NOTRE DAME HEALTH CARE CENTER INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
NOTRE DAME HEALTH CARE CENTER INC (EIN 04-3108782)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-10-02
IRS object ID
201342759349300039
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

FieldValueIRS element (for citing)
Timestamp2013-10-02T12:25:51-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN410746749EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1300 CROWN COLONY DRIVE SUITE 310AddressLine1
CityQUINCYCity
StateMAState
ZIP Code02169ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN043108782EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NOTRE DAME HEALTH CARE CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNOTRNameControl
Phone5088523011Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1559 PLANTATION STREETAddressLine1
CityWORCESTERCity
StateMAState
ZIP Code01605ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSR EDIE DALY SNDName
TitlePRESIDENTTitle
Phone5088523011Phone
Date Signed2013-09-24DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameROBERT DILLANName
PTINP01688008PTIN
Phone6179848100Phone
Date Prepared2013-09-24DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1NOTRE DAME LONG TERM CARE CENTERBusinessNameLine1
Business Name Line2NOTRE DAME DU LAC NOTRE DAME HOSPICEBusinessNameLine2
FieldValueIRS element (for citing)
Name Of Principal Officer PersonKATHERINE LEMAYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1559 PLANTATION STREETAddressLine1
CityWORCESTERCity
StateMAState
ZIP Code01605ZIPCode
FieldValueIRS element (for citing)
Gross Receipts22849055GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteNOTREDAMELTCC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1990YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionNOTRE DAME HEALTH CARE CENTER, ROOTED IN THE HERITAGE OF SAINT JULIE BILLIART AND SPONSORED BY THE SISTERS OF NOTRE DAME DE NAMUR, IS DEDICATED TO THE HEALING MINISTRY PROCLAIMED IN THE GOSPEL AND BY THE CATHOLIC CHURCH. -WE DEMONSTRATE CONCERN FOR THE WHOLE PERSON IN CARING FOR THE SPIRITUAL, SOCIAL, PHYSICAL AND PSYCHOLOGICAL WELL-BEING OF OUR RESIDENTS, THEIR FAMILIES AND THE COMMUNITY WE SERVE. -WE HONOR THE PERSONAL DIGNITY OF ALL INDIVIDUALS WITH COMPASSION AND WITHOUT DISTINCTION OF GENDER, AGE, ETHNICITY, SEXUAL ORIENTATION, RACE OR CREED. WE STRIVE TO CREATE A WORK ENVIRONMENT WHERE EACH PERSON IS VALUED, RESPECTED AND GIVEN AN OPPORTUNITY FOR PERSONAL, EDUCATIONAL AND PROFESSIONAL GROWTH. -WE USE OUR RESOURCES WITH A PARTICULAR CONCERN FOR THE ELDERLY, THE POOR AND THE VULNERABLE. -WE MAKE KNOWN GOD'S GOODNESS TO THE ENTIRE NDHCC COMMUNITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees420TotalNbrEmployees
Total Nbr Volunteers50TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year103085ContributionsGrantsPriorYear
Contributions Grants Current Year91216ContributionsGrantsCurrentYear
Program Service Revenue Prior Year20117740ProgramServiceRevenuePriorYear
Program Service Revenue CY20294741ProgramServiceRevenueCY
Investment Income Prior Year344127InvestmentIncomePriorYear
Investment Income Current Year427974InvestmentIncomeCurrentYear
Other Revenue Prior Year14723OtherRevenuePriorYear
Other Revenue Current Year63241OtherRevenueCurrentYear
Total Revenue Prior Year20579675TotalRevenuePriorYear
Total Revenue Current Year20877172TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year12119498SalariesEtcPriorYear
Salaries Etc Current Year12532173SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year7238876OtherExpensePriorYear
Other Expenses Current Year7204753OtherExpensesCurrentYear
Total Expenses Prior Year19358374TotalExpensesPriorYear
Total Expenses Current Year19736926TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1221301RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1140246RevenuesLessExpensesCY
Total Assets BOY36144510TotalAssetsBOY
Total Assets EOY37102716TotalAssetsEOY
Total Liabilities BOY22352296TotalLiabilitiesBOY
Total Liabilities EOY21898031TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY13792214NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY15204685NetAssetsOrFundBalancesEOY
Mission DescriptionNOTRE DAME HEALTH CARE CENTER, ROOTED IN THE HERITAGE OF SAINT JULIE BILLIART AND SPONSORED BY THE SISTERS OF NOTRE DAME DE NAMUR, IS DEDICATED TO THE HEALING MINISTRY PROCLAIMED IN THE GOSPEL AND BY THE CATHOLIC CHURCH.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense18236141Expense
Revenue20470048Revenue
DescriptionPROVIDE SKILLED NURSING HOME CARE TO THE ELDERLY AND DISABLEDDescription
Total Program Service Expense18236141TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements1ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109621NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees420NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1SR ELIZABETH MCLAUGHLIN SND TREASURERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5088523011TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1559 PLANTATION STAddressLine1
CityWORCESTERCity
StateMAState
ZIP Code01605ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
SR BARBARA-JEAN KUBIK SND
DIRECTOR1.00X000
SR EDIE DALY SND
DIRECTOR/PRESIDENT1.00X000X
SR ELIZABETH MCLAUGHLIN SND
DIRECTOR/TREASURER1.00X000X
MS MARY CULHANE
DIRECTOR1.00X000
SR MARGARET MCCARTHY - SND
DIRECTOR1.00X000
MS KATHLEEN O'CONNOR
DIRECTOR1.00X000
MS LEE NORTON KELLY
DIRECTOR1.00X000
MS KATHLEEN FISHER
DIRECTOR1.00X000
MS MARGARET COFFIN
EX-OFFICIO/EXECUTIVE DIRECTOR40.00X85713019132X
MS KATHERINE LEMAY
EX-OFFICIO/CEO/ADMINSTRATOR40.00X160098014694X
MR JOHN LIND
DIRECTOR1.00X000
MR GARTH JOHNSON
DIRECTOR1.00X000
MS JACQUELYN MCCARTHY
DIRECTOR1.00X000
ROBERT LIAN
DIRECTOR1.00X000
SR ANDREA WALSH SND
DIRECTOR/CLERK1.00X000X
MS MELISSA MOORE
DIRECTOR1.00X000
SR ELLEN AGRITELLEY SND
DIRECTOR/CHAIRMAN1.00X000X
MS KAREN RIZZO
DIRECTOR/DIRECTOR OF HOSPI40.00X137340016915X
SR FRANCIS ELLEN ULRICH SND
DIRECTOR1.00X000
SUSANNE STAUFFER
DIRECTOR1.00X000
PATRICIA CAMPBELL
DIRECTOR OF EDUCATION CENT32.00X7254206389X
JENNIFER DAVIS CAREY
DIRECTOR1.00X000
PAUL GRIBBONS
DIRECTOR1.00X000
STEVEN HALL
DIRECTOR/ADMINISTRATOR40.00X5177808059X
THOMAS LUCAS
DIRECTOR1.00X000
VIRGINA RYAN
DIRECTOR1.00X000
MR STEPHEN TOTINO
DIRECTOR OF FINANCE40.0092648011882X
MS DEBRA FORSS
DIRECTOR OF NURSING40.0012780802105X
FieldValueIRS element (for citing)
Total Reportable Comp From Org727927TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation79176TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1HEALTHPRO MANAGEMENT INCBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line110600 YORK ROAD SUITE 105AddressLine1
CityCOCKEYSILLECity
StateMDState
ZIP Code21030ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesREHAB THERAPY SERVICESDescriptionOfServices
Compensation429125Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Fundraising Events1869FundraisingEvents
Related Organizations41099RelatedOrganizations
All Other Contributions48248AllOtherContributions
Total Contributions91216TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NURSING HOME REVENUE6230001327619013276190
ASSISTED LIVING REVENUE62300055247615524761
HOSPICE REVENUE62300014525631452563
EDUCATION CENTER6230004122741227
FieldValueIRS element (for citing)
Total Program Service Revenue20294741TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column315908TotalRevenueColumn
Exclusion$315,908ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2083949Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1971883Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities112066Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column112066TotalRevenueColumn
Related Or Exempt Function Income112066RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Income Fundraising Events0GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events1869CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses0FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISC. REVENUE-RELATED-990Description
Business Code623000BusinessCode
Total Revenue Column63241TotalRevenueColumn
Related Or Exempt Function Income63241RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue63241TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column20877172TotalRevenueColumn
Related Or Exempt Function Income20470048RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$315,908ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total677190Total
Program Services78931ProgramServices
Management And General598259ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total9899411Total
Program Services9368351ProgramServices
Management And General531060ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total39698Total
Program Services37689ProgramServices
Management And General2009ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1143148Total
Program Services1085305ProgramServices
Management And General57843ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total772726Total
Program Services704958ProgramServices
Management And General67768ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1195Total
Management And General1195ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total83559Total
Management And General83559ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total292646Total
Program Services183821ProgramServices
Management And General108825ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total103901Total
Program Services103901ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total292522Total
Program Services292522ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1516406Total
Program Services1516406ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total41180Total
Program Services41180ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total9191Total
Program Services9191ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total919716Total
Program Services919716ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total374135Total
Program Services327776ProgramServices
Management And General46359ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
PATIENT CARE EXPENSES22064402206440
USER FEE785868785868
HOSPICE EXPENSES304892304892
EDUCATION CENTER8978889788

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total183314Total
Program Services179406ProgramServices
Management And General3908ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total19736926Total
Program Services18236141ProgramServices
Management And General1500785ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3205362BOY
EOY4171853EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1249073BOY
EOY988957EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1834263BOY
EOY1438858EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY25505EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY161128BOY
EOY199951EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis31983495LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec12540118LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY19933621BOY
EOY19443377EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY9984122EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY8928890BOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY832173BOY
EOY850093EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY36144510BOY
EOY37102716EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1561443BOY
EOY1779084EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY112431BOY
EOY9662EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY16525000BOY
EOY16040000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4153422BOY
EOY4069285EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY22352296BOY
EOY21898031EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY13720085BOY
EOY15124774EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY72129BOY
EOY79911EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13792214BOY
EOY15204685EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY36144510BOY
EOY37102716EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1140246ReconcilationRevenueExpenses
Reconciliation Unrealized Invest176289ReconciliationUnrealizedInvest
Reconcilation Other Changes95936ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years36642CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years29398CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years67437CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year60770CurrentTaxYearMinus1Year
Current Tax Year91216CurrentTaxYear
Total285463Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17804725CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18342745CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19244665CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year20174779CurrentTaxYearMinus1Year
Current Tax Year20357982CurrentTaxYear
Total95924896Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17841367CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18372143CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19312102CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year20235549CurrentTaxYearMinus1Year
Current Tax Year20449198CurrentTaxYear
Total96210359Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years35000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year25000CurrentTaxYearMinus1Year
Current Tax Year43900CurrentTaxYear
Total103900Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years35000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year25000CurrentTaxYearMinus1Year
Current Tax Year43900CurrentTaxYear
Total103900Total
FieldValueIRS element (for citing)
Public Support Total50996106459PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years305680CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years263905CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years342949CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year344127CurrentTaxYearMinus1Year
Current Tax Year427974CurrentTaxYear
Total1684635Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years305680CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years263905CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years342949CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year344127CurrentTaxYearMinus1Year
Current Tax Year427974CurrentTaxYear
Total1684635Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years18147047CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18636048CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19655051CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year20579676CurrentTaxYearMinus1Year
Current Tax Year20877172CurrentTaxYear
Total97894994Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98170PublicSupportPercentage509
Prior Year Support Percentage0.98140PriorYearSupportPercentage
Investment Income Percentage0.01720InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01800PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$1,915OtherActivitiesAmount
Total Lobbying Expenditures IIB1915TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationPAID MEMBERSHIP DUES TO STATE HEALTHCARE ORGANIZATIONExplanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Preservation For Public UseXPreservationForPublicUse
Total Number Of Easements1TotalNumberOfEasements
Total Acreage3.20TotalAcreage
Nmbr Hist Struct Easements0NmbrHistStructEasements
Nmbr Hist Struct Easements After0NmbrHistStructEasementsAfter
Nmbr Easements Modified0NmbrEasementsModified
Nmbr States In Which Easements Held1NmbrStatesInWhichEasementsHeld
Written Policy Monitoring0WrittenPolicyMonitoring
Staff Hours Spent On Enforcement104.00StaffHoursSpentOnEnforcement
Expenses Incurred For Enforcement0ExpensesIncurredForEnforcement

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance72129BeginningOfYearBalance
Contributions7782Contributions
End Of Year Balance79911EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance41131BeginningOfYearBalance
Contributions30998Contributions
End Of Year Balance72129EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance14839BeginningOfYearBalance
Contributions26292Contributions
End Of Year Balance41131EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance8966BeginningOfYearBalance
Contributions9367Contributions
Other Expenditures3494OtherExpenditures
End Of Year Balance14839EndOfYearBalance
FieldValueIRS element (for citing)
Term Endowment EOY Balance1.00000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2625000OtherCostOrOtherBasis
Book Value2625000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis26054200OtherCostOrOtherBasis
Depreciation10013494Depreciation
Book Value16040706BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3171454OtherCostOrOtherBasis
Depreciation2419618Depreciation
Book Value751836BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis132841OtherCostOrOtherBasis
Depreciation107006Depreciation
Book Value25835BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings19443377TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
INTEREST RATE SWAP$3,690,385
DEPOSITS FROM TENANTS$378,900
FieldValueIRS element (for citing)
Total Of Amounts4069285TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt20927580TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments176289NetUnrealizedGainsInvestments
Other Revenues95937OtherRevenues
Revenue Not Rptd F990272226RevenueNotRptdF990
Revenue Subtotal20655354RevenueSubtotal
Other Revenues Not Included221818OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt221818RevenueNotRptdOnFinStmt
Total Revenue Per Form99020877172TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt19515109TotExpensesEtcAuditedFinclStmt
Other Expenses Included3OtherExpensesIncluded
Expenses Not Rptd F9903ExpensesNotRptdF990
Expenses Subtotal19515106ExpensesSubtotal
Other Expenses Not Included221820OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt221820ExpensesNotRptdOnFinStmt
Total Expenses Per Form99019736926TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:TEMPORARILY RESTRICTED NET ASSETS ARE TO BE USED FOR CHAPEL WINDOWS.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:THE COMPANY IS A 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. THE COMPANY FILES AS A TAX-EXEMPT ORGANIZATION. THE ENTITY'S 2009 THROUGH 2012 TAX YEARS ARE OPEN FOR EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES.
PART XI, LINE 2D - OTHER ADJUSTMENTS:UNREALIZED GAIN ON INTEREST RATE SWAP 95,937.
PART XI, LINE 4B - OTHER ADJUSTMENTS:NON OPERATING REVENUE NET AGAINST EXPENSES 221,820. ROUNDING -2.
PART XII, LINE 2D - OTHER ADJUSTMENTS:ROUNDING 3.
PART XII, LINE 4B - OTHER ADJUSTMENTS:NON OPERATING REVENUE NET AGAINST EXPENSES 221,820.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MS KATHERINE LEMAY
EX-OFFICIO/CEO/ADMINSTRATOR1600980000039220107720174792000
MS KAREN RIZZO
DIRECTOR/DIRECTOR OF HOSPI1373400000015600153550154255000

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
SUSANNE STAUFFER
MEMBER OF THE FINANCE COMMITTEE21045IS EMPLOYED BY AN INVESTMENT FIRM WHICH RECEIVED FEES FROM THE ORGANIZATION.0
MARY CULHANE
DIRECTOR OF THIS ORGANIZATION13150IS EMPLOYED BY A CONSULTING FIRM WHICH RECEIVED FEES FROM THE ORGANIZATION.0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 WILL BE PRESENTED AT THE SCHEDULED MEETING TO THE BOARD OF DIRECTORS. THE CONTROLLER WILL SEND A DRAFT COPY OF THE TAX RETURN TO EACH BOARD MEMBER.
FORM 990, PART VI, SECTION B, LINE 12CALL EMPLOYEES AND BOARD OF DIRECTORS ARE SUBJECT TO THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. DETERMINATIONS ARE MADE AT THE MANAGEMENT LEVEL AND REVIEWED WITH THE ORGANIZATIONAL INTEGRITY OFFICER.
FORM 990, PART VI, SECTION B, LINE 15THE PROCESS USED TO ESTABLISH THE COMPENSATION OF THE ADMINISTRATOR AND EXECUTIVE DIRECTOR INCLUDES, REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THIS IS DONE ON AN ANNUAL BASIS BY THE BOARD OF DIRECTORS.
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.
FORM 990, PART XI, LINE 9:ROUNDING -1. UNREALIZED LOSS ON INTEREST RATE SW 95,937.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2C:THE ORGANIZATION HAS NOT CHANGED EITHER ITS OVERSIGHT OR REVIEW PROCESS FROM THE PRIOR YEAR.

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