DIVINE PROVIDENCE COMMUNITY HOME: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- DIVINE PROVIDENCE COMMUNITY HOME (EIN 41-0839343)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-01-12
- IRS object ID
- 201510129349300206
- Schema version
- 2013v4.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-01-12T08:11:36-06:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 450250958 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EIDE BAILLY LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 NICOLLET MALL STE 1300 | AddressLine1 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 554027033 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410839343 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIVINE PROVIDENCE COMMUNITY HOME | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | DIVI | BusinessNameControlTxt |
| Phone | 5077943011 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 700 3RD AVENUE NW | AddressLine1 |
| City | SLEEPY EYE | City |
| State | MN | State |
| ZIP Code | 560851036 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JAYNA GROEBNER | PersonNm |
| Person Title | ADMINISTRATOR | PersonTitleTxt |
| Phone | 5077943011 | PhoneNum |
| Signature | 2014-12-23 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SARAH VOGT CPA | PreparerPersonNm |
| PTIN | P00978242 | PTIN |
| Phone | 6122536500 | PhoneNum |
| Preparation | 2014-12-22 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JAYNA GROEBNER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 700 3RD AVENUE NW | AddressLine1 |
| City | SLEEPY EYE | City |
| State | MN | State |
| ZIP Code | 560851036 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $3,548,528 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1960 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | RELIGIOUS ORGANIZATION WHOSE PURPOSE IS THE CARE OF THE AGED AND PHYSICALLY IMPAIRED BY PROVIDING PROFESSIONAL CARE AT THE HIGHEST LEVEL. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 143 | TotalEmployeeCnt |
| Total Volunteers | 12 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $60,516 | PYContributionsGrantsAmt |
| CY Contributions Grants | $46,709 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $3,491,233 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $3,475,789 | CYProgramServiceRevenueAmt |
| PY Investment Income | $13,078 | PYInvestmentIncomeAmt |
| CY Investment Income | $12,985 | CYInvestmentIncomeAmt |
| PY Other Revenue | $6,097 | PYOtherRevenueAmt |
| CY Other Revenue | $7,063 | CYOtherRevenueAmt |
| PY Total Revenue | $3,570,924 | PYTotalRevenueAmt |
| CY Total Revenue | $3,542,546 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $11,969 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $9,538 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $2,164,825 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,209,244 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,278,185 | PYOtherExpensesAmt |
| CY Other Expenses | $1,316,134 | CYOtherExpensesAmt |
| PY Total Expenses | $3,454,979 | PYTotalExpensesAmt |
| CY Total Expenses | $3,534,916 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $115,945 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $7,630 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,477,980 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,513,570 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $212,672 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $240,791 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,265,308 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,272,779 | NetAssetsOrFundBalancesEOYAmt |
| Mission | RELIGIOUS ORGANIZATION WHOSE PURPOSE IS THE CARE OF THE AGED AND PHYSICALLY IMPAIRED BY PROVIDING PROFESSIONAL CARE AT THE HIGHEST LEVEL. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $3,289,093 | ExpenseAmt |
| Grant | $9,538 | GrantAmt |
| Revenue | $3,475,789 | RevenueAmt |
| Desc | DIVINE PROVIDENCE PROVIDES SERVICES TO SENIORS BY CREATING A HAVEN OF CHRISTIAN LOVE AND COMMITMENT THAT SPEAKS LOUDLY OF THE DIGNITY OF LIFE. THE 58 BED NURSING HOME PROVIDED 19,785 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 28 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 | $3,289,093 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | 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 | 0 | 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 | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | 0 | 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 | 143 | 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 | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | 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 | 0 | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | 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 | Yes (1) | 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 | MN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JAYNA GROEBNER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5077943011 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 700 THIRD AVENUE NW | AddressLine1 |
| City | SLEEPY EYE | City |
| State | MN | State |
| ZIP Code | 560851036 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| SR RITA BUTLER | ||||||
| PRESIDENT | 40.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| SR BERNADINE UGOLINI | ||||||
| VICE PRESIDENT | 40.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| SR PATRICIA MCCAFFERTY | ||||||
| TREASURER | 40.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| SR MARY WALKER | ||||||
| SECRETARY | 40.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| SR JANET KOSMAN | ||||||
| DIRECTOR | 40.00 | Yes (X) | $0 | $0 | $0 | |
| SR MARY LYNN RAKOWSKI | ||||||
| DIRECTOR | 40.00 | Yes (X) | $0 | $0 | $0 | |
| JAYNA GROEBNER | ||||||
| EXECUTIVE DIRECTOR | 40.00 | Yes (X) | $53,753 | $0 | $1,881 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $53,753 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,881 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ONR | BusinessNameLine1 |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1101 SOUTH CAPITAL OF TEXAS HWY | AddressLine1 |
| City | AUSTIN | City |
| State | TX | State |
| ZIP Code | 78746 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | THERAPY SERVICES | ServicesDesc |
| Compensation | $129,434 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $4,200 | FundraisingAmt |
| Government Grants | $3,345 | GovernmentGrantsAmt |
| All Other Contributions | $39,164 | AllOtherContributionsAmt |
| Noncash Contributions | $4,200 | NoncashContributionsAmt |
| Total Contributions | $46,709 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NURSING HOME CARE | 623000 | $3,209,601 | $3,209,601 |
| SENIOR LIVING APARTMEN | 623000 | $206,757 | $206,757 |
| OTHER REVENUE | 900099 | $59,431 | $59,431 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $3,475,789 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,985 | TotalRevenueColumnAmt |
| Exclusion | $12,985 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $4,880 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $4,200 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $1,141 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,739 | TotalRevenueColumnAmt |
| Exclusion | $3,739 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $8,165 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $4,841 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,324 | TotalRevenueColumnAmt |
| Exclusion | $3,324 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,542,546 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,475,789 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $20,048 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,538 | TotalAmt |
| Program Services | $9,538 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,629 | TotalAmt |
| Management And General | $57,629 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,828,279 | TotalAmt |
| Program Services | $1,719,993 | ProgramServicesAmt |
| Management And General | $108,286 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,255 | TotalAmt |
| Program Services | $44,922 | ProgramServicesAmt |
| Management And General | $2,333 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $137,448 | TotalAmt |
| Program Services | $125,382 | ProgramServicesAmt |
| Management And General | $12,066 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $138,633 | TotalAmt |
| Program Services | $126,567 | ProgramServicesAmt |
| Management And General | $12,066 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,970 | TotalAmt |
| Management And General | $16,970 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $277,044 | TotalAmt |
| Program Services | $270,324 | ProgramServicesAmt |
| Management And General | $6,720 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,190 | TotalAmt |
| Management And General | $3,190 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $248,943 | TotalAmt |
| Program Services | $236,073 | ProgramServicesAmt |
| Management And General | $12,870 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $313,075 | TotalAmt |
| Program Services | $313,075 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,542 | TotalAmt |
| Management And General | $2,542 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,207 | TotalAmt |
| Program Services | $10,906 | ProgramServicesAmt |
| Management And General | $2,301 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $543 | TotalAmt |
| Program Services | $543 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $105,847 | TotalAmt |
| Program Services | $105,847 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,662 | TotalAmt |
| Program Services | $49,662 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| NURSING FACILITY SURCHA | $163,270 | $163,270 |
| MEDICAL SUPPLIES | $96,632 | $96,632 |
| AUXILIARY | $9,166 | $9,166 |
| LICENSING AND PERMITS | $7,074 | $7,074 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,969 | TotalAmt |
| Program Services | $119 | ProgramServicesAmt |
| Management And General | $8,850 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,534,916 | TotalAmt |
| Program Services | $3,289,093 | ProgramServicesAmt |
| Management And General | $245,823 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $785,522 | BOYAmt |
| EOY | $961,661 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $191,769 | BOYAmt |
| EOY | $197,674 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,619 | BOYAmt |
| EOY | $47,933 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,323,386 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,643,471 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $633,681 | BOYAmt |
| EOY | $679,915 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $806,803 | BOYAmt |
| EOY | $608,121 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,586 | BOYAmt |
| EOY | $18,266 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,477,980 | BOYAmt |
| EOY | $2,513,570 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $181,346 | BOYAmt |
| EOY | $177,774 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $35,654 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,586 | BOYAmt |
| EOY | $18,266 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,740 | BOYAmt |
| EOY | $9,097 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $212,672 | BOYAmt |
| EOY | $240,791 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,265,308 | BOYAmt |
| EOY | $2,272,779 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,265,308 | BOYAmt |
| EOY | $2,272,779 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,477,980 | BOYAmt |
| EOY | $2,513,570 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $7,630 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$159 | 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 | 0 | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $57,649 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $48,058 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $21,702 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $55,016 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $46,709 | CurrentTaxYearAmt |
| Total | $229,134 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $57,649 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $48,058 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $21,702 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $55,016 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $46,709 | CurrentTaxYearAmt |
| Total | $229,134 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $19,532 | SubstantialContributorsTotAmt |
| Public Support Total170 | $209,602 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $19,977 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $19,456 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,281 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,078 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,985 | CurrentTaxYearAmt |
| Total | $81,777 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $310,911 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $18,502,887 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.67420 | PublicSupportCY170Pct |
| Public Support PY170 | 0.73950 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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 D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | Yes (1) | AgentTrusteeEtcInd |
| Beginning Balance | $14,439 | BeginningBalanceAmt |
| Additions During Year | $17,067 | AdditionsDuringYearAmt |
| Distributions During Year | $16,908 | DistributionsDuringYearAmt |
| Ending Balance | $14,598 | EndingBalanceAmt |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $952,811 | OtherCostOrOtherBasisAmt |
| Depreciation | $571,837 | DepreciationAmt |
| Book Value | $380,974 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,266,539 | OtherCostOrOtherBasisAmt |
| Depreciation | $984,606 | DepreciationAmt |
| Book Value | $281,933 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $104,036 | OtherCostOrOtherBasisAmt |
| Depreciation | $87,028 | DepreciationAmt |
| Book Value | $17,008 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $679,915 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CAPITALIZED LEASE OBLIGATIONS | Desc |
| Amt | $9,097 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $9,097 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $3,533,220 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $6,600 | OtherRevenueAmt |
| Revenue Not Reported | $6,600 | RevenueNotReportedAmt |
| Revenue Subtotal | $3,526,620 | RevenueSubtotalAmt |
| Other Revenues Not Included | $15,926 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $15,926 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $3,542,546 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $3,525,749 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $7,741 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $7,741 | ExpensesNotReportedAmt |
| Expenses Subtotal | $3,518,008 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $16,908 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $16,908 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $3,534,916 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. 6,600. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | REVENUE FROM THE AUXILIARY NOT INCLUDED ON THE FINANCIAL STATEMENTS. 17,067. AUXILIARY FUNDRAISING EXPENSE MOVED FROM REVENUES TO EXPENSES -1,141. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | AUXILIARY FUNDRAISING EXPENSE MOVED FROM REVENUES TO EXPENSES. 1,141. DONATIONS FROM AUXILIARY INCLUDED ON THE FINANCIAL STATEMENTS. 6,600. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | EXPENSES FROM THE AUXILIARY NOT INCLUDED ON THE FINANCIAL STATEMENTS. 16,908. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | SCHOLARSHIP | GrantTypeTxt |
| Recipient | 3 | RecipientCnt |
| Cash Grant | $9,538 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | EMPLOYEES WHO RECEIVE A SCHOLARSHIP MUST PROVIDE RECEIPTS FOR TUITION AND BOOK EXPENSE. RECIPIENT 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 IN NURSING, MEDICAL CARE, INTERPRETER SERVICES, SOCIAL WORK, JOB RELATED ENGLISH AS A SECOND LANGUAGE, OR CAREER ADVANCEMENT WITHIN THE FACILITY OR WITHIN THE FIELD OF LONG-TERM CARE. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 7A | THE 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 8B | THE ORGANIZATION DOES NOT HAVE A COMMITTEE WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE 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 12C | THE 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. 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 15A | THE BOARD OF DIRECTORS ANNUALLY DETERMINES THE EXECUTIVE DIRECTOR'S COMPENSATION BASED ON COMPENSATION OF OTHER NURSING HOME ADMINISTRATORS IN SOUTHWESTERN MINNESOTA. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | NET INCOME ON AUXILIARY NOT INCLUDED IN FINANCIAL STATEMENTS -159. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE DAUGHTERS OF ST MARY PROVIDENCE | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4200 NORTH AUSTIN AVENUE | AddressLine1 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 60634 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 510219736 | EIN |
| Primary Activities | CHARITY | PrimaryActivitiesTxt |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 1 | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| 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 | 0 | 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 | Yes (1) | 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 | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
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