2019-10-08T04:52:00-05:00 2018-12-31 061009205 BLUM SHAPIRO & COMPANY PC 1 INTERNATIONAL PLACE 16TH FLOOR BOSTON MA 02110 990PF 2018-01-01 050260671 BALLOU HOME FOR THE AGED BALL 4017690437 60 MENDON ROAD WOONSOCKET RI 02895 BARRY ZELTZER EXECUTIVE DIRECTOR 4017690437 2019-09-22 1 LAURA J KENNEY P00202198 6177170831 2019-09-18 64.251.63.131 2019-09-22 15:42:16 ED P F655607A01BC9414CB150F5C2D5B642F4B7C09E6 B49528270D5C596423F272EFB472E66EFBF6AFC8 2018 2019-02-21 02:37:17Z X 9608812 X X 257037 257037 257037 231074 3268610 239165 0 3706160 0 3706160 4194271 496202 3963197 134444 0 134444 0 2470071 0 2470071 0 293731 0 293731 0 4173 0 4173 0 45824 0 45824 0 51678 51678 51678 0 394049 0 394049 0 146367 0 146367 172576 0 172576 0 1241 0 1241 0 826189 0 43684 324735 4540343 51678 3757838 324735 0 0 4540343 51678 3757838 324735 -346072 444524 205359 409634 124715 124715 231008 333089 333089 369015 35764 272387 333251 333251 53337 24545 24545 737 0 0 8020461 7237714 7237714 3952402 2636435 1379827 1315967 1315967 278679 239531 239531 10646070 9608812 9608812 636950 1094720 636950 1094720 X 9730484 8274561 278636 239531 10009120 8514092 10646070 9608812 10009120 -346072 0 9663048 1148956 8514092 INVESTMENTS - PUBLICLY TRADED SECURITIES P 3268610 3029445 239165 239165 239165 0 X 1935-07-01 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 RI 0 1 0 0 0 1 WWW.BALLOULIFE.ORG BARRY ZELTZER 4017690437 60 MENDON ROAD WOONSOCKET RI 02895 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 79075 587 0 BARRY ZELTZER 60 MENDON ROAD WOONSOCKET RI 02865 EXECUTIVE DIRECTOR 40.00 55369 11326 0 BEATRICE TOLOTA 60 MENDON ROAD WOONSOCKET RI 02865 RN 40.00 105348 9188 0 MARY DUPRE 60 MENDON ROAD WOONSOCKET RI 02865 DN 40.00 107983 0 0 CONSTANCE LANDRY 60 MENDON ROAD WOONSOCKET RI 02865 RN 40.00 76472 16833 0 RUTH DALY 60 MENDON ROAD WOONSOCKET RI 02865 RN 40.00 79913 12957 0 JENNIFER BLAIS 60 MENDON ROAD WOONSOCKET RI 02865 RN 40.00 76206 15488 0 4 HEALTHCARE SERVICES GROUP PO BOX 829677 PHILADELPHIA PA 191829677 CLEANING SERVICES 117797 MAS MEDICAL STAFFING 156 HARVEY ROAD LONDONDERRY NH 03053 MEDICAL STAFFING 82064 0 THE HOME OPERATES A 43 BED NURSING FACILITY. IN 2018, THE HOME PROVIDED 73% OF ITS BEDS TO MEDICAID AND MEDICARE PATIENTS. 4488665 ASSETS ACQUIRED AND USED IN CHARITABLE PURPOSE 90598 90598 7911505 267175 0 8178680 0 0 8178680 122680 8056000 402800 X 324735 90598 415333 0 415333 1972-05-25 X 205359 121228 142287 150138 619012 174555 103044 120944 127617 526160 415333 222200 311864 112745 1062142 0 0 0 0 0 415333 222200 311864 112745 1062142 9608812 10646070 9660516 9565006 39480404 1798478 2115227 2214223 2475607 8603535 268533 266893 248102 188430 971958 3706160 3620965 3688352 3676593 14692070 3706160 3620965 3688352 3676593 14692070 0 0 0 0 0 488111 564314 186522 332524 1571471 X 0 0 DAILY SERVICE REVENUE 3586046 ANCILLARY INCOME 120114 14 257037 18 231074 0 488111 3706160 4194271 1A THIS REVENUE GENERATED IS A RESULT OF SERVICES PROVIDED TO PATIENTS. 1B THIS REVENUE GENERATED IS A RESULT OF SERVICES PROVIDED TO PATIENTS. 0 0 0 0 0 0 0 0 0 0 ACCOUNTING 45824 0 45824 0 LAND 1986-01-01 10521 L 0 0 0 LAND IMPROVEMENTS 2002-09-01 135252 123751 SL 0.000000000000 1835 0 1835 BUILDING 2002-09-01 1853199 956381 SL 0.000000000000 36602 0 36602 BUILDING IMPROVMENTS 1990-01-01 1029945 694623 SL 0.000000000000 46732 0 46732 FURNITURE AND EQUIPMENT 1997-01-01 664694 547073 SL 0.000000000000 31242 0 31242 AUTOMOBILE 2014-10-21 44405 31083 SL 0.000000000000 8881 0 8881 COMPUTER HARDWARE 2008-09-01 190581 116775 SL 0.000000000000 19265 0 19265 COMPUTER SOFTWARE 2009-04-13 23805 20382 SL 0.000000000000 1810 0 1810 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. FURNITURE AND EQUIPMENT PURCHASED 599 0 -120 479 COMPUTER HARDWARE PURCHASED 19845 0 -3969 15876 BUILDING IMPROVEMENTS PURCHASED 5563 0 -4002 1561 MUTUAL FUNDS - GROWTH FUNDS FMV 3280887 3280887 MUTUAL FUNDS - INTERNATIONAL FUNDS FMV 997643 997643 MUTUAL FUNDS - EMERGING MARKET FUNDS FMV 438206 438206 MUTUAL FUNDS - VALUE FUNDS FMV 214914 214914 MUTUAL FUNDS - COMMODITIES FUNDS FMV 146210 146210 MUTUAL FUNDS - BOND FUNDS FMV 2159854 2159854 LAND 10521 0 10521 LAND IMPROVEMENTS 135252 125586 9666 BUILDING 1853199 992983 860216 BUILDING IMPROVMENTS 1029945 741355 288590 FURNITURE AND EQUIPMENT 664694 578315 86379 AUTOMOBILE 44405 39964 4441 COMPUTER HARDWARE 190581 136040 54541 COMPUTER SOFTWARE 23805 22192 1613 LEGAL 4173 0 4173 0 PROJECT FUND 43 BENEFICIAL INTEREST IN PERPETUAL TRUSTS 278636 239531 239531 CHANGE IN BENEFICIAL INTERESTS IN PERPETUAL TRUSTS 39105 NET UNREALIZED GAIN (LOSS) ON INVESTMENTS 1109851 SUPPLIES 155305 0 155305 0 FOOD 96472 0 96472 0 PURCHASED SERVICES 442628 0 442628 0 INSURANCE 48694 0 48694 0 COMMUNICATIONS 9257 0 9257 0 LICENSES AND DUES 8554 0 8554 0 ADVERTISING 12948 0 12948 0 LEASE OF EQUIPMENT 5492 0 5492 0 BAD DEBTS 31000 0 31000 0 PROFESSIONAL FEES 2938 0 2938 0 MISCELLANEOUS 12901 0 12901 0 REALLOCATION 0 0 -782505 324735 DAILY SERVICE REVENUE 3586046 3586046 ANCILLARY INCOME 120114 120114 INVESTMENT FEES 51678 51678 51678 0 PAYROLL TAXES 201266 0 201266 0 HEALTHCARE PROVIDER TAX 192783 0 192783 0