1963644EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY50000BOY
EOY61763EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1955558BOY
EOY2025407EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6562789BOY
EOY6331384EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses64959ReconcilationRevenueExpenses
Reconciliation Unrealized Invest4888ReconciliationUnrealizedInvest
Reconcilation Other Changes2ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years120916CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years114724CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years105111CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year98238CurrentTaxYearMinus1Year
Current Tax Year108791CurrentTaxYear
Total547780Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11802514CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12315685CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13109591CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13114968CurrentTaxYearMinus1Year
Current Tax Year12930057CurrentTaxYear
Total63272815Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11923430CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12430409CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13214702CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13213206CurrentTaxYearMinus1Year
Current Tax Year13038848CurrentTaxYear
Total63820595Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50963820595PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years75528CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years35017CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years25227CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year20994CurrentTaxYearMinus1Year
Current Tax Year2743CurrentTaxYear
Total159509Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years75528CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years35017CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years25227CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year20994CurrentTaxYearMinus1Year
Current Tax Year2743CurrentTaxYear
Total159509Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11998958CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12465426CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13239929CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13234200CurrentTaxYearMinus1Year
Current Tax Year13041591CurrentTaxYear
Total63980104Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99750PublicSupportPercentage509
Prior Year Support Percentage0.99610PriorYearSupportPercentage
Investment Income Percentage0.00250InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00390PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis30859OtherCostOrOtherBasis
Book Value30859BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6061597OtherCostOrOtherBasis
Depreciation4224521Depreciation
Book Value1837076BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2306932OtherCostOrOtherBasis
Depreciation1857696Depreciation
Book Value449236BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis44199OtherCostOrOtherBasis
Depreciation17719Depreciation
Book Value26480BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2343651TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
FUNDED RESERVE160107
DEPOSITS45042
SOFTWARE, NET4521
BOND ISSUE COSTS, NET169201
FieldValueIRS element (for citing)
Total Book Value Other Assets378871TotalBookValueOtherAssets
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt13046479TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments4888NetUnrealizedGainsInvestments
Revenue Not Rptd F9904888RevenueNotRptdF990
Revenue Subtotal13041591RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99013041591TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt12976632TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal12976632ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99012976632TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationTHE ORGANIZATION IS A NOT-FOR-PROFIT 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 ENTITY'S 2009 THROUGH 2012 TAX YEARS ARE OPEN FOR EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonJULIAN RICHNamePerson
TitlePRESIDENT/CEOTitle
Base Compensation Filing Org153430BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org30149NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org183579TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1MASSACHUSETTS DEVELOPMENT FINANCE AGENCYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN043431814IssuerEIN
Date Issued2011-11-10DateIssued
Issue Price3258000IssuePrice
Description Of PurposeTO REDEEM MDFA REVENUE REFUNDING BONDS, ISSUED MARCH 1, 2000DescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds3258000TotalProceeds
Issuance Costs From Proceeds65160IssuanceCostsFromProceeds
Other Spent Proceeds3192840OtherSpentProceeds
Year Of Subst Completion2011YearOfSubstCompletion
Current Refunding1CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Bond Iss Meet Prvt Security Pay Test0BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop0ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs1NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiled
Rebate Not Due Yet1RebateNotDueYet
Exception To Rebate0ExceptionToRebate
No Rebate Due0NoRebateDue
Variable Rate Issue1VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Written Proc To Monitor Reqs1WrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective Action1ProcToUndertkCorrectiveAction

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonFRANK NOVAKNamePerson
FieldValueIRS element (for citing)
RelationshipSPOUSE IS AN EMPLOYEE OF THE ORGANIZATIONRelationship
Amount Of Transaction55948AmountOfTransaction
Description Of TransactionNURSE SALARYDescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 1THE EXECUTIVE COMMITTEE SHALL HAVE THE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE CORPORATION, SUBJECT TO LIMITATIONS THAT MAY BE PROVIDED BY RESOLUTION OF THE BOARD OF DIRECTORS. EXECUTIVE COMMITTEE IS MADE UP OF CHAIR, VICE CHAIR, 2ND VICE CHAIR, TREASURER, CLERK AND IMMEDIATE PAST CHAIR.
FORM 990, PART VI, SECTION A, LINE 3DIETARY MANAGER AND DIETICIAN ARE FROM A MANAGEMENT COMPANY. THESE MANAGERS HAVE THE RESPONSIBILITY TO HIRE, FIRE AND SUPERVISE, RESPONSIBLE FOR THE DEPARTMENT'S BUDGET AND OVERALL MANAGEMENT OF THE DIETARY FUNCTION OF THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11CFO INITIALLY REVIEWS THE FORM 990 AND THEN REVIEWS IT WITH THE PRESIDENT/CEO OF THE ORGANIZATION. AFTER THE CFO AND PRESIDENT/CEO REVIEW THE FORM, A COPY OF THE RETURN IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW BEFORE IT IS FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CAT THE SEPTEMBER BOARD OF DIRECTOR'S MEETING, EVERY BOARD MEMBER IS GIVEN A COPY OF THE CONFLICT OF INTEREST STATEMENT TO READ AND SIGN. ALL BOARD MEMBERS ARE REQUIRED TO SIGN. THE POLICY OUTLINES THE RESTRICTIONS IMPOSED UPON THE BOARD IF ANY CONFLICT SHOULD EXIST. ALL STAFF MEMBERS ARE PRESENTED INFORMATION REGARDING ORGANIZATIONAL INTEGRITY UPON HIRE AND DURING THEIR ANNUAL ORIENTATION. CONFLICT OF INTEREST IS INCLUDED IN OUR O.I. PROGRAM AND STAFF IS REQUIRED TO REVIEW AS PART OF THEIR CONTINUED EMPLOYMENT.
FORM 990, PART VI, SECTION B, LINE 15A PERSONNEL COMMITTEE WAS ESTABLISHED AS A SUB-COMMITTEE OF THE BOARD OF DIRECTORS. THE FOCUS OF THIS GROUP IS TO REVIEW AND EVALUATE THE PRESIDENT/CEO ON AN ANNUAL BASIS, THE PERSONNEL COMMITTEE RECEIVES INPUT FROM ALL BOARD MEMBERS AND DEPARTMENT HEADS. INDUSTRY COMPENSATION DATA AVAILABLE THROUGH LEADING AGE AND THE STATE ARE REVIEWED. THE PERSONNEL COMMITTEE THEN MAKES THEIR RECOMMENDATION TO THE FULL BOARD FOR FINAL APPROVAL. THIS PROCESS IS CONDUCTED ANNUALLY AND TAKES PLACE STARTING IN JANUARY OF EACH YEAR TO EVALUATE THE PERFORMANCE OF THE PRESIDENT/CEO FOR THE YEAR JUST COMPLETED.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:ROUNDING 2.CHANGES IN NET ASSETS OR FUND BALANCES:
990, PART XII, LINE 2C:THE ORGANIZATION HAS A COMMITTEE THAT IS RESPONSIBLE FOR THE OVERSIGHT OF THE FINANCIAL STATEMENTS AND THE SELECTION OF THE AUDITOR. THE PROCESS HAS NOT CHANGED DURING THE TAX YEAR.OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT