2020-11-10T09:50:52-06:00 2019-12-31 222428965 CITRIN COOPERMAN & COMPANY LLP 500 EXCHANGE STREET SUITE 9-100 PROVIDENCE RI 02903 990 2019-01-01 050258880 STEERE HOUSE NURSING & REHABILITATION CENTER STEE 4014547970 100 BORDEN STREET PROVIDENCE RI 02903 JULIE H RICHARD EXECUTIVE DIRECTOR 4014547970 2020-11-09 1 MICHAEL E CRISCIONE P01456801 4014214800 68.110.194.10 2020-11-09 13:36:25 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 929ECFC6041A7AA0A002473F659B1DCCC03AFB20 2019 2021-01-29 14:40:06Z JULIE H RICHARD 100 BORDEN STREET PROVIDENCE RI 02903 16430548 0 X WWW.STEEREHOUSE.ORG X 1874 RI THE MISSION OF STEERE HOUSE NURSING & REHABILITATION CENTER IS TO SERVE ADULTS WHO REQUIRE SKILLED, RESTORATIVE AND LONG-TERM CARE SERVICES WITHIN A SECURE AND CARING ENVIRONMENT. THE CENTER ALSO PROVIDES EDUCATIONAL AND RESEARCH EXPERIENCES THAT ENHANCE THE CARE OF THOSE WE SERVE. 11 11 203 15 0 0 493763 619460 11608995 11546876 1665629 2532678 20023 26380 13788410 14725394 0 0 0 0 6869352 6902705 0 0 0 6354796 6330050 13224148 13232755 564262 1492639 22856268 24629414 5988431 5737515 16867837 18891899 X THE MISSION OF STEERE HOUSE NURSING & REHABILITATION CENTER ("THE CENTER") IS TO SERVE ADULTS WHO REQUIRE SKILLED, RESTORATIVE AND LONG-TERM CARE SERVICES WITHIN A SECURE AND CARING ENVIRONMENT. THE CENTER ALSO PROVIDES EDUCATIONAL AND RESEARCH EXPERIENCES THAT ENHANCE THE CARE OF THOSE WE SERVE. 0 0 11620561 11573256 PROVIDES REHABILITATIVE, SKILLED, TRANSITIONAL NURSING CARE. ALSO PROVIDES LONG-TERM SUPPORT AND CARE TO THOSE WITH ALZHEIMER AND MEMORY LOSS. 11620561 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 34 0 1 203 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X DIANNE BOURGET 4014547970 100 BORDEN STREET PROVIDENCE RI 02903 LINDA M CANNISTRA BOARD PRESIDENT 2.50 0.50 X X 0 0 0 PAUL S ASTPHAN BOARD VICE PRESIDENT 1.00 0.50 X X 0 0 0 NORMA J OWENS BOARD TREASURER 2.00 0.50 X X 0 0 0 DIANE STEERE NOBLES BOARD SECRETARY 1.00 0.50 X X 0 0 0 TIMOTHY J REINER BOARD MEMBER 0.50 X 0 0 0 DAVID DOSA MD BOARD MEMBER 0.50 X 0 0 0 JONATHAN L CABOT BOARD MEMBER 0.50 X 0 0 0 CAROL C MCMAHON BOARD MEMBER 0.50 0.50 X 0 0 0 CAROL YARNEL BOARD MEMBER 0.50 X 0 0 0 DEBRA PAGE-TRIM BOARD MEMBER 0.50 X 0 0 0 ANDREW C SPACONE IMMEDIATE PAST PRESIDENT 1.00 X 0 0 0 DIANNE BOURGET DIRECTOR OF FINANCE 39.50 0.50 X 102533 0 15618 JULIE H RICHARD EXECUTIVE DIRECTOR 39.50 0.50 X 150085 0 6754 NICOLE PLANTE DIRECTOR OF NURSING 40.00 X 109510 0 6581 DEBORAH YASICK SHIFT SUPERVISOR 40.00 X 128470 0 8799 490598 0 37752 4 0 1 0 UNIDINE LIFESTYLES DBA FLIK INTERNATION 2400 YORMONT RD CHARLOTTE NC 28217 CONTRACT SERVICES - DIETARY & EVS 1964071 CARELINK 400 MASSASOIT AVENUE SUITE 113 EAST PROVIDENCE RI 02914 THERAPY SERVICES 555871 FLIK LIFESTYLES DBA MORRISON MANAGEMENT PO BOX 102289 ATLANTA GA 30368 CONTRACT SERVICES - DIETARY & EVS 183971 3 171072 448388 619460 PATIENT SERVICES 623000 11546876 11546876 11546876 330876 330876 3906956 1705154 2201802 2201802 2201802 MISCELLANEOUS INCOME 623000 26380 26380 26380 14725394 11573256 0 2532678 X 391081 116091 274990 5486793 5252936 233857 50069 45908 4161 506087 483919 22168 468675 429728 38947 3170 3170 58720 58720 88247 88247 2398400 2303278 95122 14039 14039 264481 264481 1031 1031 171970 171970 496027 5028 490999 323363 151350 172013 OTHER 888041 758241 129800 PROVIDER ASSESSMENT 625804 625804 NURSING SUPPLIES 625651 625651 FOOD 371106 371106 13232755 11620561 1612194 0 302075 381348 2272724 2412473 19575 14206 91519 149801 15152099 9841101 5459447 5310998 14245576 15573885 208717 535196 256635 251507 22856268 24629414 1513199 1368687 4388999 4209999 86233 158829 5988431 5737515 X 16794545 18854017 73292 37882 16867837 18891899 22856268 24629414 X 1492639 277540 253883 X X 1 X 0 1 0 X 612572 620621 614776 493763 619460 2961192 11072351 10775482 11304865 11608995 11546876 56308569 11684923 11396103 11919641 12102758 12166336 59269761 321406 265557 265894 286340 279699 1418896 0 321406 265557 265894 286340 279699 1418896 57850865 352653 322352 350159 397170 330876 1753210 352653 322352 350159 397170 330876 1753210 26091 16112 127506 20023 26380 216112 12063667 11734567 12397306 12519951 12523592 61239083 0.94470 0.94280 0.02860 0.03010 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISC INCOME - 2015 AMOUNT: $ 26,091. 2016 AMOUNT: $ 16,112. 2017 AMOUNT: $ 127,506. 2018 AMOUNT: $ 20,023. 2019 AMOUNT: $ 26,380. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 14245576 2721971 1393662 15573885 15659940 71467 -675783 810048 14245576 14436621 2092880 869561 15659940 14376719 831479 771577 14436621 14785706 320107 729094 14376719 1.00000 0 0 12317777 7478905 4838872 2692681 2226017 466664 141641 136179 5462 5310998 INTEREST RATE SWAP CONTRACT 158829 158829 X 15168570 277540 253883 531423 14637147 88247 88247 14725394 13144508 0 13144508 88247 88247 13232755 PART V, LINE 4: THE CENTER HAS ESTABLISHED THE BOARD-DESIGNATED FUND AS A PERPETUAL ENDOWMENT MEANT TO PROVIDE ANNUAL DRAWDOWNS FROM TOTAL RETURN TO SUPPLEMENT THE CENTER'S OPERATING BUDGET, AS WELL AS TO PROVIDE CAPITAL FOR EXTRAORDINARY USES FROM TIME TO TIME. PART X, LINE 2: THE CENTER QUALIFIES AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS A NOT-FOR-PROFIT ENTITY, THE CENTER IS SUBJECT TO UNRELATED BUSINESS INCOME TAX ("UBTI"), IF APPLICABLE. IN ACCORDANCE WITH FASB ASC 740, INCOME TAXES, THE CENTER APPLIES THE "MORE LIKELY THAN NOT" THRESHOLD TO THE RECOGNITION AND DERECOGNITION OF TAX POSITIONS FOR ITS FINANCIAL STATEMENTS. MANAGEMENT HAS EVALUATED THE CENTER'S TAX POSITIONS AND HAS CONCLUDED THAT THERE WERE NO UNCERTAIN TAX POSITIONS THAT QUALIFIED FOR EITHER RECOGNITION OR DISCLOSURE IN ITS FINANCIAL STATEMENTS. THE CENTER FILES A TAX RETURN IN THE U.S. FEDERAL JURISDICTION. PART XI, LINE 2D - OTHER ADJUSTMENTS: GAIN IN EQUITY OF JOINT VENTURE IN OCEAN STATE ASSISTED LIVING ("OSAL") 326,479. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP CONTRACT -72,596. X X 0 0 0 0 0 0 0 0 0 JULIE H RICHARD EXECUTIVE DIRECTOR 150085 0 0 0 0 0 437 0 6317 0 156839 0 0 0 A RHODE ISLAND HEALTH AND EDUCATIONAL BUILDING CORPORATION NONEAVAIL 2011-08-01 5340000 REFUND A PRIOR ISSUE; FACILITY RENOVATIONS 0 0 0 A 1130001 5340000 121574 1916909 2012 0 1 1 1 A 0 0 0 0 0 0 1 A 0 0 1 0 1 0 0 0 1 A 1 FORM 990, PART VI, SECTION A, LINE 2 TIMOTHY REINER, BOARD MEMBER, AND DIANNE BOURGET, DIRECTOR OF FINANCE, ARE BROTHER AND SISTER. FORM 990, PART VI, SECTION B, LINE 11B THE CENTER'S FINANCE TEAM MET TO REVIEW THE DRAFT 990 PRIOR TO FILING AND RECOMMENDED APPROVAL TO THE BOARD. IN ADDITION, ALL BOARD MEMBERS WERE PROVIDED WITH EITHER AN ELECTRONIC OR HARD COPY OF THE FORM 990 PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS UPDATE AND SIGN THE ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT, WHICH IS RETAINED. ANY CONFLICTS OF INTEREST ARISING IN THE INTERIM PERIOD ARE REQUIRED TO BE DISCLOSED WHEN KNOWN. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD OF DIRECTORS APPROVES THE EXECUTIVE DIRECTOR COMPENSATION POLICY, MONITORS COMPLIANCE WITH THE POLICY AND APPROVES THE EXECUTIVE DIRECTOR'S SALARY. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC AT THE CENTER'S LOCATION - 100 BORDEN STREET, PROVIDENCE, RI 02903. FORM 990, PART IX, LINE 11G OTHER CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 250,978. MANAGEMENT AND GENERAL EXPENSES 95,122. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 346,100. CONTRACTED THERAPY: PROGRAM SERVICE EXPENSES 530,464. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 530,464. CONTRACTED DIETARY: PROGRAM SERVICE EXPENSES 846,788. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 846,788. CONTRACTED HOUSEKEEPING: PROGRAM SERVICE EXPENSES 415,766. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 415,766. CONTRACTED LAUNDRY: PROGRAM SERVICE EXPENSES 122,594. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 122,594. CONTRACTED MAINTENANCE: PROGRAM SERVICE EXPENSES 136,688. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 136,688. FORM 990, PART XI, LINE 9: ADJUSTMENT FOR GAIN IN EQUITY OF JOINT VENTURE IN "OSAL" 326,479. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP CONTRACT -72,596. FORM 990, PART XII, LINE 2(C): THE OVERSIGHT PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. THE STEERE HOUSE FOUNDATION 100 BORDEN STREET PROVIDENCE RI 02903 050518885 PROVIDE SUPPORT AND MAINTENANCE OF STEERE HOUSE NURSING HOME RI 501(C)(3) LINE 12B, II N/A 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 THE STEERE HOUSE FOUNDATION C 171072 ACTUAL AMOUNT RECEIVED THE STEERE HOUSE FOUNDATION Q 118019 ACTUAL AMOUNT RECEIVED