THE SOMERVILLE HOME INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
THE SOMERVILLE HOME INC (EIN 04-2105741)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-15
IRS object ID
201723199349303607
Schema version
2016v3.0
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)
Return2017-11-15T09:26:59-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1300 CROWN COLONY DRIVE SUITE 310AddressLine1Txt
CityQUINCYCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02169ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN042105741EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE SOMERVILLE HOME INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSOMEBusinessNameControlTxt
Phone6177760260PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1117 SUMMER STREETAddressLine1Txt
CitySOMERVILLECityNm
State AbbreviationMAStateAbbreviationCd
ZIP02143ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonEDWIN J SMITHPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone6176256094PhoneNum
Signature2017-11-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJUDY DALEYPreparerPersonNm
PTINP01294075PTIN
Phone6179848100PhoneNum
Preparation2017-11-09PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address67.137.57.251IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-11-13IPDt
IP Tm16:02:31IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id499B49BEE9E95068E93680D69C996EB6A62D8814AtSubmissionCreationDeviceId
At Submission Filing Device IdA78F1062FA74E90C671D16910DB17AD2D08C9BABAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerEDWIN J SMITHPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1117 SUMMER STREETAddressLine1Txt
CitySOMERVILLECityNm
State AbbreviationMAStateAbbreviationCd
ZIP02143ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,031,322GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SOMERVILLEHOME.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1898FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionPROVIDING QUALITY RESIDENTIAL CARE TO THE ELDERLY FROM SOMERVILLE AND SURROUNDING COMMUNITIES.ActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent18VotingMembersIndependentCnt
Total Employee33TotalEmployeeCnt
Total Volunteers15TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$65,036PYContributionsGrantsAmt
CY Contributions Grants$7,656CYContributionsGrantsAmt
PY Program Service Revenue$1,803,665PYProgramServiceRevenueAmt
CY Program Service Revenue$1,839,504CYProgramServiceRevenueAmt
PY Investment Income$37,886PYInvestmentIncomeAmt
CY Investment Income$24,424CYInvestmentIncomeAmt
PY Other Revenue$50,834PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,957,421PYTotalRevenueAmt
CY Total Revenue$1,871,584CYTotalRevenueAmt
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$738,274PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$932,304CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,540,690PYOtherExpensesAmt
CY Other Expenses$1,217,040CYOtherExpensesAmt
PY Total Expenses$2,278,964PYTotalExpensesAmt
CY Total Expenses$2,149,344CYTotalExpensesAmt
PY Revenues Less Expenses-$321,543PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$277,760CYRevenuesLessExpensesAmt
Total Assets BOY$3,370,116TotalAssetsBOYAmt
Total Assets EOY$3,041,175TotalAssetsEOYAmt
Total Liabilities BOY$1,116,656TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,054,011TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,253,460NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,987,164NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSINCE 1898, THE SOMERVILLE HOME, A PRIVATE NONPROFIT ORGANIZATION, HAS PROVIDED LONG-TERM RESIDENTIAL CARE TO ELDERLY MEN AND WOMEN FROM SOMERVILLE AND SURROUNDING COMMUNITIES. WE ARE COMMITTED TO OFFERING SENIOR CITIZENS A REASONABLY PRICED OPTION FOR QUALITY RESIDENTIAL SERVICES. WE BELIEVE THAT OUR RESIDENTS SHOULD BE ENCOURAGED TO UTILIZE THEIR BODIES, MINDS AND SPIRITS TO THE MAXIMUM WITHIN THE LIMITS OF THEIR POTENTIAL.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,894,945ExpenseAmt
Revenue$1,839,504RevenueAmt
DescREST HOME - OPERATION OF A 59-BED REST HOME LOCATED IN SOMERVILLE, MASSACHUSETTS LOCATED AT 117 SUMMER STREET. THE REST HOME'S CHARACTER AND CHARM HAS RESPONDED TO THE DOMESTIC NEEDS OF RETIRED PERSONS FOR THE PAST 71 YEARS AND INTENDS TO DO SO FOR MANY MORE YEARS. THE ORGANIZATION'S LONG-TERM PLAN IS TO PROVIDE A SAFE AND SECURE HOMELIKE ENVIRONMENT WHILE ASSURING DIGNITY TO AND PROMOTING THE INDIVIDUAL WORTH OF ALL RESIDENTS.Desc
Total Program Service Expenses$1,894,945TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised FundYes (1)DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
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 StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document12IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee33EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members18GoverningBodyVotingMembersCnt
Independent Voting Member18IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKELLEY SFERRAZZAPersonNm
Phone6177760260PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1117 SUMMER STREETAddressLine1Txt
CitySOMERVILLECityNm
State AbbreviationMAStateAbbreviationCd
ZIP02143ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
EDWIN J SMITH
PRESIDENT5.00Yes (X)Yes (X)$0$0$0
ROD LAURENZ
VICE PRESIDENT5.00Yes (X)Yes (X)$0$0$0
ROBERT H COSTELLO JR
TREASURER5.00Yes (X)Yes (X)$0$0$0
BRIAN BRADY
CLERK5.00Yes (X)Yes (X)$0$0$0
SALVATORE BERTOLAMI
TRUSTEE5.00Yes (X)$0$0$0
SANDRA L MCGOLDRICK
TRUSTEE5.00Yes (X)$0$0$0
JOSEPH CIAMPA
TRUSTEE5.00Yes (X)$0$0$0
JOHN M CONNOLLY
TRUSTEE5.00Yes (X)$0$0$0
FRANCES GAYRON
TRUSTEE5.00Yes (X)$0$0$0
ARNOLD KNOX JR
TRUSTEE5.00Yes (X)$0$0$0
GEORGE MCLEAN
TRUSTEE5.00Yes (X)$0$0$0
DAVID F O'BRIEN
TRUSTEE5.00Yes (X)$0$0$0
JOSEPH J SULLIVAN
TRUSTEE5.00Yes (X)$0$0$0
KAREN CLEARY
TRUSTEE5.00Yes (X)$0$0$0
JEANNETTE AMAZEEN THOMAS
TRUSTEE5.00Yes (X)$0$0$0
LINDA COSTELLO
TRUSTEE5.00Yes (X)$0$0$0
PETER MAJANE
TRUSTEE5.00Yes (X)$0$0$0
JESSICA BRAYDEN
TRUSTEE5.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$7,656AllOtherContributionsAmt
Total Contributions$7,656TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE623000$1,829,514$1,829,514
OTHER OPERATING INCOME623000$9,990$9,990
FieldValueIRS element (for citing)
Total Program Service Revenue$1,839,504TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$21,418TotalRevenueColumnAmt
Exclusion$21,418ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$162,744SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$159,738SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$3,006SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,006TotalRevenueColumnAmt
Exclusion$3,006ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,871,584TotalRevenueColumnAmt
Related Or Exempt Func Income$1,839,504RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$24,424ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$797,155TotalAmt
Program Services$631,141ProgramServicesAmt
Management And General$166,014ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$19,822TotalAmt
Program Services$14,413ProgramServicesAmt
Management And General$5,409ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$65,936TotalAmt
Program Services$47,944ProgramServicesAmt
Management And General$17,992ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$49,391TotalAmt
Program Services$35,914ProgramServicesAmt
Management And General$13,477ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$14,497TotalAmt
Management And General$14,497ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$31,095TotalAmt
Management And General$31,095ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$620,414TotalAmt
Program Services$615,887ProgramServicesAmt
Management And General$4,527ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,800TotalAmt
Program Services$1,800ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$50,050TotalAmt
Program Services$48,662ProgramServicesAmt
Management And General$1,388ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$61TotalAmt
Program Services$61ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$108,973TotalAmt
Program Services$108,973ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,412TotalAmt
Program Services$3,412ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$42,919TotalAmt
Program Services$42,919ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$207,898TotalAmt
Program Services$207,898ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$11,053TotalAmt
Program Services$11,053ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
BAD DEBT$72,874$72,874
SUPPLIES$26,626$26,626
MAINTENANCE$13,000$13,000
MISCELLANEOUS EXPENSE$8,706$8,706

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,662TotalAmt
Program Services$3,662ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,149,344TotalAmt
Program Services$1,894,945ProgramServicesAmt
Management And General$254,399ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$543BOYAmt
EOY$196EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$896BOYAmt
EOY$40,682EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$103,415BOYAmt
EOY$107,178EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$34,773BOYAmt
EOY$36,474EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$5,293,360LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,575,607LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,905,446BOYAmt
EOY$1,717,753EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,320,533BOYAmt
EOY$1,138,892EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,510BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,370,116BOYAmt
EOY$3,041,175EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$185,783BOYAmt
EOY$140,203EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$928,412BOYAmt
EOY$907,895EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,461BOYAmt
EOY$5,913EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,116,656BOYAmt
EOY$1,054,011EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,631,592BOYAmt
EOY$1,415,023EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$452,104BOYAmt
EOY$402,377EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$169,764BOYAmt
EOY$169,764EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,253,460BOYAmt
EOY$1,987,164EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,370,116BOYAmt
EOY$3,041,175EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$277,760ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$11,464NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
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$31,028CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$61,345CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$53,061CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$65,036CurrentTaxYearMinus1YearAmt
Current Tax Year$7,656CurrentTaxYearAmt
Total$218,126TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,664,657CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,650,792CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,940,338CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,872,273CurrentTaxYearMinus1YearAmt
Current Tax Year$1,839,504CurrentTaxYearAmt
Total$8,967,564TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,695,685CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,712,137CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,993,399CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,937,309CurrentTaxYearMinus1YearAmt
Current Tax Year$1,847,160CurrentTaxYearAmt
Total$9,185,690TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$635,281CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$599,665CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$687,968CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$629,025CurrentTaxYearMinus1YearAmt
Current Tax Year$774,414CurrentTaxYearAmt
Total$3,326,353TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$635,281CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$599,665CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$687,968CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$629,025CurrentTaxYearMinus1YearAmt
Current Tax Year$774,414CurrentTaxYearAmt
Total$3,326,353TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$5,859,337PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$36,131CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$38,621CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$45,739CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$38,864CurrentTaxYearMinus1YearAmt
Current Tax Year$21,418CurrentTaxYearAmt
Total$180,773TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$36,131CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$38,621CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$45,739CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$38,864CurrentTaxYearMinus1YearAmt
Current Tax Year$21,418CurrentTaxYearAmt
Total$180,773TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,731,816CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,750,758CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,039,138CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,976,173CurrentTaxYearMinus1YearAmt
Current Tax Year$1,868,578CurrentTaxYearAmt
Total$9,366,463TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.62560PublicSupportCY509Pct
Public Support PY5090.63030PublicSupportPY509Pct
Investment Income CY0.01930InvestmentIncomeCYPct
Investment Income PY0.02070InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Donor Advised Funds Held1DonorAdvisedFundsHeldCnt
Donor Advised Funds Contri$400DonorAdvisedFundsContriAmt
Donor Advised Funds Grants$0DonorAdvisedFundsGrantsAmt
Donor Advised Funds Vl EOY$400DonorAdvisedFundsVlEOYAmt
Disclosed Org Leg Ctrl0DisclosedOrgLegCtrlInd
Disclosed For Charitable Prps0DisclosedForCharitablePrpsInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$621,868BeginningYearBalanceAmt
Investment Earnings Or Losses$8,273InvestmentEarningsOrLossesAmt
Other Expenditures$58,000OtherExpendituresAmt
End Year Balance$572,141EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$686,192BeginningYearBalanceAmt
Investment Earnings Or Losses-$30,324InvestmentEarningsOrLossesAmt
Other Expenditures$34,000OtherExpendituresAmt
End Year Balance$621,868EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$678,013BeginningYearBalanceAmt
Investment Earnings Or Losses$48,825InvestmentEarningsOrLossesAmt
Other Expenditures$40,646OtherExpendituresAmt
End Year Balance$686,192EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$638,378BeginningYearBalanceAmt
Investment Earnings Or Losses$86,733InvestmentEarningsOrLossesAmt
Other Expenditures$47,098OtherExpendituresAmt
End Year Balance$678,013EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$600,006BeginningYearBalanceAmt
Investment Earnings Or Losses$77,823InvestmentEarningsOrLossesAmt
Other Expenditures$39,451OtherExpendituresAmt
End Year Balance$638,378EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.29670PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.70330TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$30,460OtherCostOrOtherBasisAmt
Book Value$30,460BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$250,789OtherCostOrOtherBasisAmt
Depreciation$250,789DepreciationAmt
Book Value$0BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,523,419OtherCostOrOtherBasisAmt
Depreciation$2,964,056DepreciationAmt
Book Value$1,559,363BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$413,700OtherCostOrOtherBasisAmt
Depreciation$309,895DepreciationAmt
Book Value$103,805BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$74,992OtherCostOrOtherBasisAmt
Depreciation$50,867DepreciationAmt
Book Value$24,125BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,717,753TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO THIRD-PARTY PAYERSDesc
Amt$5,913Amt
FieldValueIRS element (for citing)
Total Liability$5,913TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,883,048TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$11,464NetUnrealizedGainsInvstAmt
Revenue Not Reported$11,464RevenueNotReportedAmt
Revenue Subtotal$1,871,584RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,871,584TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,149,344TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$2,149,344ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$2,149,344TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:TEMPORARILY RESTRICTED NET ASSETS ARE INTENDED TO BE USED FOR PERMANENTLY RESTRICTED NET ASSET APPRECIATION LIMITED AS TO EXPENDITURE BY STATE LAW, THE LUXURY FUND AND VARIOUS OTHER USES. THE INCOME EARNED ON THE PERMANENTLY RESTRICTED NET ASSETS IS INTENDED TO BE USED TO IMPROVE THE QUALITY OF CARE AND QUALITY OF LIFE OF THE RESIDENTS. THE CORPUS IS INVESTED IN PERPETUITY.
PART X, LINE 2:THE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE ORGANIZATION FILES AS A TAX-EXEMPT ORGANIZATION.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1THE ORGANIZATION DELEGATES BROAD AUTHORITY OF DISCRETIONARY VOTING OVER FINANCIAL AND FIDUCIARY MATTERS TO AN EXECUTIVE COMMITTEE (COMPOSED OF BOARD MEMBERS INCLUDING FOUR OFFICERS AND FOUR VOTING MEMBERS).
FORM 990, PART VI, SECTION B, LINE 11BTHE BOARD IS PROVIDED A COMPLETE COPY OF FORM 990. THE FORM 990 IS THEN DISCUSSED AT THE NEXT BOARD MEETING WHERE THE IT IS SIGNED BY THE TREASURER AFTER IT HAS BEEN VOTED FOR APPROVAL. THE APPROVAL IS THEN RECORDED IN MINUTES OF THE MEETING.
FORM 990, PART VI, SECTION B, LINE 12CANY INSTANCES OF A CONFLICT OF INTEREST WOULD GO THROUGH AN INVESTIGATION OF THE EXECUTIVE COMMITTEE AND THEN PRESENTED TO THE FULL BOARD. IF NEEDED THE BOARD MEMBER COULD BE REMOVED BY VOTE AND LEGAL ACTION TAKEN IF NEEDED. ROD LAURENZ, VICE PRESIDENT, MUST LEAVE ROOM DURING ANY DISCUSSION AND ABSTAIN FROM ANY VOTE CONCERNING INVESTMENT PORTFOLIO.
FORM 990, PART VI, SECTION B, LINE 15THE INDEPENDENT BOARD REVIEWS COMPARABLE COMPENSATION DATA TO DETERMINE AN APPROPRIATE SALARY. A VOTE IS CAST BY THE BOARD TO APPROVE OR DENY THE SALARY AND THE OUTCOME IS RECORDED IN THE MINUTES OF THE MEETING.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GOTHER PROFESSIONAL FEES : PROGRAM SERVICE EXPENSES 615,887. MANAGEMENT AND GENERAL EXPENSES 4,527. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 620,414.

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