2017-11-15T05:18:51-06:00 2016-12-31 042805993 NEWBURG & COMPANY LLP 890 WINTER STREET SUITE 208 WALTHAM MA 02451 990 2016-01-01 042104452 EDGAR P BENJAMIN HEALTHCARE CENTER INC FKA RESTHAVEN CORPORATION EDGA 6177381500 120 FISHER AVE ROXBURY MA 02120 TONY FRANCIS PRESIDENT 6177381500 2017-11-14 1 HOWARD NEWBURG P00020281 7818844100 173.166.63.145 2017-11-14 09:01:39 ES P 4839B44707C89432778C6B21A42E4FF133CC7DE2 5110F95ABA7E141A91139F0E5F7921F2647DFF18 2016 2021-01-29 14:40:06Z TONY FRANCIS 120 FISHER AVENUE BOSTON MA 02120 13680126 0 X WWW.BENJAMINHEALTHCARE.COM X 1927 MA THE 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. 9 8 276 150 0 0 418182 485125 12503917 12677516 15666 13545 476975 493449 13414740 13669635 0 0 0 0 9387173 9669880 0 0 0 3889347 3845239 13276520 13515119 138220 154516 4125549 4270552 4358897 4331902 -233348 -61350 X THE 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 0 0 11621310 12677516 SKILLED 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. 11621310 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 4 0 1 276 1 0 0 0 0 0 0 0 0 X 9 8 0 0 0 0 1 1 0 1 1 0 0 1 1 1 0 1 1 1 0 0 MA X TONY FRANCIS 6177381500 120 FISHER AVENUE ROXBURY MA 02120 PERRY SMITH CHAIRMAN 0.90 0.10 X X 0 0 0 TONY FRANCIS PRESIDENT & CEO 39.20 0.80 X X 178335 0 11100 SANDY JACKSON TREASURER 0.90 0.10 X X 0 0 0 EVAN TOBASKY SECRETARY 0.90 0.10 X X 0 0 0 ROYAL BOWLING DIRECTOR 0.90 0.10 X 0 0 0 URAL DAYE DIRECTOR 0.90 0.10 X 0 0 0 PAM GILLARD DIRECTOR 0.90 0.10 X 0 0 0 JOHN WALSH DIRECTOR 0.90 0.10 X 0 0 0 MARY WERNIG-MOSER DIRECTOR 0.90 0.10 X 0 0 0 FABIENNE ODNEY DON 39.00 1.00 X 155600 0 0 333935 0 11100 3 0 1 0 0 485125 485125 PATIENT AND RESIDENT REVENUE 623000 12676480 12676480 OTHER OPERATING REVENUE 623000 1036 1036 12677516 13545 13545 486931 0 486931 486931 486931 17009 10491 6518 6518 13669635 12677516 0 506994 178335 178335 7786240 6755404 1030836 193938 168726 25212 918561 799148 119413 592806 515741 77065 30958 30958 115496 100482 15014 5208 5208 238213 207245 30968 9507 9507 259781 259781 338328 338328 19946 19946 163248 163248 94364 94364 79916 79916 USER FEES 783271 783271 SUPPLIES AND EXPENSE 709645 709645 FOOD 437744 437744 ALL OTHER EXPENSES 316177 275074 41103 243437 243437 13515119 11621310 1893809 0 265755 319069 610237 507189 1313480 1309156 111556 157358 5834702 4746078 948558 1088624 483686 502340 392277 386816 4125549 4270552 1311908 1284913 2300000 2300000 746989 746989 4358897 4331902 X -233348 -61350 -233348 -61350 4125549 4270552 154516 17482 0 X X 0 1 X 1 0 X 92792 24166 77218 418182 485125 1097483 11903131 11107027 12142008 12530244 12694525 60376935 11995923 11131193 12219226 12948426 13179650 61474418 1865 15000 50000 418182 485125 970172 0 1865 15000 50000 418182 485125 970172 60504246 672666 612687 586282 502594 500476 2874705 672666 612687 586282 502594 500476 2874705 12668589 11743880 12805508 13451020 13680126 64349123 0.94020 0.94340 0.04470 0.04860 X 200000 200000 3740575 3343312 397263 1894127 1402766 491361 1088624 RENT RECEIVABLE 264240 DEFERRED DEVELOPMENT COST 122576 386816 ACCRUED INTEREST PAYABLE 596989 ASSET RETIREMENT OBLIGATION 150000 746989 X 13680126 10491 10491 13669635 0 13669635 13525610 10491 10491 13515119 0 13515119 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. 0 GOLF TOURNAMENT 17009 17009 10491 17009 17009 10491 10491 6518 X X X 1 0 0 0 0 0 0 0 0 TONY FRANCIS PRESIDENT & CEO 178335 0 0 0 0 0 0 11100 0 0 178335 11100 0 0 FABIENNE ODNEY DON 155600 0 0 0 0 0 0 0 0 0 155600 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION'S SOLE MEMBER IS ITS RELATED NON-PROFIT ORGANZIATION RESTHAVEN CORPORATION FORM 990, PART VI, SECTION A, LINE 7A THE 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 11B THE 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 15A THE 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 19 THE 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. RESTHAVEN CORPORATION 120 FISHER AVENUE ROXBURY MA 02120 043448700 SUPPORTS NURSING HOME MA 501(C)(3) LINE 11 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1