2016-11-08T17:33:11-06:00 2015-12-31 410746749 CLIFTONLARSONALLEN LLP 300 CROWN COLONY DRIVE SUITE 310 QUINCY MA 02169 990 2015-01-01 042104452 EDGAR P BENJAMIN HEALTHCARE CENTERINC FKA RESTHAVEN CORPORATION EDGA 6177381500 120 FISHER AVENUE ROXBURY MA 02120 TONY FRANCIS PRESIDENT & CEO 6177381500 2016-10-20 1 JUDY DALEY P01294075 6179848100 2016-09-28 2015 2017-02-10 21:41:12Z PERRY SMITH 120 FISHER AVENUE ROXBURY MA 02120 13451020 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, 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. 10 9 274 145 0 0 77218 418182 12127658 12503917 8645 15666 507260 476975 12720781 13414740 0 0 0 0 9035776 9387173 0 0 3633 3799289 3889347 12835065 13276520 -114284 138220 4186158 4125549 4533369 4358897 -347211 -233348 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, 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. 0 0 11626134 12990845 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. 11626134 1 1 0 1 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 1 274 1 0 0 0 0 0 0 0 0 0 0 X 10 9 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 TONY FRANCIS PRESIDENT & CEO 39.20 0.80 X X 156181 0 8075 PERRY SMITH CHAIRMAN 0.90 0.10 X X 0 0 0 MYRNA WYNN VICE CHAIRMAN & FORMER CEO 39.20 0.80 X X 310178 0 0 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 ROSALINDA MIDENCE 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 NUNOTTE ZAMA DIRECTOR 0.90 0.10 X 0 0 0 MARK JONES MAINTENANCE DIRECTOR 40.00 0.00 X 110571 0 0 576930 0 8075 3 0 1 0 0 418182 418182 PATIENT SERVICE REVENUE 623000 12502872 12502872 OTHER OPERATING REVENUE 623000 1045 1045 12503917 15666 15666 486928 0 486928 486928 486928 26327 36280 -9953 -9953 13414740 12503917 0 492641 474434 474434 7011574 6470502 541072 223927 203327 20600 1069857 978767 91090 607381 551505 55876 18386 18386 99398 67698 31700 3403 3403 5078 5078 194485 90919 103566 13615 13615 191055 191055 301878 301878 22519 22519 164898 164898 67452 67452 81636 81636 USER FEES 969931 969931 SUPPLIES AND EXPENSE 747105 747105 FOOD 417902 417902 REPAIRS AND MAINTENANCE 239291 239291 351315 318825 28857 3633 13276520 11626134 1646753 3633 209041 265755 1166048 610237 1560240 1313480 92291 111556 5645428 4696870 540233 948558 254294 483686 364011 392277 4186158 4125549 1486380 1311908 2300000 2300000 746989 746989 4533369 4358897 X -347211 -233348 -347211 -233348 4186158 4125549 138220 -24357 0 X 0 1 X 1 0 X 78718 92792 24166 77218 418182 691076 11721074 11903131 11107027 12142008 12530244 59403484 11799792 11995923 11131193 12219226 12948426 60094560 18814 1865 15000 50000 418182 503861 0 18814 1865 15000 50000 418182 503861 59590699 698671 672666 612687 586282 502594 3072900 698671 672666 612687 586282 502594 3072900 12498463 12668589 11743880 12805508 13451020 63167460 0.94340 0.94070 0.04860 0.05220 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 3403 3403 0 PART II-B, LINE 1: A PORTION OF MEMBERSHIP DUES PAID TO STATE HEALTHCARE ORGANIZATIONS ARE USED FOR LOBBYING ACTIVITIES. 200000 200000 3642464 3307951 334513 1802964 1388919 414045 948558 RENT RECEIVABLE 269701 DEFERRED DEVELOPMENT COSTS 122576 392277 ACCRUED INTEREST PAYABLE 596989 ASSET RETIREMENT OBLIGATION 150000 746989 X 13451020 36280 36280 13414740 0 13414740 13312800 36280 36280 13276520 0 13276520 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. GOLF TOURNAMENT 26327 26327 24838 11442 26327 26327 24838 11442 36280 -9953 X X X 1 0 0 0 0 0 0 0 0 TONY FRANCIS PRESIDENT & CEO 156181 0 0 0 0 0 0 0 8075 0 164256 0 0 0 MYRNA WYNN VICE CHAIRMAN & FORMER CEO 310178 0 0 0 0 0 0 0 0 0 310178 0 0 0 PART I, LINE 4A 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. 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. RESTHAVEN CORPORATION 120 FISHER AVENUE ROXBURY MA 02120 043448700 SUPPORTS NURSING HOME MA 501(C)(3) LINE 11B, II 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1