Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions. Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
COMMUNITY CARE CENTER OF THE NORTHEAST
Employer identification number
22-2699952
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization?
................
11g(i)
(ii)
A family member of a person described in (i) above?
......................
11g(ii)
(iii)
A 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of monetary support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public support. Subtract line 5 from line 4.
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
7
Amounts from line 4..
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11
Total support (Add lines 7 through 10).
12
Gross receipts from related activities, etc. (see instructions)
..................
12
13
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.................................................
Section C. Computation of Public Support Percentage
14
Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f))
.........
14
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2013.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
.......................
b
33 1/3% support test—2012.
If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2013.
If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization
.....................................................
b
10%-facts-and-circumstances test—2012.
If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization
................................................
18
Private foundation.
If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions
.....................................................
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
73,591
193,419
157,828
200,427
48,159
673,424
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
1,329,332
1,362,328
1,261,178
1,246,972
1,281,925
6,481,735
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
1,402,923
1,555,747
1,419,006
1,447,399
1,330,084
7,155,159
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c
Add lines 7a and 7b..
8
Public support (Subtract line 7c from line 6.)
7,155,159
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
9
Amounts from line 6...
1,402,923
1,555,747
1,419,006
1,447,399
1,330,084
7,155,159
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
1,636
739
482
215
112
3,184
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
1,636
739
482
215
112
3,184
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
13
Total support. (Add lines 9, 10c, 11, and 12.)..
1,404,559
1,556,486
1,419,488
1,447,614
1,330,196
7,158,343
14
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f))
.........
15
99.960 %
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
99.940 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
0 %
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2013.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
........
b
33 1/3% support tests—2012.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
.....
20
Private foundation.
If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information.
Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2013
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
COMMUNITY CARE CENTER OF THE NORTHEAST
Employer identification number
22-2699952
Return Reference
Explanation
FORM 990 - ORGANIZATION'S MISSION
COMMUNITY CARE PROMOTES LIFELONG INDEPENDENCE BY PROVIDING COMPASSIONATE, SUPPORTIVE CARE TO THE HOMEBOUND IN A FATHFUL AND PROFESSIONAL MANNER. A HOME CARE AGENCY LICENSED BY THE STATE BOARD OF HEALTH, OFFICE OF LONG TERM LIVING (OLTL), AND THE OFFICE OF DEVELOPMENTAL PROGRAMS (ODP), COMMUNITY CARE HAS SERVED THE COMMUNITY SINCE 1985
FORM 990, PAGE 2, PART III, LINE 4A
-FOR SENIORS AND PERSONS WITH DISABILITIES WHO NEED ASSISTANCE WITH MEAL PREPARATION, LIGHT HOUSEKEEPING, LAUNDRY, FOOD SHOPPING AND COMPANIONSHIP, COMMUNITY CARE PROVIDES A TRAINED HOMEMAKER/COMPANION. FAMILIES ALSO ARRANGE FOR THESE QUALIFIED CAREGIVERS TO STAY WITH LOVED ONES ON WEEKENDS, HOLIDAYS AND VACATIONS, PROVIDING THE FAMILY A BREAK FROM CARE-GIVING DUTIES. -WHEN THE HOSPITAL OR MEDICAL STAFF REQUIRES THAT ANOTHER INDIVIDUAL BE PRESENT IN THE BUILDING DURING CATARACT SURGERY, ENDOSCOPY, COLONOSCOPY, OR OTHER SHORT-TERM PROCEDURES THE PATIENT MAY ARRANGE WITH COMMUNTIY CARE FOR A COMPANION/AIDE FOR SHORT MEDICAL PROCEDURES. THIS AIDE CAN ALSO PROVIDE FOLLOW-UP IN THE HOME, SUCH AS HELP WITH EYE OR EAR DROPS. -COMMUNITY CARE'S PROFESSIONAL NURSE SERVICES UTILIZE REGISTERED NURSES AS THE VIGILANT OVERSEERS OF PATIENT CARE AND TREATMENT, ADVOCATING FOR PATIENTS AND ASSISTING WITH COORDINATION OF CARE BY ALL PARTICIPATING PROVIDERS. -OTHER IN-HOME SUPPORTIVE SERVICES INCLUDE: ~ASSESSMENT & MANAGEMENT OF CASES TO DETERMINE THE LEVEL OF CARE NEEDED ~SUPERVISION OF ALL DIRECT CARE WORKERS ~EDUCATION ABOUT THE PROCESS OF DISEASES SUCH AS DIABETES AND HYPERTENSION ~NUTRITIONAL COUNSELING/ EMERGENCY CARE VISITS/ SOCIAL SERVICE REFERRALS ~REGISTERED NURSE ON-CALL 24/7 ~NURSES OVERSEE THE CARE OF PATIENTS AND ADVOCATE ON THEIR BEHALF WITH PROVIDERS
FORM 990, PAGE 2, PART III, LINE 4B
- THE CURRENT SERVICE AREAS INCLUDE ZIP CODES 19111, 19114, 19115, 19116, 19135, 19136, 19149, 19152 AND 19154, AND PORTIONS OF BUCKS AND MONTGOMERY COUNTIES. - WHEELS DRIVERS ARE TRAINED TO TRANSPORT SENIORS AND PERSONS WITH DISABILITES, AND RECEIVE DIRECT ON GOING SUPERVISION FROM THE COORDINATOR OF TRANSPORTATION SERVICES.
FORM 990, PAGE 6, PART VI, LINE 11B
FORM 990 IS REVIEWED BY NANCY STEINKE, ADMINISTRATOR, AND MADE AVAILABLE TO THE GOVERNING BOARD FOR ADDITIONAL COMMENTS, BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PAGE 6, PART VI, LINE 12C
CONDUCTING PERIODIC REVIEW, EACH "INTERESTED PERSON" SIGNS A STATEMENT WHICH AFFIRMS THAT THEY HAVE RECIEVED A COPY OF THE CONFLICT OF INTEREST POLICY, READ THE POLICY AND HAVE AGREED TO COMPLY WITH THE TERMS OF THE POLICY.
FORM 990, PAGE 6, PART VI, LINE 15A
THE COMPENSATION IS REVIEWED BY THE EXECUTIVE BOARD UPON THE ANNIVERSARY DATE OF EACH EMPLOYEE. BOARD PRESIDENT REVIEWS CFO, AND HAS EXECUITIVE BOARD SIGN-OFF ON THE EVALUATION.
FORM 990, PAGE 6, PART VI, LINE 15B
CEO REVIEWS AND EVALUATES THE BUSINESS COORDINATOR ON ANNIVERSARY DATE AND HAS EXECUTIVE BOARD DETERMINE THE SALARY.
FORM 990, PAGE 6, PART VI, LINE 19
GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THESE ARE MADE AVAILABLE TO INDIVIDUALS THAT MAKE A REQUEST IN PERSON IMMEDIATELY AFTER COMPLETING AND SIGNING A FORMAL REQUEST FORM IDENTIFYING THEMSELVES AND PROVIDING THEIR ADDRESS. ALL OTHER WRITTEN REQUESTS FROM INDIVIDUALS, FOUNDATIONS, OR GOVERNMENT AGENCIES ARE HONORED WITHIN THIRTY DAYS OF RECEIPT. A NOTICE OF ANNUAL PUBLIC MEETING OF THE ORGANIZATION IS ADVERTISED IN LOCAL NEWSPAPERS.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.