EDGAR P BENJAMIN HEALTHCARE CENTER INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
EDGAR P BENJAMIN HEALTHCARE CENTER INC (EIN 04-2104452)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-11-15
IRS object ID
202423209349322972
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 ReturnHeader

FieldValueIRS element (for citing)
Return2024-11-15T05:17:50-00:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN352259475PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Pegasus Solutions IncBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1693 East Central StreetAddressLine1Txt
CityFranklinCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02038ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN042104452EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Edgar P Benjamin Healthcare Center IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlEDGABusinessNameControlTxt
Phone6177381500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1120 Fisher AvenueAddressLine1Txt
CityRoxbury CrossingCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02120ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOSEPH D FEASTER JRPersonNm
Person TitleCOURT APPOINTED RECEIVERPersonTitleTxt
Phone6177381500PhoneNum
Signature2024-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTheresa L HorkyPreparerPersonNm
PTINP01439977PTIN
Phone5085704908PhoneNum
Preparation2024-11-15PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJOSEPH D FEASTER JRPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1175 Federal Street STE 1500AddressLine1Txt
CityBostonCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02110ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$10,575,143GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.EPBHC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1927FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionTo provide a home or shelter for, and to otherwise assist, indigent people without regard to race, creed or color through the operation of a 93 bed nursing homeActivityOrMissionDesc
Voting Members Governing Body3VotingMembersGoverningBodyCnt
Voting Members Independent3VotingMembersIndependentCnt
Total Employee139TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$9,455,558PYProgramServiceRevenueAmt
CY Program Service Revenue$10,566,858CYProgramServiceRevenueAmt
PY Investment Income$58,305PYInvestmentIncomeAmt
CY Investment Income$2,272CYInvestmentIncomeAmt
PY Other Revenue$19,068PYOtherRevenueAmt
CY Other Revenue$6,013CYOtherRevenueAmt
PY Total Revenue$9,532,931PYTotalRevenueAmt
CY Total Revenue$10,575,143CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$8,075,303PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$8,209,544CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,799,807PYOtherExpensesAmt
CY Other Expenses$3,055,743CYOtherExpensesAmt
PY Total Expenses$10,875,110PYTotalExpensesAmt
CY Total Expenses$11,265,287CYTotalExpensesAmt
PY Revenues Less Expenses-$1,342,179PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$690,144CYRevenuesLessExpensesAmt
Total Assets BOY$4,629,492TotalAssetsBOYAmt
Total Assets EOY$5,061,685TotalAssetsEOYAmt
Total Liabilities BOY$6,323,766TotalLiabilitiesBOYAmt
Total Liabilities EOY$7,446,103TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$1,694,274NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$2,384,418NetAssetsOrFundBalancesEOYAmt
MissionTo provide a home or shelter for, and to otherwise assist, indigent people without regard to race, creed or color through the operation of a 93 bed nursing home in Boston, Massachusetts as a supporting service. Provide educational opportunities and training for individuals who work in long term care facilities or otherwise care for the elderly.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$9,057,508ExpenseAmt
Revenue$10,571,858RevenueAmt
DescSKILLED NURSING CARE AND EDUCATIONAL SERVICES PROVIDE NURSING CARE TO THE ELDERLY THROUGH THE OPERATION OF A 93 BED NURSING HOME AND PROVIDE EDUCATIONAL SUPPORT SERVICES AS A SUPPORTING SERVICE. THE ORGANIZATION ALSO PROVIDES EDUCATIONAL OPPORTUNITIES AND VOCATIONAL TRAINING FOR INDIVIDUALS WHO WORK IN LONG TERM CARE FACILITIES OR OTHERWISE CARE FOR THE ELDERLY. ADDITIONALLY, THE ORGANIZATION PROVIDES SCHOOL-AGED CHILDREN WITH INTERGENERATIONAL LEARNING OPPORTUNITIES THAT ALLOW THEM TO GAIN SKILLS KNOWLEDGE FROM THE OLDER DENERATION.Desc
Total Program Service Expenses$9,057,508TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingYes (true)LoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (true)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredfalseScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee139EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members3GoverningBodyVotingMembersCnt
Independent Voting Member3IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDELECIA MARKPersonNm
Phone6177381500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1120 FISHER AVENUEAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02120ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
Tony Francis
President Administrator040.00Yes (X)$389,499$0$0
Marise Colsoul
Director Of Nursing040.00$152,129$0$0Yes (X)
Erin Shanley
Director of Rehab040.00$148,367$0$0Yes (X)
Andre Diedonne
Registered Nurse040.00$146,618$0$0Yes (X)
Blessing Onuigbo
Licensed Practical Nurse050.00$140,953$0$0Yes (X)
Marie Dorgilles
Registered Nurse040.00$127,280$0$0Yes (X)
Joana Angel
Clerk Director$0$0$0Yes (X)
Evan Tobasky
Secretary TreasurerYes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,104,846TotalReportableCompFromOrgAmt
Indiv Rcvd Greater Than100 K10IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Service Revenue623000$9,645,958$9,645,958
Education Services611600$920,900$920,900
FieldValueIRS element (for citing)
Total Program Service Revenue$10,566,858TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,272TotalRevenueColumnAmt
Related Or Exempt Func Income$2,272RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$5,000FundraisingGrossIncomeAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,000TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOther IncomeDesc
Business812900BusinessCd
Total Revenue Column$1,013TotalRevenueColumnAmt
Related Or Exempt Func Income$1,013RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,013OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,575,143TotalRevenueColumnAmt
Related Or Exempt Func Income$10,570,143RelatedOrExemptFuncIncomeAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$389,499TotalAmt
Management And General$389,499ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,918,214TotalAmt
Program Services$5,930,414ProgramServicesAmt
Management And General$987,800ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$90,625TotalAmt
Management And General$90,625ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$242,185TotalAmt
Program Services$194,349ProgramServicesAmt
Management And General$47,836ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$569,021TotalAmt
Program Services$461,776ProgramServicesAmt
Management And General$107,245ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,450TotalAmt
Management And General$2,450ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$128,795TotalAmt
Management And General$128,795ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Fees For Services Prof FundraisingFeesForServicesProfFundraising

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,615TotalAmt
Management And General$4,615ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,450TotalAmt
Program Services$956ProgramServicesAmt
Management And General$494ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$44,690TotalAmt
Management And General$44,690ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$225,047TotalAmt
Program Services$225,047ProgramServicesAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,507TotalAmt
Management And General$2,507ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$47,014TotalAmt
Management And General$47,014ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$172,317TotalAmt
Program Services$128,302ProgramServicesAmt
Management And General$44,015ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
Bad Debt Expense$1,000,000$1,000,000
Supplies$322,694$322,694
Food Supplements$262,592$262,592
User Fee Expense$209,460$209,460

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$632,112TotalAmt
Program Services$321,918ProgramServicesAmt
Management And General$310,194ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$11,265,287TotalAmt
Program Services$9,057,508ProgramServicesAmt
Management And General$2,207,779ManagementAndGeneralAmt
Fundraising$0FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$68,253BOYAmt
EOY$10,134EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$522,943BOYAmt
EOY$522,773EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,638,399BOYAmt
EOY$1,361,680EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$1,423,600BOYAmt
EOY$2,219,651EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$161,897BOYAmt
EOY$294,455EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$41,535BOYAmt
EOY$7,434EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$6,056,469LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$5,416,052LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$734,421BOYAmt
EOY$640,417EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$33,325BOYAmt
EOY$22EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$5,119BOYAmt
EOY$5,119EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,629,492BOYAmt
EOY$5,061,685EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,021,635BOYAmt
EOY$3,064,011EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$631,406BOYAmt
EOY$801,274EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$2,440,273BOYAmt
EOY$2,463,580EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$230,452BOYAmt
EOY$1,117,238EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,323,766BOYAmt
EOY$7,446,103EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$1,694,274BOYAmt
EOY-$2,384,418EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$1,694,274BOYAmt
EOY-$2,384,418EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,629,492BOYAmt
EOY$5,061,685EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$690,144ReconcilationRevenueExpnssAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$49,651CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,050,995CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,870,409CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,402CurrentTaxYearMinus1YearAmt
Current Tax Year$5,000CurrentTaxYearAmt
Total$5,982,457TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,157,536CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,685,336CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,938,921CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,456,864CurrentTaxYearMinus1YearAmt
Current Tax Year$10,566,858CurrentTaxYearAmt
Total$53,805,515TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years-$29,915CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$37,556CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,360CurrentTaxYearMinus1YearAmt
Current Tax Year$1,013CurrentTaxYearAmt
Total$20,014TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,207,187CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,706,416CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,846,886CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,474,626CurrentTaxYearMinus1YearAmt
Current Tax Year$10,572,871CurrentTaxYearAmt
Total$59,807,986TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$59,807,986PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,831CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,545CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,078CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$58,305CurrentTaxYearMinus1YearAmt
Current Tax Year$2,272CurrentTaxYearAmt
Total$82,031TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,831CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,545CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,078CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$58,305CurrentTaxYearMinus1YearAmt
Current Tax Year$2,272CurrentTaxYearAmt
Total$82,031TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,219,018CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,713,961CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,848,964CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,532,931CurrentTaxYearMinus1YearAmt
Current Tax Year$10,575,143CurrentTaxYearAmt
Total$59,890,017TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99860PublicSupportCY509Pct
Public Support PY5090.98950PublicSupportPY509Pct
Investment Income CY0.00140InvestmentIncomeCYPct
Investment Income PY0.01050InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind
Facts And Circumstances TestPart III Section A Line 5 AMOUNT REPORTED IN 2021 IS GOVERNMENT RECEIVED STIMULUS FUNDS. AMOUNT REPORTED IN 2020 IS PPP LOAN FORGIVENESS INCOME.FactsAndCircumstancesTestTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Incl Escrow Custodial Acct LiabfalseInclEscrowCustodialAcctLiabInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$200,000OtherCostOrOtherBasisAmt
Book Value$200,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,496,437OtherCostOrOtherBasisAmt
Depreciation$2,496,437DepreciationAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,399,803OtherCostOrOtherBasisAmt
Depreciation$1,089,538DepreciationAmt
Book Value$310,265BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,960,229OtherCostOrOtherBasisAmt
Depreciation$1,830,077DepreciationAmt
Book Value$130,152BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$640,417TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc
Financial derivatives and other financial products
Closely-held equity interests

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDescAmtAmt
Federal income taxes
Medicaid Advance$293,515
Payroll Withholdings$829
Asset Retirement Obligation$150,000
Loans Payable$248,157
Payroll Clearing$24,167
Refund Exchange$55,399
Resident Trust Liability$70,496
Other Receivable$274,675
FieldValueIRS element (for citing)
Total Liability$1,117,238TotalLiabilityAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredfalseSubstantiationRequiredInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (true)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
Tony Francis
President Administrator$242,304$147,195$389,499
Marise Colsoul
Director Of Nursing$152,129$152,129

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I Line 7Non Fixed Bonus payments over and above base salary for Administrator
Part I Line 1Gym membership for Administrator
Part I Line 6Executive was paid the gross amount of fifteen percent of the net patient charges received by the organization from patients referred by sources originated from the Executive.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (2 entries)

Relationship With OrgRelationshipWithOrgTxtLoan PurposeLoanPurposeTxtLoan From OrganizationLoanFromOrganizationIndBalance DueBalanceDueAmtDefaultDefaultIndBoard Or Committee ApprovalBoardOrCommitteeApprovalIndWritten AgreementWrittenAgreementInd
Resthaven Corporation
Realty Holding CompanyIntercompanyYes (X)$294,455falseYes (true)false
Tony Francis
Former AdministratorAvailable Upon RequstYes (X)$2,219,651falsefalsefalse
FieldValueIRS element (for citing)
Total Balance Due$2,514,106TotalBalanceDueAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part XII, Line 3No Federal Awards received
Form 990, Part VI, Section A, Line 6The organizations sole member is its related non profit organization, resthaven corporation
Form 990, Part VI, Section A, Line 7AThe directors of the sole member, resthaven corporation, shall automatically serve as the board of directors of the organization
Form 990, Part VI, Section B, Line 11BThere is currently no governing body for the organization at this time due to a transitional period of receivership.
Form 990, Part VI, Section B, Line 15ACEO/Administrator compensation is determined through the use of a written employment contract, compensation study as well as approval by the board of directors. Compensation is also ducumented in writing in the meeting minutes of the board.
Form 990, Part VI, Section C, Line 19All documents of the organization are made available to the public through open sources and upon request
Form 990, Part X, Line 5Amounts reported on this line at the beginning and end of the year relate to an alleged misuse misappropriation of organization funds by an officer. Those funds have been identified via forensic audit and are due and payable from the officer.
Form 990, Part X, Line 25Amounts reported on this line labeled OTHER LOANS and OTHER RECEIVABLES are deposits or payments of unknown source or destination identified during audit. These accounts are subject to reclassification in the future if the unknowns are identified.
Form 990, Part VI, Section A, Line 2Officer T. Francis had a business relationship with Officer E. Tobasky. Both were officers in a Masschusetts LLC named Aurora Health Services, LLC. Officer J. Angel also had a business relationship with the organization outside of the governing body. She is a bank employee with Rockland Trust, where a majority of the organizations funds are held and to which Officers have signatory authority to draw on the accounts.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Resthaven CorporationBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1120 Fisher AveAddressLine1Txt
CityRoxburyCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02120ZIPCd
FieldValueIRS element (for citing)
EIN043448700EIN
Primary ActivitiesSupportingPrimaryActivitiesTxt
Legal Domicile StateMALegalDomicileStateCd
Exempt Code Section501C3ExemptCodeSectionTxt
Public Charity StatusLine 11PublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Resthaven CorporationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeeTransactionTypeTxt
Involved$2,300,000InvolvedAmt
Method Of Amount DeterminationCostMethodOfAmountDeterminationTxt

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