BALLOU HOME FOR THE AGED OF WOONSOCKET RHODE ISLAND: Form 990PF, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- BALLOU HOME FOR THE AGED OF WOONSOCKET RHODE ISLAND (EIN 05-0260671)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-10-08
- IRS object ID
- 201902819349100400
- Schema version
- 2018v3.1
- 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
- Form 990-PF
- Accounting Fees Schedule
- Depreciation Schedule
- Expln Of Non Filing With AG Stmt
- Gain Loss Sale Other Assets Sch
- Investments Other Schedule2
- Land Etc Schedule2
- Legal Fees Schedule
- Other Assets Schedule
- Other Decreases Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-10-08T04:52:00-05:00 | ReturnTs |
| Tax Period End | 2018-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 061009205 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLUM SHAPIRO & COMPANY PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 INTERNATIONAL PLACE 16TH FLOOR | AddressLine1Txt |
| City | BOSTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02110 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2018-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 050260671 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BALLOU HOME FOR THE AGED | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BALL | BusinessNameControlTxt |
| Phone | 4017690437 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 60 MENDON ROAD | AddressLine1Txt |
| City | WOONSOCKET | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 02895 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BARRY ZELTZER | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 4017690437 | PhoneNum |
| Signature | 2019-09-22 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LAURA J KENNEY | PreparerPersonNm |
| PTIN | P00202198 | PTIN |
| Phone | 6177170831 | PhoneNum |
| Preparation | 2019-09-18 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 64.251.63.131 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-09-22 | IPDt |
| IP Tm | 15:42:16 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | F655607A01BC9414CB150F5C2D5B642F4B7C09E6 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | B49528270D5C596423F272EFB472E66EFBF6AFC8 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $9,608,812 | FMVAssetsEOYAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Dividends Rev And Expnss | $257,037 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $257,037 | DividendsNetInvstIncmAmt |
| Dividends Adj Net Incm | $257,037 | DividendsAdjNetIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $231,074 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $3,268,610 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $239,165 | CapGainNetIncmNetInvstIncmAmt |
| Net ST Capital Gain Adj Net Incm | $0 | NetSTCapitalGainAdjNetIncmAmt |
| Other Income Rev And Expnss | $3,706,160 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $0 | OtherIncomeNetInvstIncmAmt |
| Other Income Adj Net Incm | $3,706,160 | OtherIncomeAdjNetIncmAmt |
| Total Rev And Expnss | $4,194,271 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $496,202 | TotalNetInvstIncmAmt |
| Total Adj Net Incm | $3,963,197 | TotalAdjNetIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $134,444 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Adj Net Incm | $134,444 | CompOfcrDirTrstAdjNetIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $0 | CompOfcrDirTrstDsbrsChrtblAmt |
| Oth Empl Slrs Wgs Rev And Expnss | $2,470,071 | OthEmplSlrsWgsRevAndExpnssAmt |
| Oth Empl Slrs Wgs Net Invst Incm | $0 | OthEmplSlrsWgsNetInvstIncmAmt |
| Oth Empl Slrs Wgs Adj Net Incm | $2,470,071 | OthEmplSlrsWgsAdjNetIncmAmt |
| Oth Empl Slrs Wgs Dsbrs Chrtbl | $0 | OthEmplSlrsWgsDsbrsChrtblAmt |
| Pension Empl Bnft Rev And Expnss | $293,731 | PensionEmplBnftRevAndExpnssAmt |
| Pension Empl Bnft Net Invst Incm | $0 | PensionEmplBnftNetInvstIncmAmt |
| Pension Empl Bnft Adj Net Incm | $293,731 | PensionEmplBnftAdjNetIncmAmt |
| Pension Empl Bnft Dsbrs Chrtbl | $0 | PensionEmplBnftDsbrsChrtblAmt |
| Legal Fees Rev And Expnss | $4,173 | LegalFeesRevAndExpnssAmt |
| Legal Fees Net Invst Incm | $0 | LegalFeesNetInvstIncmAmt |
| Legal Fees Adj Net Incm | $4,173 | LegalFeesAdjNetIncmAmt |
| Legal Fees Dsbrs Chrtbl | $0 | LegalFeesDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $45,824 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $0 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Adj Net Incm | $45,824 | AccountingFeesAdjNetIncmAmt |
| Accounting Fees Chrtbl Prps | $0 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $51,678 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $51,678 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Adj Net Incm | $51,678 | OtherProfFeesAdjNetIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $0 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $394,049 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $0 | TaxesNetInvstIncmAmt |
| Taxes Adj Net Incm | $394,049 | TaxesAdjNetIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Deprec And Dpltn Rev And Expnss | $146,367 | DeprecAndDpltnRevAndExpnssAmt |
| Deprec And Dpltn Net Invst Incm | $0 | DeprecAndDpltnNetInvstIncmAmt |
| Deprec And Dpltn Adj Net Incm | $146,367 | DeprecAndDpltnAdjNetIncmAmt |
| Occupancy Rev And Expnss | $172,576 | OccupancyRevAndExpnssAmt |
| Occupancy Net Invst Incm | $0 | OccupancyNetInvstIncmAmt |
| Occupancy Adj Net Incm | $172,576 | OccupancyAdjNetIncmAmt |
| Occupancy Dsbrs Chrtbl | $0 | OccupancyDsbrsChrtblAmt |
| Trav Conf Meeting Rev And Expnss | $1,241 | TravConfMeetingRevAndExpnssAmt |
| Trav Conf Meeting Net Invst Incm | $0 | TravConfMeetingNetInvstIncmAmt |
| Trav Conf Meeting Adj Net Incm | $1,241 | TravConfMeetingAdjNetIncmAmt |
| Trav Conf Meeting Dsbrs Chrtbl | $0 | TravConfMeetingDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $826,189 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $0 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Adj Net Incm | $43,684 | OtherExpensesAdjNetIncmAmt |
| Other Expenses Dsbrs Chrtbl | $324,735 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $4,540,343 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $51,678 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $3,757,838 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $324,735 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $0 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $0 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $4,540,343 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $51,678 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $3,757,838 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $324,735 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$346,072 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $444,524 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $205,359 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $409,634 | CashBOYAmt |
| Cash EOY | $124,715 | CashEOYAmt |
| Cash EOYFMV | $124,715 | CashEOYFMVAmt |
| Sav And Temp Cash Invst BOY | $231,008 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $333,089 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $333,089 | SavAndTempCashInvstEOYFMVAmt |
| Acct Rcvbl | $369,015 | AcctRcvblAmt |
| Acct Rcvbl Allwnc Dbtfl Acct | $35,764 | AcctRcvblAllwncDbtflAcctAmt |
| Acct Rcvbl BOY | $272,387 | AcctRcvblBOYAmt |
| Acct Rcvbl EOY | $333,251 | AcctRcvblEOYAmt |
| Acct Rcvbl EOYFMV | $333,251 | AcctRcvblEOYFMVAmt |
| Prepaid Expenses BOY | $53,337 | PrepaidExpensesBOYAmt |
| Prepaid Expenses EOY | $24,545 | PrepaidExpensesEOYAmt |
| Prepaid Expenses EOYFMV | $24,545 | PrepaidExpensesEOYFMVAmt |
| Corporate Bonds BOY | $737 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $0 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $0 | CorporateBondsEOYFMVAmt |
| Other Investments BOY | $8,020,461 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $7,237,714 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $7,237,714 | OtherInvestmentsEOYFMVAmt |
| Land Bldg Equip Cost Or Other Bss | $3,952,402 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,636,435 | LandBldgEquipAccumDeprecAmt |
| Land BOY | $1,379,827 | LandBOYAmt |
| Land EOY | $1,315,967 | LandEOYAmt |
| Land EOYFMV | $1,315,967 | LandEOYFMVAmt |
| Other Assets BOY | $278,679 | OtherAssetsBOYAmt |
| Other Assets EOY | $239,531 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $239,531 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $10,646,070 | TotalAssetsBOYAmt |
| Total Assets EOY | $9,608,812 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $9,608,812 | TotalAssetsEOYFMVAmt |
| Accounts Payable BOY | $636,950 | AccountsPayableBOYAmt |
| Accounts Payable EOY | $1,094,720 | AccountsPayableEOYAmt |
| Total Liabilities BOY | $636,950 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,094,720 | TotalLiabilitiesEOYAmt |
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
| Unrestricted BOY | $9,730,484 | UnrestrictedBOYAmt |
| Unrestricted EOY | $8,274,561 | UnrestrictedEOYAmt |
| Permanently Restricted BOY | $278,636 | PermanentlyRestrictedBOYAmt |
| Permanently Restricted EOY | $239,531 | PermanentlyRestrictedEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $10,009,120 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $8,514,092 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $10,646,070 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $9,608,812 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $10,009,120 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$346,072 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $9,663,048 | SubtotalAmt |
| Other Decreases | $1,148,956 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $8,514,092 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Property | INVESTMENTS - PUBLICLY TRADED SECURITIES | PropertyDesc |
| How Acquired | P | HowAcquiredCd |
| Gross Sales Price | $3,268,610 | GrossSalesPriceAmt |
| Cost Or Other Basis | $3,029,445 | CostOrOtherBasisAmt |
| Gain Or Loss | $239,165 | GainOrLossAmt |
| Gains Minus Excess Or Losses | $239,165 | GainsMinusExcessOrLossesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $239,165 | CapitalGainNetIncomeAmt |
| Net Short Term Capital Gain Loss | $0 | NetShortTermCapitalGainLossAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exempt Operating Foundations | Yes (X) | ExemptOperatingFoundationsInd |
| Ruling Letter | 1935-07-01 | RulingLetterDt |
| Not Applicable | N/A | NotApplicableCd |
| Tax Based On Investment Income | $0 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $0 | EstimatedPlusOvpmtIncmTxAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $0 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| Tax Due | $0 | TaxDueAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | 0 | LegislativePoliticalActyInd |
| More Than100 Spent | 0 | MoreThan100SpentInd |
| Form1120 POL Filed | 0 | Form1120POLFiledInd |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Tax Reimbursed | $0 | TaxReimbursedAmt |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (1) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (1) | AtLeast5000InAssetsInd |
| Org Report Or Register State | RI | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | 0 | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | Yes (1) | PrivateOperatingFoundationInd |
| New Substantial Contributors | 0 | NewSubstantialContributorsInd |
| Own Controlled Entity | 0 | OwnControlledEntityInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (1) | ComplyWithPublicInspRqrInd |
| Website Address | WWW.BALLOULIFE.ORG | WebsiteAddressTxt |
| Individual With Books | BARRY ZELTZER | IndividualWithBooksNm |
| Phone | 4017690437 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 60 MENDON ROAD | AddressLine1Txt |
| City | WOONSOCKET | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 02895 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | 0 | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | 0 | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | 0 | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | Yes (1) | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | Yes (1) | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| Acts Fail To Qlfy As Exceptions | 0 | ActsFailToQlfyAsExceptionsInd |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActsInd |
| Undistributed Income PY | 0 | UndistributedIncomePYInd |
| Business Holdings | 0 | BusinessHoldingsInd |
| Jeopardy Investments | 0 | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | 0 | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | 0 | InfluenceLegislationInd |
| Influence Election | 0 | InfluenceElectionInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Noncharitable Purpose | 0 | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| NANCY SACCOIA | ||||||||
| 60 MENDON ROAD | WOONSOCKET | RI | 02865 | PRESIDENT | 1.00 | $0 | $0 | $0 |
| ANN CAMPBELL-ANDREWS | ||||||||
| 60 MENDON ROAD | WOONSOCKET | RI | 02865 | VICE PRESIDENT | 1.00 | $0 | $0 | $0 |
| RENEE GOBEILLE | ||||||||
| 60 MENDON ROAD | WOONSOCKET | RI | 02865 | SECRETARY | 1.00 | $0 | $0 | $0 |
| ROLAND L PIETTE JR | ||||||||
| 60 MENDON ROAD | WOONSOCKET | RI | 02865 | TREASURER | 1.00 | $0 | $0 | $0 |
| GREGORY TUMOLO | ||||||||
| 60 MENDON ROAD | WOONSOCKET | RI | 02865 | MEMBER | 1.00 | $0 | $0 | $0 |
| MARY ASQUITH | ||||||||
| 60 MENDON ROAD | WOONSOCKET | RI | 02865 | MEMBER | 1.00 | $0 | $0 | $0 |
| MATTHEW LACROIX | ||||||||
| 60 MENDON ROAD | WOONSOCKET | RI | 02865 | MEMBER | 1.00 | $0 | $0 | $0 |
| BRIAN HUNTER | ||||||||
| 60 MENDON ROAD | WOONSOCKET | RI | 02865 | MEMBER | 1.00 | $0 | $0 | $0 |
| STEPHEN ROCCO | ||||||||
| 60 MENDON ROAD | WOONSOCKET | RI | 02865 | MEMBER | 1.00 | $0 | $0 | $0 |
| LISA STAFFIERI | ||||||||
| 60 MENDON ROAD | WOONSOCKET | RI | 02865 | MEMBER | 1.00 | $0 | $0 | $0 |
| DONALD BAKER | ||||||||
| 60 MENDON ROAD | WOONSOCKET | RI | 02865 | ADMINISTRATOR | 40.00 | $79,075 | $587 | $0 |
| BARRY ZELTZER | ||||||||
| 60 MENDON ROAD | WOONSOCKET | RI | 02865 | EXECUTIVE DIRECTOR | 40.00 | $55,369 | $11,326 | $0 |
Compensation Highest Paid Empl CompensationHighestPaidEmplGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee BenefitsEmployeeBenefitsAmt | Expense AccountExpenseAccountAmt |
|---|---|---|---|---|---|---|---|---|
| BEATRICE TOLOTA | ||||||||
| 60 MENDON ROAD | WOONSOCKET | RI | 02865 | RN | 40.00 | $105,348 | $9,188 | $0 |
| MARY DUPRE | ||||||||
| 60 MENDON ROAD | WOONSOCKET | RI | 02865 | DN | 40.00 | $107,983 | $0 | $0 |
| CONSTANCE LANDRY | ||||||||
| 60 MENDON ROAD | WOONSOCKET | RI | 02865 | RN | 40.00 | $76,472 | $16,833 | $0 |
| RUTH DALY | ||||||||
| 60 MENDON ROAD | WOONSOCKET | RI | 02865 | RN | 40.00 | $79,913 | $12,957 | $0 |
| JENNIFER BLAIS | ||||||||
| 60 MENDON ROAD | WOONSOCKET | RI | 02865 | RN | 40.00 | $76,206 | $15,488 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Employee Paid Over50k | 4 | OtherEmployeePaidOver50kCnt |
Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Service TypeServiceTypeTxt | CompensationCompensationAmt |
|---|---|---|---|---|---|
| HEALTHCARE SERVICES GROUP | |||||
| PO BOX 829677 | PHILADELPHIA | PA | 191829677 | CLEANING SERVICES | $117,797 |
| MAS MEDICAL STAFFING | |||||
| 156 HARVEY ROAD | LONDONDERRY | NH | 03053 | MEDICAL STAFFING | $82,064 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contractor Paid Over50k | 0 | ContractorPaidOver50kCnt |
Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | THE HOME OPERATES A 43 BED NURSING FACILITY. IN 2018, THE HOME PROVIDED 73% OF ITS BEDS TO MEDICAID AND MEDICARE PATIENTS. | Description1Txt |
| Expenses1 | $4,488,665 | Expenses1Amt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | ASSETS ACQUIRED AND USED IN CHARITABLE PURPOSE | Description1Txt |
| Expenses1 | $90,598 | Expenses1Amt |
| Total | $90,598 | TotalAmt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $7,911,505 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $267,175 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $8,178,680 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $8,178,680 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $122,680 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $8,056,000 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $402,800 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sect4942j3j5 Fndtn And Frgn Org | Yes (X) | Sect4942j3j5FndtnAndFrgnOrgInd |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $324,735 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $90,598 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $415,333 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $415,333 | AdjustedQualifyingDistriAmt |
Private Operating Foundations PrivateOperatingFoundationsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Private Operating Fndtn Ruling | 1972-05-25 | PrivateOperatingFndtnRulingDt |
| Section4942j3 | Yes (X) | Section4942j3Ind |
Lessor Adj Net Incm Min Invst Ret LessorAdjNetIncmMinInvstRetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $205,359 | CurrentYearAmt |
| Year1 | $121,228 | Year1Amt |
| Year2 | $142,287 | Year2Amt |
| Year3 | $150,138 | Year3Amt |
| Total | $619,012 | TotalAmt |
Pct85 Lessor Adj Incm Or Min Ret Pct85LessorAdjIncmOrMinRetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $174,555 | CurrentYearAmt |
| Year1 | $103,044 | Year1Amt |
| Year2 | $120,944 | Year2Amt |
| Year3 | $127,617 | Year3Amt |
| Total | $526,160 | TotalAmt |
Qualifying Distributions QualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $415,333 | CurrentYearAmt |
| Year1 | $222,200 | Year1Amt |
| Year2 | $311,864 | Year2Amt |
| Year3 | $112,745 | Year3Amt |
| Total | $1,062,142 | TotalAmt |
Qualifying Distri Not Used Drt QualifyingDistriNotUsedDrtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $0 | CurrentYearAmt |
| Year1 | $0 | Year1Amt |
| Year2 | $0 | Year2Amt |
| Year3 | $0 | Year3Amt |
| Total | $0 | TotalAmt |
Qualifying Distri Made Drt QualifyingDistriMadeDrtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $415,333 | CurrentYearAmt |
| Year1 | $222,200 | Year1Amt |
| Year2 | $311,864 | Year2Amt |
| Year3 | $112,745 | Year3Amt |
| Total | $1,062,142 | TotalAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $9,608,812 | CurrentYearAmt |
| Year1 | $10,646,070 | Year1Amt |
| Year2 | $9,660,516 | Year2Amt |
| Year3 | $9,565,006 | Year3Amt |
| Total | $39,480,404 | TotalAmt |
Total Assets Sect4942j3 Bi TotalAssetsSect4942j3BiGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $1,798,478 | CurrentYearAmt |
| Year1 | $2,115,227 | Year1Amt |
| Year2 | $2,214,223 | Year2Amt |
| Year3 | $2,475,607 | Year3Amt |
| Total | $8,603,535 | TotalAmt |
Two Thirds Minimum Invst Ret TwoThirdsMinimumInvstRetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $268,533 | CurrentYearAmt |
| Year1 | $266,893 | Year1Amt |
| Year2 | $248,102 | Year2Amt |
| Year3 | $188,430 | Year3Amt |
| Total | $971,958 | TotalAmt |
Total Support TotalSupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $3,706,160 | CurrentYearAmt |
| Year1 | $3,620,965 | Year1Amt |
| Year2 | $3,688,352 | Year2Amt |
| Year3 | $3,676,593 | Year3Amt |
| Total | $14,692,070 | TotalAmt |
Public Support Type PublicSupportType
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $3,706,160 | CurrentYearAmt |
| Year1 | $3,620,965 | Year1Amt |
| Year2 | $3,688,352 | Year2Amt |
| Year3 | $3,676,593 | Year3Amt |
| Total | $14,692,070 | TotalAmt |
Largest Support From EO LargestSupportFromEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $0 | CurrentYearAmt |
| Year1 | $0 | Year1Amt |
| Year2 | $0 | Year2Amt |
| Year3 | $0 | Year3Amt |
| Total | $0 | TotalAmt |
Gross Investment Income GrossInvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $488,111 | CurrentYearAmt |
| Year1 | $564,314 | Year1Amt |
| Year2 | $186,522 | Year2Amt |
| Year3 | $332,524 | Year3Amt |
| Total | $1,571,471 | TotalAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
| Total Grant Or Contri Pd Dur Yr | $0 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Program Service Rev Part VII ProgramServiceRevPartVIIGrp (2 entries)
| DescDesc | Related Or Exempt Function IncmRelatedOrExemptFunctionIncmAmt |
|---|---|
| DAILY SERVICE REVENUE | $3,586,046 |
| ANCILLARY INCOME | $120,114 |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $257,037 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $231,074 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $488,111 | ExclusionAmt |
| Related Or Exempt Function Incm | $3,706,160 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $4,194,271 | TotalIncomeProducingActyAmt |
Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp
Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp (2 entries)
| Line NumberLineNumberTxt | Relationship StatementRelationshipStatementTxt |
|---|---|
| 1A | THIS REVENUE GENERATED IS A RESULT OF SERVICES PROVIDED TO PATIENTS. |
| 1B | THIS REVENUE GENERATED IS A RESULT OF SERVICES PROVIDED TO PATIENTS. |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | 0 | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | 0 | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | 0 | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | 0 | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | 0 | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | 0 | RelationshipsNonchrtblEOInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ACCOUNTING | CategoryTxt |
| Amt | $45,824 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $45,824 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Depreciation Schedule DepreciationSchedule
Depreciation Property DepreciationPropertyGrp (8 entries)
| PropertyPropertyDesc | AcquiredAcquiredDt | Cost Or Other BasisCostOrOtherBasisAmt | Computation MethodComputationMethodTxt | Current Year ExpenseCurrentYearExpenseAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt | Prior Year DepreciationPriorYearDepreciationAmt | RtRt |
|---|---|---|---|---|---|---|---|---|
| LAND | 1986-01-01 | $10,521 | L | $0 | $0 | $0 | ||
| LAND IMPROVEMENTS | 2002-09-01 | $135,252 | SL | $1,835 | $0 | $1,835 | $123,751 | 0.000000000000 |
| BUILDING | 2002-09-01 | $1,853,199 | SL | $36,602 | $0 | $36,602 | $956,381 | 0.000000000000 |
| BUILDING IMPROVMENTS | 1990-01-01 | $1,029,945 | SL | $46,732 | $0 | $46,732 | $694,623 | 0.000000000000 |
| FURNITURE AND EQUIPMENT | 1997-01-01 | $664,694 | SL | $31,242 | $0 | $31,242 | $547,073 | 0.000000000000 |
| AUTOMOBILE | 2014-10-21 | $44,405 | SL | $8,881 | $0 | $8,881 | $31,083 | 0.000000000000 |
| COMPUTER HARDWARE | 2008-09-01 | $190,581 | SL | $19,265 | $0 | $19,265 | $116,775 | 0.000000000000 |
| COMPUTER SOFTWARE | 2009-04-13 | $23,805 | SL | $1,810 | $0 | $1,810 | $20,382 | 0.000000000000 |
Expln Of Non Filing With AG Stmt ExplnOfNonFilingWithAGStmt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | THE ORGANIZATION IS FORMED AS A CORPORATION AND NOT A TRUST IN THE GOVERNING DOCUMENTS. DUE TO THIS, THERE IS NOT A NEED TO SEND A COPY TO THE ATTORNEY GENERAL. | ExplanationTxt |
Gain Loss Sale Other Assets Sch GainLossSaleOtherAssetsSch
Gain Loss Sale Other Asset GainLossSaleOtherAssetGrp (3 entries)
| AssetAssetDesc | How AcquiredHowAcquiredTxt | BasisBasisAmt | Sales ExpenseSalesExpenseAmt | Total NetTotalNetAmt | Accumulated DepreciationAccumulatedDepreciationAmt |
|---|---|---|---|---|---|
| FURNITURE AND EQUIPMENT | PURCHASED | $599 | $0 | -$120 | $479 |
| COMPUTER HARDWARE | PURCHASED | $19,845 | $0 | -$3,969 | $15,876 |
| BUILDING IMPROVEMENTS | PURCHASED | $5,563 | $0 | -$4,002 | $1,561 |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (6 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| MUTUAL FUNDS - GROWTH FUNDS | FMV | $3,280,887 | $3,280,887 |
| MUTUAL FUNDS - INTERNATIONAL FUNDS | FMV | $997,643 | $997,643 |
| MUTUAL FUNDS - EMERGING MARKET FUNDS | FMV | $438,206 | $438,206 |
| MUTUAL FUNDS - VALUE FUNDS | FMV | $214,914 | $214,914 |
| MUTUAL FUNDS - COMMODITIES FUNDS | FMV | $146,210 | $146,210 |
| MUTUAL FUNDS - BOND FUNDS | FMV | $2,159,854 | $2,159,854 |
Land Etc Schedule2 LandEtcSchedule2
Land Etc LandEtcGrp (8 entries)
| Category Or ItemCategoryOrItemTxt | Cost Or Other BasisCostOrOtherBasisAmt | Accumulated DepreciationAccumulatedDepreciationAmt | Book ValueBookValueAmt |
|---|---|---|---|
| LAND | $10,521 | $0 | $10,521 |
| LAND IMPROVEMENTS | $135,252 | $125,586 | $9,666 |
| BUILDING | $1,853,199 | $992,983 | $860,216 |
| BUILDING IMPROVMENTS | $1,029,945 | $741,355 | $288,590 |
| FURNITURE AND EQUIPMENT | $664,694 | $578,315 | $86,379 |
| AUTOMOBILE | $44,405 | $39,964 | $4,441 |
| COMPUTER HARDWARE | $190,581 | $136,040 | $54,541 |
| COMPUTER SOFTWARE | $23,805 | $22,192 | $1,613 |
Legal Fees Schedule LegalFeesSchedule
Legal Fees LegalFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | LEGAL | CategoryTxt |
| Legal Fees | $4,173 | LegalFeesAmt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $4,173 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp (2 entries)
| DescDesc | BOY Book ValueBOYBookValueAmt | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| PROJECT FUND | $43 | ||
| BENEFICIAL INTEREST IN PERPETUAL TRUSTS | $278,636 | $239,531 | $239,531 |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases Detail OtherDecreasesDetail (2 entries)
| DescDesc | AmtAmt |
|---|---|
| CHANGE IN BENEFICIAL INTERESTS IN PERPETUAL TRUSTS | $39,105 |
| NET UNREALIZED GAIN (LOSS) ON INVESTMENTS | $1,109,851 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (12 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|---|
| SUPPLIES | $155,305 | $0 | $155,305 | $0 |
| FOOD | $96,472 | $0 | $96,472 | $0 |
| PURCHASED SERVICES | $442,628 | $0 | $442,628 | $0 |
| INSURANCE | $48,694 | $0 | $48,694 | $0 |
| COMMUNICATIONS | $9,257 | $0 | $9,257 | $0 |
| LICENSES AND DUES | $8,554 | $0 | $8,554 | $0 |
| ADVERTISING | $12,948 | $0 | $12,948 | $0 |
| LEASE OF EQUIPMENT | $5,492 | $0 | $5,492 | $0 |
| BAD DEBTS | $31,000 | $0 | $31,000 | $0 |
| PROFESSIONAL FEES | $2,938 | $0 | $2,938 | $0 |
| MISCELLANEOUS | $12,901 | $0 | $12,901 | $0 |
| REALLOCATION | $0 | $0 | -$782,505 | $324,735 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail (2 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Adjusted Net IncomeAdjustedNetIncomeAmt |
|---|---|---|
| DAILY SERVICE REVENUE | $3,586,046 | $3,586,046 |
| ANCILLARY INCOME | $120,114 | $120,114 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | INVESTMENT FEES | CategoryTxt |
| Amt | $51,678 | Amt |
| Net Investment Income | $51,678 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $51,678 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|---|
| PAYROLL TAXES | $201,266 | $0 | $201,266 | $0 |
| HEALTHCARE PROVIDER TAX | $192,783 | $0 | $192,783 | $0 |