2023-08-17T10:30:46-05:00 2022-12-31 410746749 CLIFTONLARSONALLEN LLP TWO INTERNATIONAL PLACE 22ND FLOOR BOSTON MA 02110 990 2022-01-01 050258990 THE SAINT CLARE HOME SAIN 4018493204 309 SPRING STREET NEWPORT RI 02840 LAURA DOS SANTOS DIRECTOR OF OPERATIONS 4018493204 2023-08-17 1 LAURA DOS SANTOS 999009999 0 DANIELLE NIHILL P01350943 6177170831 2023-08-16 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z MOST REV THOMAS TOBIN 309 SPRING STREET NEWPORT RI 02840 10702194 0 X STCLARENEWPORT.COM X 1909 RI TO IMPROVE THE QUALITY OF LIFE FOR OUR FAMILY AND COMMUNITY THROUGH CARE AND SERVICE. 5 0 150 0 0 0 422938 647648 9334152 9991097 9154 3244 5859239 60205 15625483 10702194 0 0 0 0 6292235 5713787 0 0 98393 5137776 5581857 11430011 11295644 4195472 -593450 20386176 19633962 16780282 16849733 3605894 2784229 TO IMPROVE THE QUALITY OF LIFE FOR OUR FAMILY AND COMMUNITY THROUGH CARE AND SERVICE. 0 0 6441756 6424760 SKILLED NURSING FACILITY:ST CLARE SKILLED NURSING FACILITY WORKS TO MEET THE CHANGING NEEDS OF TODAY'S ELDERLY BY PROVIDING MORE THAN A HOME TO MEMBERS OF NEWPORT AND THE SURROUNDING COMMUNITIES. EACH RESIDENT RECEIVES THE SHORT-TERM REHABILITATION OR LONG-TERM CARE THAT BEST SUITS HIS OR HER NEEDS AND COMFORTS. THE FACILITY ACCOMMODATES 50 RESIDENTS.LONG-TERM NURSING CARE SERVICES PROVIDED TOTAL PATIENT BED DAYS OF 19,381. INCLUDED IN THIS AMOUNT ARE MEDICAID PATIENT DAYS TOTALING 12,015 AND MEDICARE PATIENT DAYS TOTALING 1,135. 3717892 3566337 ASSISTED LIVING FACILITY:ST CLARE ASSISTED LIVING FACILITY IS AN ASSISTED LIVING COMMUNITY WHERE SENIORS FIND THE SERVICES AND SECURITY THEY NEED WITHOUT GIVING UP THE TRADITIONS AND INDEPENDENCE THEY CHERISH. THE ASSISTED LIVING CREATES AN ENVIRONMENT WHERE RESIDENTS MAINTAIN THEIR DIGNITY, PRIDE AND INDIVIDUALITY NO MATTER WHAT LEVEL OF ASSISTANCE THEY MAY REQUIRE. THE MEMORY-IMPAIRMENT PROGRAM SERVES INDIVIDUALS WITH ALZHEIMER'S DISEASE AND RELATED DEMENTIAS. THE ASSISTED LIVING OFFERS 50 BEAUTIFULLY DESIGNED STUDIOS, ONE AND TWO-BEDROOM APARTMENTS. 10159648 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 12 0 1 150 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 0 1 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X LAURA DOS SANTOS 4018493204 309 SPRING STREET NEWPORT RI 02840 LEILANY PALAYA REGISTERED NURSE 40.00 0.00 X 248536 0 9014 VALERIE TAYLOR C.N.A. 40.00 0.00 X 127178 0 12177 EBRIMA JATTA C.N.A. 40.00 0.00 X 120511 0 24323 SENNEH BRIGGS C.N.A. 40.00 0.00 X 114748 0 10546 PRISCILLA JOLIE RN 40.00 0.00 X 107306 0 15999 LYNNE VILLANI RN 40.00 0.00 X 100366 0 7899 LAURA DOS SANTOS ASSISTANT TREASURER 1.00 39.00 X X 0 212629 18309 MARY BETH DAIGNEAULT ADMINISTRATOR & TREASURER 40.00 0.00 X X 108804 0 25373 REV ALBERT KENNEY VICE PRESIDENT 1.00 39.00 X X 0 52279 30342 MOST REVEREND THOMAS TOBIN PRESIDENT/TREASURER 1.00 39.00 X X 0 45818 30342 REV TIMOTHY D REILLY SECRETARY 1.00 39.00 X X 0 31268 19542 927449 341994 203866 7 0 1 0 DIOCESE OF PROVIDENCE ONE CATHEDRAL SQUARE PROVIDENCE RI 02903 ADMINISTRATIVE SUPPORT 633737 CARELINK 400 MASSASOIT AVE 113 EAST PROVIDENCE RI 02914 REHAB SERVICES 515278 HEALTHCARE SERVICES GROUP PO BOX 829677 PHILADELPHIA PA 19182 HOUSEKEEPING AND LAUNDRY 328906 INTELYCARE PO BOX 200413 PITTSBURGH PA 152510413 NURSING 108023 4 629205 18443 647648 RESIDENT SERVICE REVENUE 623000 6424760 6424760 ASSISTED/INDEPENDENT LIVING 623000 3566337 3566337 9991097 3244 3244 MISCELLANEOUS INCOME 623000 60205 60205 60205 10702194 9991097 0 63449 134177 134177 4605818 4148222 376350 81246 98797 90892 6555 1350 309571 288368 17583 3620 565424 497975 55272 12177 154696 154696 59874 59874 128508 128508 40731 40731 88055 88055 20340 20340 793137 793137 9706 9706 472502 466949 5553 528730 522904 5826 122078 122078 RESIDENT RELATED PURCHA 2475428 2475428 HEALTH CARE PROVIDER AS 353659 353659 FOOD 137752 137752 BAD DEBTS 112997 112997 83664 15110 68554 11295644 10159648 1037603 98393 1530789 1058350 5275 5277 785519 887560 111678 4898 48692 20496922 4891811 15914186 15605111 86840 57071 2058669 1860223 20386176 19633962 3363453 3864410 294000 401740 113804 173058 13009025 12410525 16780282 16849733 X 1506208 892695 2099686 1891534 3605894 2784229 20386176 19633962 X -593450 -29769 -198446 X 1 X 0 1 0 X 263905 642545 2144950 422938 1272412 4746750 7503233 8411775 8881882 9334152 9991097 44122139 7767138 9054320 11026832 9757090 11263509 48868889 0 0 0 48868889 991 1186 61 9154 3244 14636 991 1186 61 9154 3244 14636 45075 96774 28463 5859239 60205 6089756 7813204 9152280 11055356 15625483 11326958 54973281 0.88900 0.86930 0.00030 0.00020 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2018 AMOUNT: $ 45,075. 2019 AMOUNT: $ 89,074. 2020 AMOUNT: $ 28,463. 2021 AMOUNT: $ 141,797. 2022 AMOUNT: $ 60,205. CUTTING TRUST - 2019 AMOUNT: $ 7,700. 2021 AMOUNT: $ 148,135. EXTINGUISHMENT OF DEBT - 2021 AMOUNT: $ 5,569,307. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 214009 214009 19127394 3883713 15243681 1145020 1008098 136922 10499 10499 15605111 BENEFICIAL INTEREST IN PERPETUAL TRUSTS 1860223 1860223 LONG TERM DEBT 12410525 12410525 10702194 0 10702194 0 10702194 11295644 0 11295644 0 11295644 0 0 0 0 0 0 0 0 0 LEILANY PALAYA REGISTERED NURSE 248536 0 0 0 0 0 8753 0 261 0 257550 0 0 0 LAURA DOS SANTOS ASSISTANT TREASURER 0 212629 0 0 0 0 0 4200 0 14109 0 230938 0 0 FORM 990, PART VI, SECTION A, LINE 2 BISHOP THOMAS J. TOBIN, PRESIDENT/TREASURER, MSGR. ALBERT A. KENNEY, VICE PRESIDENT, AND REV. TIMOTHY D. REILLY, SECRETARY, ALL ARE PART OF THE ROMAN CATHOLIC DIOCESE OF PROVIDENCE. FORM 990, PART VI, SECTION B, LINE 11B THE DIOCESE'S HEALTH FACILITIES MANAGEMENT SERVICE GROUP AND THE EXECUTIVE DIRECTOR REVIEW THE 990 PRIOR TO FILING. UPON REVIEW AND APPROVAL THE RETURN IS FILED WITH THE IRS. A COPY IS SUBMITTED TO THE FISCAL OFFICE AT THE DIOCESE OF PROVIDENCE AND ONE IS KEPT AT THE BUSINESS OFFICE. FORM 990, PART VI, SECTION B, LINE 12C ALL KEY EMPLOYEES AND MEMBERS OF THE BOARD OF DIRECTORS ARE ASKED TO READ THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND ANNUALLY THEY ARE ASKED TO DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST. THE EXECUTIVE DIRECTOR AND THE FINANCE DIRECTOR REVIEW ALL POTENTIAL CONFLICTS OF INTEREST DISCLOSED BY KEY EMPLOYEES AND DETERMINE IF A TRUE CONFLICT EXISTS. IF AN INDIVIDUAL HAS A CONFLICT, THE EXECUTIVE DIRECTOR AND THE DIRECTOR OF FINANCE REPORT THIS INFORMATION TO THE BOARD OF DIRECTORS. ALL MEMBERS OF THE BOARD ARE ASKED TO DISCLOSE ANY CONFLICTS OF INTEREST, AND DEPENDING UPON THE CONFLICT, THEY ARE ASKED TO RECUSE THEMSELVES FROM DISCUSSIONS AND VOTING ON THE RELATED ISSUE. ALL DECISIONS ARE RECORDED IN THE MINUTES OF THE BOARD OF DIRECTORS' MEETING. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS USED FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT ENTAILS COMPARING WHAT IS PAID FOR THE SAME POSITION IN SIMILAR ENTITIES. COMPENSATION IS EVALUATED ON AN ANNUAL BASIS BY THE BOARD OF DIRECTORS, AND THE DECISION IS DOCUMENTED. THE BOARD OF DIRECTORS USES A STANDARD APPROACH AND FORM TO PERFORM THE EVALUATION FOR THE ADMINISTRATOR AND RELATED ORGANIZATIONS OF THE DIOCESE OF PROVIDENCE. THERE IS NO MERIT INCREASE ASSOCIATED WITH THE COMPENSATION EVALUATION. THE LAST EVALUATION WAS CONDUCTED DECEMBER 2022. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: LOSS ON BENEFICIAL PERPETUAL TRUST -198,446. DIOCESAN SERVICE CORPORATION 1 CATHEDRAL SQUARE PROVIDENCE RI 02903 050493814 ROMAN CATHOLIC ORGANIZATION RI 501(C)(3) LINE 1 THE SAINT CLARE HOME 1 DIOCESAN ADMINISTRATION CORPORATION 1 CATHEDRAL SQUARE PROVIDENCE RI 02903 050508345 ROMAN CATHOLIC ORGANIZATION RI 501(C)(3) LINE 1 THE SAINT CLARE HOME 1 SAINT ANTOINE RESIDENCE 10 RHODES AVENUE NORTH SMITHFIELD RI 02896 050275443 SKILLED NURSING FACILITY RI 501(C)(3) LINE 3 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 DIOCESAN SERVICE CORPORATION E 12292363 CASH SAINT ANTOINE RESIDENCE Q 34073 CASH