FURP.ORG / PUBLIC DATA EXPLORER

DIVINE PROVIDENCE COMMUNITY HOME: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
DIVINE PROVIDENCE COMMUNITY HOME (EIN 41-0839343)
Tax period
2015-07-01 to 2016-06-30
Filed
2016-12-19
IRS object ID
201623549349300012
Schema version
2015v2.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2016-12-19T12:12:29-06:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN450250958PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Eide Bailly LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1800 Nicollet Mall Ste 1300AddressLine1Txt
CityMinneapolisCityNm
State AbbreviationMNStateAbbreviationCd
ZIP554027033ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN410839343EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Divine Providence Community HomeBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlDIVIBusinessNameControlTxt
Phone5077943011PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1700 3rd Avenue NWAddressLine1Txt
CitySleepy EyeCityNm
State AbbreviationMNStateAbbreviationCd
ZIP560851036ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJayna GroebnerPersonNm
Person TitleAdministratorPersonTitleTxt
Phone5077943011PhoneNum
Signature2016-12-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDeb Nelson CPAPreparerPersonNm
PTINP01264758PTIN
Phone6122536500PhoneNum
Preparation2016-12-13PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJayna GroebnerPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1700 3rd Avenue NWAddressLine1Txt
CitySleepy EyeCityNm
State AbbreviationMNStateAbbreviationCd
ZIP560851036ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$3,555,172GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.divineprovidencehome.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1960FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionProvide professional care at the highest level to the aged and physically impaired.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee133TotalEmployeeCnt
Total Volunteers12TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$46,638PYContributionsGrantsAmt
CY Contributions Grants$69,794CYContributionsGrantsAmt
PY Program Service Revenue$3,111,795PYProgramServiceRevenueAmt
CY Program Service Revenue$3,468,275CYProgramServiceRevenueAmt
PY Investment Income$11,548PYInvestmentIncomeAmt
CY Investment Income$3,573CYInvestmentIncomeAmt
PY Other Revenue$7,758PYOtherRevenueAmt
CY Other Revenue$7,233CYOtherRevenueAmt
PY Total Revenue$3,177,739PYTotalRevenueAmt
CY Total Revenue$3,548,875CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$11,470CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,198,395PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,439,756CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,283,912PYOtherExpensesAmt
CY Other Expenses$1,394,927CYOtherExpensesAmt
PY Total Expenses$3,482,307PYTotalExpensesAmt
CY Total Expenses$3,846,153CYTotalExpensesAmt
PY Revenues Less Expenses-$304,568PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$297,278CYRevenuesLessExpensesAmt
Total Assets BOY$2,284,016TotalAssetsBOYAmt
Total Assets EOY$1,927,422TotalAssetsEOYAmt
Total Liabilities BOY$316,369TotalLiabilitiesBOYAmt
Total Liabilities EOY$264,584TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,967,647NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,662,838NetAssetsOrFundBalancesEOYAmt
MissionReligious organization whose purpose is the care of the aged and physically impaired by providing professional care at the highest level.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$3,599,343ExpenseAmt
Grant$11,470GrantAmt
Revenue$3,468,275RevenueAmt
DescDivine Providence provides services to seniors by creating a haven of Christian love and commitment that speaks loudly of the dignity of life. The 53 bed nursing home provided 17,151 days of resident care. This includes professional nursing care, coordinated rehabilitation services, daily mass and rosary, weekly protestant services, nutritious meals, and engaging activities. The 21 senior living apartments provided housing services for 24 tenants. The purpose is to help seniors who are continuing life's journey with the help of family, friends, and professionals in all areas of long term care.Desc
Total Program Service Expenses$3,599,343TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
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 IndividualsYes (1)GrantsToIndividualsInd
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 EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document6IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee133EmployeeCnt
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 Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
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 Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Jayna GroebnerBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5077943011PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1700 Third Avenue NWAddressLine1Txt
CitySleepy EyeCityNm
State AbbreviationMNStateAbbreviationCd
ZIP560851036ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Sr Rita Butler
President40.00Yes (X)Yes (X)$0$0$0
Sr Bernadine Ugolini
Vice President40.00Yes (X)Yes (X)$0$0$0
Sr Brenda McHugh
Treasurer40.00Yes (X)Yes (X)$0$0$0
Sr Mary Walker
Secretary40.00Yes (X)Yes (X)$0$0$0
Sr Janet Kosman
Director40.00Yes (X)$0$0$0
Sr Barbara Moerman
Director40.00Yes (X)$0$0$0
Jayna Groebner
Administrator40.00Yes (X)$63,008$0$2,205
FieldValueIRS element (for citing)
Total Reportable Comp From Org$63,008TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$2,205TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1US FoodsBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1NW 6059 PO Box 1450AddressLine1Txt
CityMinneapolisCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55485ZIPCd
FieldValueIRS element (for citing)
ServicesFood and Dietary SuppliesServicesDesc
Compensation$157,654CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Membership Dues$2,677MembershipDuesAmt
Fundraising$4,500FundraisingAmt
All Other Contributions$62,617AllOtherContributionsAmt
Noncash Contributions$4,500NoncashContributionsAmt
Total Contributions$69,794TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Nursing Home Care623000$3,181,547$3,181,547
Senior Living Apartmen623000$227,258$227,258
Other Revenue900099$59,470$59,470
FieldValueIRS element (for citing)
Total Program Service Revenue$3,468,275TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,573TotalRevenueColumnAmt
Exclusion$3,573ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$8,060FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$4,500ContriRptFundraisingEventAmt
Fundraising Direct Expenses$2,266FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,794TotalRevenueColumnAmt
Exclusion$5,794ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$5,470GrossSalesOfInventoryAmt
Cost Of Goods Sold$4,031CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,439TotalRevenueColumnAmt
Exclusion$1,439ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,548,875TotalRevenueColumnAmt
Related Or Exempt Func Income$3,468,275RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$10,806ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$11,470TotalAmt
Program Services$11,470ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$79,196TotalAmt
Management And General$79,196ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$2,009,622TotalAmt
Program Services$1,914,286ProgramServicesAmt
Management And General$95,336ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$51,443TotalAmt
Program Services$49,003ProgramServicesAmt
Management And General$2,440ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$149,507TotalAmt
Program Services$142,392ProgramServicesAmt
Management And General$7,115ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$149,988TotalAmt
Program Services$137,618ProgramServicesAmt
Management And General$12,370ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$200TotalAmt
Management And General$200ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$18,145TotalAmt
Management And General$18,145ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$331,861TotalAmt
Program Services$324,310ProgramServicesAmt
Management And General$7,551ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,247TotalAmt
Management And General$2,247ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$244,772TotalAmt
Program Services$232,623ProgramServicesAmt
Management And General$12,149ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$44TotalAmt
Management And General$44ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$313,701TotalAmt
Program Services$313,701ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,733TotalAmt
Management And General$1,733ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$8,565TotalAmt
Program Services$8,355ProgramServicesAmt
Management And General$210ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$559TotalAmt
Program Services$559ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$156,548TotalAmt
Program Services$156,548ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$43,851TotalAmt
Program Services$43,851ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
Nursing Facility Surcha$148,022$148,022
Medical Supplies$96,379$96,379
Auxiliary$7,921$7,921
Licensing and Permits$6,497$6,497

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$13,882TotalAmt
Program Services$5,808ProgramServicesAmt
Management And General$8,074ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$3,846,153TotalAmt
Program Services$3,599,343ProgramServicesAmt
Management And General$246,810ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$397,874BOYAmt
EOY$172,837EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$166,078BOYAmt
EOY$250,074EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$41,232BOYAmt
EOY$47,104EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$3,065,538LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,930,700LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,203,724BOYAmt
EOY$1,134,838EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$452,922BOYAmt
EOY$300,013EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$22,186BOYAmt
EOY$22,556EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,284,016BOYAmt
EOY$1,927,422EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$252,025BOYAmt
EOY$216,963EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$37,927BOYAmt
EOY$8,384EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$22,186BOYAmt
EOY$22,556EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,231BOYAmt
EOY$16,681EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$316,369BOYAmt
EOY$264,584EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,967,647BOYAmt
EOY$1,662,838EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,967,647BOYAmt
EOY$1,662,838EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,284,016BOYAmt
EOY$1,927,422EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$297,278ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$148NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$7,383OtherChangesInNetAssetsAmt
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 Committee0AuditCommitteeInd
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$21,702CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$55,016CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$46,709CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$46,638CurrentTaxYearMinus1YearAmt
Current Tax Year$69,794CurrentTaxYearAmt
Total$239,859TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,747,713CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,491,233CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,475,789CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,111,795CurrentTaxYearMinus1YearAmt
Current Tax Year$3,468,275CurrentTaxYearAmt
Total$17,294,805TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$21,522CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$19,337CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,245CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,137CurrentTaxYearMinus1YearAmt
Current Tax Year$13,530CurrentTaxYearAmt
Total$85,771TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,790,937CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,565,586CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,539,743CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,172,570CurrentTaxYearMinus1YearAmt
Current Tax Year$3,551,599CurrentTaxYearAmt
Total$17,620,435TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$842,533CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$799,751CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$912,254CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$848,096CurrentTaxYearMinus1YearAmt
Current Tax Year$1,138,524CurrentTaxYearAmt
Total$4,541,158TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$842,533CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$799,751CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$912,254CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$848,096CurrentTaxYearMinus1YearAmt
Current Tax Year$1,138,524CurrentTaxYearAmt
Total$4,541,158TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$13,079,277PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,281CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,078CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,985CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,548CurrentTaxYearMinus1YearAmt
Current Tax Year$3,425CurrentTaxYearAmt
Total$57,317TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,281CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,078CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,985CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,548CurrentTaxYearMinus1YearAmt
Current Tax Year$3,425CurrentTaxYearAmt
Total$57,317TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,807,218CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,578,664CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,552,728CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,184,118CurrentTaxYearMinus1YearAmt
Current Tax Year$3,555,024CurrentTaxYearAmt
Total$17,677,752TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.73990PublicSupportCY509Pct
Public Support PY5090.75800PublicSupportPY509Pct
Investment Income CY0.00320InvestmentIncomeCYPct
Investment Income PY0.00410InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee EtcYes (1)AgentTrusteeEtcInd
Beginning Balance$15,180BeginningBalanceAmt
Additions During Year$18,570AdditionsDuringYearAmt
Distributions During Year$11,188DistributionsDuringYearAmt
Ending Balance$22,562EndingBalanceAmt
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,532,849OtherCostOrOtherBasisAmt
Depreciation$717,236DepreciationAmt
Book Value$815,613BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,391,295OtherCostOrOtherBasisAmt
Depreciation$1,100,907DepreciationAmt
Book Value$290,388BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$141,394OtherCostOrOtherBasisAmt
Depreciation$112,557DepreciationAmt
Book Value$28,837BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,134,838TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescCapitalized Lease ObligationsDesc
Amt$16,681Amt
FieldValueIRS element (for citing)
Total Liability$16,681TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$3,533,422TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$148NetUnrealizedGainsInvstAmt
Other Revenue$1,000OtherRevenueAmt
Revenue Not Reported$852RevenueNotReportedAmt
Revenue Subtotal$3,532,570RevenueSubtotalAmt
Other Revenues Not Included$16,305OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$16,305RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$3,548,875TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$3,838,231TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$3,266OtherExpensesIncludedAmt
Expenses Not Reported$3,266ExpensesNotReportedAmt
Expenses Subtotal$3,834,965ExpensesSubtotalAmt
Other Expenses Not Included$11,188OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$11,188ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$3,846,153TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part IV, Line 1b:The Organization holds assets for the Auxiliary.
Part IV, Line 2b:The Home acts as custodian for the funds of the residents and holds tenant security deposits.
Part X, Line 2:The Home is organized as a Minnesota not-for-profit corporation and has been recognized by the Internal Revenue Service (IRS) as exempt from federal income taxes under Internal Revenue Code Section 501(c)(3). The Home is required to file a Return of Organization Exempt from Income Tax (Form 990) with the IRS annually. In addition, the Home is subject to income tax on any net income that is derived from business activities that are unrelated to their exempt purpose. The Home believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and, as such, does not have any uncertain tax positions that are material to the financial statements. The Home would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense, if such interest and penalties are incurred.
Part XI, Line 2d - Other Adjustments:Donations from Auxiliary included on the Financial Statements. 1,000.
Part XI, Line 4b - Other Adjustments:Revenue from the Auxiliary not included on the Financial Statements. 18,571. Auxiliary fundraising expense moved from revenues to expenses -2,266.
Part XII, Line 2d - Other Adjustments:Auxiliary fundraising expense moved from revenues to expenses. 2,266. Donations from Auxiliary included on the Financial Statements. 1,000.
Part XII, Line 4b - Other Adjustments:Expenses from the Auxiliary not included on the Financial Statements. 11,188.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeScholarshipsGrantTypeTxt
Recipient15RecipientCnt
Cash Grant$11,470CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationEmployees who receive a scholarship must provide receipts for tuition, books, mandatory fees, and required supplies and equipment expense. Recipent must be employed at Divine Providence for at least 90 days and continue working at least 20 hours per week. The individual must seek career advancement within the facility or the long-term care field in general. In order to receive the scholarship, the employee will need to submit a copy of their semester or quarter transcript with a GPA of 2.5 or higher.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 7aThe Board of Directors are appointed by the Provincial of the U.S.A. Province of the Daughters of St. Mary of Providence.
Form 990, Part VI, Section A, line 8bThe organization does not have a committee with authority to act on behalf of the governing body.
Form 990, Part VI, Section B, line 11The required annual Form 990 filing is completed from the financial records provided by the non-profit organization upon completion of an annual audit by an independent CPA. After the review by the Board, the information tax return forms are then submitted to an officer for signature and submission.
Form 990, Part VI, Section B, line 12cThe policy covers the Board of Directors and prohibits contracting for services with agencies owned in part or entirely by persons employed by Divine Providence and/or related to managerial employees, including the Board of Directors. However, since Divine is located in the small town of Sleepy Eye, and since the choice of providers is limited in this rural setting, such contracts may be necessary. The Board of Directors would determine if a conflict exists and make review of the terms.
Form 990, Part VI, Section B, line 15aThe Board of Directors annually determines the administrators's compensation based on other nursing home administrators in Southwestern Minnesota.
Form 990, Part VI, Section C, line 19The Organization makes these documents available to the public upon request.
Form 990, Part XI, line 9:Net Loss on Auxiliary not Included in Financial Statements -7,383.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1The Daughters of St Mary ProvidenceBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line14200 North Austin AvenueAddressLine1Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP60634ZIPCd
FieldValueIRS element (for citing)
EIN510219736EIN
Primary ActivitiesCharityPrimaryActivitiesTxt
Legal Domicile StateILLegalDomicileStateCd
Exempt Code Section501(c)(3)ExemptCodeSectionTxt
Public Charity StatusLine 1PublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
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 Org0LoansOrGuaranteesFromOthOrgInd
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 OrgYes (1)RentalOfFcltsFromOthOrgInd
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 OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd