2024-06-25T08:52:00-05:00 2023-12-31 410746749 CLIFTONLARSONALLEN LLP 4 BATTERYMARCH PARK SUITE 100 QUINCY MA 02169 990 2023-01-01 050258990 THE SAINT CLARE HOME SAIN 4018493204 309 SPRING STREET NEWPORT RI 02840 LAURA DOS SANTOS DIRECTOR OF OPERATIONS 4018493204 2024-06-24 1 LAURA DOS SANTOS 999009999 0 KATARZYNA O PADZIK P02268641 7819821001 2024-06-24 2 AAL1 IAL1 2023 2023-04-26 12:10:37Z RICHARD G HENNING 309 SPRING STREET NEWPORT RI 02840 12096834 0 X STCLARENEWPORT.COM X 1909 RI TO IMPROVE THE QUALITY OF LIFE FOR OUR FAMILY AND COMMUNITY THROUGH CARE AND SERVICE. 3 0 124 0 0 0 647648 957713 9991097 10948660 3244 112676 60205 77785 10702194 12096834 0 0 0 0 5713787 5482158 0 0 56022 5581857 6038897 11295644 11521055 -593450 575779 19633962 19357336 16849733 15856421 2784229 3500915 TO IMPROVE THE QUALITY OF LIFE FOR OUR FAMILY AND COMMUNITY THROUGH CARE AND SERVICE. 0 0 7128443 0 6568577 SKILLED NURSING FACILITY:ST CLARE SKILLED NURSING FACILITY WORKS TO MEET THE CHANGING NEEDS OF TODAY'S ELDERLY BY PROVIDING MORE THAN A HOME TO MEMBERS OF NEWPORT AND THE SURROUNDING COMMUNITIES. EACH RESIDENT RECEIVES THE SHORT-TERM REHABILITATION OR LONG-TERM CARE THAT BEST SUITS HIS OR HER NEEDS AND COMFORTS. THE FACILITY ACCOMMODATES 50 RESIDENTS.LONG-TERM NURSING CARE SERVICES PROVIDED TOTAL PATIENT BED DAYS OF 17,262. INCLUDED IN THIS AMOUNT ARE MEDICAID PATIENT DAYS TOTALING 6,949 AND MEDICARE PATIENT DAYS TOTALING 1,898. 3502973 0 4380083 ASSISTED LIVING FACILITY:ST CLARE ASSISTED LIVING FACILITY IS AN ASSISTED LIVING COMMUNITY WHERE SENIORS FIND THE SERVICES AND SECURITY THEY NEED WITHOUT GIVING UP THE TRADITIONS AND INDEPENDENCE THEY CHERISH. THE ASSISTED LIVING CREATES AN ENVIRONMENT WHERE RESIDENTS MAINTAIN THEIR DIGNITY, PRIDE AND INDIVIDUALITY NO MATTER WHAT LEVEL OF ASSISTANCE THEY MAY REQUIRE. THE MEMORY-IMPAIRMENT PROGRAM SERVES INDIVIDUALS WITH ALZHEIMER'S DISEASE AND RELATED DEMENTIAS. THE ASSISTED LIVING OFFERS 56 BEAUTIFULLY DESIGNED STUDIOS, ONE AND TWO-BEDROOM APARTMENTS. 10631416 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 11 0 124 1 0 0 0 0 0 0 0 0 0 0 0 0 X 3 0 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X LAURA DOS SANTOS 4018493204 309 SPRING STREET NEWPORT RI 02840 MOST REV RICHARD HENNING PRESIDENT / TREASURER (AS OF 05/23) 1.00 39.00 X X 0 39998 20725 MOST REVEREND THOMAS J TOBIN PRESIDENT/TREASURER (THROUGH 05/23) 1.00 39.00 X X 0 15148 10156 REV ALBERT KENNEY VICE PRESIDENT 1.00 39.00 X X 0 47022 30882 REV TIMOTHY D REILLY SECRETARY 1.00 39.00 X X 0 31710 20082 LAURA DOS SANTOS ASSISTANT TREASURER / DIRECTOR OF OPERATIONS 40.00 1.00 X 0 218950 18661 LEILANY PALAYA REGISTERED NURSE 40.00 0.00 X 217956 0 9853 VALERIE TAYLOR C.N.A. 40.00 0.00 X 132359 0 13241 EBRIMA JATTA C.N.A. 40.00 0.00 X 126505 0 26215 NANCY ROSARIO DON 40.00 0.00 X 123628 0 21827 JOSENA ROQUE C.N.A. 40.00 0.00 X 115337 0 13116 715785 352828 184758 10 0 1 0 UNIDINE 1000 WASHINGTON ST 510 BOSTON MA 02118 FOOD SERVICES 1183060 CARELINK 400 MASSASOIT AVE 113 EAST PROVIDENCE RI 02914 REHAB SERVICES 534400 INTELYCARE PO BOX 200413 PITTSBURGH PA 152510413 NURSING SERVICES 405274 HEALTHCARE SERVICES GROUP PO BOX 829677 PHILADELPHIA PA 19182 HOUSEKEEPING AND LAUNDRY SERVICES 370994 NORTON & ASSOCIATES INC 868 ASHLEY BLVD NEW BEDFORD MA 02745 NURSING SERVICES 260980 9 624764 332949 957713 RESIDENT SERVICE REVENUE 623000 6568577 6568577 ASSISTED/INDEPENDENT LIVING 623000 4380083 4380083 10948660 112676 112676 MISCELLANEOUS INCOME 623000 77785 77785 77785 12096834 10948660 0 190461 4565009 4242124 275999 46886 73951 69864 3499 588 330339 314582 13490 2267 512859 469860 36718 6281 168949 168949 8140 8140 31228 31228 63457 63457 134725 134725 13948 13948 718820 718820 16020 16020 466861 461374 5487 540178 534200 5978 129919 129919 RESIDENT RELATED PURCHA 2953258 2953258 HEALTH CARE PROVIDER AS 359626 359626 CREDIT LOSSES EXPENSE 354292 354292 LICENSES & DUES 41496 41496 37980 23497 14483 11521055 10631416 833617 56022 1058350 815938 5277 5279 887560 945218 111678 114593 48692 20792097 5431989 15605111 15360108 57071 69332 1860223 2046868 19633962 19357336 3864410 3715988 401740 415992 173058 12410525 11724441 16849733 15856421 X 892695 1423310 1891534 2077605 2784229 3500915 19633962 19357336 X 575779 12261 128646 X 1 X 0 1 0 X 642545 2144950 422938 1272412 957713 5440558 8411775 8881882 9334152 9991097 10948660 47567566 9054320 11026832 9757090 11263509 11906373 53008124 0 0 0 53008124 1186 61 9154 3244 112676 126321 1186 61 9154 3244 112676 126321 96774 28463 5859239 60205 77785 6122466 9152280 11055356 15625483 11326958 12096834 59256911 0.89450 0.88900 0.00210 0.00030 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2019 AMOUNT: $ 89,074. 2020 AMOUNT: $ 28,463. 2021 AMOUNT: $ 141,797. 2022 AMOUNT: $ 60,205. 2023 AMOUNT: $ 77,785. CUTTING TRUST - 2019 AMOUNT: $ 7,700. 2021 AMOUNT: $ 148,135. EXTINGUISHMENT OF DEBT - 2021 AMOUNT: $ 5,569,307. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 214009 214009 19320549 4392383 14928166 1215175 1039606 175569 42364 42364 15360108 BENEFICIAL INTEREST IN PERPETUAL TRUSTS 2046868 2046868 LONG TERM DEBT 11485753 DUE TO THIRD-PARTY PAYORS 238688 11724441 X 12096834 0 12096834 0 12096834 11521055 0 11521055 0 11521055 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRES MANAGEMENT TO EVALUATE TAX POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINIATION BY THE INTERNAL REVENUE SERVICE (IRS). THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURIDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. X 0 0 0 0 0 0 0 0 0 LAURA DOS SANTOS ASSISTANT TREASURER / DIRECTOR OF OP 0 218950 0 0 0 0 0 4370 0 14291 0 237611 0 0 LEILANY PALAYA REGISTERED NURSE 217956 0 0 0 0 0 9585 0 268 0 227809 0 0 0 EBRIMA JATTA C.N.A. 126505 0 0 0 0 0 4668 0 21547 0 152720 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 BISHOP RICHARD G. HENNING, PRESIDENT/TREASURER, MSGR. ALBERT A. KENNEY, VICE PRESIDENT, AND REV. TIMOTHY D. REILLY, SECRETARY, ARE ALL PART OF THE ROMAN CATHOLIC DIOCESE OF PROVIDENCE. FORM 990, PART VI, SECTION B, LINE 11B THE DIOCESE'S HEALTH FACILITIES MANAGEMENT SERVICE GROUP AND THE EXECUTIVE DIRECTOR REVIEW THE 990 PRIOR TO FILING. THE 990 IS ALSO MADE AVAILABLE TO ALL MEMBERS OF GOVERNANCE FOR REVIEW BEFORE FILING. UPON REVIEW AND APPROVAL, THE RETURN IS FILED WITH THE IRS. A COPY IS SUBMITTED TO THE FISCAL OFFICE AT THE DIOCESE OF PROVIDENCE AND ONE IS KEPT AT THE BUSINESS OFFICE. FORM 990, PART VI, SECTION B, LINE 12C ALL KEY EMPLOYEES AND MEMBERS OF THE BOARD OF DIRECTORS ARE ASKED TO READ THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND ANNUALLY THEY ARE ASKED TO DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST. THE EXECUTIVE DIRECTOR AND THE FINANCE DIRECTOR REVIEW ALL POTENTIAL CONFLICTS OF INTEREST DISCLOSED BY KEY EMPLOYEES AND DETERMINE IF A TRUE CONFLICT EXISTS. IF AN INDIVIDUAL HAS A CONFLICT, THE EXECUTIVE DIRECTOR AND THE DIRECTOR OF FINANCE REPORT THIS INFORMATION TO THE BOARD OF DIRECTORS. ALL MEMBERS OF THE BOARD ARE ASKED TO DISCLOSE ANY CONFLICTS OF INTEREST, AND DEPENDING UPON THE CONFLICT, THEY ARE ASKED TO RECUSE THEMSELVES FROM DISCUSSIONS AND VOTING ON THE RELATED ISSUE. ALL DECISIONS ARE RECORDED IN THE MINUTES OF THE BOARD OF DIRECTORS' MEETING. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS USED FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT ENTAILS COMPARING WHAT IS PAID FOR THE SAME POSITION IN SIMILAR ENTITIES. COMPENSATION IS EVALUATED ON AN ANNUAL BASIS BY THE BOARD OF DIRECTORS, AND THE DECISION IS DOCUMENTED. THE BOARD OF DIRECTORS USES A STANDARD APPROACH AND FORM TO PERFORM THE EVALUATION FOR THE ADMINISTRATOR AND RELATED ORGANIZATIONS OF THE DIOCESE OF PROVIDENCE. THERE IS NO MERIT INCREASE ASSOCIATED WITH THE COMPENSATION EVALUATION. THE LAST EVALUATION WAS CONDUCTED DECEMBER 2023. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: GAIN ON BENEFICIAL PERPETUAL TRUST 128,646. DIOCESAN SERVICE CORPORATION 1 CATHEDRAL SQUARE PROVIDENCE RI 02903 050493814 ROMAN CATHOLIC ORGANIZATION RI 501(C)(3) LINE 1 N/A 0 DIOCESAN ADMINISTRATION CORPORATION 1 CATHEDRAL SQUARE PROVIDENCE RI 02903 050508345 ROMAN CATHOLIC ORGANIZATION RI 501(C)(3) LINE 1 N/A 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 1 1 0 0 DIOCESAN SERVICE CORPORATION E 10055000 CASH DIOCESAN SERVICE CORPORATION P 664495 CASH DIOCESAN SERVICE CORPORATION M 168949 CASH