EDGAR P BENJAMIN HEALTHCARE CENTER INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- EDGAR P BENJAMIN HEALTHCARE CENTER INC (EIN 04-2104452)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-08
- IRS object ID
- 201633139349300048
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-08T17:33:11-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 CROWN COLONY DRIVE SUITE 310 | AddressLine1Txt |
| City | QUINCY | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02169 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 042104452 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EDGAR P BENJAMIN HEALTHCARE CENTERINC | BusinessNameLine1Txt |
| Business Name Line2 | FKA RESTHAVEN CORPORATION | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | EDGA | BusinessNameControlTxt |
| Phone | 6177381500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 120 FISHER AVENUE | AddressLine1Txt |
| City | ROXBURY | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02120 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TONY FRANCIS | PersonNm |
| Person Title | PRESIDENT & CEO | PersonTitleTxt |
| Phone | 6177381500 | PhoneNum |
| Signature | 2016-10-20 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JUDY DALEY | PreparerPersonNm |
| PTIN | P01294075 | PTIN |
| Phone | 6179848100 | PhoneNum |
| Preparation | 2016-09-28 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | PERRY SMITH | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 120 FISHER AVENUE | AddressLine1Txt |
| City | ROXBURY | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02120 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $13,451,020 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.BENJAMINHEALTHCARE.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1927 | FormationYr |
| Legal Domicile State | MA | LegalDomicileStateCd |
| Activity Or Mission | 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, MASSACHUSETTS. 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 Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 274 | TotalEmployeeCnt |
| Total Volunteers | 145 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $77,218 | PYContributionsGrantsAmt |
| CY Contributions Grants | $418,182 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $12,127,658 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $12,503,917 | CYProgramServiceRevenueAmt |
| PY Investment Income | $8,645 | PYInvestmentIncomeAmt |
| CY Investment Income | $15,666 | CYInvestmentIncomeAmt |
| PY Other Revenue | $507,260 | PYOtherRevenueAmt |
| CY Other Revenue | $476,975 | CYOtherRevenueAmt |
| PY Total Revenue | $12,720,781 | PYTotalRevenueAmt |
| CY Total Revenue | $13,414,740 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $9,035,776 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $9,387,173 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $3,633 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,799,289 | PYOtherExpensesAmt |
| CY Other Expenses | $3,889,347 | CYOtherExpensesAmt |
| PY Total Expenses | $12,835,065 | PYTotalExpensesAmt |
| CY Total Expenses | $13,276,520 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$114,284 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $138,220 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,186,158 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,125,549 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,533,369 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,358,897 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$347,211 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$233,348 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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, MASSACHUSETTS. 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $11,626,134 | ExpenseAmt |
| Revenue | $12,990,845 | RevenueAmt |
| Desc | SKILLED NURSING CARE & 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 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. | Desc |
| Total Program Service Expenses | $11,626,134 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 4 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 274 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | 0 | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TONY FRANCIS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6177381500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 120 FISHER AVENUE | AddressLine1Txt |
| City | ROXBURY | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02120 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| TONY FRANCIS | ||||||||
| PRESIDENT & CEO | 39.20 | 0.80 | Yes (X) | Yes (X) | $156,181 | $0 | $8,075 | |
| PERRY SMITH | ||||||||
| CHAIRMAN | 0.90 | 0.10 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MYRNA WYNN | ||||||||
| VICE CHAIRMAN & FORMER CEO | 39.20 | 0.80 | Yes (X) | Yes (X) | $310,178 | $0 | $0 | |
| SANDY JACKSON | ||||||||
| TREASURER | 0.90 | 0.10 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| EVAN TOBASKY | ||||||||
| SECRETARY | 0.90 | 0.10 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ROYAL BOWLING | ||||||||
| DIRECTOR | 0.90 | 0.10 | Yes (X) | $0 | $0 | $0 | ||
| URAL DAYE | ||||||||
| DIRECTOR | 0.90 | 0.10 | Yes (X) | $0 | $0 | $0 | ||
| PAM GILLARD | ||||||||
| DIRECTOR | 0.90 | 0.10 | Yes (X) | $0 | $0 | $0 | ||
| ROSALINDA MIDENCE | ||||||||
| DIRECTOR | 0.90 | 0.10 | Yes (X) | $0 | $0 | $0 | ||
| JOHN WALSH | ||||||||
| DIRECTOR | 0.90 | 0.10 | Yes (X) | $0 | $0 | $0 | ||
| MARY WERNIG-MOSER | ||||||||
| DIRECTOR | 0.90 | 0.10 | Yes (X) | $0 | $0 | $0 | ||
| NUNOTTE ZAMA | ||||||||
| DIRECTOR | 0.90 | 0.10 | Yes (X) | $0 | $0 | $0 | ||
| MARK JONES | ||||||||
| MAINTENANCE DIRECTOR | 40.00 | 0.00 | $110,571 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $576,930 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $8,075 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 3 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $418,182 | RelatedOrganizationsAmt |
| Total Contributions | $418,182 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 623000 | $12,502,872 | $12,502,872 |
| OTHER OPERATING REVENUE | 623000 | $1,045 | $1,045 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $12,503,917 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,666 | TotalRevenueColumnAmt |
| Exclusion | $15,666 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $486,928 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $486,928 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $486,928 | TotalRevenueColumnAmt |
| Exclusion | $486,928 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $26,327 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $36,280 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$9,953 | TotalRevenueColumnAmt |
| Exclusion | -$9,953 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,414,740 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,503,917 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $492,641 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $474,434 | TotalAmt |
| Management And General | $474,434 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,011,574 | TotalAmt |
| Program Services | $6,470,502 | ProgramServicesAmt |
| Management And General | $541,072 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $223,927 | TotalAmt |
| Program Services | $203,327 | ProgramServicesAmt |
| Management And General | $20,600 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,069,857 | TotalAmt |
| Program Services | $978,767 | ProgramServicesAmt |
| Management And General | $91,090 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $607,381 | TotalAmt |
| Program Services | $551,505 | ProgramServicesAmt |
| Management And General | $55,876 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,386 | TotalAmt |
| Management And General | $18,386 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $99,398 | TotalAmt |
| Program Services | $67,698 | ProgramServicesAmt |
| Management And General | $31,700 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,403 | TotalAmt |
| Management And General | $3,403 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,078 | TotalAmt |
| Management And General | $5,078 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $194,485 | TotalAmt |
| Program Services | $90,919 | ProgramServicesAmt |
| Management And General | $103,566 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,615 | TotalAmt |
| Program Services | $13,615 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $191,055 | TotalAmt |
| Management And General | $191,055 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $301,878 | TotalAmt |
| Program Services | $301,878 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,519 | TotalAmt |
| Program Services | $22,519 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $164,898 | TotalAmt |
| Program Services | $164,898 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,452 | TotalAmt |
| Program Services | $67,452 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,636 | TotalAmt |
| Management And General | $81,636 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| USER FEES | $969,931 | $969,931 |
| SUPPLIES AND EXPENSE | $747,105 | $747,105 |
| FOOD | $417,902 | $417,902 |
| REPAIRS AND MAINTENANCE | $239,291 | $239,291 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $351,315 | TotalAmt |
| Program Services | $318,825 | ProgramServicesAmt |
| Management And General | $28,857 | ManagementAndGeneralAmt |
| Fundraising | $3,633 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,276,520 | TotalAmt |
| Program Services | $11,626,134 | ProgramServicesAmt |
| Management And General | $1,646,753 | ManagementAndGeneralAmt |
| Fundraising | $3,633 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $209,041 | BOYAmt |
| EOY | $265,755 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,166,048 | BOYAmt |
| EOY | $610,237 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,560,240 | BOYAmt |
| EOY | $1,313,480 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $92,291 | BOYAmt |
| EOY | $111,556 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $5,645,428 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,696,870 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $540,233 | BOYAmt |
| EOY | $948,558 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $254,294 | BOYAmt |
| EOY | $483,686 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $364,011 | BOYAmt |
| EOY | $392,277 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,186,158 | BOYAmt |
| EOY | $4,125,549 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,486,380 | BOYAmt |
| EOY | $1,311,908 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,300,000 | BOYAmt |
| EOY | $2,300,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $746,989 | BOYAmt |
| EOY | $746,989 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,533,369 | BOYAmt |
| EOY | $4,358,897 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$347,211 | BOYAmt |
| EOY | -$233,348 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$347,211 | BOYAmt |
| EOY | -$233,348 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,186,158 | BOYAmt |
| EOY | $4,125,549 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $138,220 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$24,357 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $78,718 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $92,792 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $24,166 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $77,218 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $418,182 | CurrentTaxYearAmt |
| Total | $691,076 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,721,074 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,903,131 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,107,027 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,142,008 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,530,244 | CurrentTaxYearAmt |
| Total | $59,403,484 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,799,792 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,995,923 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,131,193 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,219,226 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,948,426 | CurrentTaxYearAmt |
| Total | $60,094,560 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $18,814 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,865 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $50,000 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $418,182 | CurrentTaxYearAmt |
| Total | $503,861 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $18,814 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,865 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $50,000 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $418,182 | CurrentTaxYearAmt |
| Total | $503,861 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $59,590,699 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $698,671 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $672,666 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $612,687 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $586,282 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $502,594 | CurrentTaxYearAmt |
| Total | $3,072,900 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $698,671 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $672,666 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $612,687 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $586,282 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $502,594 | CurrentTaxYearAmt |
| Total | $3,072,900 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,498,463 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $12,668,589 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,743,880 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,805,508 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,451,020 | CurrentTaxYearAmt |
| Total | $63,167,460 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.94340 | PublicSupportCY509Pct |
| Public Support PY509 | 0.94070 | PublicSupportPY509Pct |
| Investment Income CY | 0.04860 | InvestmentIncomeCYPct |
| Investment Income PY | 0.05220 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $3,403 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $3,403 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | A PORTION OF MEMBERSHIP DUES PAID TO STATE HEALTHCARE ORGANIZATIONS ARE USED FOR LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $200,000 | OtherCostOrOtherBasisAmt |
| Book Value | $200,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,642,464 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,307,951 | DepreciationAmt |
| Book Value | $334,513 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,802,964 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,388,919 | DepreciationAmt |
| Book Value | $414,045 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $948,558 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| RENT RECEIVABLE | $269,701 |
| DEFERRED DEVELOPMENT COSTS | $122,576 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $392,277 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED INTEREST PAYABLE | $596,989 |
| ASSET RETIREMENT OBLIGATION | $150,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $746,989 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $13,451,020 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $36,280 | OtherRevenueAmt |
| Revenue Not Reported | $36,280 | RevenueNotReportedAmt |
| Revenue Subtotal | $13,414,740 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $13,414,740 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $13,312,800 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $36,280 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $36,280 | ExpensesNotReportedAmt |
| Expenses Subtotal | $13,276,520 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $13,276,520 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SEC 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND STATE TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE ORGANIZATIONS 2012 THROUGH 2015 TAX RETURNS ARE OPEN FOR EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | RECLASS OF FUNDRAISING EVENT EXPENSE 36,280. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RECLASS OF FUNDRAISING EVENT EXPENSE 36,280. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF TOURNAMENT | Event1Nm |
| Gross Receipts Event1 | $26,327 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $26,327 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $24,838 | RentFacilityCostsEvent1Amt |
| Other Direct Expenses Event1 | $11,442 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $26,327 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $26,327 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $24,838 | RentFcltyCostsTotalEventsAmt |
| Oth Direct Expnss Total Events | $11,442 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $36,280 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$9,953 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TONY FRANCIS | ||||||||||||||
| PRESIDENT & CEO | $156,181 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $8,075 | $0 | $164,256 | $0 | $0 | $0 |
| MYRNA WYNN | ||||||||||||||
| VICE CHAIRMAN & FORMER CEO | $310,178 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $310,178 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4A | FormAndLineReferenceDesc |
| Explanation | MYRNA WYNN, DIRECTOR AND FORMER PRESIDENT & CEO, RETIRED AS THE ORGANIZATION'S PRESIDENT & CEO IN 2014 AND RECEIVED A SEVERANCE PAYMENT OF $310,178 DURING THE YEAR. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION'S SOLE MEMBER IS ITS RELATED NON-PROFIT ORGANIZATION, RESTHAVEN CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE DIRECTORS OF THE SOLE MEMBER, RESTHAVEN CORPORATION, SHALL AUTOMATICALLY SERVE AS THE BOARD OF DIRECTORS OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE ORGANIZATION'S BOARD OF DIRECTORS IS PROVIDED WITH A COMPLETE COPY OF THE FORM 990 TO REVIEW PRIOR TO FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE PRESIDENT & CEO'S COMPENSATION IS DETERMINED THROUGH THE USE OF A WRITTEN EMPLOYMENT CONTRACT, COMPENSATION STUDY AS WELL AS APPROVAL BY THE BOARD OF DIRECTORS. ANY ADJUSTMENTS TO THE PRESIDENT & CEO'S COMPENSATION IS DOCUMENTED IN WRITING IN THE MEETING MINUTES. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTHAVEN CORPORATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 120 FISHER AVENUE | AddressLine1Txt |
| City | ROXBURY | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02120 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 043448700 | EIN |
| Primary Activities | SUPPORTS NURSING HOME | PrimaryActivitiesTxt |
| Legal Domicile State | MA | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 11B, II | PublicCharityStatusTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Comments