2015-08-31T14:05:56-05:00 2014-12-31 061009205 BLUM SHAPIRO & COMPANY PC 50 HOLDEN STREET PROVIDENCE RI 02908 990 2014-01-01 050275443 SAINT ANTOINE RESIDENCE SAIN 4017673500 10 RHODES AVENUE NORTH SMITHFIELD RI 02896 WENDY FARGNOLI ADMINISTRATOR/ASSISTANT TREASURER 4017673500 2015-08-26 1 MONICA MOTTA P01316400 4012725600 2014 2016-03-07 17:11:31Z WENDY FARGNOLI 10 RHODES AVENUE NORTH SMITHFIELD RI 02896 24167709 0 X WWW.STANTOINE.NET X 1913 RI THE MISSION OF SAINT ANTOINE RESIDENCE IS TO CARE FOR THE SICK AND ELDERLY IN ADDITION TO REFLECTING THE CHURCH'S COMMITMENT AND SUPPORT FOR ALL HUMAN LIFE AND AFFIRMATION OF THE VALUE OF EACH PERSON REGARDLESS OF AGE OR PHYSICAL CONDITION IN A COMPASSIONATE, CARING AND CHRISTIAN ENVIRONMENT. 6 5 485 65 0 0 646609 899315 22155668 23054949 41933 42022 61036 80399 22905246 24076685 0 0 0 0 14276412 14523472 23375 11775 22982 8186274 8533174 22486061 23068421 419185 1008264 19104042 19252253 7646436 6647622 11457606 12604631 X THE MISSION OF SAINT ANTOINE RESIDENCE IS TO CARE FOR THE SICK AND ELDERLY IN ADDITION TO REFLECTING THE CHURCH'S COMMITMENT AND SUPPORT FOR ALL HUMAN LIFE AND AFFIRMATION OF THE VALUE OF EACH PERSON REGARDLESS OF AGE OR PHYSICAL CONDITION IN A COMPASSIONATE, CARING AND CHRISTIAN ENVIRONMENT. 0 0 21521645 22927479 THE OPERATION OF A LONG-TERM CARE FACILITY FOR THE ELDERLY AND OTHER NEEDY INDIVIDUALS. DURING 2014 ST. ANTOINE'S PROVIDED A TOTAL 90,660 PATIENT BED DAYS, INCLUDING 73,411 BED DAYS TO MEDICAID AND MEDICARE PATIENTS. 57566 127470 PROVISION OF MEALS TO ADULT DAY CARE PROGRAM OPERATED BY PACE, AN EXEMPT ORGANIZATION DESCRIBED IN INTERNAL REVENUE CODE SECTION 501(C)(3). 21579211 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 11 0 1 485 1 0 0 0 0 0 1 1 0 0 0 0 X 6 5 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X MARIO MACERA 4017673500 10 RHODES AVENUE NORTH SMITHFIELD RI 028966999 MOST REV THOMAS J TOBIN PRESIDENT / TREASURER 1.00 X X 0 0 0 REV MSGR ALBERT A KENNEY VICE PRESIDENT 1.00 X X 0 0 0 REV TIMOTHY D REILLY SECRETARY 1.00 X X 0 0 0 WENDY FARGNOLI ADMINISTRATOR/ASST TREASURER 40.00 X X 135513 0 32437 REV MSGR GEORGE FRAPPIER DIRECTOR 1.00 X X 0 0 0 JOHN J BARRY III DIRECTOR 1.00 X 0 0 0 MARIO MACERA DIRECTOR OF FINANCE 40.00 X 117096 0 29894 252609 0 62331 2 0 1 0 0 356200 171759 371356 899315 MEDICAID & MEDICARE REVENUES 623000 16222603 16222603 NURSING HOME FEES 623000 6619476 6619476 MEALS REVENUE - PACE ADULT MEALS 623000 127470 127470 MANAGEMENT FEE INCOME 623000 85400 85400 23054949 42022 42022 11440 4042 7398 7398 7398 112804 86982 25822 25822 DISCOUNTS EARNED 900099 26652 26652 OTHER INCOME 900099 14712 14712 HAIRDRESSER REVENUE 900099 5815 5815 47179 24076685 23054949 0 122421 314940 18896 296044 10462771 9846915 615856 807907 769110 38797 2125957 1984248 141709 811897 746094 65803 52879 52879 11775 11775 7355 7355 87545 87545 36364 36364 25960 25960 31396 31396 571812 537503 34309 13689 13689 267519 251468 16051 651350 614672 36678 557261 538589 18672 PURCHASED SERVICES 2258115 2258115 MEDICAL & OTHER DIRECT 1458876 1458876 PROVIDER TAXES 1231593 1231593 FOOD 918736 918736 362724 351517 11207 23068421 21579211 1466228 22982 2000 2000 6394476 5886146 0 187675 1654826 2139969 670930 575769 68252 91847 167618 94347 20454266 11131214 9261296 9323052 380327 373621 504317 577827 19104042 19252253 1754352 1910302 5430000 4420000 462084 317320 7646436 6647622 X 10764454 12120723 654402 445158 38750 38750 11457606 12604631 19104042 19252253 X 1008264 -6002 144764 X X 0 1 X 1 0 X 434717 410451 457529 670700 925137 2898534 21359483 21843385 22323885 22155668 23054949 110737370 6370 5998 6411 6073 5815 30667 21800570 22259834 22787825 22832441 23985901 113666571 0 0 0 113666571 63113 55327 37113 41933 53462 250948 63113 55327 37113 41933 53462 250948 30260 14897 26762 5889 14712 92520 21893943 22330058 22851700 22880263 24054075 114010039 0.99700 0.99690 0.00220 0.00230 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 380327 10015 16721 373621 354168 42454 16295 380327 327175 34511 7518 354168 356341 -15062 14104 327175 338876 31609 14144 356341 0.46520 0.11060 0.42420 0 0 166000 166000 15449809 7460776 7989033 4199980 3670438 529542 638477 638477 9323052 INTEREST RATE SWAP 317320 317320 X PART X, LINE 2: THE ORGANIZATION HAS ADOPTED THE GUIDANCE IN ASC 740, INCOME TAXES, RELATING TO UNCERTAIN TAX POSITIONS. THIS GUIDANCE PRESCRIBES A TWO STEP PROCESS FOR THE MEASUREMENT OF UNCERTAIN TAX POSITIONS THAT HAVE BEEN TAKEN OR ARE EXPECTED TO BE TAKEN ON A TAX RETURN. THE FIRST STEP IS A DETERMINATION OF WHETHER THE TAX POSITION SHOULD BE RECOGNIZED IN THE FINANCIAL STATEMENTS. THE SECOND STEP DETERMINES THE MEASUREMENT OF THE TAX POSITION. ASC 740 ALSO PROVIDES GUIDANCE ON DE-RECOGNITION OF SUCH TAX POSITIONS, CLASSIFICATION, POTENTIAL INTEREST AND PENALTIES, AND DISCLOSURE. MANAGEMENT BELIEVES THAT NO UNCERTAIN TAX POSITIONS WITHIN THE SCOPE OF ASC 740 EXIST AS OF DECEMBER 31, 2014. X X X X X 1 DAVID M WAHL 196 OLD RIVER ROAD 718 LINCOLN RI 02865 CAPITAL CAMPAIGN CONSULTING SERVICES 0 328188 11775 316413 328188 11775 316413 RI GOLF TOURNAMENT 106043 106043 86394 ANNUAL FUND 5389 5389 209 2 1372 1372 379 112804 112804 86982 86982 25822 X X X 0 0 0 0 0 0 0 0 0 WENDY FARGNOLI ADMINISTRATOR/ASST TREASURER 135513 0 0 0 0 0 15766 0 16671 0 167950 0 0 0 A RHODE ISLAND HEALTH AND EDUCATIONAL BUILDING CORPORATION 521300173 762243ZA4 2009-11-12 9135000 TO FINANCE PAY-OFF OF ORIGINAL BOND LIABILITY ISSUED ON 09/11/1999. 0 0 0 A 4715000 9135000 182700 72651 8879649 1994 1 0 1 1 A 0 0 0 1 1 1 BANK OF AMERICA MERRILL LYNCH 9.000000000000 1 0 0 0 1 A 0 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: RHODE ISLAND HEALTH AND EDUCATIONAL BUILDING CORPORATION DATE THE REBATE COMPUTATION WAS PERFORMED: 11/12/2014 FORM 990, PART VI, SECTION B, LINE 11 MARIO MACERA, DIRECTOR OF FINANCE AND WENDY FARGNOLI, ASSISTANT TREASURER REVIEW THE FORM 990 PRIOR TO FILING. UPON REVIEW AND APPROVAL, THE RETURN IS SIGNED BY WENDY FARGNOLI AND FILED WITH THE IRS. IN THE EVENT THAT WENDY FARGNOLI IS NOT ABLE TO SIGN THE 990 INFORMATION RETURN, MARIO MACERA IS AUTHORIZED TO DO SO. A COPY IS SUBMITTED TO THE FISCAL OFFICE AT THE DIOCESE OF PROVIDENCE AND ONE IS KEPT AT THE BUSINESS OFFICE. FORM 990, PART VI, SECTION B, LINE 12C ALL KEY EMPLOYEES AND MEMBERS OF THE BOARD OF DIRECTORS ARE ASKED TO READ THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND ANNUALLY THEY ARE ASKED TO DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST. THE EXECUTIVE DIRECTOR AND THE FINANCE DIRECTOR REVIEW ALL POTENTIAL CONFLICTS OF INTEREST DISCLOSED BY KEY EMPLOYEES AND DETERMINE IF A TRUE CONFLICT EXISTS. IF AN INDIVIDUAL HAS A CONFLICT, THE EXECUTIVE DIRECTOR AND THE DIRECTOR OF FINANCE REPORT THIS INFORMATION TO THE BOARD OF DIRECTORS. ALL MEMBERS OF THE BOARD ARE ASKED TO DISCLOSE ANY CONFLICTS OF INTEREST, AND DEPENDING UPON THE CONFLICT, THEY ARE ASKED TO RECUSE THEMSELVES FROM DISCUSSIONS AND VOTING ON THE RELATED ISSUE. ALL DECISIONS ARE RECORDED IN THE MINUTES OF THE BOARD OF DIRECTORS' MEETING. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS FUNCTIONS AS A COMPENSATION COMMITTEE IN DETERMINING SALARY FOR THE ADMINISTRATOR AND KEY EMPLOYEES. IN MAKING ITS DECISION ON COMPENSATION, IT TAKES INTO ACCOUNT THE COMPENSATION PAID TO SIMILAR ADMINISTRATORS AT COMPARABLE NON-PROFIT ORGANIZATIONS IN THE AREA. THE COMMITTEE CONSIDERS THE PERFORMANCE OF THE ORGANIZATION DURING THE REVIEW PERIOD AND CONSIDERS THE ADMINISTRATOR'S SUCCESS IN ACHIEVING ORGANIZATIONAL GOALS. THE ADMINISTRATOR REVIEWS SALARY OF ALL OTHER EMPLOYEES. IN MAKING A DECISION ON THE AMOUNT OF COMPENSATION, SHE TAKES INTO ACCOUNT THE COMPENSATION PAID TO SIMILAR EXECUTIVES, PERFORMING SIMILAR TYPES OF DUTIES, AT COMPARABLE NON-PROFIT ORGANIZATIONS IN THE RHODE ISLAND AREA. COMPENSATION RELATED DECISIONS ARE DOCUMENTED IN THE MINUTES OF THE BOARD MEETINGS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ALL GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: UNREALIZED GAIN ON INTEREST RATE SWAP 144,764. FORM 990 PART XII, LINE 2C THE FINANCE COMMITTEE IS RESPONSIBLE FOR OVERSIGHT OF THE COMPLETION OF THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE AUDITED FINANCIAL STATEMENTS ARE REVIEWED BY THE FINANCE COMMITTEE AND SUBMITTED TO THE ADVISORY BOARD AND CORPORATE BOARD. DAURAY LLC 10 RHODES AVENUE NORTH SMITHFIELD RI 02896 050275443 REAL ESTATE RI THE FRASSATI RESIDENCE DBA THE VILLA AT SAINT ANTOINE 400 MENDON ROAD NORTH SMITHFIELD RI 02896 050511505 OPERATION OF A 76-UNIT ASSISTED LIVING FACILITY. RI 501(C)(3) LINE 1 0 501(C)(3) 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0