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AUDUBON RETIREMENT VILLAGE INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
AUDUBON RETIREMENT VILLAGE INC (EIN 84-2278120)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-16
IRS object ID
202013219349308246
Schema version
2019v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-11-16T11:30:08-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN721088864PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1LAPORTE APACBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1111 VETERANS MEMORIAL BLVD 600AddressLine1Txt
CityMETAIRIECityNm
State AbbreviationLAStateAbbreviationCd
ZIP700054958ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN842278120EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AUDUBON RETIREMENT VILLAGE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlAUDUBusinessNameControlTxt
Phone5048969388PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 HENRY CLAY AVENUEAddressLine1Txt
CityNEW ORLEANSCityNm
State AbbreviationLAStateAbbreviationCd
ZIP70118ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonAYAME DINKERPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone5048969388PhoneNum
Signature2020-11-16SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOHN S WILES CPAPreparerPersonNm
PTINP01222673PTIN
Phone5048355522PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address64.88.174.3IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-11-16IPDt
IP Tm09:40:19IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdC9AA9B655E05DD502CF89DED4ED6BC6394F0EAA8AtSubmissionCreationDeviceId
At Submission Filing Device IdCC1E7D3DEDF8181033670A4EA3DD383044AFE425AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Initial ReturnYes (X)InitialReturnInd

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1JOHN J HAINKEL JR HOME AND REHABILITATION CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerAYAME DINKERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 HENRY CLAY AVENUEAddressLine1Txt
CityNEW ORLEANSCityNm
State AbbreviationLAStateAbbreviationCd
ZIP70118ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,626,777GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HAINKELHOME.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2019FormationYr
Legal Domicile StateLALegalDomicileStateCd
Activity Or MissionTO PROVIDE A GERIATRIC, TEACHING-NURSING FACILITY IN THE PROVISION OF [CONT'D ON SCH. O] CARE TO THE ELDERLY AND NEEDY RESIDENTS OF LOUISIANA AND TO RENDER ALL SERVICES INCIDENTAL OR ANCILLARY THERETO. SPECIFICATLLY TO OFFER SERVICES INTENDED TO SATISFY THE FOLLOWING THREE PRIMARY NEEDS OF THE ELDERLY: THE NEED FOR HOUSING, THE NEED FOR HEALTH CARE, AND THE NEED FOR FINANCIAL SECURITY.ActivityOrMissionDesc
Voting Members Governing Body3VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers8TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
CY Contributions Grants$0CYContributionsGrantsAmt
CY Program Service Revenue$1,626,777CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
CY Total Revenue$1,626,777CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$825,727CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
CY Other Expenses$638,743CYOtherExpensesAmt
CY Total Expenses$1,464,470CYTotalExpensesAmt
CY Revenues Less Expenses$162,307CYRevenuesLessExpensesAmt
Total Assets EOY$14,284,930TotalAssetsEOYAmt
Total Liabilities EOY$14,122,623TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances EOY$162,307NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO OPERATE A NURSING FACILITY AND TO PROVIDE GERIATRIC, TERACHING-NURSING FACILITY IN THE PROVISION OF CARE TO THE ELDERLY AND NEEDY RESIDENTS OF LOUISIANA AND TO RENDER ALL SERVICES INCIDENTAL OR ANCILLARY THERETO. SPECIFICALLY, AUDUBON RETIREMENT [CONT'D ON SCH. O] VILLAGE OFFERS SERVICES INTENDED TO SATISFY THE FOLLOWING THREE PRIMARY NEEDS OF THE ELDERLY: THE NEED FOR HOUSING, THE NEED FOR HEALTH CARE AND THE NEED FOR FINANCIAL SECURITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,464,470ExpenseAmt
Revenue$1,626,777RevenueAmt
DescOPERATION OF A NURSING FACILITY AND TO PROVIDE A GERIATRIC, TEACHING-NURSING FACILITY IN THE PROVISION OF CARE TO THE ELDERLY AND NEEDY RESIDENTS OF LOUISIANA.Desc
Total Program Service Expenses$1,464,470TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document13IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members3GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5048969388PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 HENRY CLAY AVENUEAddressLine1Txt
CityNEW ORLEANSCityNm
State AbbreviationLAStateAbbreviationCd
ZIP70118ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (3 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
AYAME DINKLER
PRESIDENT5.0050.00Yes (X)Yes (X)$0$342,339$17,925
JENNY BARNETT-SARPALIUS
VP & SECRETARY-TREASURER5.0050.00Yes (X)Yes (X)$0$312,394$7,750
GREGORY C FEIRN
DIRECTOR5.0050.00Yes (X)$0$1,767,718$42,540
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,422,451TotReportableCompRltdOrgAmt
Total Other Compensation$68,215TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COMMCARE CORPORATIONBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1950 W CAUSEWAY APPROACHAddressLine1Txt
CityMANDEVILLECityNm
State AbbreviationLAStateAbbreviationCd
ZIP70471ZIPCd
FieldValueIRS element (for citing)
ServicesMANAGEMENT SERVICESServicesDesc
Compensation$235,602CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RESIDENT FEES623000$1,330,106$1,330,106
THERAPY FEES624310$274,315$274,315
PHARMACY, LAB & X-RAY623000$22,356$22,356
FieldValueIRS element (for citing)
Total Program Service Revenue$1,626,777TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,626,777TotalRevenueColumnAmt
Related Or Exempt Func Income$1,626,777RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$722,320TotalAmt
Program Services$722,320ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$4,793TotalAmt
Program Services$4,793ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$53,327TotalAmt
Program Services$53,327ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$45,287TotalAmt
Program Services$45,287ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$76,000TotalAmt
Program Services$76,000ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$5,965TotalAmt
Program Services$5,965ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$119,180TotalAmt
Program Services$119,180ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$715TotalAmt
Program Services$715ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,236TotalAmt
Program Services$2,236ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$17,687TotalAmt
Program Services$17,687ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$265,660TotalAmt
Program Services$265,660ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$48TotalAmt
Program Services$48ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,105TotalAmt
Program Services$3,105ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
PROVIDER TAXES$52,765$52,765
RESIDENT LIVING EXPENSE$39,601$39,601
RESIDENT MEDICAL EXPENS$31,508$31,508
OTHER RESIDENT EXPENSES$9,567$9,567

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$14,706TotalAmt
Program Services$14,706ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,464,470TotalAmt
Program Services$1,464,470ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
EOY$773,540EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
EOY$1,030,001EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
EOY$22,422EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$59,216LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$0LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$59,216EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$12,399,751EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$14,284,930EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
EOY$693,862EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$13,428,761EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$14,122,623EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$162,307EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$162,307EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$14,284,930EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$162,307ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year$1,626,777CurrentTaxYearAmt
Total$1,626,777TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year$1,626,777CurrentTaxYearAmt
Total$1,626,777TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$1,626,777PublicSupportTotal509Amt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year$1,626,777CurrentTaxYearAmt
Total$1,626,777TotalAmt
FieldValueIRS element (for citing)
First5 Years509Yes (X)First5Years509Ind

Schedule D IRS990ScheduleD

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$59,216OtherCostOrOtherBasisAmt
Book Value$59,216BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$59,216TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescRIGHT OF USE ASSET - HAINKEL HOMEDesc
Book Value$12,399,751BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$12,399,751TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
CURRENT PORTION RIGHT OF USE ASSET LIABILITY$519,169
LT PORTION RIGHT OF USE ASSET LIABILITY$11,909,592
DUE TO LOUISIANA CHILDREN'S MEDICAL CENTER$1,000,000
FieldValueIRS element (for citing)
Total Liability$13,428,761TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,626,777TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$1,626,777RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,626,777TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,464,470TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$1,464,470ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,464,470TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA PROVIDE ACCOUNTING AND DISCLOSURE GUIDANCE ABOUT POSITIONS TAKEN BY AN ENTITY IN ITS TAX RETURNS THAT MIGHT BE UNCERTAIN. PENALTIES AND INTEREST ASSESSED BY INCOME TAXING AUTHORITIES, IF ANY, WOULD BE INCLUDED IN INCOME TAX EXPENSE. THE SYSTEM BELIEVES THAT IS HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, AND MANAGEMENT HAS DETERMINED THAT THERE ARE NO TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
AYAME DINKLER
PRESIDENT$0$285,980$0$54,383$0$1,976$0$11,200$0$6,725$0$360,264$0$0
JENNY BARNETT-SARPALIUS
VP & SECRETARY-TREASURER$0$191,134$0$100,000$0$21,260$0$5,500$0$2,250$0$320,144$0$0
GREGORY C FEIRN
DIRECTOR$0$1,134,138$0$312,396$0$321,184$0$11,200$0$31,340$0$1,810,258$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 5, PART V, QUESTION 2BAUDUBON RETIREMENT VILLAGE DOES NOT EMPLOY ANY INDIVIDUALS. ALL PERSONNEL ARE PROVIDED BY THE MANAGER, COMMCARE CORPORATION, AND PAID THROUGH THE MANAGEMENT FEE TO THEM.
FORM 990, PART VI, SECTION A, LINE 7ALOUISIANA CHILDREN'S MEDICAL CENTER CONTROLS THE AUDUBON RETIREMENT VILLAGE, INC. THROUGH ITS POWER TO APPOINT A MAJORITY OF THE MEMBERS WHO SERVE ON THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11BUPON COMPLETION OF THE FINAL DRAFT OF FORM 990, A COPY OF THE DRAFT IS SENT TO MEMBERS OF THE BOARD OF DIRECTORS OF THE AUDUBON RETIREMENT VILLAGE.
FORM 990, PART VI, SECTION B, LINE 12CTHE BOARD OF DIRECTORS REVIEW THE CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS. THE ORGANIZATION REQUIRES ALL TRUSTEES TO DISCLOSE ANY POTENTIAL PERSONAL OR BUSINESS ASSOCIATIONS WHICH COULD BE PERCEIVED AS A CONFLICT OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION PAYS NO COMPENSATION TO ITS OFFICERS OR DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990 PAGE 12, PART XII, NUMBER 2CTHE ORGANIZATION AND THEREFORE THE ORGANIZATION'S CONSOLIDATED AUDIT IS CONTROLLED BY LOUISIANA CHILDREN'S MEDICAL CENTER. LOUISIANA CHILDREN'S MEDICAL CENTER DID NOT CHANGE EITHER ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR.
LATE FILING ATTACHMENTAUDUBON RETIREMENT VILLAGE TOOK OVER OPERATIONS OF HAINKEL HOME ON NOVEMBER 1ST FROM COMMCARE. AS FORMER OPERATORS OF HAINKEL HOME, COMMCARE WAS RETAINED TO MANAGE THE OPERATIONS AS WELL AS PROVIDE STAFFING AND ALL ACCOUNTING SERVICES FOR AUDUBON RETIREMENT VILLAGE. THE CFO WHO WAS RESPONSIBLE FOR THE CONTRACT NEGOTIATIONS WITH COMMCARE MOVED TO ANOTHER ROLE AFTER THE AGREEMENT WAS SIGNED. IN CONNECTION WITH THE CFO'S POSITION CHANGE, THERE WAS NO TRANSFER OF KNOWLEDGE SPECIFIC TO WHETHER THE CORPORATE FINANCE STAFF OR MANAGEMENT THAT THE PREPARATION AND FILING OF THE ENTITY'S FORM 990 WAS NOT PART OF THE CONTRACT WITH COMMCARE. THIS IS AUDUBON RETIREMENT VILLAGE'S INITIAL RETURN AND WITH THE BELIEF THAT THE EXTENSION AND PREPARATION OF THEIR FORM 990 WAS PART OF THE CONTRACT WITH COMMCARE THEY MISTAKENLY FAILED TO FILE AN EXTENSION BY THE ORIGINAL DEADLINE ON 7/15/2020. WITH THE COVID-19 PANDEMIC, THIS WAS SIMPLY AN OVERSIGHT BY ALL PARTIES INVOLVED. AUDUBON RETIREMENT VILLAGE IS AWARE OF THEIR FILING RESPONSIBILITIES AND WILL ENSURE FUTURE COMPLIANCE WITH ALL DEADLINES AND FILING REQUIREMENTS.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
LOUISIANA CHILDRENS MEDICAL CENTER
200 HENRY CLAY AVENUENEW ORLEANSLA70118943480131HEALTH SERVICESLA501(C)(3)LINE 30
CHILDREN'S HOSPITAL
200 HENRY CLAY AVENUENEW ORLEANSLA70118720467503PEDIATRIC HOSPITALLA501(C)(3)LINE 30LOUISIANA CHILDREN'S MEDICAL CENTER
TOURO INFIRMARY
1401 FOUCHER STREETNEW ORLEANSLA70115720423659FULL-SERVICE COMMUNITY HOSPITALLA501(C)(3)LINE 30LOUISIANA CHILDREN'S MEDICAL CENTER
UNIVERSITY MEDICAL CENTER MANAGEMENT
2021 PERDIDO STREETNEW ORLEANSLA70112251925187FULL-SERVICE COMMUNITY & TEACHING HOSPITALLA501(C)(3)LINE 30LOUISIANA CHILDREN'S MEDICAL CENTER
CHILDRENS HOSPITAL ANESTHESIA CORPORATION
200 HENRY CLAY AVENUENEW ORLEANSLA70118061587311PEDIATRIC HOSPITAL ANESTHESIA SERVICESLA501(C)(3)LINE 30LOUISIANA CHILDREN'S MEDICAL CENTER
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1LOUISIANA CHILDREN'S MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeETransactionTypeTxt
Involved$1,000,000InvolvedAmt
Method Of Amount DeterminationLOAN BALANCE AT YEAR ENDMethodOfAmountDeterminationTxt

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