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HENRY C NEVINS HOME INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
HENRY C NEVINS HOME INC (EIN 04-2676008)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-15
IRS object ID
201243209349306389
Schema version
2011v1.2
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)
Timestamp2012-11-15T15:05:33-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

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 Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN042676008EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE HENRY C NEVINS HOME INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHENRNameControl
Phone9786827611Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line110 INGALLS COURTAddressLine1
CityMETHUENCity
StateMAState
ZIP Code01844ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameALAN P SHAFERName
TitleTREASURERTitle
Phone9786727611Phone
Date Signed2012-11-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBARBARA MORRISONName
PTINP00173340PTIN
Phone6179848100Phone
Date Prepared2012-11-14DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSCOTT B DICKINSONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line110 INGALLS COURTAddressLine1
CityMETHUENCity
StateMAState
ZIP Code01844ZIPCode
FieldValueIRS element (for citing)
Gross Receipts14197967GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.NEVINSFAMILY.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1979YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionPROVIDING QUALITY CARE TO THE ELDERLYActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees280TotalNbrEmployees
Total Nbr Volunteers25TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year60264ContributionsGrantsPriorYear
Contributions Grants Current Year14402ContributionsGrantsCurrentYear
Program Service Revenue Prior Year13901780ProgramServiceRevenuePriorYear
Program Service Revenue CY14132732ProgramServiceRevenueCY
Investment Income Prior Year56711InvestmentIncomePriorYear
Investment Income Current Year37906InvestmentIncomeCurrentYear
Other Revenue Prior Year7078OtherRevenuePriorYear
Other Revenue Current Year2537OtherRevenueCurrentYear
Total Revenue Prior Year14025833TotalRevenuePriorYear
Total Revenue Current Year14187577TotalRevenueCurrentYear
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 Year8956853SalariesEtcPriorYear
Salaries Etc Current Year9561164SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4607979OtherExpensePriorYear
Other Expenses Current Year3987361OtherExpensesCurrentYear
Total Expenses Prior Year13564832TotalExpensesPriorYear
Total Expenses Current Year13548525TotalExpensesCurrentYear
Revenues Less Expenses Prior Year461001RevenuesLessExpensesPriorYear
Revenues Less Expenses CY639052RevenuesLessExpensesCY
Total Assets BOY9027410TotalAssetsBOY
Total Assets EOY9552334TotalAssetsEOY
Total Liabilities BOY5009020TotalLiabilitiesBOY
Total Liabilities EOY4970601TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4018390NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4581733NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE QUALITY NURSING CARE TO THE ELDERLYMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense12656704Expense
Revenue14135269Revenue
DescriptionNURSING HOME OPERATION INCLUDING ALL RELATED ELDERLY SERVICESDescription
Total Program Service Expense12656704TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
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 Activities1FundraisingActivities
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 Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109612NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees280NumberOfEmployees
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 Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
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

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JEANNE M SCOTTBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9786827611TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line110 INGALLS COURTAddressLine1
CityMETHUENCity
StateMAState
ZIP Code01844ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
ATTY VICTOR L HATEM
DIRECTOR1.00X000
KAREN NEMETH
PRESIDENT/CHAIRMAN1.00X000X
ALAN P SHAFER
TREASURER1.00X000X
MARC D KLEIN
CLERK1.00X000X
JAMES J MALONEY JR
DIRECTOR1.00X000
EDGAR J SIDON
DIRECTOR1.00X000
JAMES H SMITH
DIRECTOR1.00X000
GARY MELVILLE
CO/CHAIRMAN1.00X000X
LARRY GIORDANO
DIRECTOR1.00X000
SCOTT DICKINSON
CEO/ADMINISTRATOR40.00140546027720X
DEBORAH MCCARTHY
DON40.00108614010347X
FieldValueIRS element (for citing)
Total Reportable Comp From Org249160TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation38067TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
LANDVIEW THERAPY
57 WINGATE STREETHAVERHILLMA01832THERAPY SERVICES382982
PARTNERS PHARMACY
70 JACKSON DRCRANFORDNJ07016PHARMACY SERVICES339258
US FOOD SERVICES
BOX D 3155BOSTONMA02241FOOD SERVICES334686
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Fundraising Events5859FundraisingEvents
All Other Contributions8543AllOtherContributions
Total Contributions14402TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNURSING HOME REVENUEDescription
Business Code623000BusinessCode
Total Revenue Column14132732TotalRevenueColumn
Related Or Exempt Function Income14132732RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue14132732TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column37906TotalRevenueColumn
Exclusion$37,906ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events10390GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events5859CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses10390FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISC. REVENUE-RELATED-Description
Business Code623000BusinessCode
Total Revenue Column2537TotalRevenueColumn
Related Or Exempt Function Income2537RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue2537TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column14187577TotalRevenueColumn
Related Or Exempt Function Income14135269RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$37,906ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total169898Total
Management And General169898ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7927956Total
Program Services7547614ProgramServices
Management And General380342ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2200Total
Program Services2058ProgramServices
Management And General142ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total848596Total
Program Services793652ProgramServices
Management And General54944ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total612514Total
Program Services572855ProgramServices
Management And General39659ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total29561Total
Management And General29561ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total56865Total
Management And General56865ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total168714Total
Program Services100515ProgramServices
Management And General68199ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total6519Total
Program Services6519ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total221193Total
Program Services208925ProgramServices
Management And General12268ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total640877Total
Program Services640877ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total1435Total
Program Services1435ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total5523Total
Program Services5523ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total2954Total
Program Services2954ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total282520Total
Program Services282520ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total79193Total
Management And General79193ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
SUPPLIES AND EXPENSE886856886856
MASS. STATE USER FEE AS759063759063
ANCILLARIES584463584463
BAD DEBTS238076238076

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total23549Total
Program Services22799ProgramServices
Management And General750ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total13548525Total
Program Services12656704ProgramServices
Management And General891821ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2401134BOY
EOY2905525EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1252659BOY
EOY1691781EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1886286BOY
EOY1584810EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY340314BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY71607BOY
EOY161412EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis8660151LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5921093LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2920222BOY
EOY2739058EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY102044BOY
EOY96077EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY53144BOY
EOY373671EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY9027410BOY
EOY9552334EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1164236BOY
EOY1127797EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY19530EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY3440172BOY
EOY3370233EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY49582BOY
EOY30370EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY355030BOY
EOY422671EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5009020BOY
EOY4970601EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3938508BOY
EOY4501560EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY79882BOY
EOY80173EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4018390BOY
EOY4581733EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9027410BOY
EOY9552334EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses639052ReconcilationRevenueExpenses
Reconcilation Other Changes-75709ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Years61416CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years60107CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years47516CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year67999CurrentTaxYearMinus1Year
Current Tax Year24792CurrentTaxYear
Total261830Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12825681CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13229886CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13696682CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13911245CurrentTaxYearMinus1Year
Current Tax Year14135269CurrentTaxYear
Total67798763Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12887097CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13289993CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13744198CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13979244CurrentTaxYearMinus1Year
Current Tax Year14160061CurrentTaxYear
Total68060593Total

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 Total50968060593PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years58557CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years55497CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years25763CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year56711CurrentTaxYearMinus1Year
Current Tax Year37906CurrentTaxYear
Total234434Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years58557CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years55497CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years25763CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year56711CurrentTaxYearMinus1Year
Current Tax Year37906CurrentTaxYear
Total234434Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12945654CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13345490CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13769961CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14035955CurrentTaxYearMinus1Year
Current Tax Year14197967CurrentTaxYear
Total68295027Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99660PublicSupportPercentage509
Prior Year Support Percentage0.99620PriorYearSupportPercentage
Investment Income Percentage0.00340InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00370PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance79882BeginningOfYearBalance
Investment Earnings Or Losses291InvestmentEarningsOrLosses
End Of Year Balance80173EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance71050BeginningOfYearBalance
Contributions8452Contributions
Investment Earnings Or Losses380InvestmentEarningsOrLosses
End Of Year Balance79882EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.00000PermanentEndowmentEOYBalance
Term Endowment EOY Balance1.00000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis295146OtherCostOrOtherBasis
Book Value295146BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4695322OtherCostOrOtherBasis
Depreciation3220171Depreciation
Book Value1475151BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2317864OtherCostOrOtherBasis
Depreciation1773621Depreciation
Book Value544243BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1351819OtherCostOrOtherBasis
Depreciation927301Depreciation
Book Value424518BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2739058TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionFAIR VALUE OF INTEREST RATE SWAPDescription
Amount$422,671Amount
FieldValueIRS element (for citing)
Total Of Amounts422671TotalOfAmounts
Total Revenue14187577TotalRevenue
Total Expenses13548525TotalExpenses
Excess Or Deficit For Year639052ExcessOrDeficitForYear
Net Unrealized GL On Investments-8067NetUnrealizedGLOnInvestments
Other-$67,642OtherAmount
Total Adjustments-75709TotalAdjustments
Excess Or Deficit Per FS563343ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt14122258TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-8067NetUnrealizedGainsInvestments
Other Revenues-57252OtherRevenues
Revenue Not Rptd F990-65319RevenueNotRptdF990
Revenue Subtotal14187577RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99014187577TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt13558915TotExpensesEtcAuditedFinclStmt
Other Expenses Included10390OtherExpensesIncluded
Expenses Not Rptd F99010390ExpensesNotRptdF990
Expenses Subtotal13548525ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99013548525TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:THE 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'S 2008 THROUGH 2011 TAX YEARS ARE OPEN FOR EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES.
PART XI, LINE 8 - OTHER ADJUSTMENTS:CHANGE IN FAIR VALUE OF SWAP -67,642.
PART XII, LINE 2D - OTHER ADJUSTMENTS:CHANGE IN FAIR VALUE OF SWAP -67,642. DIRECT FUNDRAISING EXPENSES ON TAX RETURN 10,390.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:DIRECT FUNDRAISING EXPENSES ON TAX RETURN 10,390.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF TOURNAMENTNameOfEvent1
Gross Receipts Event116249GrossReceiptsEvent1
Charitable Contributions Event15859CharitableContributionsEvent1
Gross Revenue Event110390GrossRevenueEvent1
Rent Facility Costs Event16138RentFacilityCostsEvent1
Food And Beverage Event1329FoodAndBeverageEvent1
Other Direct Expenses Event13923OtherDirectExpensesEvent1
Gross Receipts Total16249GrossReceiptsTotal
Charitable Contributions Total5859CharitableContributionsTotal
Gross Revenue Total Events10390GrossRevenueTotalEvents
Rent Facility Costs Total Events6138RentFacilityCostsTotalEvents
Food And Beverage Total Events329FoodAndBeverageTotalEvents
Other Direct Expenses Total Events3923OtherDirectExpensesTotalEvents
Direct Expense Summary Events10390DirectExpenseSummaryEvents
Net Income Summary0NetIncomeSummary

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 PersonSCOTT DICKINSONNamePerson
Base Compensation Filing Org140546BaseCompensationFilingOrg
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 Org27720NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org168266TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1MASSACHUSETTS DEVELOPMENT FINANCE AGENCYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN042608195IssuerEIN
CUSIP Number461473209CUSIPNumber
Date Issued2005-02-01DateIssued
Issue Price4800000IssuePrice
Description Of PurposeTO FINANCE COST OF ELIGIBLE PROJECTSDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired3558446AmountRetired
Total Proceeds3729905TotalProceeds
Amount In Reserve Fund53622AmountInReserveFund
Issuance Costs From Proceeds69662IssuanceCostsFromProceeds
Capital Expenditures48176CapitalExpenditures
Year Of Subst Completion2005YearOfSubstCompletion
Current Refunding1CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue1VariableRateIssue
Hedge Identified In Books And Recds1HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line1CITIZENS BANKBusinessNameLine1
FieldValueIRS element (for citing)
Term Of Hedge11.000000000000TermOfHedge
Superintegrated Hedge0SuperintegratedHedge
Hedge Terminated0HedgeTerminated
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierPART I - BOND ISSUEIdentifier
Return ReferencePROCEEDS FROM ISSUEReturnReference
ExplanationTHE PROCEEDS FROM THE ISSUE DO NOT AGREE WITH THE ISSUE AMOUNT BECAUSE THE PROCEEDS WERE SPLIT WITH A RELATED PARTY 77.75% AND 22.25%.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE 990 WILL BE REVIEWED BY THE EXECUTIVE COMMITTEE PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CEACH DIRECTOR, OFFICER, EMPLOYEE, AND MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS, SHALL COMPLETE, SIGN AND DELIVER TO THE CHAIR OF THE BOARD A CONFLICTS OF INTEREST POLICY ANNUAL STATEMENT AT THE TIME OF HIS OR HER INITIAL ELECTION OR APPOINTMENT AND ANNUALLY THEREAFTER. THE CONFLICTS OF INTEREST POLICY ANNUAL STATEMENT SHALL BE IN SUCH FOR AS IS DEEMED APPROPRIATE BY THE PRESIDENT WITH ADVICE FROM THE NEVIN'S COUNSEL AS NEEDED.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION REVIEW FOR CEO, EXECUTIVE DIRECTOR, OTHER OFFICERS AND KEY EMPLOYEES IS APPROVED BY INDENEPENDENT PERSONS WITH THE USE OF COMPARABILITY DATA AND APPROVED BY THE BOARD OF DIRECTORS. THIS WAS LAST PERFORMED DURING 2009 AND NOTED IN THE BOARD OF DIRECTORS MINUTES.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -8,067. CHANGE IN FAIR VALUE OF SWAP -67,642. TOTAL TO FORM 990, PART XI, LINE 5: -75,709.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2C:THE ORGANIZATION HAS NOT CHANGED EITHER ITS OVERSIGHT OR SELECTION PROCESS DURING THE TAX YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusControlled OrgControlledOrg
HENRY C NEVINGS HOME FOR THE AGED AND INCURABLE
12 INGALLS COURTMETHUENMA01844042210743ADULT DAY HEALTH AND CHILD CARE SERVICESMA501 (C)(3)LINE 90
NEVINS MANOR INC
12 INGALLS COURTMETHUENMA01844043265310ELDERLY HOUSINGMA501 (C)(3)LINE 90
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg