EDGAR P BENJAMIN HEALTHCARE CENTER INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
EDGAR P BENJAMIN HEALTHCARE CENTER INC (EIN 04-2104452)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-15
IRS object ID
201733199349300413
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)
Return2017-11-15T05:18:51-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN042805993PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1NEWBURG & COMPANY LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1890 WINTER STREET SUITE 208AddressLine1Txt
CityWALTHAMCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02451ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN042104452EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1EDGAR P BENJAMIN HEALTHCARE CENTER INCBusinessNameLine1Txt
Business Name Line2FKA RESTHAVEN CORPORATIONBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlEDGABusinessNameControlTxt
Phone6177381500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1120 FISHER AVEAddressLine1Txt
CityROXBURYCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02120ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTONY FRANCISPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone6177381500PhoneNum
Signature2017-11-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonHOWARD NEWBURGPreparerPersonNm
PTINP00020281PTIN
Phone7818844100PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address173.166.63.145IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-11-14IPDt
IP Tm09:01:39IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id4839B44707C89432778C6B21A42E4FF133CC7DE2AtSubmissionCreationDeviceId
At Submission Filing Device Id5110F95ABA7E141A91139F0E5F7921F2647DFF18AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTONY FRANCISPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1120 FISHER AVENUEAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02120ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$13,680,126GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.BENJAMINHEALTHCARE.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1927FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionTHE ORGANIZATION'S MISSION IS TO PROVIDE A HOME OR SHELTER FOR AND TO OTHERWISE ASSIST INDIGENT PEOPLE WITHOUT REGARD TO RACE, CREED OR COLOR THROUGH THE OPERATION OF A 164-BED NURSING HOME IN BOSTON MASSACHUETTS AS A SUPPORTING SERVICE, THE ORGANIZATION ALSO PROVIDES EDUCATIONAL OPPORTUNITIES AND VOCATIONAL TRAINING FOR INDIVIDUALS WHO WORK IN LONG-TERM CARE FACILITIES OR OTHERWISE CARE FOR THE ELDERLY ADDITIONALLY, THE ORGANIZATION PROVIDES SCHOOL-AGED CHILDREN WITH INTERGENERATIONAL LEARNING OPPORTUNITIES THAT ALLOW THEM TO GAIN SKILLS AND KNOWLEDGE FROM OLDER GENERATIONS.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee276TotalEmployeeCnt
Total Volunteers150TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$418,182PYContributionsGrantsAmt
CY Contributions Grants$485,125CYContributionsGrantsAmt
PY Program Service Revenue$12,503,917PYProgramServiceRevenueAmt
CY Program Service Revenue$12,677,516CYProgramServiceRevenueAmt
PY Investment Income$15,666PYInvestmentIncomeAmt
CY Investment Income$13,545CYInvestmentIncomeAmt
PY Other Revenue$476,975PYOtherRevenueAmt
CY Other Revenue$493,449CYOtherRevenueAmt
PY Total Revenue$13,414,740PYTotalRevenueAmt
CY Total Revenue$13,669,635CYTotalRevenueAmt
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$9,387,173PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$9,669,880CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,889,347PYOtherExpensesAmt
CY Other Expenses$3,845,239CYOtherExpensesAmt
PY Total Expenses$13,276,520PYTotalExpensesAmt
CY Total Expenses$13,515,119CYTotalExpensesAmt
PY Revenues Less Expenses$138,220PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$154,516CYRevenuesLessExpensesAmt
Total Assets BOY$4,125,549TotalAssetsBOYAmt
Total Assets EOY$4,270,552TotalAssetsEOYAmt
Total Liabilities BOY$4,358,897TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,331,902TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$233,348NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$61,350NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE ORGANIZATION'S MISSION IS TO PROVIDE A HOME OR SHELTER FOR AND TO OTHERWISE ASSIST INDIGENT PEOPLE WITHOUT REGARD TO RACE, CREED OR COLOR THROUGH THE OPERATION OF A 164-BED NURSING HOME IN BOSTON MASSACHUETTS AS A SUPPORTING SERVICE, THE ORGANIZATION ALSO PROVIDES EDUCATIONAL OPPORTUNITIES AND VOCATIONAL TRAINING FOR INDIVIDUALS WHO WORK IN LONG-TERM CARE FACILITIES OR OTHERWISE CARE FOR THE ELDERLY ADDITIONALLY, THE ORGANIZATION PROVIDES SCHOOL-AGED CHILDREN WITH INTERGENERATIONAL LEARNING OPPORTUNITIES THAT ALLOW THEM TO GAIN SKILLS AND KNOWLEDGE FROM OLDER GENERATIONSMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$11,621,310ExpenseAmt
Revenue$12,677,516RevenueAmt
DescSKILLED NURSING CARE AND EDUCATIONAL SERVICES - PROVIDE NURSING CARE TO THE ELDERLY THROUGH THE OPERATION OF A 164-BED NURSING HOME AND PROVIDE EDUCATIONAL SUPPORT SERVICES AS A SUPPORTING SERVICE, THE ORGANIZATION ALSO PROVIDES EDUCATIONAL OPPORTUNITIES AND VOCATIONAL TRAINING FOR INDIVIDUALS WHO WORK IN LONG-TERM CARE FACILITES OR OTHERWISE CARE FOR THE ELDERLY. ADDITIONALLY, THE ORGANIZATION PROVIDES SCHOOL-AGED CHILDREN WITH INTERGENEATIONAL LEARNING OPPORTUNITIES THAT ALLOW THEM TO GAIN SKILL AND KNOWLEDGE FROM OLDER GENERATION.Desc
Total Program Service Expenses$11,621,310TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
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 ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
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 EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document4IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee276EmployeeCnt
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
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
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 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 Enfrc0RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
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)
PersonTONY FRANCISPersonNm
Phone6177381500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1120 FISHER AVENUEAddressLine1Txt
CityROXBURYCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02120ZIPCd

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
PERRY SMITH
CHAIRMAN0.900.10Yes (X)Yes (X)$0$0$0
TONY FRANCIS
PRESIDENT & CEO39.200.80Yes (X)Yes (X)$178,335$0$11,100
SANDY JACKSON
TREASURER0.900.10Yes (X)Yes (X)$0$0$0
EVAN TOBASKY
SECRETARY0.900.10Yes (X)Yes (X)$0$0$0
ROYAL BOWLING
DIRECTOR0.900.10Yes (X)$0$0$0
URAL DAYE
DIRECTOR0.900.10Yes (X)$0$0$0
PAM GILLARD
DIRECTOR0.900.10Yes (X)$0$0$0
JOHN WALSH
DIRECTOR0.900.10Yes (X)$0$0$0
MARY WERNIG-MOSER
DIRECTOR0.900.10Yes (X)$0$0$0
FABIENNE ODNEY
DON39.001.00$155,600$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$333,935TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$11,100TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K3IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Related Organizations$485,125RelatedOrganizationsAmt
Total Contributions$485,125TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT AND RESIDENT REVENUE623000$12,676,480$12,676,480
OTHER OPERATING REVENUE623000$1,036$1,036
FieldValueIRS element (for citing)
Total Program Service Revenue$12,677,516TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,545TotalRevenueColumnAmt
Exclusion$13,545ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$486,931RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$486,931RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$486,931TotalRevenueColumnAmt
Exclusion$486,931ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$17,009FundraisingGrossIncomeAmt
Fundraising Direct Expenses$10,491FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,518TotalRevenueColumnAmt
Exclusion$6,518ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,669,635TotalRevenueColumnAmt
Related Or Exempt Func Income$12,677,516RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$506,994ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$178,335TotalAmt
Management And General$178,335ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$7,786,240TotalAmt
Program Services$6,755,404ProgramServicesAmt
Management And General$1,030,836ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$193,938TotalAmt
Program Services$168,726ProgramServicesAmt
Management And General$25,212ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$918,561TotalAmt
Program Services$799,148ProgramServicesAmt
Management And General$119,413ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$592,806TotalAmt
Program Services$515,741ProgramServicesAmt
Management And General$77,065ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$30,958TotalAmt
Management And General$30,958ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$115,496TotalAmt
Program Services$100,482ProgramServicesAmt
Management And General$15,014ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$5,208TotalAmt
Management And General$5,208ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$238,213TotalAmt
Program Services$207,245ProgramServicesAmt
Management And General$30,968ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$9,507TotalAmt
Program Services$9,507ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$259,781TotalAmt
Management And General$259,781ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$338,328TotalAmt
Program Services$338,328ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$19,946TotalAmt
Program Services$19,946ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$163,248TotalAmt
Program Services$163,248ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$94,364TotalAmt
Program Services$94,364ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$79,916TotalAmt
Management And General$79,916ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
USER FEES$783,271$783,271
SUPPLIES AND EXPENSE$709,645$709,645
FOOD$437,744$437,744
ALL OTHER EXPENSES$316,177$275,074$41,103

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$243,437TotalAmt
Program Services$243,437ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$13,515,119TotalAmt
Program Services$11,621,310ProgramServicesAmt
Management And General$1,893,809ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$265,755BOYAmt
EOY$319,069EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$610,237BOYAmt
EOY$507,189EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,313,480BOYAmt
EOY$1,309,156EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$111,556BOYAmt
EOY$157,358EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$5,834,702LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,746,078LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$948,558BOYAmt
EOY$1,088,624EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$483,686BOYAmt
EOY$502,340EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$392,277BOYAmt
EOY$386,816EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,125,549BOYAmt
EOY$4,270,552EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,311,908BOYAmt
EOY$1,284,913EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,300,000BOYAmt
EOY$2,300,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$746,989BOYAmt
EOY$746,989EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,358,897BOYAmt
EOY$4,331,902EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$233,348BOYAmt
EOY-$61,350EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$233,348BOYAmt
EOY-$61,350EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,125,549BOYAmt
EOY$4,270,552EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$154,516ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$17,482NetUnrlzdGainsLossesInvstAmt
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)
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$92,792CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$24,166CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$77,218CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$418,182CurrentTaxYearMinus1YearAmt
Current Tax Year$485,125CurrentTaxYearAmt
Total$1,097,483TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,903,131CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,107,027CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,142,008CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,530,244CurrentTaxYearMinus1YearAmt
Current Tax Year$12,694,525CurrentTaxYearAmt
Total$60,376,935TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,995,923CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,131,193CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,219,226CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,948,426CurrentTaxYearMinus1YearAmt
Current Tax Year$13,179,650CurrentTaxYearAmt
Total$61,474,418TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,865CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,000CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$50,000CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$418,182CurrentTaxYearMinus1YearAmt
Current Tax Year$485,125CurrentTaxYearAmt
Total$970,172TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,865CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,000CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$50,000CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$418,182CurrentTaxYearMinus1YearAmt
Current Tax Year$485,125CurrentTaxYearAmt
Total$970,172TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$60,504,246PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$672,666CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$612,687CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$586,282CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$502,594CurrentTaxYearMinus1YearAmt
Current Tax Year$500,476CurrentTaxYearAmt
Total$2,874,705TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$672,666CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$612,687CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$586,282CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$502,594CurrentTaxYearMinus1YearAmt
Current Tax Year$500,476CurrentTaxYearAmt
Total$2,874,705TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,668,589CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,743,880CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,805,508CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,451,020CurrentTaxYearMinus1YearAmt
Current Tax Year$13,680,126CurrentTaxYearAmt
Total$64,349,123TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.94020PublicSupportCY509Pct
Public Support PY5090.94340PublicSupportPY509Pct
Investment Income CY0.04470InvestmentIncomeCYPct
Investment Income PY0.04860InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$200,000OtherCostOrOtherBasisAmt
Book Value$200,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,740,575OtherCostOrOtherBasisAmt
Depreciation$3,343,312DepreciationAmt
Book Value$397,263BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,894,127OtherCostOrOtherBasisAmt
Depreciation$1,402,766DepreciationAmt
Book Value$491,361BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,088,624TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
RENT RECEIVABLE$264,240
DEFERRED DEVELOPMENT COST$122,576
FieldValueIRS element (for citing)
Total Book Value Other Assets$386,816TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
ACCRUED INTEREST PAYABLE$596,989
ASSET RETIREMENT OBLIGATION$150,000
FieldValueIRS element (for citing)
Total Liability$746,989TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$13,680,126TotalRevEtcAuditedFinclStmtAmt
Other Revenue$10,491OtherRevenueAmt
Revenue Not Reported$10,491RevenueNotReportedAmt
Revenue Subtotal$13,669,635RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$13,669,635TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$13,525,610TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$10,491OtherExpensesIncludedAmt
Expenses Not Reported$10,491ExpensesNotReportedAmt
Expenses Subtotal$13,515,119ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$13,515,119TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE ORGANIZATION'S FINANCIAL STATEMENTS DISCLOSES ANY UNCERTAIN TAX POSITIONS. THERE WERE NO LIABILITIES RECORDED FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH FIN 48 (ASC 740).
PART XI, LINE 2D - OTHER ADJUSTMENTS:FUNDRAISING EXPENSE RECLASS 10,491.
PART XII, LINE 2D - OTHER ADJUSTMENTS:FUNDRAISING EXPENSE RECLASS 10,491.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Agrmt Prof Fundraising Acty0AgrmtProfFundraisingActyInd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GOLF TOURNAMENTEvent1Nm
Gross Receipts Event1$17,009GrossReceiptsEvent1Amt
Gross Revenue Event1$17,009GrossRevenueEvent1Amt
Other Direct Expenses Event1$10,491OtherDirectExpensesEvent1Amt
Gross Receipts Total$17,009GrossReceiptsTotalAmt
Gross Revenue Total Events$17,009GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$10,491OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$10,491DirectExpenseSummaryEventsAmt
Net Income Summary$6,518NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
TONY FRANCIS
PRESIDENT & CEO$178,335$0$0$0$0$0$0$11,100$0$0$178,335$11,100$0$0
FABIENNE ODNEY
DON$155,600$0$0$0$0$0$0$0$0$0$155,600$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION'S SOLE MEMBER IS ITS RELATED NON-PROFIT ORGANZIATION RESTHAVEN CORPORATION
FORM 990, PART VI, SECTION A, LINE 7ATHE DIRECTORS OF THE SOLE MEMBER, RESTHAVEN CORPORATION, SHALL AUTOMATICALLY SERVCE AS THE BOARD OF DIRECTORS OF THE ORGANIZATION
FORM 990, PART VI, SECTION B, LINE 11BTHE ORGANIZATION'S BOARD OF DIRECTORS IS PROVIDED WITH A COMPLETE COPY OF THE FORM 990 TO REVIEW PRIOR FILING WITH THE IRS
FORM 990, PART VI, SECTION B, LINE 15ATHE PRESIDENT & CEO COMPENSATION IS DETERMINED THROUGH THE USE OF A WRITTEN EMPLOYMENT CONTRACT, COMPENSAATION STUDY AS WELL AS APPROVAL BY THE BOARD OF DIRECTORS ANY ADJUSTMENTS. TO THE PRESIDENT & CEO'S COMPENSATION IS DOCUMENT IN WRITING IN THE MEETING MINUTES.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST
FORM 990, PART XII, LINE 2C:NO CHANGES IN POLICY FROM PREVIOUS YEARS.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1RESTHAVEN CORPORATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1120 FISHER AVENUEAddressLine1Txt
CityROXBURYCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02120ZIPCd
FieldValueIRS element (for citing)
EIN043448700EIN
Primary ActivitiesSUPPORTS NURSING HOMEPrimaryActivitiesTxt
Legal Domicile StateMALegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 11PublicCharityStatusTxt
Controlled Organization0ControlledOrganizationInd
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 OrgYes (1)LoansOrGuaranteesFromOthOrgInd
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 Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

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