FURP.ORG / PUBLIC DATA EXPLORER

LAFAYETTE REHABILITATION AND SKILLED: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
LAFAYETTE REHABILITATION AND SKILLED (EIN 20-8745166)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-17
IRS object ID
201413219349305646
Schema version
2013v3.0
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)
Return2014-11-17T13:29:50-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1300 CROWN COLONY DRIVE SUITE 310AddressLine1
CityQUINCYCity
StateMAState
ZIP Code02169ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN208745166EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LAFAYETTE REHABILITATION AND SKILLEDBusinessNameLine1
Business Name Line2NURSING FACILITY INC C/O PLATINUM CAREBusinessNameLine2
FieldValueIRS element (for citing)
Business Name ControlLAFABusinessNameControlTxt
Phone9784201500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line135 AVCO ROADAddressLine1
CityHAVERHILLCity
StateMAState
ZIP Code01835ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOEL E KIRCHICKPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone9784201500PhoneNum
Signature2014-11-06SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonROBERT DILLANPreparerPersonNm
PTINP01688008PTIN
Phone6179848100PhoneNum
Preparation2014-10-21PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJOEL E KIRCHIKPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line135 AVCO ROADAddressLine1
CityHAVERHILLCity
StateMAState
ZIP Code01835ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$5,973,591GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.THELAFAYETTE.NETWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2007FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionIT IS THE MISSION OF LAFAYETTE REHABILITATION AND SKILLED NURSING FACILITY, INC. TO PROVIDE ELDERS WITH DYNAMIC, MEANINGFUL AND SUPPORTIVE LIVING ENVIRONMENTS, INTEGRATING QUALITY CARE, EDUCATION AND RESEARCH, RESPECT FOR INDIVIDUALITY AND THE HUMAN SPIRIT, AND INNOVATIVE APPROACHES TO MEET THE EVER CHANGING NEEDS OF THE COMMUNITIES WE SERVE.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee149TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$23,963PYContributionsGrantsAmt
CY Contributions Grants$14,253CYContributionsGrantsAmt
PY Program Service Revenue$5,484,941PYProgramServiceRevenueAmt
CY Program Service Revenue$5,414,698CYProgramServiceRevenueAmt
PY Investment Income$29,624PYInvestmentIncomeAmt
CY Investment Income-$21,736CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$5,538,528PYTotalRevenueAmt
CY Total Revenue$5,407,215CYTotalRevenueAmt
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$3,347,363PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,218,906CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,105,344PYOtherExpensesAmt
CY Other Expenses$2,145,967CYOtherExpensesAmt
PY Total Expenses$5,452,707PYTotalExpensesAmt
CY Total Expenses$5,364,873CYTotalExpensesAmt
PY Revenues Less Expenses$85,821PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$42,342CYRevenuesLessExpensesAmt
Total Assets BOY$11,423,631TotalAssetsBOYAmt
Total Assets EOY$11,353,061TotalAssetsEOYAmt
Total Liabilities BOY$9,649,011TotalLiabilitiesBOYAmt
Total Liabilities EOY$9,536,099TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,774,620NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,816,962NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionIT IS THE MISSION OF LAFAYETTE REHABILITATION AND SKILLED NURSING FACILITY, INC. TO PROVIDE ELDERS WITH DYNAMIC, MEANINGFUL AND SUPPORTIVE LIVING ENVIRONMENTS, INTEGRATING QUALITY CARE, EDUCATION AND RESEARCH, RESPECT FOR INDIVIDUALITY AND THE HUMAN SPIRIT, AND INNOVATIVE APPROACHES TO MEET THE EVER CHANGING NEEDS OF THE COMMUNITIES WE SERVE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$4,660,583ExpenseAmt
Revenue$5,414,698RevenueAmt
DescLAFAYETTE REHABILITATION AND SKILLED NURSING FACILITY,INC. IS A 65-BED, JCAHO ACCREDITED AND MEDICARE CERTIFIED HEALTHCARE FACILITY OFFERING TRADITIONAL SKILLED NURSING CARE, SHORT-TERM REHABILITATION, PLUS A VARIETY OF SPECIALIZED TREATMENT PROGRAMS.Desc
Total Program Service Expenses$4,660,583TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
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 Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
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 Document7IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee149EmployeeCnt
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 ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
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 Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
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 Policy0ConflictOfInterestPolicyInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
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 Line1RICHARD ATKINSONBusinessNameLine1
FieldValueIRS element (for citing)
Phone9784201500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line135 AVCO ROADAddressLine1
CityHAVERHILLCity
StateMAState
ZIP Code01835ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
JOEL KIRCHIK
PRESIDENT1.002.00Yes (X)Yes (X)$0$0$0
JOHN REGAN
SECRETARY1.002.00Yes (X)Yes (X)$0$0$0
RAYMOND DENNEHY
TREASURER1.002.00Yes (X)Yes (X)$0$0$0
PATRICIA TORTELLA
DIRECTOR1.002.00Yes (X)$0$0$0
DAVID O'DONNELL
DIRECTOR1.002.00Yes (X)$0$0$0
JEFFREY WITHERELL
DIRECTOR1.002.00Yes (X)$0$0$0
MICHAEL MOORE
DIRECTOR1.002.00Yes (X)$0$0$0
GEORGE BARBUZZI
FACILITY ADMINISTRATOR40.000.00$105,394$0$8,552Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$105,394TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$8,552TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
PLATINUM CARE LLC
35 AVCO ROADHAVERHILLMA01835MANAGEMENT SERVICES$352,916
PERFORMANCE HEALTHCARE
47R RIVER STREET SUITE 200RWELLESLEYMA02481HOUSEKEEPING & LAUNDRY SERVICES$182,500
US FOODS
PO BOX 3155BOSTONMA02241FOOD SERVICES$105,818
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Fundraising$14,253FundraisingAmt
Total Contributions$14,253TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPROGRAM SERVICE REVENUEDesc
Business623000BusinessCd
Total Revenue Column$5,414,698TotalRevenueColumnAmt
Related Or Exempt Func Income$5,414,698RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$5,414,698TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$21,217TotalRevenueColumnAmt
Exclusion$21,217ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$494,216SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$537,169SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$42,953SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$42,953TotalRevenueColumnAmt
Exclusion-$42,953ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$29,207FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$14,253ContriRptFundraisingEventAmt
Fundraising Direct Expenses$29,207FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,407,215TotalRevenueColumnAmt
Related Or Exempt Func Income$5,414,698RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$21,736ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,792,056TotalAmt
Program Services$2,609,649ProgramServicesAmt
Management And General$182,407ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$226,556TotalAmt
Program Services$211,755ProgramServicesAmt
Management And General$14,801ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$200,294TotalAmt
Program Services$187,205ProgramServicesAmt
Management And General$13,089ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$335,940TotalAmt
Management And General$335,940ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$207TotalAmt
Management And General$207ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$25,100TotalAmt
Management And General$25,100ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$231,754TotalAmt
Program Services$231,754ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$22,315TotalAmt
Management And General$22,315ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$75,777TotalAmt
Program Services$4,073ProgramServicesAmt
Management And General$71,704ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$782,306TotalAmt
Program Services$782,306ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,696TotalAmt
Management And General$3,696ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$207,362TotalAmt
Program Services$207,362ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$39,367TotalAmt
Program Services$39,367ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL EXPENSES$228,479$228,479
DIETARY EXPENSES$134,681$134,681
OTHER EXPENSES$35,031$35,031
ACTIVITIES EXPENSE$19,103$19,103

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,849TotalAmt
Program Services$4,849ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$5,364,873TotalAmt
Program Services$4,660,583ProgramServicesAmt
Management And General$704,290ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$892,216BOYAmt
EOY$1,404,205EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$941,511BOYAmt
EOY$1,147,198EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$486,144BOYAmt
EOY$370,402EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$34,492BOYAmt
EOY$44,608EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$6,752,871LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,072,473LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,776,325BOYAmt
EOY$5,680,398EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$528,769BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$1,513,333BOYAmt
EOY$1,513,333EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,250,841BOYAmt
EOY$1,192,917EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$11,423,631BOYAmt
EOY$11,353,061EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$522,100BOYAmt
EOY$534,723EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,808,527BOYAmt
EOY$8,196,542EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$318,384BOYAmt
EOY$804,834EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,649,011BOYAmt
EOY$9,536,099EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,774,620BOYAmt
EOY$1,816,962EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,774,620BOYAmt
EOY$1,816,962EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,423,631BOYAmt
EOY$11,353,061EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$42,342ReconcilationRevenueExpnssAmt
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)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit Committee0AuditCommitteeInd
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 Minus3 Years$34,156CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$29,373CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$23,963CurrentTaxYearMinus1YearAmt
Current Tax Year$14,253CurrentTaxYearAmt
Total$101,745TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$5,949,097CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,031,907CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,484,941CurrentTaxYearMinus1YearAmt
Current Tax Year$5,414,698CurrentTaxYearAmt
Total$22,880,643TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$5,983,253CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,061,280CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,508,904CurrentTaxYearMinus1YearAmt
Current Tax Year$5,428,951CurrentTaxYearAmt
Total$22,982,388TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$30,000CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$20,000CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,000CurrentTaxYearMinus1YearAmt
Current Tax Year$20,000CurrentTaxYearAmt
Total$85,000TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$30,000CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$20,000CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,000CurrentTaxYearMinus1YearAmt
Current Tax Year$20,000CurrentTaxYearAmt
Total$85,000TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$22,897,388PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$35,023CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$35,563CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$29,624CurrentTaxYearMinus1YearAmt
Current Tax Year$21,217CurrentTaxYearAmt
Total$121,427TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$35,023CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$35,563CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$29,624CurrentTaxYearMinus1YearAmt
Current Tax Year$21,217CurrentTaxYearAmt
Total$121,427TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$434CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,035CurrentTaxYearMinus2YearsAmt
Current Tax Year-$42,953CurrentTaxYearAmt
Total-$36,484TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$6,018,710CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,102,878CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,538,528CurrentTaxYearMinus1YearAmt
Current Tax Year$5,407,215CurrentTaxYearAmt
Total$23,067,331TotalAmt
FieldValueIRS element (for citing)
First5 Years509Yes (X)First5Years509Ind

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$584,000OtherCostOrOtherBasisAmt
Book Value$584,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,256,000OtherCostOrOtherBasisAmt
Depreciation$810,300DepreciationAmt
Book Value$4,445,700BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$554,153OtherCostOrOtherBasisAmt
Depreciation$75,516DepreciationAmt
Book Value$478,637BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$358,718OtherCostOrOtherBasisAmt
Depreciation$186,657DepreciationAmt
Book Value$172,061BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,680,398TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
DEFERRED FINANCING COSTS, NET$310,845
TRUSTEE FUNDS HELD UNDER BOND INDENTURE$880,290
INTEREST RECEIVABLE$680
ACCOUNTS RECEIVABLE - OTHER$1,102
FieldValueIRS element (for citing)
Total Book Value Other Assets$1,192,917TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION IS A MASSACHUSETTS NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THIS ENTITY'S 2010 THROUGH 2013 TAX YEARS ARE OPEN FOR EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1GOLF TOURNAMENTNameOfEvent1Amt
Gross Receipts Event1$43,460GrossReceiptsEvent1Amt
Charitable Contri Event1$14,253CharitableContriEvent1Amt
Gross Revenue Event1$29,207GrossRevenueEvent1Amt
Cash Prizes Event1$400CashPrizesEvent1Amt
Non Cash Prizes Event1$1,919NonCashPrizesEvent1Amt
Rent Facility Costs Event1$18,697RentFacilityCostsEvent1Amt
Other Direct Expenses Event1$8,191OtherDirectExpensesEvent1Amt
Gross Receipts Total$43,460GrossReceiptsTotalAmt
Charitable Contributions Tot$14,253CharitableContributionsTotAmt
Gross Revenue Total Events$29,207GrossRevenueTotalEventsAmt
Cash Prizes Total Events$400CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$1,919NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$18,697RentFcltyCostsTotalEventsAmt
Oth Direct Expnss Total Events$8,191OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$29,207DirectExpenseSummaryEventsAmt
Net Income Summary$0NetIncomeSummaryAmt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
MASSACHUSETTS DEVELOPMENT FINANCE AGENCY - SERIES 2007A
A04343181457585AAA82007-10-25$652,313PURCHASE FACILITIES000
MASSACHUSETTS DEVELOPMENT FINANCE AGENCY - SERIES 2007A
B04343181457585AAB62007-10-25$2,648,860PURCHASE FACILITIES000
MASSACHUSETTS DEVELOPMENT FINANCE AGENCY - SERIES 2007A
C04343181457585AAC42007-10-25$4,854,593PURCHASE FACILITIES000
MASSACHUSETTS DEVELOPMENT FINANCE AGENCY - SERIES 2007C
D0434318142007-10-25$670,606PURCHASE FACILITIES000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndIn Reserve FundInReserveFundAmt
A$652,313$391,271$261,042200700Yes (1)Yes (1)
B$2,648,860$1,671,106200700Yes (1)Yes (1)$977,754
C$4,854,593$4,854,593200700Yes (1)Yes (1)
D$670,606$664,242200700Yes (1)Yes (1)$6,364

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0000000
B0000000
C0000000
D0000000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A0Yes (1)000000
B0Yes (1)000000
C0Yes (1)000000
D0Yes (1)000000

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
A0
B0
C0
D0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3THE ORGANIZATION HAS ENTERED INTO A FIFTEEN-YEAR MANAGEMENT AGREEMENT, EXPIRING OCTOBER 2022, WITH PLATINUM CARE, LLC TO MANAGE THE OPERATIONS OF LAFAYETTE REHABILITATION AND SKILLED NURSING FACILITY, INC. ACTING THROUGH THE NURSING FACILITY EMPLOYEES, TO SUPERVISE, DIRECT AND CONTROL THE DAY-TO-DAY BUSINESS ACTIVITIES AND MANAGEMENT OF THE NURSING FACILITY. PLATINUM CARE, LLC PREPARE AND FILE, ALL COST REPORTS, PAYROLL TAX AND REAL ESTATE TAX FILINGS REQUIRED.
FORM 990, PART VI, SECTION B, LINE 11A COMPLETE COPY OF THE FORM 990 TAX RETURN (INCLUDING ALL REQUIRED SCHEDULES) IS PROVIDED TO EACH PERSON WHO IS A VOTING MEMBER OF THE BOARD OF DIRECTORS AT THE TIME THE FORM 990 IS PROVIDED, EITHER IN PAPER OR ELECTRONIC FORM, TO REVIEW AND APPROVE BEFORE IT IS FILED WITH THE IRS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE ON THE MSRB EMMA WEBSITE.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
ADVENTCARE INC
35 AVCO ROADHAVERHILLMA01835321012491MANAGEMENT COMPANYMA501(C)(3)LINE 90
FAIRHAVEN HEALTHCARE CENTER INC
476 VARNUM AVENUELOWELLMA01854208745264SKILLED NURSING FACILITYMA501(C)(3)LINE 90ADVENTCARE INC
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 Org0LoansOrGuaranteesFromOthOrgInd
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 Org0TransferFromOtherOrgInd