SAINT ANTOINE RESIDENCE: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- SAINT ANTOINE RESIDENCE (EIN 05-0275443)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-08-03
- IRS object ID
- 202302159349300135
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-08-03T11:35:39-05:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4 BATTERYMARCH PARK SUITE 100 | AddressLine1Txt |
| City | QUINCY | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02169 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 050275443 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT ANTOINE RESIDENCE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SAIN | BusinessNameControlTxt |
| Phone | 4017673500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 RHODES AVENUE | AddressLine1Txt |
| City | NORTH SMITHFIELD | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 02896 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GARRETT SULLIVAN | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 4017673500 | PhoneNum |
| Signature | 2023-08-02 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | GARRETT | PersonFirstNm |
| Person Last | SULLIVAN | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DANIELLE NIHILL | PreparerPersonNm |
| PTIN | P01350943 | PTIN |
| Phone | 7819821001 | PhoneNum |
| Preparation | 2023-08-01 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | THOMAS J TOBIN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 RHODES AVENUE | AddressLine1Txt |
| City | NORTH SMITHFIELD | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 02896 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $19,848,070 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.STANTOINE.NET | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1913 | FormationYr |
| Legal Domicile State | RI | LegalDomicileStateCd |
| Activity Or Mission | THE MISSION OF SAINT ANTOINE RESIDENCE IS TO CARE FOR THE SICK AND ELDERLY IN ADDITION TO REFLECTING THE CHURCH'S COMMITMENT AND SUPPORT FOR ALL HUMAN LIFE AND AFFIRMATION OF THE VALUE OF EACH PERSON REGARDLESS OF AGE OR PHYSICAL CONDITION IN A COMPASSIONATE, CARING AND CHRISTIAN ENVIRONMENT. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 2 | VotingMembersIndependentCnt |
| Total Employee | 284 | TotalEmployeeCnt |
| Total Volunteers | 2 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $6,000,721 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,110,482 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $16,948,724 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $18,574,125 | CYProgramServiceRevenueAmt |
| PY Investment Income | $31,399 | PYInvestmentIncomeAmt |
| CY Investment Income | $66,998 | CYInvestmentIncomeAmt |
| PY Other Revenue | $35,782 | PYOtherRevenueAmt |
| CY Other Revenue | $42,214 | CYOtherRevenueAmt |
| PY Total Revenue | $23,016,626 | PYTotalRevenueAmt |
| CY Total Revenue | $19,793,819 | 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 | $12,807,249 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $13,287,584 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $8,378,030 | PYOtherExpensesAmt |
| CY Other Expenses | $8,267,342 | CYOtherExpensesAmt |
| PY Total Expenses | $21,185,279 | PYTotalExpensesAmt |
| CY Total Expenses | $21,554,926 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,831,347 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,761,107 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $20,938,269 | TotalAssetsBOYAmt |
| Total Assets EOY | $20,112,906 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,602,543 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,657,913 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $18,335,726 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $16,454,993 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF SAINT ANTOINE RESIDENCE IS TO CARE FOR THE SICK AND ELDERLY IN ADDITION TO REFLECTING THE CHURCH'S COMMITMENT AND SUPPORT FOR ALL HUMAN LIFE AND AFFIRMATION OF THE VALUE OF EACH PERSON REGARDLESS OF AGE OR PHYSICAL CONDITION IN A COMPASSIONATE, CARING AND CHRISTIAN ENVIRONMENT. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $18,860,636 | ExpenseAmt |
| Revenue | $18,574,125 | RevenueAmt |
| Desc | THE OPERATION OF A LONG-TERM CARE FACILITY FOR THE ELDERLY AND OTHER NEEDY INDIVIDUALS. DURING 2022, ST. ANTOINE RESIDENCE PROVIDED A TOTAL OF 62,053 PATIENT BED DAYS, INCLUDING 51,202 BED DAYS TO MEDICAID AND MEDICARE PATIENTS. | Desc |
| Total Program Service Expenses | $18,860,636 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | 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 | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 18 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 284 | 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 | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| 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 | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 2 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | 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 | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GARRETT SULLIVAN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4017673500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 RHODES AVENUE | AddressLine1Txt |
| City | NORTH SMITHFIELD | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 028966999 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 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 |
|---|---|---|---|---|---|---|---|---|
| MOST REV THOMAS J TOBIN | ||||||||
| PRESIDENT / TREASURER | 1.00 | 39.00 | Yes (X) | Yes (X) | $0 | $45,818 | $30,342 | |
| REV MSGR ALBERT A KENNEY | ||||||||
| VICE PRESIDENT | 1.00 | 39.00 | Yes (X) | Yes (X) | $0 | $52,279 | $30,342 | |
| REV TIMOTHY D REILLY | ||||||||
| SECRETARY | 1.00 | 39.00 | Yes (X) | Yes (X) | $0 | $31,268 | $19,542 | |
| LAURA DOS SANTOS | ||||||||
| ASST. TREASURER | 39.00 | 1.00 | Yes (X) | Yes (X) | $0 | $212,629 | $18,309 | |
| GARRETT E SULLIVAN | ||||||||
| EXECUTIVE DIRECTOR | 40.00 | 0.00 | Yes (X) | $197,187 | $0 | $20,950 | ||
| REV MSGR GEORGE FRAPPIER | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JAMES JAHNZ | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| RICHARD BERGERON | ||||||||
| EMPLOYEE | 40.00 | 0.00 | $125,531 | $0 | $27,850 | Yes (X) | ||
| STEPHEN COURTEAU | ||||||||
| EMPLOYEE | 40.00 | 0.00 | $107,132 | $0 | $29,439 | Yes (X) | ||
| TAMMY DUQUETTE | ||||||||
| NURSING SUPERVISOR | 40.00 | 0.00 | $132,939 | $0 | $30,692 | Yes (X) | ||
| ALIOUNE KONTE | ||||||||
| EMPLOYEE | 40.00 | 0.00 | $111,827 | $0 | $0 | Yes (X) | ||
| TRACY MCCARTHY | ||||||||
| ASST. DIRECTOR OF NURSING | 40.00 | 0.00 | $137,114 | $0 | $16,362 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $811,730 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $341,994 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $223,828 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CARELINK INC | |||||
| 400 MASSASOIT AVE 300 | EAST PROVIDENCE | RI | 02914 | THERAPY | $940,798 |
| HEALTH SERVICES GROUP INC | |||||
| 3220 TILLMAN DRIVE SUITE 300 | BENSALEM | PA | 19020 | HOUSEKEEPING | $693,831 |
| DIOCESE ADMINSTRATION CORPORATION | |||||
| 1 CATHEDRAL SQUARE | PROVIDENCE | RI | 02903 | MANAGEMENT SERVICES | $513,264 |
| CLIFTONLARSONALLEN | |||||
| 4 BATTERYMARCH PARK SUITE 100 | QUINCY | MA | 02169 | ACCOUNTING & AUDIT | $183,324 |
| A ESPOSITO LANDSCAPING & NURSERY INC | |||||
| 127 SNAKE HILL RD | NORTH SCITUATE | RI | 02857 | LANDSCAPING | $132,516 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $27,000 | FundraisingAmt |
| Government Grants | $957,200 | GovernmentGrantsAmt |
| All Other Contributions | $126,282 | AllOtherContributionsAmt |
| Total Contributions | $1,110,482 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAID & MEDICARE REVENUES | 623000 | $13,496,322 | $13,496,322 |
| NURSING HOME FEES | 623000 | $4,995,603 | $4,995,603 |
| MANAGEMENT FEE INCOME | 623000 | $82,200 | $82,200 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $18,574,125 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $66,998 | TotalRevenueColumnAmt |
| Exclusion | $66,998 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $12,000 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $213 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $11,787 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,787 | TotalRevenueColumnAmt |
| Exclusion | $11,787 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $63,151 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $27,000 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $54,038 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,113 | TotalRevenueColumnAmt |
| Exclusion | $9,113 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $21,314 | TotalRevenueColumnAmt |
| Exclusion | $21,314 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $21,314 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,793,819 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $18,574,125 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $109,212 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $218,137 | TotalAmt |
| Management And General | $218,137 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,379,094 | TotalAmt |
| Program Services | $9,562,538 | ProgramServicesAmt |
| Management And General | $816,556 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $701,544 | TotalAmt |
| Program Services | $634,301 | ProgramServicesAmt |
| Management And General | $67,243 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,106,686 | TotalAmt |
| Program Services | $1,019,551 | ProgramServicesAmt |
| Management And General | $87,135 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $882,123 | TotalAmt |
| Program Services | $797,571 | ProgramServicesAmt |
| Management And General | $84,552 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $543,180 | TotalAmt |
| Management And General | $543,180 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,374 | TotalAmt |
| Management And General | $12,374 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,824 | TotalAmt |
| Management And General | $65,824 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,364 | TotalAmt |
| Management And General | $36,364 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $158,207 | TotalAmt |
| Management And General | $158,207 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,071 | TotalAmt |
| Management And General | $75,071 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,872 | TotalAmt |
| Management And General | $89,872 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $218,454 | TotalAmt |
| Management And General | $218,454 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,349,969 | TotalAmt |
| Program Services | $1,272,303 | ProgramServicesAmt |
| Management And General | $77,666 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,084 | TotalAmt |
| Management And General | $8,084 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,462 | TotalAmt |
| Program Services | $2,320 | ProgramServicesAmt |
| Management And General | $142 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $870,959 | TotalAmt |
| Program Services | $820,851 | ProgramServicesAmt |
| Management And General | $50,108 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $259,665 | TotalAmt |
| Program Services | $259,665 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| RESIDENT RELATED PURCHA | $2,744,849 | $2,707,187 | $37,662 |
| PROVIDER TAXES | $985,929 | $985,929 | |
| FOOD | $581,254 | $581,254 | |
| BAD DEBT EXPENSE | $203,197 | $203,197 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,628 | TotalAmt |
| Program Services | $13,969 | ProgramServicesAmt |
| Management And General | $47,659 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,554,926 | TotalAmt |
| Program Services | $18,860,636 | ProgramServicesAmt |
| Management And General | $2,694,290 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,800 | BOYAmt |
| EOY | $1,400 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,660,077 | BOYAmt |
| EOY | $3,124,159 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,885,442 | BOYAmt |
| EOY | $2,199,265 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,582 | BOYAmt |
| EOY | $78,238 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $147,887 | BOYAmt |
| EOY | $179,208 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $27,056,165 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $16,837,502 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,527,213 | BOYAmt |
| EOY | $10,218,663 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $452,534 | BOYAmt |
| EOY | $375,460 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,182,734 | BOYAmt |
| EOY | $3,936,513 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,938,269 | BOYAmt |
| EOY | $20,112,906 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,602,543 | BOYAmt |
| EOY | $3,590,846 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $67,067 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,602,543 | BOYAmt |
| EOY | $3,657,913 | 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 | $18,114,146 | BOYAmt |
| EOY | $16,317,649 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $221,580 | BOYAmt |
| EOY | $137,344 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,335,726 | BOYAmt |
| EOY | $16,454,993 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,938,269 | BOYAmt |
| EOY | $20,112,906 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$1,761,107 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$86,630 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$32,996 | 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) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $164,860 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $165,608 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,623,933 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,000,721 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,110,482 | CurrentTaxYearAmt |
| Total | $14,065,604 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $25,019,988 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $25,694,695 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $21,011,201 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16,948,724 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $18,574,125 | CurrentTaxYearAmt |
| Total | $107,248,733 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,500 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $12,000 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year | $11,787 | CurrentTaxYearAmt |
| Total | $47,287 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $25,196,348 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $25,872,303 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $27,647,134 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $22,949,445 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $19,696,394 | CurrentTaxYearAmt |
| Total | $121,361,624 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $121,361,624 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $48,864 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $34,221 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,247 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $42,871 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $66,998 | CurrentTaxYearAmt |
| Total | $205,201 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $48,864 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $34,221 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,247 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $42,871 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $66,998 | CurrentTaxYearAmt |
| Total | $205,201 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $18,138 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,779 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $40,986 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,134 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $21,314 | CurrentTaxYearAmt |
| Total | $108,351 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $25,263,350 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $25,923,303 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $27,700,367 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $23,003,450 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $19,784,706 | CurrentTaxYearAmt |
| Total | $121,675,176 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99740 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99580 | PublicSupportPY509Pct |
| Investment Income CY | 0.00170 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00130 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME - 2018 AMOUNT: $ 1,966. 2019 AMOUNT: $ 12,145. 2020 AMOUNT: $ 9,739. 2021 AMOUNT: $ 11,134. 2022 AMOUNT: $ 21,314. DISCOUNTS EARNED - 2018 AMOUNT: $ 16,172. 2019 AMOUNT: $ 4,634. 2020 AMOUNT: $ 31,247. | ExplanationTxt |
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 D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $452,534 | BeginningYearBalanceAmt |
| Contributions | $10,000 | ContributionsAmt |
| Investment Earnings Or Losses | -$67,302 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $19,771 | OtherExpendituresAmt |
| End Year Balance | $375,461 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $415,334 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $55,024 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $17,824 | OtherExpendituresAmt |
| End Year Balance | $452,534 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $375,774 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $58,048 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $18,488 | OtherExpendituresAmt |
| End Year Balance | $415,334 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $335,019 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $59,274 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $18,519 | OtherExpendituresAmt |
| End Year Balance | $375,774 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $375,049 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$21,740 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $18,290 | OtherExpendituresAmt |
| End Year Balance | $335,019 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.63000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.11000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.26000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $216,000 | OtherCostOrOtherBasisAmt |
| Book Value | $216,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $19,624,484 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,501,616 | DepreciationAmt |
| Book Value | $8,122,868 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,888,469 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,315,703 | DepreciationAmt |
| Book Value | $1,572,766 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $327,212 | OtherCostOrOtherBasisAmt |
| Depreciation | $20,183 | DepreciationAmt |
| Book Value | $307,029 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $10,218,663 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| ACCOUNTS RECEIVABLE - OTHER | $38,248 |
| DUE FROM AFFILIATES | $77,949 |
| ERC RECEIVABLE | $3,103,016 |
| DEMAND NOTE RECEIVABLE | $707,300 |
| CLOSING COSTS | $10,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $3,936,513 | TotalBookValueOtherAssetsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $19,637,829 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$86,630 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | -$86,630 | RevenueNotReportedAmt |
| Revenue Subtotal | $19,724,459 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $36,364 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $32,996 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $69,360 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $19,793,819 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $21,518,562 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $21,518,562 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $36,364 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $36,364 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $21,554,926 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | RETROSPECTIVE ADJUSTMENT 32,871. SUBSIDIARY EXPENSES 125. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF TOURNAMENT | Event1Nm |
| Gross Receipts Event1 | $90,151 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $27,000 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $63,151 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $45,098 | RentFacilityCostsEvent1Amt |
| Other Direct Expenses Event1 | $8,940 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $90,151 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $27,000 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $63,151 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $45,098 | RentFcltyCostsTotalEventsAmt |
| Oth Direct Expnss Total Events | $8,940 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $54,038 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $9,113 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (5 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LAURA DOS SANTOS | ||||||||||||||
| ASST. TREASURER | $0 | $212,629 | $0 | $0 | $0 | $0 | $0 | $4,200 | $0 | $14,109 | $0 | $230,938 | $0 | $0 |
| GARRETT E SULLIVAN | ||||||||||||||
| EXECUTIVE DIRECTOR | $197,187 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $20,950 | $0 | $218,137 | $0 | $0 | $0 |
| RICHARD BERGERON | ||||||||||||||
| EMPLOYEE | $125,531 | $0 | $0 | $0 | $0 | $0 | $7,494 | $0 | $20,356 | $0 | $153,381 | $0 | $0 | $0 |
| TAMMY DUQUETTE | ||||||||||||||
| NURSING SUPERVISOR | $132,939 | $0 | $0 | $0 | $0 | $0 | $10,234 | $0 | $20,458 | $0 | $163,631 | $0 | $0 | $0 |
| TRACY MCCARTHY | ||||||||||||||
| ASST. DIRECTOR OF NURSING | $137,114 | $0 | $0 | $0 | $0 | $0 | $15,756 | $0 | $606 | $0 | $153,476 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE DIOCESE HEALTH FACILITIES MANAGEMENT SERVICES GROUP AND THE EXECUTIVE DIRECTOR REVIEW THE FORM 990 PRIOR TO FILING. UPON REVIEW AND APPROVAL THE RETURN IS FILED WITH THE IRS. A COPY IS SUBMITTED TO THE FISCAL OFFICE AT THE DIOCESE OF PROVIDENCE AND ONE IS KEPT AT THE BUSINESS OFFICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL KEY EMPLOYEES AND MEMBERS OF THE BOARD OF DIRECTORS ARE ASKED TO READ THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND ANNUALLY THEY ARE ASKED TO DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST. THE EXECUTIVE DIRECTOR AND THE FINANCE DIRECTOR REVIEW ALL POTENTIAL CONFLICTS OF INTEREST DISCLOSED BY KEY EMPLOYEES AND DETERMINE IF A TRUE CONFLICT EXISTS. IF AN INDIVIDUAL HAS A CONFLICT, THE EXECUTIVE DIRECTOR AND THE DIRECTOR OF FINANCE REPORT THIS INFORMATION TO THE BOARD OF DIRECTORS. ALL MEMBERS OF THE BOARD ARE ASKED TO DISCLOSE ANY CONFLICTS OF INTEREST, AND DEPENDING UPON THE CONFLICT, THEY ARE ASKED TO RECUSE THEMSELVES FROM DISCUSSIONS AND VOTING ON THE RELATED ISSUE. ALL DECISIONS ARE RECORDED IN THE MINUTES OF THE BOARD OF DIRECTORS' MEETING. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD OF DIRECTORS FUNCTIONS AS A COMPENSATION COMMITTEE IN DETERMINING COMPENSATION FOR THE ADMINISTRATOR AND OTHER OFFICERS. IN MAKING ITS DECISION ON COMPENSATION, IT TAKES INTO ACCOUNT THE COMPENSATION PAID TO SIMILAR ADMINISTRATORS AT COMPARABLE NON-PROFIT ORGANIZATIONS IN THE AREA. THE COMMITTEE CONSIDERS THE PERFORMANCE OF THE ORGANIZATION DURING THE REVIEW PERIOD AND CONSIDERS THE ADMINISTRATOR'S SUCCESS IN ACHIEVING ORGANIZATIONAL GOALS. THE ADMINISTRATOR REVIEWS COMPENSATION OF ALL OTHER EMPLOYEES. IN MAKING A DECISION ON THE AMOUNT OF COMPENSATION, THE ADMINISTRATOR TAKES INTO ACCOUNT THE COMPENSATION PAID TO SIMILAR EXECUTIVES, PERFORMING SIMILAR TYPES OF DUTIES, AT COMPARABLE NON-PROFIT ORGANIZATIONS IN THE RHODE ISLAND AREA. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | RETROSPECTIVE ADJUSMENT -32,871. SUBSIDIARY EXPENSES -125. |
| FORM 990 PART XII, LINE 2C: | THE DIOCESE HEALTH MANAGEMENT SERVICES GROUP AND THE EXECUTIVE DIRECTOR ARE RESPONSIBLE FOR OVERSIGHT OF THE COMPLETION OF THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE AUDITED FINANCIAL STATEMENTS ARE REVIEWED BY THE DIOCESE HEALTH MANAGEMENT SERVICES GROUP AND THE EXECUTIVE DIRECTOR AND SUBMITTED TO THE ADVISORY BOARD AND CORPORATE BOARD. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAURAY LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 RHODES AVENUE | AddressLine1Txt |
| City | NORTH SMITHFIELD | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 02896 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 050275443 | EIN |
| Primary Activities | REAL ESTATE | PrimaryActivitiesTxt |
| Legal Domicile State | RI | LegalDomicileStateCd |
| Total Income | -$125 | TotalIncomeAmt |
| End Of Year Assets | $110,000 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT ANTOINE RESIDENCE | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| THE FRASSATI RESIDENCE DBA THE VILLA AT SAINT ANTOINE | ||||||||||
| 400 MENDON ROAD | NORTH SMITHFIELD | RI | 02896 | 050511505 | OPERATION OF A 76-UNIT ASSISTED LIVING FACILITY. | RI | 501(C)(3) | LINE 11 | SAINT ANTOINE RESIDENCE | Yes (1) |
| DIOCESAN SERVICE CORPORATION | ||||||||||
| 1 CATHEDRAL SQUARE | PROVIDENCE | RI | 02903 | 050493814 | ROMAN CATHOLIC ORGANIZATION | RI | 501(C)(3) | LINE 1 | SAINT ANTOINE RESIDENCE | Yes (1) |
| DIOCESAN ADMINISTRATION CORPORATION | ||||||||||
| 1 CATHEDRAL SQUARE | PROVIDENCE | RI | 02903 | 050508345 | ROMAN CATHOLIC ORGANIZATION | RI | 501(C)(3) | LINE 1 | SAINT ANTOINE RESIDENCE | Yes (1) |
| 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 | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | 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 | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE VILLA AT SAINT ANTOINE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | L | TransactionTypeTxt |
| Involved | $80,000 | InvolvedAmt |
| Method Of Amount Determination | CASH | MethodOfAmountDeterminationTxt |