FURP.ORG / PUBLIC DATA EXPLORER

MOUNT ST RITA HEALTH CENTRE: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
MOUNT ST RITA HEALTH CENTRE (EIN 05-0342330)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-10-07
IRS object ID
202032819349300413
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)
Return2020-10-07T09:45:27-05:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN010494526PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BAKER NEWMAN & NOYES LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1650 ELM STREET SUITE 302AddressLine1Txt
CityMANCHESTERCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03101ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN050342330EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Mount St Rita Health CentreBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMOUNBusinessNameControlTxt
Phone4013336352PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line115 Sumner Brown RoadAddressLine1Txt
CityCumberlandCityNm
State AbbreviationRIStateAbbreviationCd
ZIP02864ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonWilliam FlemingPersonNm
Person TitlePresidentPersonTitleTxt
Phone4013336352PhoneNum
Signature2020-10-05SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNicholas E PortoPreparerPersonNm
PTINP01310283PTIN
Phone8002447444PhoneNum
Preparation2020-10-05PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address208.105.168.164IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-10-05IPDt
IP Tm15:34:36IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdFBBFA7A837B38F65B00B6D63BD28125F9EF4F4BDAtSubmissionCreationDeviceId
At Submission Filing Device IdDA1D1F22D002DE74304CAE64996AD19EA354FE22AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerWilliam FlemingPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line115 Sumner Brown RoadAddressLine1Txt
CityCumberlandCityNm
State AbbreviationRIStateAbbreviationCd
ZIP02864ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$9,330,180GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressMountStRita.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1990FormationYr
Legal Domicile StateRILegalDomicileStateCd
Activity Or MissionMount Saint Rita is a Catholic skilled nursing and rehabilitation facility that continues the healing ministry of Christ by providing health care services that foster each individual's physical, spiritual, emotional and intellectual well-being.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee194TotalEmployeeCnt
Total Volunteers20TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$123,597PYContributionsGrantsAmt
CY Contributions Grants$70,848CYContributionsGrantsAmt
PY Program Service Revenue$8,742,352PYProgramServiceRevenueAmt
CY Program Service Revenue$9,254,567CYProgramServiceRevenueAmt
PY Investment Income$87PYInvestmentIncomeAmt
CY Investment Income$4,765CYInvestmentIncomeAmt
PY Other Revenue$17,413PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$8,883,449PYTotalRevenueAmt
CY Total Revenue$9,330,180CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$5,124,904PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,353,791CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,672,886PYOtherExpensesAmt
CY Other Expenses$3,739,569CYOtherExpensesAmt
PY Total Expenses$8,797,790PYTotalExpensesAmt
CY Total Expenses$9,093,360CYTotalExpensesAmt
PY Revenues Less Expenses$85,659PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$236,820CYRevenuesLessExpensesAmt
Total Assets BOY$6,117,588TotalAssetsBOYAmt
Total Assets EOY$5,710,411TotalAssetsEOYAmt
Total Liabilities BOY$1,535,167TotalLiabilitiesBOYAmt
Total Liabilities EOY$892,191TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,582,421NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,818,220NetAssetsOrFundBalancesEOYAmt
MissionMount Saint Rita is a Catholic skilled nursing and rehabilitation facility that continues the healing ministry of Christ by providing health care services that foster each individual's physical, spiritual, emotional and intellectual well-being.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$7,749,914ExpenseAmt
Grant$0GrantAmt
Revenue$9,254,567RevenueAmt
DescMount Saint Rita Health Centre provided 4,077 days of skilled nursing services during 2019 of which 594 were to Medicaid recipients.Desc
Total Program Service Expenses$7,749,914TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
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 Assets0ReportOtherAssetsInd
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 Required0ScheduleJRequiredInd
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
IRP Document18IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee194EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
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 Members8GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
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
States Where Copy Of Return Is FldRIStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Samuel BowdenBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4013336352PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line115 Sumner Brown RoadAddressLine1Txt
CityCumberlandCityNm
State AbbreviationRIStateAbbreviationCd
ZIP02864ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
William Fleming
President40.000.00Yes (X)Yes (X)$138,927$0$8,415
Diana Stamatelatos
Director of Nursing40.000.00$113,561$0$14,117Yes (X)
Tina Medeiros
MDS Coordinator52.000.00$110,837$0$10,627Yes (X)
Sr Mary Costello RSM
Trustee2.000.00Yes (X)$0$0$0
Dr Boyd Peter King
Trustee2.000.00Yes (X)$0$0$0
Sr Rose Angela McLellan RSM
Trustee2.000.00Yes (X)$0$0$0
Patricia Viera APR
Chair2.000.00Yes (X)Yes (X)$0$0$0
Debra Servello
Vice Chair2.000.00Yes (X)Yes (X)$0$0$0
Peter Keenan
Treasurer2.000.00Yes (X)Yes (X)$0$0$0
Joseph Malley
Secretary2.000.00Yes (X)Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$363,325TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$33,159TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K3IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Rehab Care Group Inc
PO Box 503534St LouisMO63150Rehabilitation services$566,060
Performance Health Care Services Inc
47 R River StreetWellesleyMA02481Laundry and housekeeping$300,267
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
All Other Contributions$70,848AllOtherContributionsAmt
Total Contributions$70,848TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPatient servicesDesc
Business623000BusinessCd
Total Revenue Column$9,254,567TotalRevenueColumnAmt
Related Or Exempt Func Income$9,254,567RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$9,254,567TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,765TotalRevenueColumnAmt
Exclusion$4,765ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,330,180TotalRevenueColumnAmt
Related Or Exempt Func Income$9,254,567RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$4,765ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$147,342TotalAmt
Program Services$131,880ProgramServicesAmt
Management And General$15,462ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,092,605TotalAmt
Program Services$3,684,631ProgramServicesAmt
Management And General$407,974ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$187,203TotalAmt
Program Services$151,309ProgramServicesAmt
Management And General$35,894ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$616,123TotalAmt
Program Services$497,990ProgramServicesAmt
Management And General$118,133ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$310,518TotalAmt
Program Services$250,980ProgramServicesAmt
Management And General$59,538ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$22,172TotalAmt
Management And General$22,172ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$64,976TotalAmt
Management And General$64,976ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,223,719TotalAmt
Program Services$642,609ProgramServicesAmt
Management And General$581,110ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$33,572TotalAmt
Program Services$33,572ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$187,548TotalAmt
Program Services$149,361ProgramServicesAmt
Management And General$38,187ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$168,467TotalAmt
Program Services$168,467ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$308,008TotalAmt
Program Services$308,008ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$7,434TotalAmt
Program Services$7,434ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$42TotalAmt
Program Services$42ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$321,031TotalAmt
Program Services$321,031ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$132,089TotalAmt
Program Services$132,089ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
RI Provider Tax$492,602$492,602
Drugs/medical supplies$418,569$418,569
Food and nutrition$215,638$215,638
Provision for bad debts$80,731$80,731

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$62,971TotalAmt
Program Services$62,971ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$9,093,360TotalAmt
Program Services$7,749,914ProgramServicesAmt
Management And General$1,343,446ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,477,310BOYAmt
EOY$1,335,280EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$14,114BOYAmt
EOY$14,126EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$897,224BOYAmt
EOY$391,503EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$29,215BOYAmt
EOY$15,553EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$9,978,728LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$6,485,184LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,690,048BOYAmt
EOY$3,493,544EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$404,003EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$9,677BOYAmt
EOY$56,402EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$6,117,588BOYAmt
EOY$5,710,411EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,421,089BOYAmt
EOY$756,296EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$114,078BOYAmt
EOY$135,895EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,535,167BOYAmt
EOY$892,191EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,570,578BOYAmt
EOY$4,799,454EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$11,843BOYAmt
EOY$18,766EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,582,421BOYAmt
EOY$4,818,220EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,117,588BOYAmt
EOY$5,710,411EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$236,820ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$1,021NetUnrlzdGainsLossesInvstAmt
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

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$106,521CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$80,659CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$68,153CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$123,597CurrentTaxYearMinus1YearAmt
Current Tax Year$70,848CurrentTaxYearAmt
Total$449,778TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,803,884CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,041,072CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,827,978CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,759,765CurrentTaxYearMinus1YearAmt
Current Tax Year$9,254,567CurrentTaxYearAmt
Total$44,687,266TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,910,405CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,121,731CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,896,131CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,883,362CurrentTaxYearMinus1YearAmt
Current Tax Year$9,325,415CurrentTaxYearAmt
Total$45,137,044TotalAmt

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$45,137,044PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$266CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$38CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$89CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$87CurrentTaxYearMinus1YearAmt
Current Tax Year$4,765CurrentTaxYearAmt
Total$5,245TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$266CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$38CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$89CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$87CurrentTaxYearMinus1YearAmt
Current Tax Year$4,765CurrentTaxYearAmt
Total$5,245TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,910,671CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,121,769CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,896,220CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,883,449CurrentTaxYearMinus1YearAmt
Current Tax Year$9,330,180CurrentTaxYearAmt
Total$45,142,289TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99990PublicSupportCY509Pct
Public Support PY5090.99750PublicSupportPY509Pct
Investment Income CY0.00010InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$13,003GrantsOtherOrganizationsAmt
Total Lobbying Expenditures$13,003TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationMount St. Rita Health Centre was a member of LeadingAge Rhode Island, a nonprofit professional association, in the year ended December 31, 2019. The association disclosed to its members that a portion of membership dues may be used for lobbying expenditures in furtherance of their exempt purposes. However, the association did not specifically disclose to the Organization what amount or percentage of dues paid in 2019 was ultimately used for lobbying purposes. For transparency purposes, the Organization is disclosing the total amount of dues paid to the trade association, a portion of which may have been used for lobbying expenditures, on Schedule C, Page 3, Part II-B, Line 1f.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$11,843BeginningYearBalanceAmt
Contributions$18,399ContributionsAmt
Other Expenditures$11,476OtherExpendituresAmt
End Year Balance$18,766EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$14,039BeginningYearBalanceAmt
Contributions$7,409ContributionsAmt
Other Expenditures$9,606OtherExpendituresAmt
End Year Balance$11,843EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$12,591BeginningYearBalanceAmt
Contributions$8,233ContributionsAmt
Other Expenditures$6,785OtherExpendituresAmt
End Year Balance$14,039EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,755BeginningYearBalanceAmt
Contributions$12,835ContributionsAmt
Other Expenditures$5,999OtherExpendituresAmt
End Year Balance$12,591EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$13,576BeginningYearBalanceAmt
Contributions$5,755ContributionsAmt
Other Expenditures$13,576OtherExpendituresAmt
End Year Balance$5,755EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY1.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$446,015OtherCostOrOtherBasisAmt
Book Value$446,015BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,098,093OtherCostOrOtherBasisAmt
Depreciation$5,328,074DepreciationAmt
Book Value$2,770,019BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,036,283OtherCostOrOtherBasisAmt
Depreciation$915,326DepreciationAmt
Book Value$120,957BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$398,337OtherCostOrOtherBasisAmt
Depreciation$241,784DepreciationAmt
Book Value$156,553BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,493,544TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescInvestment in Providentia Prima TrustDesc
Book Value$404,003BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$404,003TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Professional loss reserves$87,595
Tenant security deposits$48,300
FieldValueIRS element (for citing)
Total Liability$135,895TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationCovenant and its member organizations are considered not-for-profit corporations as described in Section 501(c)(3) of the Internal Revenue Code and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code, except as noted below. Tax-exempt organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by the Financial Accounting Standards Board, assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the "more-likely-than-not" threshold, based upon the technical merits of the position. Estimated interest and penalties, if applicable, related to uncertain tax positions are included as a component of income tax expense. The System has evaluated the position taken on its filed tax returns. The System has concluded no uncertain income tax positions exist at December 31, 2019.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6Covenant Health, Inc. is the sole corporate member of the Organization.
Form 990, Part VI, Section A, line 7aAs the sole corporate member of the Organization, Covenant Health, Inc. retains the ability to elect and remove the Organization's board of directors with or without cause.
Form 990, Part VI, Section A, line 7bAs the sole corporate member of the Organization, Covenant Health, Inc. has the following powers and rights over the Organization and its subsidiaries as outlined in the Organization's bylaws: 1. To approve any change in the written statements of philosophy and mission; 2. To amend and to repeal the organizing and governing documents; 3. To elect the Board of Directors or remove them with or without cause; 4. To appoint and remove the president; 5. To ratify the Board of Director's election of the Chair of the Board; 6. To approve all plans of merger, consolidation, reorganization, dissolution, or the sale, lease assignment, or transfer of substantially all of the assets, or the purchase or acquisition of an interest in any corporation, partnership, joint venture, or other entity; 7. To approve all long-range strategic plans before implementation; 8. To approve the acquisition, sale, or encumberance of any real estate valued in excess of an amount set by the Member in writing; 9. To approve all capital budgets and non-budgeted expeness in excess of an amount set by the Member in writing; 10. To approve all debt in excess of limits set by the Member in writing; 11. To appoint the auditors; 12. To approve the sale, assignment, or transfer of any equity interest or membership interest in any subsidiary; 13. To approve any reclassification or other change of any capital stock or other equity security; and, 14. To approve the issuance of, or the creation of any obligation to issue, any equity security.
Form 990, Part VI, Section B, line 11bThe Form 990 is provided to the governing body for their review and approval prior to filing.
Form 990, Part VI, Section B, line 12cThis process is the responsibility of the Compliance Officer. A conflict of interest disclosure form is submitted to all leadership, board members, board committee members, employed physicians, medical directors and certain employees in key positions annually to be completed. Reminders are sent to all persons of interest to ensure that all conflict of interest disclosure forms are completed and collected.
Form 990, Part VI, Section B, line 15Any compensation paid to the trustees, directors, officers or key employees of the Organization is subject to the oversight and decisions of Covenant Health, a related tax-exempt organization. Every two-to-three years the Compensation Committee of the Covenant Health Board of Directors engages an external consultant to provide competitive market data from various survey sources, which is then used to develop recommendations for changes to the compensation program. Since 2003, the Compensation Committee has engaged a human resources consultant to conduct this analysis. Objectives of the analysis are to assess the compositeness of the total cash compensation levels of the senior leadership team, develop market based competitive salary ranges for all executive positions, and ensure that the annual incentive opportunities, if there are any, are competitive and reasonable.
Form 990, Part VI, Section C, line 19The Organization's Form 990, governing documents, conflict of interest policy, and financial statements are made available to the public upon request. The Organization's Form 990 is also made available on the website of its parent organization, Covenant Health, at the following web address: https://www.covenanthealth.net/financial-information/financial-information
Form 990, Part IX, line 11gMedical Services: Program service expenses 642,609. Management and general expenses 0. Fundraising expenses 0. Total expenses 642,609. Consulting & Other: Program service expenses 0. Management and general expenses 581,110. Fundraising expenses 0. Total expenses 581,110.
Form 990, Part XII, Line 2c:The audit process has not changed from the previous year.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (38 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
Youville Lifecare Inc
1575 Cambridge StreetCambridgeMA02138042103582Hospital and health care facilityMA501(c)(3)Line 10Covenant Health Inc0
St Joseph Manor Health Care
215 Thatcher StreetBrocktonMA02302042565937Nursing home and restorative facilityMA501(c)(3)Line 10Covenant Health Inc0
St Mary's Health System
PO Box 7291LewistonME04243222504349Hospital and health care facilityME501(c)(3)Line 12a, ICovenant Health Inc0
St Joseph's Hospital of Nashua NH Inc
172 Kinsley StreetNashuaNH03061020222215Hospital and health care facilityNH501(c)(3)Line 3Covenant Health Inc0
Youville Place
10 Pelham RoadLexingtonMA02421043297834Assisted living servicesMA501(c)(3)Line 10Covenant Health Inc0
St Mary's Villa Nursing Home Inc
675 St Marys Villa RoadMoscowPA18444232057177Nursing home and restorative facilityPA501(c)(3)Line 10Covenant Health Inc0
CHS of Waltham Inc dba Maristhill Nursing & Rehab Center
66 Newton StreetWalthamMA02453043333609Nursing home and restorative facilityMA501(c)(3)Line 10Covenant Health Inc0
CHS of Worcester Inc dba St Mary Care Center
39 Queen StreetWorchesterMA01610043419625Nursing home and restorative facilityMA501(c)(3)Line 10Covenant Health Inc0
Fanny Allen Holdings Inc
790 College ParkwayColchesterVT05446030181052Real estate holding companyVT501(c)(3)Line 12a, ICovenant Health Inc0
St Andre Health Care
407 Pool StreetBiddefordME04005010342399Nursing home and restorative facilityME501(c)(3)Line 10Covenant Health Inc0
MI Nursing Restorative Center Inc
172 Lawrence StreetLawrenceMA01841042104851Nursing home and restorative facilityMA501(c)(3)Line 10Covenant Health Inc0
Helping Hands of St Marguerite Inc
799 Concord AvenueCambridgeMA02138800199674Private home-care health servicesMA501(c)(3)Line 10Covenant Health Inc0
Providentia Prima Trust
420 Bedford StreetLexingtonMA02420046835128Investment trustMA501(c)(3)Line 12a, ICovenant Health Inc0
Fanny Allen Corporation Inc
790 College ParkwayColchesterVT05446222495808Charitable foundationVT501(c)(3)Line 12a, ICovenant Health Inc0
Youville House Inc
1573 Cambridge StreetCambridgeMA02138043239593Assisted living servicesMA501(c)(3)Line 10Youville Lifecare Inc0
Youville Hospital and Rehabilitation Center Inc
1575 Cambridge StreetCambridgeMA02138043239563Hospital and health care facilityMA501(c)(3)Line 10Youville Lifecare Inc0
St Mary's Regional Medical Center
PO Box 7291LewistonME04243010211551Hospital and health care facilityME501(c)(3)Line 3St Mary's Health System0
Community Clinical Services
PO Box 7291LewistonME04243010409788Physician practiceME501(c)(3)Line 10St Mary's Health System0
St Mary's D'Youville Pavilion
PO Box 7291LewistonME04243010211558Nursing home and restorative facilityME501(c)(3)Line 10St Mary's Health System0
St Mary's Residences
PO Box 7291LewistonME04243222504356Low income housingME501(c)(3)Line 10St Mary's Health System0
Neighborhood Housing Initiative
PO Box 7291LewistonME04243010539730Affordable housing servicesME501(c)(3)Line 10St Mary's Health System0
Souhegan Nursing Association
24 North River RoadMilfordNH03055020222795Home health and hospiceNH501(c)(3)Line 10St Joseph Hospital of Nashua NH Inc0
The Surgicenter at St Joseph Hospital Inc
172 Kinsley StreetNashuaNH03061020222215Healthcare and surgery centerNH501(c)(3)Line 10St Joseph Hospital of Nashua NH Inc0
MI Management Inc
172 Lawrence StreetLawrenceMA01841042857794Assisted living servicesMA501(c)(3)Line 12a, ICovenant Health Inc0
MI Adult Day Health Care Center Inc
189 Maple StreetLawrenceMA01841042921888Adult day care servicesMA501(c)(3)Line 10Covenant Health Inc0
MI Residential Community Inc
189 Maple StreetLawrenceMA01841042647207HUD low income housingMA501(c)(3)Line 10Covenant Health Inc0
MI Residential Community II Inc
189 Maple StreetLawrenceMA01841042679954HUD low income housingMA501(c)(3)Line 10Covenant Health Inc0
MI Residential Community III Inc
189 Maple StreetLawrenceMA01841042186043HUD low income housingMA501(c)(3)Line 10Covenant Health Inc0
MI Transportation Inc
189 Maple StreetLawrenceMA01841042921889Elderly transportation servicesMA501(c)(3)Line 10Covenant Health Inc0
Mary Immaculate Guild Inc
172 Lawrence StreetLawrenceMA01841463073987Supporting grants and donationsMA501(c)(3)Line 12a, ICovenant Health Inc0
St Joseph Healthcare Foundation
360 BroadwayBangorME04402222480149Healthcare foundationME501(c)(3)Line 10Covenant Health Inc0
St Joseph Hospital
360 BroadwayBangorME04402010212435Hospital and health care facilityME501(c)(3)Line 3St Joseph Healthcare Foundation0
M & J Company
360 BroadwayBangorME04402222480150Lease holding companyME501(c)(2)St Joseph Healthcare Foundation0
St Joseph Ambulatory Care Inc
360 BroadwayBangorME04402222480373Physician practiceME501(c)(3)Line 10St Joseph Healthcare Foundation0
Alternative Health Services
360 BroadwayBangorME04402010422885Home health and hospiceME501(c)(3)Line 10St Joseph Healthcare Foundation0
Penacook Place Inc
150 Water StreetHaverhillMA01830237090088Nursing homeMA501(c)(3)Line 10Covenant Health Inc0
Covenant Health Inc
100 Ames Pond DriveTewksburyMA01876222484505Health care management and resource organizationMA501(c)(3)Line 100N/A
Covenant Health Foundation Inc
100 Ames Pond DriveTewksburyMA01876800199674Charitable foundationMA501(c)(3)Line 12a, ICovenant Health Inc0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdLegal Domicile StateLegalDomicileStateCd
Covenant Health Insurance LTD
PO Box 69Grand CaymanCJKY1-1102043360127Self-insurance companyCJN/AC0
Campus Holding
010406049Holding companyN/AC0PO Box 7291LewistonME04240ME
St Joseph Corporate Services Inc
020405197Holding companyN/AC0172 Kinsley StreetNashuaNH03060NH
Strauss Incorporated
010391369Repairs and transcriptionsN/AC0360 BroadwayBangorME04402ME
GNM Corporation
020400550Real estate holding companyN/AC0172 Kinsley StreetNashuaNH03060NH
SJ Physicians Services
020522234Physician practiceN/AC0172 Kinsley StreetNashuaNH03060NH
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 Org0LoansOrGuaranteesFromOthOrgInd
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