LIVEWELL ALLIANCE INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- LIVEWELL ALLIANCE INC (EIN 22-3068632)
- Tax period
- 2020-10-01 to 2021-09-30
- Filed
- 2022-08-12
- IRS object ID
- 202242249349301824
- Schema version
- 2020v4.2
- 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 | 2022-08-12T12:06:24-05:00 | ReturnTs |
| Tax Period End | 2021-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 111986323 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARCUM LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 555 LONG WHARF DRIVE | AddressLine1Txt |
| City | NEW HAVEN | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06511 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 223068632 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LIVEWELL ALLIANCE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LIVE | BusinessNameControlTxt |
| Phone | 8606289000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1261 S MAIN STREET | AddressLine1Txt |
| City | PLANTSVILLE | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06479 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAEL SMITH | PersonNm |
| Person Title | PRESIDENT AND CEO | PersonTitleTxt |
| Phone | 8606289000 | PhoneNum |
| Signature | 2022-08-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | MICHAEL | PersonFirstNm |
| Person Last | SMITH | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MARY ANTONETTI | PreparerPersonNm |
| PTIN | P00431862 | PTIN |
| Phone | 2037819600 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MICHAEL SMITH | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1261 S MAIN STREET | AddressLine1Txt |
| City | PLANTSVILLE | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06479 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $21,975,503 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.LIVEWELL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1990 | FormationYr |
| Legal Domicile State | CT | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE CARE, EDUCATION & COUNSELING TO INDIVIDUALS WITH DEMENTIA AND THEIR FAMILIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 277 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,214,398 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,857,735 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $17,525,009 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $17,754,081 | CYProgramServiceRevenueAmt |
| PY Investment Income | $445,346 | PYInvestmentIncomeAmt |
| CY Investment Income | $269,671 | CYInvestmentIncomeAmt |
| PY Other Revenue | $40,848 | PYOtherRevenueAmt |
| CY Other Revenue | $94,016 | CYOtherRevenueAmt |
| PY Total Revenue | $19,225,601 | PYTotalRevenueAmt |
| CY Total Revenue | $21,975,503 | 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 | $13,597,819 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $13,615,562 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,182,534 | PYOtherExpensesAmt |
| CY Other Expenses | $4,521,534 | CYOtherExpensesAmt |
| PY Total Expenses | $17,780,353 | PYTotalExpensesAmt |
| CY Total Expenses | $18,137,096 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,445,248 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,838,407 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $17,246,546 | TotalAssetsBOYAmt |
| Total Assets EOY | $18,490,904 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $15,917,396 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $12,283,961 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,329,150 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $6,206,943 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE ORGANIZATION OPERATES SKILLED NURSING, ASSISTED LIVING AND ADULT DAY SERVICES. IT ALSO PROVIDES EDUCATION, COUNSELING, RESEARCH, AND COMMUNITY SERVICES FOR INDIVIDUALS WITH DEMENTIA AND THEIR FAMILIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | Yes (1) | SignificantChangeInd |
| Expense | $13,241,607 | ExpenseAmt |
| Revenue | $16,043,302 | RevenueAmt |
| Desc | THE ORGANIZATION PROVIDED PATIENT CARE SERVICES TO NUMEROUS RESIDENTS DURING THE YEAR ENDED SEPTEMBER 30, 2021 THROUGH ITS SKILLED NURSING FACILITY. THEY ALSO, PROVIDED EDUCATION, COUNSELING AND RESEARCH PROGRAMS FOR INDIVIDUALS AND FAMILIES IMPACTED BY DEMENTIA AND MADE EDUCATION AND RESOURCES TO THE COMMUNITY AND TO PROFESSIONAL PROVIDERS WHO SERVE INDIVIDUALS WITH DEMENTIA. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,404,568 | ExpenseAmt |
| Revenue | $1,710,779 | RevenueAmt |
| Desc | THE ORGANIZATION PROVIDED ASSISTED LIVING SERVICES TO RESIDENTS THROUGH ITS ASSISTED LIVING CENTER. THE ASSISTED LIVING COMMUNITY IS EXCLUSIVELY FOR INDIVIDUALS LIVING WITH DEMENTIA. IT OFFERS A STIMULATING, RESPECTFUL AND SECURE ENVIRONMENT THAT PROMOTES AUTONOMY, CONNECTION, DIGNITY, MEANING, GROWTH AND JOY. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | THE ORGANIZATION PROVIDED DAY SERVICES THROUGH ITS ADULT DAY PROGRAM. THE DAY PROGRAM IS EXCLUSIVELY FOR INDIVIDUALS IN EARLY AND MODERATE STAGES OF DEMENTIA. IT OFFERS A STIMULATING, RESPECTFUL AND SECURE ENVIRONMENT THAT PROMOTES AUTONOMY, CONNECTION, DIGNITY, MEANING, GROWTH AND JOY. THE ADULT DAY CARE PROGRAM HAS BEEN SUSPENDED THROUGH COVID 19 PANDEMIC. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $14,646,175 | 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 | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | 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 | 0 | 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 | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 28 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 277 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| 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 | 5 | 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 | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CT | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MICHAEL SMITH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8606289000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1261 S MAIN STREET | AddressLine1Txt |
| City | PLANTSVILLE | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06479 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| WALDO KLEIN PHD | ||||||||
| BOARD CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JULIE THOMPSON ROBISON PHD | ||||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL LENKIEWICZ | ||||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ELIZABETH REESE | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SARA TINNESZ | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SHAREEN HERTEL | ||||||||
| DIRECTOR (THRU 5/2021) | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL SMITH | ||||||||
| PRESIDENT/CEO | 40.00 | Yes (X) | $319,634 | $0 | $63,581 | |||
| HEIDI GIL | ||||||||
| CHIEF STRATEGY OFFICER | 40.00 | $187,128 | $0 | $14,563 | Yes (X) | |||
| EILEEN COULOM | ||||||||
| DIR. OF AL SERV/VP NURSING | 40.00 | $181,890 | $0 | $19,466 | Yes (X) | |||
| JENNIFER TERRAY | ||||||||
| DIRECTOR OF NURSING SERVIC | 40.00 | $118,894 | $0 | $6,513 | Yes (X) | |||
| CAROLINE KEEFE | ||||||||
| OT | 40.00 | $105,549 | $0 | $5,841 | Yes (X) | |||
| ANNE MCCARTY | ||||||||
| VP OF HUMAN RESOURCES | 40.00 | $105,020 | $0 | $30,141 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,018,115 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $140,105 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 8 | 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 |
|---|---|---|---|---|---|
| HARTFORD PROVISIONS | |||||
| PO BOX 1228 | SOUTH WINDSOR | CT | 06074 | FOOD DISTRIBUTION | $411,906 |
| MEDLINE INDUSTRIES | |||||
| PO BOX 382075 | PITTSBURGE | PA | 152518075 | MEDICAL SUPPLIES | $264,974 |
| ONE POINT PARTNERS | |||||
| 35 MAIN STREET | TOPSFIELD | MA | 01983 | CONSULTING | $219,527 |
| H&H LINEN SERVICES INC | |||||
| 60 BELAMOSE AVENUE | ROCKYHILL | CT | 06057 | LINEN SERVICES | $183,206 |
| CONNECTICUT COMPUTER SERVICES | |||||
| 101 EAST SUMMER STREET | PLANTSVILLE | CT | 06479 | COMPUTER SERVICES | $113,026 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $3,414,773 | GovernmentGrantsAmt |
| All Other Contributions | $442,962 | AllOtherContributionsAmt |
| Total Contributions | $3,857,735 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| SKILLED NURSING | 623000 | $16,043,302 | $16,043,302 |
| ASSISTED LIVING | 623000 | $1,710,779 | $1,710,779 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $17,754,081 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $269,671 | TotalRevenueColumnAmt |
| Exclusion | $269,671 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MISCELLANEOUS | 623000 | $91,528 | $91,528 |
| BARBER/BEAUTY | 623000 | $2,488 | $2,488 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $94,016 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,975,503 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $17,848,097 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $269,671 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $733,657 | TotalAmt |
| Management And General | $733,657 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,228,334 | TotalAmt |
| Program Services | $9,001,364 | ProgramServicesAmt |
| Management And General | $1,226,970 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $338,272 | TotalAmt |
| Program Services | $301,168 | ProgramServicesAmt |
| Management And General | $37,104 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,453,629 | TotalAmt |
| Program Services | $1,194,764 | ProgramServicesAmt |
| Management And General | $258,865 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $861,670 | TotalAmt |
| Program Services | $695,782 | ProgramServicesAmt |
| Management And General | $165,888 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,654 | TotalAmt |
| Program Services | $44,132 | ProgramServicesAmt |
| Management And General | $10,522 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,370 | TotalAmt |
| Program Services | $43,095 | ProgramServicesAmt |
| Management And General | $10,275 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,896 | TotalAmt |
| Management And General | $32,896 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $565,867 | TotalAmt |
| Program Services | $472,672 | ProgramServicesAmt |
| Management And General | $93,195 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,731 | TotalAmt |
| Program Services | $3,308 | ProgramServicesAmt |
| Management And General | $61,423 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $180,563 | TotalAmt |
| Program Services | $45,477 | ProgramServicesAmt |
| Management And General | $135,086 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $205,156 | TotalAmt |
| Program Services | $5,651 | ProgramServicesAmt |
| Management And General | $199,505 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $538,628 | TotalAmt |
| Program Services | $434,931 | ProgramServicesAmt |
| Management And General | $103,697 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,009 | TotalAmt |
| Program Services | $16,221 | ProgramServicesAmt |
| Management And General | $3,788 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,473 | TotalAmt |
| Program Services | $730 | ProgramServicesAmt |
| Management And General | $24,743 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $257,546 | TotalAmt |
| Program Services | $207,963 | ProgramServicesAmt |
| Management And General | $49,583 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $534,697 | TotalAmt |
| Program Services | $431,757 | ProgramServicesAmt |
| Management And General | $102,940 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $127,334 | TotalAmt |
| Program Services | $102,820 | ProgramServicesAmt |
| Management And General | $24,514 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PATIENT/MED SUPPLIES | $789,330 | $781,555 | $7,775 |
| DIETARY | $452,823 | $452,823 | |
| PROVIDER FEE | $360,065 | $360,065 | |
| BAD DEBT EXPENSE | $198,194 | $198,194 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,198 | TotalAmt |
| Program Services | $49,897 | ProgramServicesAmt |
| Management And General | $10,301 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,137,096 | TotalAmt |
| Program Services | $14,646,175 | ProgramServicesAmt |
| Management And General | $3,490,921 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,365,835 | BOYAmt |
| EOY | $4,503,047 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $937,641 | BOYAmt |
| EOY | $645,348 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,461 | BOYAmt |
| EOY | $6,451 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,041 | BOYAmt |
| EOY | $59,548 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $23,817,298 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $17,471,865 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,906,988 | BOYAmt |
| EOY | $6,345,433 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,160,536 | BOYAmt |
| EOY | $6,031,528 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $794,044 | BOYAmt |
| EOY | $899,549 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,246,546 | BOYAmt |
| EOY | $18,490,904 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,827,620 | BOYAmt |
| EOY | $1,690,196 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,072,034 | BOYAmt |
| EOY | $899,904 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,961,816 | BOYAmt |
| EOY | $9,411,597 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,055,926 | BOYAmt |
| EOY | $282,264 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,917,396 | BOYAmt |
| EOY | $12,283,961 | 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 | $721,078 | BOYAmt |
| EOY | $5,493,261 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $608,072 | BOYAmt |
| EOY | $713,682 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,329,150 | BOYAmt |
| EOY | $6,206,943 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,246,546 | BOYAmt |
| EOY | $18,490,904 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $3,838,407 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $691,414 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $347,972 | OtherChangesInNetAssetsAmt |
| 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) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| 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 | $163,828 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $191,136 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $607,529 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,214,398 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,857,735 | CurrentTaxYearAmt |
| Total | $6,034,626 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $16,492,978 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,448,119 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,299,509 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $17,525,009 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,754,081 | CurrentTaxYearAmt |
| Total | $85,519,696 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $16,656,806 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,639,255 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,907,038 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $18,739,407 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $21,611,816 | CurrentTaxYearAmt |
| Total | $91,554,322 | 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) |
|---|---|---|
| Current Tax Year Minus1 Year | $403,070 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $211,910 | CurrentTaxYearAmt |
| Total | $614,980 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $403,070 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $211,910 | CurrentTaxYearAmt |
| Total | $614,980 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $90,939,342 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $117,245 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $88,560 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $139,180 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $445,346 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $269,671 | CurrentTaxYearAmt |
| Total | $1,060,002 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $117,245 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $88,560 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $139,180 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $445,346 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $269,671 | CurrentTaxYearAmt |
| Total | $1,060,002 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $94,575 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $51,038 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $27,546 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $40,848 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $93,746 | CurrentTaxYearAmt |
| Total | $307,753 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $16,868,626 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,778,853 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $18,073,764 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $19,225,601 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $21,975,233 | CurrentTaxYearAmt |
| Total | $92,922,077 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.97870 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98210 | PublicSupportPY509Pct |
| Investment Income CY | 0.01140 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01060 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,645,529 | OtherCostOrOtherBasisAmt |
| Book Value | $1,645,529 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,710,676 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,400,714 | DepreciationAmt |
| Book Value | $4,309,962 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $864,264 | OtherCostOrOtherBasisAmt |
| Depreciation | $846,994 | DepreciationAmt |
| Book Value | $17,270 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,501,917 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,129,245 | DepreciationAmt |
| Book Value | $372,672 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $94,912 | OtherCostOrOtherBasisAmt |
| Depreciation | $94,912 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $6,345,433 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INTEREST RATE SWAP | Desc |
| Amt | $282,264 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $282,264 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE CENTER IS A NOT-FOR-PROFIT ORGANIZATION AND IS EXEMPT FROM FEDERAL INCOME TAXES ON EXEMPT FUNCTION INCOME AS A PUBLIC CHARITY UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE). ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE CENTER ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH CERTAIN PROVISIONS OF FASB ASC 740, INCOME TAXES, WHICH PROVIDES A FRAMEWORK FOR HOW COMPANIES SHOULD RECOGNIZE, MEASURE, PRESENT AND DISCLOSE UNCERTAIN TAX POSITIONS IN THEIR CONSOLIDATED FINANCIAL STATEMENTS. THE CENTER MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE CENTER DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS AS OF SEPTEMBER 30, 2021. THE CENTER RECOGNIZES INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS WITHIN OTHER EXPENSES. AS OF SEPTEMBER 30, 2021 AND 2020, THE CENTER DID NOT RECORD ANY PENALTIES OR INTEREST ASSOCIATED WITH UNCERTAIN TAX POSITIONS. THE CENTER'S PRIOR THREE TAX YEARS ARE OPEN AND SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. MANAGEMENT HAS STATED THAT THERE ARE CURRENTLY NO EXAMINATIONS PENDING OR IN PROGRESS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| 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 | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL SMITH | ||||||||||||||
| PRESIDENT/CEO | $319,634 | $0 | $0 | $0 | $0 | $0 | $24,500 | $0 | $39,081 | $0 | $383,215 | $0 | $0 | $0 |
| HEIDI GIL | ||||||||||||||
| CHIEF STRATEGY OFFICER | $187,128 | $0 | $0 | $0 | $0 | $0 | $14,000 | $0 | $563 | $0 | $201,691 | $0 | $0 | $0 |
| EILEEN COULOM | ||||||||||||||
| DIR. OF AL SERV/VP NURSING | $181,890 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $19,466 | $0 | $201,356 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 7 | FormAndLineReferenceDesc |
| Explanation | FISCAL YEAR COMPENSATION FOR PRESIDENT/CEO INCLUDED A DISCRETIONARY FIXED AMOUNT BONUS. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STATE OF CONNECTICUT HEALTH AND EDUCATIONAL FACILITIES AUTHORITY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 060806186 | BondIssuerEIN |
| Bond Issued | 2017-11-01 | BondIssuedDt |
| Issue Price | $11,635,983 | IssuePriceAmt |
| Purpose | REFINANCE EXISTING MORTGAGE | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $2,100,831 | RetiredAmt |
| Total Proceeds | $11,635,983 | TotalProceedsAmt |
| Other Spent Proceeds | $11,635,983 | OtherSpentProceedsAmt |
| Substantial Completion | 2017 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | Yes (1) | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (1) | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | Yes (1) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | Yes (1) | HedgeIdentifiedInBksAndRecInd |
Hedge Provider Name HedgeProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KEY BANK REAL | BusinessNameLine1Txt |
| Business Name Line2 | ESTATE CAPITAL | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Of Hedge | 8.000000000000 | TermOfHedgePct |
| Superintegrated Hedge | 0 | SuperintegratedHedgeInd |
| Hedge Terminated | 0 | HedgeTerminatedInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE K PART II LINE 11 | FormAndLineReferenceDesc |
| Explanation | THE PROCEEDS OF THE ISSUE WAS USED TO REFINANCE A 2015 LOAN FROM KEY BANK N.A. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 3 | ADULT DAY CARE IS CURRENTLY NON-OPERATIONAL DUE TO COVID 19. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS FIRST REVIEWED BY THE FINANCE AND AUDIT COMMITTEE AND PRESIDENT & CEO. IT IS THEN PROVIDED TO THE ENTIRE BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION REQUIRES ALL MEMBERS OF THE BOARD OF DIRECTORS TO SIGN THE CONFLICT OF INTEREST POLICY. IF AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ARISES, IT MUST BE DISCLOSED TO THE BOARD. IF THERE IS AN ACTUAL OR POTENTIAL CONFLICT, THE INDIVIDUAL WOULD RECUSE THEMSELVES ON ANY DISCUSSION ON THE MATTER. THE CEO/PRESIDENT AND THE DIRECTOR OF SPECIAL PROJECTS REVIEWS THE CONFLICT OF INTEREST QUESTIONNAIRES. |
| FORM 990, PART VI, SECTION B, LINE 15 | LINE 15A: A COMMITTEE OF THE BOARD WORKS WITH THE PRESIDENT/CEO TO DEVELOP A REALISTIC AND MEASURABLE SET OF GOALS AND OBJECTIVES FOR THE UPCOMING REVIEW PERIOD. THESE GOALS AND OBJECTIVES ARE LINKED DIRECTLY TO THE MAJOR COMPONENTS OF THE ORGANIZATION'S STRATEGIC PLAN. AT THE END OF THE PERFORMANCE EVALUATION PERIOD, THE COMMITTEE WILL MEET WITH THE PRESIDENT/CEO TO REVIEW PERFORMANCE AGAINST THESE OBJECTIVES. THE COMMITTEE PREPARES A REPORT TO THE BOARD THAT WILL INCLUDE: 1) A NARRATIVE REVIEW OF THE PRESIDENT/CEO PERFORMANCE; 2) MEASUREMENT (IN QUANTITATIVE TERMS) OF ACTUAL PERFORMANCE COMPARED WITH PLAN OBJECTIVES; AND 3) RECOMMENDATIONS FOR ANNUAL SALARY ADJUSTMENTS, AS WELL AS YEAR-END PERFORMANCE ACHIEVEMENT PAYMENTS. THE COMMITTEE THEN PRESENTS ITS REPORT TO THE BOARD FOR CONSIDERATION AND ACTION. DURING THE FISCAL YEAR ENDING SEPTEMBER 30, 2021, THIS PROCESS OCCURRED IN DECEMBER 2020. LINE 15B: EACH YEAR THE ORGANIZATION COMPARES AND ANALYZES AVERAGE AND STARTING WAGE RATES WITH COMPARABLE POSITIONS IN OTHER NOT-FOR PROFIT SKILLED NURSING, ASSISTED LIVING AND ADULT DAY CENTERS. THE ORGANIZATION'S PHILOSOPHY RELATED TO DETERMINING COMPENSATION AND BENEFITS IS TO STRIVE TO: 1. CREATE COMPENSATION LEVELS AND OFFER BENEFITS THAT ARE AFFORDABLE TO THE ORGANIZATION. 2. CREATE COMPENSATION AND BENEFITS AT LEVELS THAT ARE ABOVE AVERAGE OR EQUAL TO THE AVERAGE COMPENSATION AT OTHER COMPARABLE ORGANIZATIONS. 3. BE MINDFUL AND RESPONSIVE TO COMPETITIVE PRESSURES IN THE MARKETPLACE RELATED TO SALARY AND BENEFIT EXPECTATIONS. 4. CREATE LEVELS OF COMPENSATION THAT REFLECT OR ACCOUNT FOR THE YEARS OF SERVICE THAT EMPLOYEES HAVE WITH THE ORGANIZATION. 5. ALLOW FOR FINANCIAL FLEXIBILITY IN DETERMINING COMPENSATION TO RECRUIT AND RETAIN SPECIAL TALENT THAT THE ORGANIZATION MAY NEED. |
| 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 IX, LINE 24E | MAINTENANCE: PROGRAM SERVICE EXPENSES 49,897. MANAGEMENT AND GENERAL EXPENSES 10,301. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 60,198. |
| FORM 990, PART XI, LINE 9: | CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT 242,362. CHANGE IN FAIR VALUE OF BENEFICIAL INTEREST -CHARITABLE REMAINDER UNITRUST 105,610. |
Schedule R IRS990ScheduleR
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHARITABLE REMAINDER TRUST (1) | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | CHARITABLE | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Controlled Organization | 0 | ControlledOrganizationInd |
| 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 | 0 | 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 |
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