EDGAR P BENJAMIN HEALTHCARE CENTER INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
EDGAR P BENJAMIN HEALTHCARE CENTER INC (EIN 04-2104452)
Tax period
2022-01-01 to 2022-12-31
Filed
2024-11-29
IRS object ID
202433349349300508
Schema version
2022v5.0
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)
Return2024-11-29T03:32:42-00:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

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 Begin2022-01-01TaxPeriodBeginDt

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
Signature2024-11-29SignatureDt
Discuss With Paid PreparerfalseDiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTheresa L HorkyPreparerPersonNm
PTINP01439977PTIN
Phone5085704908PhoneNum
Preparation2024-11-29PreparationDt
FieldValueIRS element (for citing)
Tax2022TaxYr
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$9,534,015GrossReceiptsAmt
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 Employee147TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$11,567,577PYProgramServiceRevenueAmt
CY Program Service Revenue$9,456,863CYProgramServiceRevenueAmt
PY Investment Income$2,078PYInvestmentIncomeAmt
CY Investment Income$58,305CYInvestmentIncomeAmt
PY Other Revenue$279,309PYOtherRevenueAmt
CY Other Revenue$17,762CYOtherRevenueAmt
PY Total Revenue$11,848,964PYTotalRevenueAmt
CY Total Revenue$9,532,930CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$8,054,448PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$8,075,304CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,899,373PYOtherExpensesAmt
CY Other Expenses$2,799,806CYOtherExpensesAmt
PY Total Expenses$10,953,821PYTotalExpensesAmt
CY Total Expenses$10,875,110CYTotalExpensesAmt
PY Revenues Less Expenses$895,143PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,342,180CYRevenuesLessExpensesAmt
Total Assets BOY$4,890,465TotalAssetsBOYAmt
Total Assets EOY$4,629,492TotalAssetsEOYAmt
Total Liabilities BOY$5,242,559TotalLiabilitiesBOYAmt
Total Liabilities EOY$6,323,766TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$352,094NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$1,694,274NetAssetsOrFundBalancesEOYAmt
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$8,312,859ExpenseAmt
Revenue$9,463,265RevenueAmt
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$8,312,859TotalProgramServiceExpensesAmt
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
Employee147EmployeeCnt
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 (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
TONY FRANCIS
PRESIDENT ADMINISTRATOR040.00Yes (X)$393,968$0$0
MARISE COLSOUL
DIRECTOR OF NURSING040.00$150,558$0$0Yes (X)
ANDRE DIEUDONNE
REGISTERED NURSE040.00$131,779$0$0Yes (X)
ERIN SHANLEY
DIRECTOR OF REHAB040.00$130,416$0$0Yes (X)
SHUKRI ALI
REGISTERED NURSE040.00$125,468$0$0Yes (X)
ENIDE ORALUS NOEL
REGISTERED NURSE040.00$124,680$0$0Yes (X)
EVAN TOBASKY
SECRETARY TREASURERYes (X)$0$0$0
JOANA ANGEL
CLERK DIRECTORYes (X)$0$0$0
ROYAL BOLLING
CHAIRMANYes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,056,869TotalReportableCompFromOrgAmt
Indiv Rcvd Greater Than100 K12IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmt
PATIENT SERVICE REVENUE623000$8,600,576
EDUCATION SERVICES611600$856,287
FieldValueIRS element (for citing)
Total Program Service Revenue$9,456,863TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$58,305TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$7,487FundraisingGrossIncomeAmt
Fundraising Direct Expenses$1,085FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,402TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Business812900BusinessCd
Total Revenue Column$11,360TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$11,360OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,532,930TotalRevenueColumnAmt

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$361,418TotalAmt
Management And General$361,418ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,467,534TotalAmt
Program Services$5,544,152ProgramServicesAmt
Management And General$923,382ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$359,162TotalAmt
Management And General$359,162ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$372,212TotalAmt
Program Services$316,945ProgramServicesAmt
Management And General$55,267ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$514,978TotalAmt
Program Services$441,453ProgramServicesAmt
Management And General$73,524ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$7,269TotalAmt
Management And General$7,269ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$33,373TotalAmt
Management And General$33,373ManagementAndGeneralAmt

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$33,138TotalAmt
Program Services$357ProgramServicesAmt
Management And General$32,781ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$9,139TotalAmt
Program Services$9,139ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$52,405TotalAmt
Management And General$52,405ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$244,033TotalAmt
Program Services$244,033ProgramServicesAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$5,103TotalAmt
Management And General$5,103ManagementAndGeneralAmt

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$8,718TotalAmt
Management And General$8,718ManagementAndGeneralAmt

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$329,838TotalAmt
Program Services$250,596ProgramServicesAmt
Management And General$79,242ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$783,002$783,002
UTILITIES$401,521$401,521
FOOD EXPENSE$332,957$332,957
PURCHASED SERVICES$190,257$190,257

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$369,053TotalAmt
Program Services$199,967ProgramServicesAmt
Management And General$169,086ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$10,875,110TotalAmt
Program Services$8,312,858ProgramServicesAmt
Management And General$2,562,251ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$585,386BOYAmt
EOY$68,253EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$522,281BOYAmt
EOY$522,943EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,203,380BOYAmt
EOY$1,638,399EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$1,251,159BOYAmt
EOY$1,423,600EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$401,817BOYAmt
EOY$161,897EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$68,980BOYAmt
EOY$41,535EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$6,056,469LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$5,322,048LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$819,200BOYAmt
EOY$734,421EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$33,143BOYAmt
EOY$33,325EOYAmt

Other Assets Total OtherAssetsTotalGrp

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

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,890,465BOYAmt
EOY$4,629,492EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,459,545BOYAmt
EOY$3,021,635EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$159,900BOYAmt
EOY$631,406EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$2,386,440BOYAmt
EOY$2,440,273EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$236,674BOYAmt
EOY$230,452EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,242,559BOYAmt
EOY$6,323,766EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$352,094BOYAmt
EOY-$1,694,274EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$352,094BOYAmt
EOY-$1,694,274EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,890,465BOYAmt
EOY$4,629,492EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$1,342,180ReconcilationRevenueExpnssAmt
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$2,375CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$49,651CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,050,995CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,870,409CurrentTaxYearMinus1YearAmt
Current Tax Year$6,402CurrentTaxYearAmt
Total$5,979,832TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,047,247CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,157,536CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,685,336CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,938,921CurrentTaxYearMinus1YearAmt
Current Tax Year$9,456,864CurrentTaxYearAmt
Total$54,285,904TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years-$29,915CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$37,556CurrentTaxYearMinus1YearAmt
Current Tax Year$11,360CurrentTaxYearAmt
Total$19,001TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,049,622CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,207,187CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,706,416CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,846,886CurrentTaxYearMinus1YearAmt
Current Tax Year$9,474,626CurrentTaxYearAmt
Total$60,284,737TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$60,284,737PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$573,727CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,831CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,545CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,078CurrentTaxYearMinus1YearAmt
Current Tax Year$58,305CurrentTaxYearAmt
Total$653,486TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$573,727CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,831CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,545CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,078CurrentTaxYearMinus1YearAmt
Current Tax Year$58,305CurrentTaxYearAmt
Total$653,486TotalAmt

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$11,623,349CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,219,018CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,713,961CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,848,964CurrentTaxYearMinus1YearAmt
Current Tax Year$9,532,931CurrentTaxYearAmt
Total$60,938,223TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98930PublicSupportCY509Pct
Public Support PY5090.98150PublicSupportPY509Pct
Investment Income CY0.01070InvestmentIncomeCYPct
Investment Income PY0.01740InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind
Facts And Circumstances TestPart III Section A Line 1 AMOUNTS REPORTED FOR 2020 AND 2021 RELATE TO FEDERAL AND STATE GOVERNMENTAL GRANTS DUE TO THE COVID-19 PANDEMIC. THIS INCLUDED, BUT IS NOT LIMITED TO, PROVIDER RELIEF FUNDS, PPP LOAN FORGIVENESS, STIMULUS FUNDS AND OTHER AID.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$1,055,929DepreciationAmt
Book Value$343,874BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,960,229OtherCostOrOtherBasisAmt
Depreciation$1,769,682DepreciationAmt
Book Value$190,547BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$734,421TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

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

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
Federal income taxes
Asset Retirement Obligation$150,000
Payroll Clearing$20,504
Resident Trust Liability$70,496
Payroll Withholdings-$10,548
FieldValueIRS element (for citing)
Total Liability$230,452TotalLiabilityAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelYes (X)FirstClassOrCharterTravelInd
Travel For CompanionsYes (X)TravelForCompanionsInd
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$230,769$163,199$393,968
MARISE COLSOUL
DIRECTOR OF NURSING$150,558$150,558

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I Line 7NON FIXED PAYMENTS ARE RELATED TO PERIODIC NON-INCENTIVE BASED BONUS PAYMENTS, VACATION TIME PAYOUTS AND SICK TIME PAYOUTS.
Part I Line 1Gym membership for CEO and plane tickets and hotel stays paid for on behalf of the CEO and companions. Disclosure regarding travel costs - these were not approved, and pending investigation may deemed costs owed back to the Filer. These costs presently sit in a balance sheet account
Part 1 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 HoldingsIntercompanyYes (X)$161,897falseYes (true)false
Tony Francis
President AdministratorAvailable Upon RequestYes (X)$1,423,600falsefalsefalse
FieldValueIRS element (for citing)
Total Balance Due$1,585,497TotalBalanceDueAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part II Line 1Intercompany transaction account between the Filer and related party supporting organization Resthaven Corporation
Part II Line 2Receivable account related to funds allegedly misappropriated by the CEO, pending legal proceedings. This value indicates the assumed net amount due back to the Filer from the CEO. These amounts include unauthorized additional compensation and personal expenses paid with Filers funds.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 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 11BAt the time of this filing, there is no governing body for this organization 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 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 T. Francis and Officer R. Bolling had a external business relationship, both were officers in a Massachusetts Nonprofit named Centorian Inc. 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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