DIVINE PROVIDENCE COMMUNITY HOME: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- DIVINE PROVIDENCE COMMUNITY HOME (EIN 41-0839343)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-02-03
- IRS object ID
- 201440349349300244
- Schema version
- 2012v2.1
- 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) |
|---|---|---|
| Timestamp | 2014-02-03T13:51:06-06:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 450250958 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EIDE BAILLY LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| 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 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410839343 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIVINE PROVIDENCE COMMUNITY HOME | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | DIVI | NameControl |
| Phone | 5077943011 | Phone |
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 |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JAYNA GROEBNER | Name |
| Title | ADMINISTRATOR | Title |
| Phone | 5077943011 | Phone |
| Date Signed | 2014-01-27 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SARAH VOGT CPA | Name |
| PTIN | P00978242 | PTIN |
| Phone | 6122536500 | Phone |
| Date Prepared | 2014-01-27 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JAYNA GROEBNER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| 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 | 3578664 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1960 | YearFormation |
| State Legal Domicile | MN | StateLegalDomicile |
| Activity Or Mission Description | RELIGIOUS ORGANIZATION WHOSE PURPOSE IS THE CARE OF THE AGED AND PHYSICALLY IMPAIRED BY PROVIDING PROFESSIONAL CARE AT THE HIGHEST LEVEL. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 6 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 6 | NbrIndependentVotingMembers |
| Total Nbr Employees | 159 | TotalNbrEmployees |
| Total Nbr Volunteers | 7 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 21702 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 60516 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 3747713 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 3491233 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 16281 | InvestmentIncomePriorYear |
| Investment Income Current Year | 13078 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 13903 | OtherRevenuePriorYear |
| Other Revenue Current Year | 6097 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 3799599 | TotalRevenuePriorYear |
| Total Revenue Current Year | 3570924 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 4082 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 11969 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 2195175 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 2164825 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1322946 | OtherExpensePriorYear |
| Other Expenses Current Year | 1278185 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 3522203 | TotalExpensesPriorYear |
| Total Expenses Current Year | 3454979 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 277396 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 115945 | RevenuesLessExpensesCY |
| Total Assets BOY | 2379042 | TotalAssetsBOY |
| Total Assets EOY | 2477980 | TotalAssetsEOY |
| Total Liabilities BOY | 230456 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 212672 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 2148586 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 2265308 | NetAssetsOrFundBalancesEOY |
| Mission Description | RELIGIOUS ORGANIZATION WHOSE PURPOSE IS THE CARE OF THE AGED AND PHYSICALLY IMPAIRED BY PROVIDING PROFESSIONAL CARE AT THE HIGHEST LEVEL. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 3235484 | Expense |
| Grants | 11969 | Grants |
| Revenue | 3491233 | Revenue |
| Description | 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 20,541 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 25 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. | Description |
| Total Program Service Expense | 3235484 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 1 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 4 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 159 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 6 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 6 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 0 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 0 | WhistleblowerPolicy |
| Document Retention Policy | 0 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JAYNA GROEBNER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5077943011 | TelephoneNumber |
Address US AddressUS
| 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 Form990PartVIISectionA (7 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| SR RITA BUTLER | ||||||
| PRESIDENT | 40.00 | X | X | 0 | 0 | 0 |
| SR BERNADINE UGOLINI | ||||||
| VICE PRESIDENT | 40.00 | X | X | 0 | 0 | 0 |
| SR PATRICIA MCCAFFERTY | ||||||
| TREASURER | 40.00 | X | X | 0 | 0 | 0 |
| SR MARY WALKER | ||||||
| SECRETARY | 40.00 | X | X | 0 | 0 | 0 |
| SR MARTHA SCHEESSELE | ||||||
| DIRECTOR | 40.00 | X | 0 | 0 | 0 | |
| SR MARY LYNN RAKOWSKI | ||||||
| DIRECTOR | 40.00 | X | 0 | 0 | 0 | |
| JAYNA GROEBNER | ||||||
| EXECUTIVE DIRECTOR | 40.00 | X | 52462 | 0 | 4424 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 52462 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 4424 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ONR | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| 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) |
|---|---|---|
| Description Of Services | THERAPY SERVICES | DescriptionOfServices |
| Compensation | 107390 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
| Fundraising Events | 5500 | FundraisingEvents |
| Government Grants | 9849 | GovernmentGrants |
| All Other Contributions | 45167 | AllOtherContributions |
| Noncash Contributions | 5500 | NoncashContributions |
| Total Contributions | 60516 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NURSING HOME CARE | 623000 | 3219282 | 3219282 |
| SENIOR LIVING APARTMEN | 623000 | 209214 | 209214 |
| OTHER REVENUE | 900099 | 62737 | 62737 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 3491233 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 13078 | TotalRevenueColumn |
| Exclusion | $13,078 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 4810 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 5500 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 1763 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3047 | TotalRevenueColumn |
| Exclusion | $3,047 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 9027 | GrossSalesOfInventory |
| Cost Of Goods Sold | 5977 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3050 | TotalRevenueColumn |
| Exclusion | $3,050 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3570924 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3491233 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $19,175 | ExclusionAmount |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11969 | Total |
| Program Services | 11969 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 54460 | Total |
| Management And General | 54460 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1793032 | Total |
| Program Services | 1701243 | ProgramServices |
| Management And General | 91789 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 47065 | Total |
| Program Services | 45080 | ProgramServices |
| Management And General | 1985 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 143710 | Total |
| Program Services | 133808 | ProgramServices |
| Management And General | 9902 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 126558 | Total |
| Program Services | 116656 | ProgramServices |
| Management And General | 9902 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16689 | Total |
| Management And General | 16689 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 260117 | Total |
| Program Services | 253639 | ProgramServices |
| Management And General | 6478 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1497 | Total |
| Management And General | 1497 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 244277 | Total |
| Program Services | 228654 | ProgramServices |
| Management And General | 15623 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 303485 | Total |
| Program Services | 303485 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2458 | Total |
| Management And General | 2458 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11450 | Total |
| Program Services | 11390 | ProgramServices |
| Management And General | 60 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 601 | Total |
| Program Services | 601 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 103850 | Total |
| Program Services | 103850 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 55270 | Total |
| Program Services | 55270 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| NURSING FACILITY SURCHA | 163270 | 163270 |
| MEDICAL SUPPLIES | 90547 | 90547 |
| AUXILIARY | 9093 | 9093 |
| LICENSING AND PERMITS | 6809 | 6809 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8772 | Total |
| Program Services | 120 | ProgramServices |
| Management And General | 8652 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3454979 | Total |
| Program Services | 3235484 | ProgramServices |
| Management And General | 219495 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 665230 | BOY |
| EOY | 785522 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 239112 | BOY |
| EOY | 191769 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 44663 | BOY |
| EOY | 42619 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 2171304 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1537623 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 606892 | BOY |
| EOY | 633681 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 805063 | BOY |
| EOY | 806803 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18082 | BOY |
| EOY | 17586 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2379042 | BOY |
| EOY | 2477980 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 174952 | BOY |
| EOY | 181346 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19250 | BOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18082 | BOY |
| EOY | 17586 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18172 | BOY |
| EOY | 13740 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 230456 | BOY |
| EOY | 212672 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2148586 | BOY |
| EOY | 2265308 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2148586 | BOY |
| EOY | 2265308 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2379042 | BOY |
| EOY | 2477980 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 115945 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 777 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 0 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 80192 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 57649 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 48058 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 21702 | CurrentTaxYearMinus1Year |
| Current Tax Year | 55016 | CurrentTaxYear |
| Total | 262617 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 80192 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 57649 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 48058 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 21702 | CurrentTaxYearMinus1Year |
| Current Tax Year | 55016 | CurrentTaxYear |
| Total | 262617 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 8887 | AmountsSubstContributorsTotal |
| Public Support Total170 | 253730 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 11719 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 19977 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 19456 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 16281 | CurrentTaxYearMinus1Year |
| Current Tax Year | 13078 | CurrentTaxYear |
| Total | 80511 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 343128 | TotalSupport |
| Gross Receipts From Admissions Etc | 18677648 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.73950 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.75350 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 1 | AgentTrusteeEtc |
| Beginning Balance | 15216 | BeginningBalance |
| Additions During Year | 18416 | AdditionsDuringYear |
| Distributions During Year | 19193 | DistributionsDuringYear |
| Ending Balance | 14439 | EndingBalance |
| Included On FS | 1 | IncludedOnFS |
| Explanation In Part XIII | X | ExplanationInPartXIII |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 876222 | OtherCostOrOtherBasis |
| Depreciation | 524606 | Depreciation |
| Book Value | 351616 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1212530 | OtherCostOrOtherBasis |
| Depreciation | 930465 | Depreciation |
| Book Value | 282065 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 82552 | OtherCostOrOtherBasis |
| Depreciation | 82552 | Depreciation |
| Book Value | 0 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 633681 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | CAPITALIZED LEASE OBLIGATIONS | Description |
| Amount | $13,740 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 13740 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 3562608 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 8337 | OtherRevenues |
| Revenue Not Rptd F990 | 8337 | RevenueNotRptdF990 |
| Revenue Subtotal | 3554271 | RevenueSubtotal |
| Other Revenues Not Included | 16653 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 16653 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 3570924 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 3445886 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 10100 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 10100 | ExpensesNotRptdF990 |
| Expenses Subtotal | 3435786 | ExpensesSubtotal |
| Other Expenses Not Included | 19193 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 19193 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 3454979 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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. | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: |
| DONATIONS FROM AUXILIARY PREVIOUSLY INCLUDED ON THE FINANCIALS 8,337. | PART XI, LINE 2D - OTHER ADJUSTMENTS: | |
| REVENUE FROM THE AUXILIARY NOT INCLUDED ON THE FINANCIALS 18,416. AUXILIARY FUNDRAISING EXPENSE MOVED FROM REVENUES TO EXPENSES -1,763. | PART XI, LINE 4B - OTHER ADJUSTMENTS: | |
| AUXILIARY FUNDRAISING EXPENSE MOVED FROM REVENUES TO EXPENSES 1,763. DONATIONS FROM AUXILIARY PREVIOUSLY INCLUDED ON THE FINANCIALS 8,337. | PART XII, LINE 2D - OTHER ADJUSTMENTS: | |
| EXPENSES FROM THE AUXILIARY NOT INCLUDED ON THE FINANCIALS 19,193. | PART XII, LINE 4B - OTHER ADJUSTMENTS: |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | SCHOLARSHIP | TypeOfGrant |
| Number Of Recipients | 1 | NumberOfRecipients |
| Amount Of Cash Grant | 11969 | AmountOfCashGrant |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: 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. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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 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 REVIEWS. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ALL ITS GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AS WELL AS ALL FINANCIAL DATA REGARDING THE FILING OF ALL REQUIRED FORMS. | |
| FORM 990, PART XI, LINE 9: | NET INCOME ON AUXILIARY NOT INCLUDED IN FINANCIAL STATEMENTS 777. | CHANGES IN NET ASSETS OR FUND BALANCES: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE DAUGHTERS OF ST MARY PROVIDENCE | BusinessNameLine1 |
Address US AddressUS
| 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 | PrimaryActivities |
| Legal Domicile State | IL | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | LINE 1 | PublicCharityStatus |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Controlled Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
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