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Nonprofiteer
← NCR AT HOME HEALTH AND WELLNESS

Form 990 for tax year 2022

Filed by NCR AT HOME HEALTH AND WELLNESS.

Totals

Total revenue
$1,267,095
Total expenses
$1,477,619
Contributions and grants received
$0
Grants paid
$0
Program services expenses (Part IX)
$1,254,013
Management and general expenses
$223,606
Fundraising expenses
$0
Program service expenses (Part III)
$1,254,013

Program services were 84.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • Susan M DiMickele

    President

    Total calculated
    $560,368
    From this org
    $0
    From related orgs
    $517,356
    Other
    $43,012
    Hours/week
    0.1 + 49.9 related

    Schedule J breakdown matched by us

    Base
    $0 + $397,356 related
    Bonus
    $0 + $120,000 related
    Other
    $0
    Deferred
    $0 + $24,400 related
    Nontaxable benefits
    $0 + $18,612 related
    Filer's total
    $0 + $560,368 related

  • Julie M Woolley

    Secretary

    Total calculated
    $290,848
    From this org
    $0
    From related orgs
    $268,146
    Other
    $22,702
    Hours/week
    0.1 + 49.9 related

    Schedule J breakdown matched by us

    Base
    $0 + $242,296 related
    Bonus
    $0 + $25,850 related
    Other
    $0
    Deferred
    $0 + $20,746 related
    Nontaxable benefits
    $0 + $1,956 related
    Filer's total
    $0 + $290,848 related

  • Julia A Fratianne

    Treasurer

    Total calculated
    $286,378
    From this org
    $0
    From related orgs
    $242,814
    Other
    $43,564
    Hours/week
    0.1 + 49.9 related

    Schedule J breakdown matched by us

    Base
    $0 + $208,814 related
    Bonus
    $0 + $34,000 related
    Other
    $0
    Deferred
    $0 + $25,691 related
    Nontaxable benefits
    $0 + $17,873 related
    Filer's total
    $0 + $286,378 related

  • Brianna Mettler

    Vice President

    Total calculated
    $251,396
    From this org
    $0
    From related orgs
    $219,245
    Other
    $32,151
    Hours/week
    0.1 + 49.9 related

    Schedule J breakdown matched by us

    Base
    $0 + $186,778 related
    Bonus
    $0 + $32,467 related
    Other
    $0
    Deferred
    $0 + $21,925 related
    Nontaxable benefits
    $0 + $10,226 related
    Filer's total
    $0 + $251,396 related

  • Jacob Swint

    Vice President

    Total calculated
    $220,632
    From this org
    $0
    From related orgs
    $207,167
    Other
    $13,465
    Hours/week
    0.1 + 49.9 related

    Schedule J breakdown matched by us

    Base
    $0 + $175,536 related
    Bonus
    $0 + $31,631 related
    Other
    $0
    Deferred
    $0 + $12,430 related
    Nontaxable benefits
    $0 + $1,035 related
    Filer's total
    $0 + $220,632 related

  • Peter Pavarini

    Chair

    Total calculated
    $0
    Hours/week
    0.1 + 2 related

  • Jim Moats

    Director

    Total calculated
    $0
    Hours/week
    0.1 + 2 related

  • Jennifer Spalding

    Director

    Total calculated
    $0
    Hours/week
    0.1 + 2 related

  • Lori Kaiser

    Director

    Total calculated
    $0
    Hours/week
    0.1 + 2 related

  • Suzanne Kunkel

    Director at Large

    Total calculated
    $0
    Hours/week
    0.1 + 2 related

  • Almeta Cooper

    Director at Large

    Total calculated
    $0
    Hours/week
    0.1 + 2 related

  • Barb Smoot

    Director (Term 5/2022)

    Total calculated
    $0
    Hours/week
    0.1 + 2 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3:
NATIONAL CHURCH RESIDENCES, A RELATED ORGANIZATION, ESTABLISHES THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. THE FOLLOWING METHODS WERE USED BY NATIONAL CHURCH RESIDENCES TO ESTABLISH COMPENSATION LEVELS: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
PART I, LINE 4B:
DURING THE CURRENT YEAR, NATIONAL CHURCH RESIDENCES, A RELATED ORGANIZATION, MADE CONTRIBUTIONS TO A 457(F) NONQUALIFIED DEFERRED COMPENSATION PLAN FOR THE FOLLOWING INDIVIDUALS LISTED ON PART VII OF THE FORM 990: SUSAN M. DIMICKELE: $6,660 JULIA A. FRATIANNE: $11,834 Jacob Swint: $2,698 BRIANNA METTLER: $8,727 Julie M. Woolley: $2,817 THE 457(F) NONQUALIFIED DEFERRED COMPENSATION PLAN IS AVAILABLE TO KEY EMPLOYEES OF THE ORGANIZATION, AS DEFINED BY THE ORGANIZATION AND NOT PART VII OF THE FORM 990. THE 457(F) NONQUALIFIED DEFERRED COMPENSATION PLAN WILL VEST UPON TRIGGERING SEVERANCE WITH THE ORGANIZATION. TRIGGERING SEVERANCE, AS DEFINED IN THE PLAN DOCUMENT, MEANS A PARTICIPANT'S SEVERANCE OF SERVICE, (1) AT ANY TIME ON OR AFTER THE PARTICIPANT'S ENTITLEMENT DATE OR (2) IF EARLIER, (A) BECAUSE OF DEATH OR DISABILITY, (B) BY THE EMPLOYER FOR REASONS OTHER THAN CAUSE, OR (C) BY THE PARTICIPANT FOR GOOD REASON. FOR THIS PURPOSE, SEVERANCE OF SERVICE SHALL BE CONSTRUED CONSISTENTLY WITH THE DEFINITION OF SEPARATION OF SERVICE UNDER CODE SECTION 409A. NONE OF THE CONTRIBUTIONS INTO THE PLAN VESTED DURING THE CURRENT YEAR. WHEN CONTRIBUTIONS VEST THEY WILL BE REPORTED ON SCHEDULE J, PART II, COLUMN B(III).

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2022
Filed
16 November 2023
IRS schema version
2022v5.0
Source object
202323189349317107

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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