Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| (A)
NORTH HILL NEEDHAM INC |
042716090 | 9 | Yes | 0 | 0 | |
| (B)
NORTH HILL HOME HEALTH CARE INC |
454336870 | 9 | No | 0 | 0 | |
| (C)
CONNECTED FOR LIFE |
811415511 | 9 | No | 0 | 0 | |
|
Total 3
|
0 | 0 | ||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 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. | ||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (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 VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal
year beginning in) ![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 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 | ||||||
| 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 | ||||||
| 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.) | ||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included on 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 VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2023 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2023 |
(iii) Distributable Amount for 2023 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2023 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI).
See instructions. |
||||
| 3 Excess distributions carryover, if any, to 2023: | ||||
| a From 2018....... | ||||
| b From 2019....... | ||||
| c From 2020....... | ||||
| d From 2021....... | ||||
| e From 2022....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2023 distributable amount | ||||
|
i
Carryover from 2018 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2023 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2023 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2023, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
6
Remaining underdistributions for 2023. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
7 Excess distributions carryover to 2024. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a Excess from 2019..... | ||||
| b Excess from 2020..... | ||||
| c Excess from 2021..... | ||||
| d Excess from 2022..... | ||||
| e Excess from 2023..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name | THE FILING ORGANIZATION IS THE SUPPORTING ORGANIZATION FOR THREE OTHER ENTITIES WITHIN THE CONTROLLED GROUP. THE FIRST ENTITY, NORTH HILL NEEDHAM, IS MENTIONED EXPLICITLY IN THE ARTICLES OF INCORPORATION. THE MORE RECENTLY ESTABLISHED ENTITIES, NORTH HILL HOME HEALTH CARE AND CONNECTED FOR LIFE, ARE NOT SPECIFICALLY MENTIONED IN THE ARTICLES OF INCORPORATION; HOWEVER, THE ARTICLES STATE THAT THE FILING ORGANIZATION WILL SUPPORT ALL AFFILIATES OF THE NORTH HILL COMMUNITIES HEALTH SYSTEM. COMMON MANAGEMENT FOR ALL THREE ENTITIES ALSO REINFORCES THE RELATIONSHIP BETWEEN THE FILING ORGANIZATION AND ITS SUPPORTED ORGANIZATIONS. |
| Software ID: | 23017437 |
| Software Version: | 2023v6.0 |
| Return Reference | Explanation |
|---|---|
| Form 990, Part III, Line 3 Significant changes in program services | Prior to 4/1/2023 the organization provided management services to support the following 501(C)(3) organizations: North Hill Needham, Inc., North Hill Home Health Care, Inc., and Connected for Life, Inc. Effective 4/1/2023 these management services are now being rendered by North Hill Needham, Inc. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | A professional accounting firm prepares a draft form 990. It is reviewed by management, changes are made, and a copy is provided to the entire board prior to filing. |
| Form 990, Part VI, Line 12c Conflict of interest policy | Monitoring - The organization's conflict of interest policy provides that, annually, each trustee shall complete and submit to the chairman of the board of trustees or his/her designee a "Statement of Outside Interest and Activities Form" outlining any possible conflict of interest or a statement indicating that no such conflicts of interest exist. Any newly-appointed trustee shall be asked to complete and submit the "Statement of Outside Interest and Activities Form." Employees and agents are required to report any potential or actual conflicts concerning themselves or family members to management. Members of senior management are also required to report any potential or actual conflicts concerning themselves or family members. Trustees would not be allowed to vote on any issues with which they have a conflict. Enforcement - Failure to disclose a conflict or potential conflict of interest or to take whatever action is deemed appropriate by the chairman of the board may result in removal from office unless the conflict or potential conflict can be resolved. Senior management is subject to the code of conduct which is enforced by the corporate compliance committee. Who is covered? - The organization's conflict of interest policy covers each member or the organization's board of trustees. senior management, employees and agents also subject to the code of conduct. Level of determination and review of conflicts - The chairman reviews all completed "Statement of Outside Interest and Activities Forms" regarding conflicts of interest. As soon as any situation as to which a trustee may be in doubt comes to his/her attention, full disclosure must be made to the chairman of the board so as to permit an impartial and objective determination of whether a real or potential conflict of interest exists. Management and/or the corporate compliance committee reviews conflicts reported by employees or agents. Employees are not allowed to participate in many arrangements such as joint ventures with an actual or potential referral source and cannot be an officer, director, manager or consultant of a potential competitor or supplier. These arrangements are expressly prohibited pursuant to the code of conduct. Restrictions placed on conflicted persons - If a conflict or potential conflict is deemed by the chairman of the board to exist, then the trustee may be required, among other things, to refrain from participating in discussion and decision-making WITH regard to this matter on behalf of the organization and to remove himself or herself from the meeting during such action. |
| Form 990, Part VI, Line 15a Process to establish compensation of top management official | THE ORGANIZATION DETERMINES THE COMPENSATION OF THE CEO, EXECUTIVE DIRECTOR AND OTHER OFFICERS AND KEY EMPLOYEES BY REVIEWING COMPENSATION DATA FROM THE FORM 990 OF SIMILAR ORGANIZATIONS, AS WELL AS BY UTILIZING THE SERVICES OF A COMPENSATION CONSULTANT FROM TIME TO TIME AND REVIEWING A COMPENSATION STUDY. THIS INFORMATION IS REVIEWED BY THE HR TRUSTEES COMMITTEE, WHICH BRINGS THE RECOMMENDATIONS TO THE BOARD FOR APPROVAL. |
| Form 990, Part VI, Line 19 Required documents available to the public | The organization makes its governing documents, conflict of interest policy and financial statements available to the general public on request. |
| Form 990, Part IX, Line 11g Other Fees | OTHER PROFESSIONAL FEES - Total Expense: 11444, Program Service Expense: , Management and General Expenses: 11444, Fundraising Expenses: ; |
| FORM 990, PAGE 5, PART V, LINE 2A | THE FILING ENTITY IS AN AFFILIATE IN A GROUP OF WHICH NORTH HILL NEEDHAM, INC.(EIN 04-2716090) IS CONSIDERED A COMMON PAY AGENT FOR W-2 REPORTING. NORTH HILL NEEDHAM REPORTS ALL EMPLOYEES ON ITS FORM W-3, HOWEVER, EACH AFFILIATE HAS EMPLOYEES ALLOCATED TO THAT ENTITY. PER IRS INSTRUCTIONS, EMPLOYEES LISTED ON PART V, LINE 2A ARE THOSE WHO HAVE BEEN DEEMED TO BE EMPLOYEES OF THIS ORGANIZATION. NORTH HILL COMMUNITIES, INC. DOES NOT, HOWEVER, REPORT THESE EMPLOYEES ON A SEPARATE W-3 UNDER ITS OWN EIN. |
| EXPLANATION FOR AMENDED RETURN: | THIS RETURN IS BEING AMENDED TO ADD IN A DISREGARDED ENTITY ON SCHEDULE R, PART I. |
| Software ID: | 23017437 |
| Software Version: | 2023v6.0 |