EDGAR P BENJAMIN HEALTHCARE CENTER INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
EDGAR P BENJAMIN HEALTHCARE CENTER INC (EIN 04-2104452)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-10-29
IRS object ID
201523029349301212
Schema version
2014v5.0
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

FieldValueIRS element (for citing)
Return2015-10-29T10:28:35-05:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1300 CROWN COLONY DRIVE SUITE 310AddressLine1Txt
CityQUINCYCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02169ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN042104452EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1EDGAR P BENJAMIN HEALTHCARE CENTERINCBusinessNameLine1Txt
Business Name Line2FKA RESTHAVEN CORPORATIONBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlEDGABusinessNameControlTxt
Phone6177381500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1120 FISHER AVENUEAddressLine1Txt
CityROXBURYCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02120ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTONY FRANCISPersonNm
Person TitlePRESIDENT & CEOPersonTitleTxt
Phone6177381500PhoneNum
Signature2015-10-29SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJUDY DALEYPreparerPersonNm
PTINP01294075PTIN
Phone6179848100PhoneNum
Preparation2015-10-29PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerPERRY SMITHPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1120 FISHER AVENUEAddressLine1Txt
CityROXBURYCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02120ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$12,805,508GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.BENJAMINHEALTHCARE.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1927FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionTHE 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 GENERATIONSActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee289TotalEmployeeCnt
Total Volunteers145TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$24,166PYContributionsGrantsAmt
CY Contributions Grants$77,218CYContributionsGrantsAmt
PY Program Service Revenue$11,107,027PYProgramServiceRevenueAmt
CY Program Service Revenue$12,127,658CYProgramServiceRevenueAmt
PY Investment Income$4,466PYInvestmentIncomeAmt
CY Investment Income$8,645CYInvestmentIncomeAmt
PY Other Revenue$528,775PYOtherRevenueAmt
CY Other Revenue$507,260CYOtherRevenueAmt
PY Total Revenue$11,664,434PYTotalRevenueAmt
CY Total Revenue$12,720,781CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$8,551,833PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$9,035,776CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$8,382CYTotalFundraisingExpenseAmt
PY Other Expenses$3,443,257PYOtherExpensesAmt
CY Other Expenses$3,799,289CYOtherExpensesAmt
PY Total Expenses$11,995,090PYTotalExpensesAmt
CY Total Expenses$12,835,065CYTotalExpensesAmt
PY Revenues Less Expenses-$330,656PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$114,284CYRevenuesLessExpensesAmt
Total Assets BOY$3,952,168TotalAssetsBOYAmt
Total Assets EOY$4,186,158TotalAssetsEOYAmt
Total Liabilities BOY$4,200,835TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,533,369TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$248,667NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$347,211NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE 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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$11,103,063ExpenseAmt
Revenue$12,639,990RevenueAmt
DescSKILLED NURSING CARE & EDUCATIONAL SERVICES - PROVIDE NURSING CARE TO THE ELDERLY THROUGH THE OPERATION OF A 164-BED NURSING HOME AND PROVIDE EDUCATIONAL SUPPORT SERVICES.Desc
Total Program Service Expenses$11,103,063TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document6IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee289EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc0RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TONY FRANCISBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6177381500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1120 FISHER AVENUEAddressLine1Txt
CityROXBURYCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02120ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
PERRY SMITH
CHAIRMAN0.900.10Yes (X)Yes (X)$0$0$0
MYRNA WYNN
VICE CHAIRMAN & FORMER CEO39.200.80Yes (X)Yes (X)$442,821$0$7,950
SANDY JACKSON
TREASURER0.900.10Yes (X)Yes (X)$0$0$0
EVAN TOBASKY
CLERK0.900.10Yes (X)Yes (X)$0$0$0
TONY FRANCIS
PRESIDENT & CEO39.200.80Yes (X)Yes (X)$28,250$0$0
REV GREGORY FERNANDES
DIRECTOR0.900.10Yes (X)$0$0$0
PAM GILLARD
DIRECTOR0.900.10Yes (X)$0$0$0
ROSALINDA MIDENCE
DIRECTOR0.900.10Yes (X)$0$0$0
PHILLIPA WEECH
DIRECTOR0.900.10Yes (X)$0$0$0
NUNOTTE ZAMA
DIRECTOR0.900.10Yes (X)$0$0$0
BERTHELINA SPRIGGS
DON40.000.00$130,676$0$3,690Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$601,747TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$11,640TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Related Organizations$25,000RelatedOrganizationsAmt
All Other Contributions$52,218AllOtherContributionsAmt
Total Contributions$77,218TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE623000$12,117,245$12,117,245
OTHER OPERATING REVENUE623000$10,413$10,413
FieldValueIRS element (for citing)
Total Program Service Revenue$12,127,658TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,645TotalRevenueColumnAmt
Exclusion$8,645ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$577,637RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$65,305RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$512,332RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$512,332TotalRevenueColumnAmt
Related Or Exempt Func Income$512,332RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$14,350FundraisingGrossIncomeAmt
Fundraising Direct Expenses$19,422FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$5,072TotalRevenueColumnAmt
Exclusion-$5,072ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,720,781TotalRevenueColumnAmt
Related Or Exempt Func Income$12,639,990RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$3,573ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$193,825TotalAmt
Management And General$193,825ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,957,753TotalAmt
Program Services$6,379,253ProgramServicesAmt
Management And General$578,500ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$180,909TotalAmt
Program Services$162,488ProgramServicesAmt
Management And General$18,421ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,137,127TotalAmt
Program Services$776,125ProgramServicesAmt
Management And General$361,002ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$566,162TotalAmt
Program Services$505,474ProgramServicesAmt
Management And General$60,688ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$46,267TotalAmt
Management And General$46,267ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$57,960TotalAmt
Management And General$57,960ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$2,482TotalAmt
Management And General$2,482ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$4,855TotalAmt
Management And General$4,855ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$317,890TotalAmt
Program Services$199,167ProgramServicesAmt
Management And General$118,723ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$10,042TotalAmt
Program Services$10,042ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$180,036TotalAmt
Management And General$180,036ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$282,490TotalAmt
Program Services$282,490ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$14,259TotalAmt
Program Services$14,259ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$161,160TotalAmt
Program Services$161,160ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$47,378TotalAmt
Program Services$47,378ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$81,638TotalAmt
Management And General$81,638ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
USER FEES$982,651$982,651
SUPPLIES AND EXPENSE$701,726$701,726
FOOD$400,419$400,419
REPAIRS AND MAINTENANCE$166,920$166,920

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$341,116TotalAmt
Program Services$313,511ProgramServicesAmt
Management And General$19,223ManagementAndGeneralAmt
Fundraising$8,382FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$12,835,065TotalAmt
Program Services$11,103,063ProgramServicesAmt
Management And General$1,723,620ManagementAndGeneralAmt
Fundraising$8,382FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$361,573BOYAmt
EOY$209,041EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,253,463BOYAmt
EOY$1,166,048EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,094,121BOYAmt
EOY$1,560,240EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$82,298BOYAmt
EOY$92,291EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$5,169,650LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,629,417LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$545,571BOYAmt
EOY$540,233EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$237,226BOYAmt
EOY$254,294EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$377,916BOYAmt
EOY$364,011EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,952,168BOYAmt
EOY$4,186,158EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,153,846BOYAmt
EOY$1,486,380EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,300,000BOYAmt
EOY$2,300,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$746,989BOYAmt
EOY$746,989EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,200,835BOYAmt
EOY$4,533,369EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$248,667BOYAmt
EOY-$347,211EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$248,667BOYAmt
EOY-$347,211EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,952,168BOYAmt
EOY$4,186,158EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$114,284ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$15,740NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$241,095CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$78,718CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$92,792CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$24,166CurrentTaxYearMinus1YearAmt
Current Tax Year$77,218CurrentTaxYearAmt
Total$513,989TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,549,099CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,721,074CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,903,131CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,107,027CurrentTaxYearMinus1YearAmt
Current Tax Year$12,142,008CurrentTaxYearAmt
Total$59,422,339TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,790,194CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,799,792CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,995,923CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,131,193CurrentTaxYearMinus1YearAmt
Current Tax Year$12,219,226CurrentTaxYearAmt
Total$59,936,328TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$362,884CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,814CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,865CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,000CurrentTaxYearMinus1YearAmt
Current Tax Year$50,000CurrentTaxYearAmt
Total$448,563TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$362,884CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,814CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,865CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,000CurrentTaxYearMinus1YearAmt
Current Tax Year$50,000CurrentTaxYearAmt
Total$448,563TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$59,487,765PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$728,387CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$698,671CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$672,666CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$612,687CurrentTaxYearMinus1YearAmt
Current Tax Year$586,282CurrentTaxYearAmt
Total$3,298,693TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$728,387CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$698,671CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$672,666CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$612,687CurrentTaxYearMinus1YearAmt
Current Tax Year$586,282CurrentTaxYearAmt
Total$3,298,693TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,518,581CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,498,463CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,668,589CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,743,880CurrentTaxYearMinus1YearAmt
Current Tax Year$12,805,508CurrentTaxYearAmt
Total$63,235,021TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.94070PublicSupportCY509Pct
Public Support PY5090.94590PublicSupportPY509Pct
Investment Income CY0.05220InvestmentIncomeCYPct
Investment Income PY0.04790InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$2,482OtherActivitiesAmt
Total Lobbying Expenditures$2,482TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationA PORTION OF MEMBERSHIP DUES PAID TO STATE HEALTHCARE ORGANIZATIONS ARE USED FOR LOBBYING ACTIVITIES.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$200,000OtherCostOrOtherBasisAmt
Book Value$200,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,517,755OtherCostOrOtherBasisAmt
Depreciation$3,277,049DepreciationAmt
Book Value$240,706BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,451,895OtherCostOrOtherBasisAmt
Depreciation$1,352,368DepreciationAmt
Book Value$99,527BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$540,233TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
DEFERRED DEVELOPMENT COSTS$122,576
RENT RECEIVABLE$241,435
FieldValueIRS element (for citing)
Total Book Value Other Assets$364,011TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
ACCRUED INTEREST PAYABLE$596,989
ASSET RETIREMENT OBLIGATION$150,000
FieldValueIRS element (for citing)
Total Liability$746,989TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$12,805,508TotalRevEtcAuditedFinclStmtAmt
Other Revenue$84,727OtherRevenueAmt
Revenue Not Reported$84,727RevenueNotReportedAmt
Revenue Subtotal$12,720,781RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$12,720,781TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$12,919,792TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$84,727OtherExpensesIncludedAmt
Expenses Not Reported$84,727ExpensesNotReportedAmt
Expenses Subtotal$12,835,065ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$12,835,065TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 2011 THROUGH 2014 TAX RETURNS ARE OPEN FOR EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES.
PART XI, LINE 2D - OTHER ADJUSTMENTS:RECLASS OF RENTAL EXPENSE 65,305. RECLASS OF FUNDRAISING EVENT EXPENSE 19,422.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RECLASS OF RENTAL EXPENSE 65,305. RECLASS OF FUNDRAISING EVENT EXPENSE 19,422.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonMYRNA WYNNPersonNm
TitleVICE CHAIRMAN & FORMER CEOTitleTxt
Base Compensation Filing Org$166,326BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$276,495OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$7,950NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$450,771TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 4AFormAndLineReferenceDesc
ExplanationMYRNA WYNN, DIRECTOR AND FORMER PRESIDENT & CEO, RETIRED AS THE ORGANIZATION'S PRESIDENT & CEO IN 2014 AND RECEIVED A RETIREMENT PAYMENT OF $276,495 DURING THE YEAR.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION'S SOLE MEMBER IS RESTHAVEN CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7ATHE 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 11THE 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 15ATHE 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 19THE 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

FieldValueIRS element (for citing)
Business Name Line1RESTHAVEN CORPORATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1120 FISHER AVENUEAddressLine1Txt
CityROXBURYCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02120ZIPCd
FieldValueIRS element (for citing)
EIN043448700EIN
Primary ActivitiesSUPPORTS NURSING HOMEPrimaryActivitiesTxt
Legal Domicile StateMALegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 11B, IIPublicCharityStatusTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

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