ELIZABETH SETON RESIDENCE INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- ELIZABETH SETON RESIDENCE INC (EIN 04-2648872)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-11-12
- IRS object ID
- 202403179349301650
- Schema version
- 2023v5.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-11-12T07:27:06-06:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390859910 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAKER TILLY ADVISORY GROUP LP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 20 STANWIX STREET | AddressLine1Txt |
| City | PITTSBURGH | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15222 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 042648872 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ELIZABETH SETON RESIDENCE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ELIZ | BusinessNameControlTxt |
| Phone | 7819971100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 125 OAKLAND STREET | AddressLine1Txt |
| City | WELLESLEY HILLS | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02481 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ROBERTA KERINS SC | PersonNm |
| Person Title | CHAIRPERSON | PersonTitleTxt |
| Phone | 7819971100 | PhoneNum |
| Signature | 2024-11-07 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JEFFREY J PETRELL | PreparerPersonNm |
| PTIN | P00138808 | PTIN |
| Phone | 4126976400 | PhoneNum |
| Preparation | 2024-11-07 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ROBERTA KERINS SC | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 125 OAKLAND STREET | AddressLine1Txt |
| City | WELLESLEY HILLS | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02481 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $14,694,370 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ELIZABETHSETON.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1981 | FormationYr |
| Legal Domicile State | MA | LegalDomicileStateCd |
| Activity Or Mission | PROVIDING CARE TO ELDERLY RESIDENTS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 171 | TotalEmployeeCnt |
| Total Volunteers | 14 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,130,730 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,927,471 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $11,069,677 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $12,738,055 | CYProgramServiceRevenueAmt |
| PY Investment Income | $6 | PYInvestmentIncomeAmt |
| CY Investment Income | $123 | CYInvestmentIncomeAmt |
| PY Other Revenue | $42,788 | PYOtherRevenueAmt |
| CY Other Revenue | -$10,075 | CYOtherRevenueAmt |
| PY Total Revenue | $13,243,201 | PYTotalRevenueAmt |
| CY Total Revenue | $14,655,574 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $9,036,380 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $10,156,912 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $97,569 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,016,445 | PYOtherExpensesAmt |
| CY Other Expenses | $4,645,922 | CYOtherExpensesAmt |
| PY Total Expenses | $13,052,825 | PYTotalExpensesAmt |
| CY Total Expenses | $14,802,834 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $190,376 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$147,260 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $5,314,174 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,502,980 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,638,596 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,974,662 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,675,578 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,528,318 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | OUR MISSION AT ELIZABETH SETON RESIDENCE CALLS US TO PROVIDE COMPASSIONATE, CARING SERVICE AND TO CREATE AN ATMOSPHERE WHERE ALL FEEL WELCOME AND RESPECTED. WE ARE AN 84-BED SKILLED NURSING AND REHABILITATION FACILITY, PROVIDING CARE TO THE ELDERLY. THE SPIRIT OF SAINT ELIZABETH ANN SETON INSPIRES ALL ASPECTS OF LIFE AT THE ELIZABETH SETON RESIDENCE. THE ORGANIZATION'S GOAL IS TO REFLECT MOTHER SETON'S MISSION IN THE EVERYDAY CARE OF OUR RESIDENTS AND INTERACTIONS AMONG STAFF MEMBERS. ELIZABETH SETON RESIDENCE ENDEAVORS TO MEET THE PHYSICAL, PSYCHOLOGICAL, EMOTIONAL, CULTURAL AND SPIRITUAL NEEDS OF OUR RESIDENTS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $13,309,038 | ExpenseAmt |
| Revenue | $12,740,256 | RevenueAmt |
| Desc | THE ELIZABETH SETON RESIDENCE IS AN 84-BED NOT FOR PROFIT CATHOLIC SKILLED NURSING AND REHABILITATION FACILITY LOCATED IN WELLESLEY HILLS, MASSACHUSETTS. IT WAS FIRST OPENED BY THE SISTERS OF CHARITY (HALIFAX) IN 1980 AND WAS RENOVATED IN 2010 TO SUPPORT PERSON-CENTERED CARE AND A MORE HOMELIKE ENVIRONMENT. ALL ARE WELCOME REGARDLESS OF RELIGION, RACE, ETHNIC BACKGROUND, GENDER OR NATIONAL ORIGIN.WE PROVIDE COMPASSIONATE LONG TERM CARE, PALLIATIVE CARE, HOSPICE AND RESPITE STAYS IN AN ENVIRONMENT THAT PROVIDES MEDICAL, SPIRITUAL, AND SOCIAL SUPPORT OF RESIDENTS AND THEIR FAMILIES. OUR DEDICATED 24 BED SHORT-TERM REHABILITATION UNIT PROVIDES EXCEPTIONAL THERAPY AND NURSING CARE TO THOSE REQUIRING SKILLED INTERVENTION PRIOR TO RETURNING HOME. AFTER AN ILLNESS OR SURGERY. THE RESIDENCE IS MEDICARE AND MEDICAID CERTIFIED AND WE ARE PROUD OF OUR CMS 5-STAR QUALITY RATING. WE WERE NAMED A TOP PERFORMING NURSING HOME BY US NEWS AND WORLD REPORT FOR THE PAST SIX YEARS AND CONSISTENTLY MEET OR EXCEED STATE AND NATIONAL QUALITY STANDARDS. | Desc |
| Total Program Service Expenses | $13,309,038 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 21 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 171 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JENNIFER SANTERRE | PersonNm |
| Phone | 9784715100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 240 LYNNFIELD STREET | AddressLine1Txt |
| City | PEABODY | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01960 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| ROBERTA KERINS SC | ||||||||
| CHAIRPERSON | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| KATHLEEN NILLES | ||||||||
| VICE CHAIRPERSON | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MAUREEN BEALE SC | ||||||||
| SECRETARY (THROUGH 3/2023) | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JANE W GILMORE | ||||||||
| SECRETARY (AS OF 6/2023) | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| KERRIE GROVER | ||||||||
| TREASURER | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| LAUREN CRONIN | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MATTHEW DEVINE | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ANTHONY MUNCHAK | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JUDITH PARK SC | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CARL ROSENFIELD | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CHRISTOPHER SINTROS | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CATHERINE STARE SC | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ERIC JOHNSON | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JULIA PEYTON | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CATHERINE MCCAULEY JONES | ||||||||
| DIRECTOR (AS OF 3/2023) | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LORI FERRANTE | ||||||||
| ADMINSTRATOR | 40.00 | Yes (X) | $186,710 | $0 | $28,349 | |||
| HERCILIA BERNARD | ||||||||
| CHARGE NURSE | 69.00 | $153,450 | $0 | $36,994 | Yes (X) | |||
| KAY MOULTON | ||||||||
| CHARGE NURSE | 53.00 | $183,821 | $0 | $32,115 | Yes (X) | |||
| PIERRE GUERDA | ||||||||
| CHARGE NURSE | 60.00 | $162,623 | $0 | $17,895 | Yes (X) | |||
| KELLY GOWDY | ||||||||
| CHARGE NURSE | 51.00 | $167,150 | $0 | $16,473 | Yes (X) | |||
| GWENDOLYN SMITH | ||||||||
| CHARGE NURSE | 50.00 | $170,107 | $0 | $17,301 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,023,861 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $149,127 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 24 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| M FOLEY ELECTRIC | |||||
| 69 ARBORWAY | BRAINTREE | MA | 02130 | ELECTRICAL SERVICES | $325,480 |
| NARDONE ELECTRICAL CORPORATION | |||||
| 160 OLYMPIA AVE | WOBURN | MA | 01801 | CONSTRUCTION SERVICES | $185,161 |
| PRIME TIME HEALTHCARE LLC | |||||
| PO BOX 3544 | ELKHORN | NE | 68103 | AGENCY NURSING | $107,423 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $41,740 | FundraisingAmt |
| Related Organizations | $1,758,000 | RelatedOrganizationsAmt |
| Government Grants | $48,528 | GovernmentGrantsAmt |
| All Other Contributions | $79,203 | AllOtherContributionsAmt |
| Total Contributions | $1,927,471 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REVENUE | Desc |
| Business | 623000 | BusinessCd |
| Total Revenue Column | $12,738,055 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,738,055 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $12,738,055 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $123 | TotalRevenueColumnAmt |
| Exclusion | $123 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $26,520 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $41,740 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $38,796 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$12,276 | TotalRevenueColumnAmt |
| Exclusion | -$12,276 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $2,201 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,201 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,201 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,655,574 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,740,256 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$12,153 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $215,059 | TotalAmt |
| Management And General | $215,059 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,997,270 | TotalAmt |
| Program Services | $7,709,265 | ProgramServicesAmt |
| Management And General | $213,402 | ManagementAndGeneralAmt |
| Fundraising | $74,603 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $240,866 | TotalAmt |
| Program Services | $226,894 | ProgramServicesAmt |
| Management And General | $11,776 | ManagementAndGeneralAmt |
| Fundraising | $2,196 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,065,611 | TotalAmt |
| Program Services | $1,030,505 | ProgramServicesAmt |
| Management And General | $25,134 | ManagementAndGeneralAmt |
| Fundraising | $9,972 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $638,106 | TotalAmt |
| Program Services | $601,092 | ProgramServicesAmt |
| Management And General | $31,197 | ManagementAndGeneralAmt |
| Fundraising | $5,817 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $400,000 | TotalAmt |
| Management And General | $400,000 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $645 | TotalAmt |
| Management And General | $645 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,633 | TotalAmt |
| Management And General | $67,633 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,538 | TotalAmt |
| Management And General | $4,538 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,081 | TotalAmt |
| Program Services | $9,451 | ProgramServicesAmt |
| Management And General | $31,630 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,421 | TotalAmt |
| Program Services | $22,642 | ProgramServicesAmt |
| Management And General | $75,779 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $157,116 | TotalAmt |
| Program Services | $157,116 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $195 | TotalAmt |
| Program Services | $45 | ProgramServicesAmt |
| Management And General | $150 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,235 | TotalAmt |
| Program Services | $3,735 | ProgramServicesAmt |
| Management And General | $12,500 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,096 | TotalAmt |
| Program Services | $25,096 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $405,127 | TotalAmt |
| Program Services | $405,127 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,766 | TotalAmt |
| Management And General | $64,766 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| CONTRACT SERVICES | $1,629,911 | $1,629,911 |
| NURSING FACILITY USER F | $547,269 | $547,269 |
| PURCHASED SERVICES | $355,066 | $355,066 |
| NURSING SUPPLIES | $231,519 | $231,519 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $601,304 | TotalAmt |
| Program Services | $354,305 | ProgramServicesAmt |
| Management And General | $242,018 | ManagementAndGeneralAmt |
| Fundraising | $4,981 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,802,834 | TotalAmt |
| Program Services | $13,309,038 | ProgramServicesAmt |
| Management And General | $1,396,227 | ManagementAndGeneralAmt |
| Fundraising | $97,569 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $763,698 | BOYAmt |
| EOY | $378,526 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,175 | BOYAmt |
| EOY | $5,170 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $947,856 | BOYAmt |
| EOY | $1,123,007 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,105 | BOYAmt |
| EOY | $219,108 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $12,409,678 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $8,637,078 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,493,018 | BOYAmt |
| EOY | $3,772,600 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,322 | BOYAmt |
| EOY | $4,569 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,314,174 | BOYAmt |
| EOY | $5,502,980 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,021,194 | BOYAmt |
| EOY | $1,229,798 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $35,586 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $617,402 | BOYAmt |
| EOY | $709,278 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,638,596 | BOYAmt |
| EOY | $1,974,662 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,602,979 | BOYAmt |
| EOY | $3,458,994 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,599 | BOYAmt |
| EOY | $69,324 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,675,578 | BOYAmt |
| EOY | $3,528,318 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,314,174 | BOYAmt |
| EOY | $5,502,980 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$147,260 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $234,047 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,042,144 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,985,973 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,130,730 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,953,991 | CurrentTaxYearAmt |
| Total | $8,346,885 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $234,047 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,042,144 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,985,973 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,130,730 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,953,991 | CurrentTaxYearAmt |
| Total | $8,346,885 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $8,346,885 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $6 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $123 | CurrentTaxYearAmt |
| Total | $129 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,107 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $21,044 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $21,098 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $33,719 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,201 | CurrentTaxYearAmt |
| Total | $87,169 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $8,434,183 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $56,611,720 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.98960 | PublicSupportCY170Pct |
| Public Support PY170 | 0.97840 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $1,765 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $1,765 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION PAYS ASSOCIATION FEES TO STATE HEALTHCARE ORGANIZATIONS WHERE A PERCENTAGE OF MEMBER FEES IS ALLOCATED TO LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | Yes (1) | AgentTrusteeEtcInd |
| Beginning Balance | $2,395 | BeginningBalanceAmt |
| Additions During Year | $28,450 | AdditionsDuringYearAmt |
| Distributions During Year | $28,539 | DistributionsDuringYearAmt |
| Ending Balance | $2,306 | EndingBalanceAmt |
| Incl Escrow Custodial Acct Liab | 0 | InclEscrowCustodialAcctLiabInd |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,423,074 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,820,010 | DepreciationAmt |
| Book Value | $2,603,064 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,370,114 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,817,068 | DepreciationAmt |
| Book Value | $553,046 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $616,490 | OtherCostOrOtherBasisAmt |
| Book Value | $616,490 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,772,600 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO RELATED PARTIES | $122,876 |
| LONG-TERM DEBT DUE TO RELATED PARTY | $581,833 |
| RESIDENT FUNDS | $4,569 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $709,278 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $14,706,536 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $50,962 | OtherRevenueAmt |
| Revenue Not Reported | $50,962 | RevenueNotReportedAmt |
| Revenue Subtotal | $14,655,574 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $14,655,574 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $14,841,630 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $38,796 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $38,796 | ExpensesNotReportedAmt |
| Expenses Subtotal | $14,802,834 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $14,802,834 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 1B: | THE ORGANIZATION IS CUSTODIAN FOR PERSONAL NEEDS ACCOUNTS MAINTAINED FOR RESIDENTS OF THE SKILLED NURSING FACILITY. |
| PART X, LINE 2: | THE RESIDENCE IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND IS RECOGNIZED AS TAX EXEMPT UNDER SECTION 501(A) OF THE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | NET ASSETS RELEASED FROM RESTRICTIONS 12,166. FUNDRAISING EXPENSES 38,796. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EXPENSE 38,796. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | FALL FUNDRAISER | Event1Nm |
| Gross Receipts Event1 | $68,260 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $41,740 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $26,520 | GrossRevenueEvent1Amt |
| Food And Beverage Event1 | $21,099 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $17,697 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $68,260 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $41,740 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $26,520 | GrossRevenueTotalEventsAmt |
| Food And Beverage Total Events | $21,099 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $17,697 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $38,796 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$12,276 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KAY MOULTON | ||||||||||||||
| CHARGE NURSE | $183,821 | $0 | $0 | $0 | $0 | $0 | $7,676 | $0 | $24,439 | $0 | $215,936 | $0 | $0 | $0 |
| LORI FERRANTE | ||||||||||||||
| ADMINSTRATOR | $186,710 | $0 | $0 | $0 | $0 | $0 | $7,689 | $0 | $20,660 | $0 | $215,059 | $0 | $0 | $0 |
| HERCILIA BERNARD | ||||||||||||||
| CHARGE NURSE | $153,450 | $0 | $0 | $0 | $0 | $0 | $13,175 | $0 | $23,819 | $0 | $190,444 | $0 | $0 | $0 |
| GWENDOLYN SMITH | ||||||||||||||
| CHARGE NURSE | $170,107 | $0 | $0 | $0 | $0 | $0 | $6,244 | $0 | $11,057 | $0 | $187,408 | $0 | $0 | $0 |
| KELLY GOWDY | ||||||||||||||
| CHARGE NURSE | $167,150 | $0 | $0 | $0 | $0 | $0 | $5,082 | $0 | $11,391 | $0 | $183,623 | $0 | $0 | $0 |
| PIERRE GUERDA | ||||||||||||||
| CHARGE NURSE | $162,623 | $0 | $0 | $0 | $0 | $0 | $6,607 | $0 | $11,288 | $0 | $180,518 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | THE ORGANIZATION ENTERED INTO A MANAGEMENT AGREEMENT WITH LEGACY LIFECARE MANAGEMENT EFFECTIVE JANUARY 1, 2021. THE SISTERS OF CHARITY, THE SUPPORTING ORGANIZATION, IS PAYING THE MANAGEMENT FEE ON BEHALF OF THE ORGANIZATION. LEGACY LIFECARE MANAGEMENT PROVIDES MANAGEMENT SERVICES WHICH INCLUDED THE FOLLOWING RESPONSIBILITIES: 1) KEY PERSONNEL MANAGEMENT 2) PERSONNEL OVERSIGHT 3) FINANCIAL RESPONSIBILITIES 4) MANAGEMENT REPORTS 5) REGULATORY COMPLIANCE 6) QUALITY ASSURANCE 7) PURCHASING AND CONTRACTING 8) BANK ACCOUNTS 9) POLICIES AND SYSTEMS 10) ADMISSIONS 11) RESIDENT SERVICES 12) MAINTENANCE AND REPAIR 13) BILLING AND COLLECTION 14) RECORDS |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SISTERS OF CHARITY OF HALIFAX, NOVA SCOTIA, THE SUPPORTING ORGANIZATION, IS THE SOLE MEMBER. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MEMBERS SHALL HAVE THE RIGHT TO VOTE FOR THE ELECTION OF DIRECTORS. THE SISTERS OF CHARITY APPOINT THE DIRECTORS OF THE BOARD. |
| FORM 990, PART VI, SECTION A, LINE 7B | ALL DECISIONS ARE SUBJECT TO APPROVAL BY THE SISTERS OF CHARITY OF HALIFAX, NOVA SCOTIA. |
| FORM 990, PART VI, SECTION A, LINE 8B | NO COMMITTEES HAVE THE AUTHORITY TO ACT ON BEHALF OF THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 11B | A COMPLETE COPY OF THE FEDERAL FORM 990, EITHER IN PAPER OR ELECTRONIC FORM AND INCLUDING ALL REQUIRED SCHEDULES, IS PROVIDED TO EVERY VOTING MEMBER OF THE BOARD OF DIRECTORS FOR REVIEW, COMMENT AND APPROVAL PRIOR TO THE RETURNS BEING FILED WITH THE APPROPRIATE AUTHORITIES. |
| FORM 990, PART VI, SECTION B, LINE 12C | MONITORING OF THE CONFLICT OF INTEREST POLICY IS EXECUTED BY THE BOARD PRESIDENT. ANNUALLY, ALL BOARD MEMBERS COMPLETE A CONFLICT OF INTEREST FORM, ASKING THEM TO ACKNOWLEDGE THEY HAVE RECEIVED, READ AND UNDERSTOOD THE POLICY; TO LIST THEIR EMPLOYMENT AND CONSULTING WORK, TO LIST ALL BOARDS AND COMMITTEES ON WHICH THEY SERVE AND ALL VOLUNTEER POSITIONS. THESE FORMS ARE REVIEWED ANNUALLY BY THE BOARD LEADERSHIP. AT A BOARD MEETING, WHEN A CONFLICT IS IDENTIFIED, THE BOARD MEMBER IN QUESTION IS ASKED TO LEAVE THE MEETING WHILE THE PARTICULAR ITEM IS DISCUSSED. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE SALARY FOR THE ADMINISTRATOR OF THE ORGANIZATION IS DETERMINED BY THE BOARD OF DIRECTORS. A REASONABLE SALARY INCREASE IS PROVIDED BY THE SISTERS OF CHARITY ANNUALLY FOR ALL EMPLOYEES BASED ON INFLATIONARY RATES. BONUSES ARE DISCRETIONARY BASED ON GOALS ACHIEVED DURING THE YEAR. A MAJORITY VOTE MUST BE OBTAINED TO APPROVE A SALARY AMOUNT. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARILLAC RESIDENCE INC | ||||||||||||||||
| 125 OAKLAND STREET | WELLESELY | MA | 02481 | 043436894 | PROVIDE RESIDENTIAL CARE TO MEMBERS OF THE CONGREGATION | MA | 501(C)(3) | LINE 7 | SISTERS OF CHARITY (HALIFAX) | 0 | ||||||
| SISTERS OF CHARITY (HALIFAX) COPORATE MISSION INC | ||||||||||||||||
| 125 OAKLAND STREET | WELLESELY | MA | 02481 | 042430557 | RELIGIOUS COMMUNITY AND MISSION OF SISTERS OF CHARITY | MA | 501(C)(3) | LINE 1 | SISTERS OF CHARITY (HALIFAX) | 0 | ||||||
| SISTERS OF CHARITY (HALIFAX) SUPPORTING CORPORATION | ||||||||||||||||
| 125 OAKLAND STREET | WELLESELY | MA | 02481 | 042103641 | REALTY WHICH RENTS PROPERTY TO RELATED PARTIES | MA | 501(C)(3) | LINE 1 | SISTERS OF CHARITY (HALIFAX) | 0 | ||||||
| SISTERS OF CHARITY CENTRE | ||||||||||||||||
| OPERATE CHURCH & PROVIDE LIMITED RESIDENTIAL CARE TO MEMBERS OF CONGREGATION | 501(C)(3) | LINE 1 | SISTERS OF CHARITY (HALIFAX) | 0 | 215 SETON ROAD | HALIFAX | NOVA SCOTIA | CA | B3M0C9 | CA | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
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