EDGAR P BENJAMIN HEALTHCARE CENTER INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- EDGAR P BENJAMIN HEALTHCARE CENTER INC (EIN 04-2104452)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-15
- IRS object ID
- 201203209349301470
- Schema version
- 2011v1.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-15T09:08:00-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410746749 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 CROWN COLONY DRIVE SUITE 310 | AddressLine1 |
| City | QUINCY | City |
| State | MA | State |
| ZIP Code | 02169 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 042104452 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EDGAR P BENJAMIN HEALTHCARE CENTER INC | BusinessNameLine1 |
| Business Name Line2 | FKA RESTHAVEN CORPORATION | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | EDGA | NameControl |
| Phone | 6177381500 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 120 FISHER AVENUE | AddressLine1 |
| City | ROXBURY | City |
| State | MA | State |
| ZIP Code | 02120 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MYRNA WYNN | Name |
| Title | CEO/DIRECTOR | Title |
| Phone | 6177381500 | Phone |
| Date Signed | 2012-11-08 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BARBARA MORRISON | Name |
| PTIN | P00173340 | PTIN |
| Phone | 6179848100 | Phone |
| Date Prepared | 2012-11-03 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | PERRY SMITH | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 120 FISHER AVE | AddressLine1 |
| City | ROXBURY | City |
| State | MA | State |
| ZIP Code | 02110 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 12498463 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | BENJAMINHEALTHCARE.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1927 | YearFormation |
| State Legal Domicile | MA | StateLegalDomicile |
| Activity Or Mission Description | PROVIDING NURSING CARE TO THE ELDERLY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 8 | NbrIndependentVotingMembers |
| Total Nbr Employees | 242 | TotalNbrEmployees |
| Total Nbr Volunteers | 150 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 368252 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 71831 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 12549097 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 11721074 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 7179 | InvestmentIncomePriorYear |
| Investment Income Current Year | 13311 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 431793 | OtherRevenuePriorYear |
| Other Revenue Current Year | 498161 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 13356321 | TotalRevenuePriorYear |
| Total Revenue Current Year | 12304377 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 9277813 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 9004493 | 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 | 4131383 | OtherExpensePriorYear |
| Other Expenses Current Year | 3618268 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 13409196 | TotalExpensesPriorYear |
| Total Expenses Current Year | 12622761 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -52875 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -318384 | RevenuesLessExpensesCY |
| Total Assets BOY | 4883857 | TotalAssetsBOY |
| Total Assets EOY | 4679099 | TotalAssetsEOY |
| Total Liabilities BOY | 4387851 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 4505989 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 496006 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 173110 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO PROVIDE NURSING CARE TO THE ELDERLY, AND TO PROVIDE HELP THROUGH EDUCATION SERVICES. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 11418361 | Expense |
| Revenue | 12239965 | Revenue |
| Description | OPERATING A 205-BED NURSING HOME | Description |
| Total Program Service Expense | 11418361 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | 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 | 1 | 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 | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | 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 |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| 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 |
| Number Of Employees | 242 | 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 | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| 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 | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 8 | 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 | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | 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 | 0 | 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 | MA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | MYRNA E WYNN | NamePerson |
| Telephone Number | 6177381500 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 120 FISHER AVE | AddressLine1 |
| City | ROXBURY | City |
| State | MA | State |
| ZIP Code | 02120 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (10 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| PERRY SMITH | |||||||
| CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 | |
| SANDY JACKSON | |||||||
| TREASURER | 1.00 | X | X | 0 | 0 | 0 | |
| DELORIS TUGGLE | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| EVAN TOBASKY | |||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 | |
| LUZ QUINCHIA | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| REV GREGORY FERNANDES | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| MYRNA WYNN | |||||||
| CEO & DIRECTOR | 40.00 | X | X | 176255 | 0 | 10242 | |
| REV EVAN C HINES | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| ROSALINDA MIDENCE | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| BERTHELINA SPRIGGS | |||||||
| DON | 40.00 | 143759 | 0 | 4423 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 320014 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 14665 | TotalOtherCompensation |
| Number Individuals GT100 K | 2 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Fundraising Events | 27800 | FundraisingEvents |
| Government Grants | 24400 | GovernmentGrants |
| All Other Contributions | 19631 | AllOtherContributions |
| Total Contributions | 71831 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT SERVICE REVENU | Description |
| Business Code | 623000 | BusinessCode |
| Total Revenue Column | 11708805 | TotalRevenueColumn |
| Related Or Exempt Function Income | 11708805 | RelatedOrExemptFunctionIncome |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 12269 | TotalRevenueColumn |
| Related Or Exempt Function Income | 12269 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 11721074 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 13311 | TotalRevenueColumn |
| Exclusion | $13,311 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 685360 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 166469 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 518891 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 518891 | TotalRevenueColumn |
| Related Or Exempt Function Income | 518891 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 6887 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 27800 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 27617 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -20730 | TotalRevenueColumn |
| Exclusion | -$20,730 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 12304377 | TotalRevenueColumn |
| Related Or Exempt Function Income | 12239965 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | -$7,419 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 186497 | Total |
| Management And General | 186497 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6936138 | Total |
| Program Services | 6342319 | ProgramServices |
| Management And General | 593819 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 230424 | Total |
| Program Services | 210997 | ProgramServices |
| Management And General | 19427 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1120912 | Total |
| Program Services | 1024948 | ProgramServices |
| Management And General | 95964 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 530522 | Total |
| Program Services | 473081 | ProgramServices |
| Management And General | 57441 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22184 | Total |
| Management And General | 22184 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 40000 | Total |
| Management And General | 40000 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 212269 | Total |
| Program Services | 116262 | ProgramServices |
| Management And General | 96007 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19477 | Total |
| Program Services | 19477 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 101668 | Total |
| Program Services | 101668 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 445705 | Total |
| Program Services | 445705 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15984 | Total |
| Program Services | 15984 | ProgramServices |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 53 | Total |
| Program Services | 53 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 106794 | Total |
| Program Services | 106794 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 93061 | Total |
| Management And General | 93061 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| USER FEES | 953969 | 953969 |
| SUPPLIES AND EXPENSE | 815508 | 815508 |
| FOOD | 357887 | 357887 |
| REPAIRS AND MAINTENANCE | 171670 | 171670 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 262039 | Total |
| Program Services | 262039 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12622761 | Total |
| Program Services | 11418361 | ProgramServices |
| Management And General | 1204400 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 609534 | BOY |
| EOY | 201663 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2182134 | BOY |
| EOY | 2113499 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1251814 | BOY |
| EOY | 1174080 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 101139 | BOY |
| EOY | 107125 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 5050236 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 4442347 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 666554 | BOY |
| EOY | 607889 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 97571 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 72682 | BOY |
| EOY | 377272 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4883857 | BOY |
| EOY | 4679099 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1340862 | BOY |
| EOY | 1459000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2300000 | BOY |
| EOY | 2300000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 746989 | BOY |
| EOY | 746989 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4387851 | BOY |
| EOY | 4505989 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 496006 | BOY |
| EOY | 173110 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 496006 | BOY |
| EOY | 173110 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4883857 | BOY |
| EOY | 4679099 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -318384 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -4512 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 116878 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 119106 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 130328 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 241095 | CurrentTaxYearMinus1Year |
| Current Tax Year | 78718 | CurrentTaxYear |
| Total | 686125 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 13298369 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 13136702 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 13525989 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 12549099 | CurrentTaxYearMinus1Year |
| Current Tax Year | 11721074 | CurrentTaxYear |
| Total | 64231233 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 13415247 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 13255808 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 13656317 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 12790194 | CurrentTaxYearMinus1Year |
| Current Tax Year | 11799792 | CurrentTaxYear |
| Total | 64917358 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | 362884 | CurrentTaxYearMinus1Year |
| Current Tax Year | 18814 | CurrentTaxYear |
| Total | 381698 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | 362884 | CurrentTaxYearMinus1Year |
| Current Tax Year | 18814 | CurrentTaxYear |
| Total | 381698 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 64535660 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 390656 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 428884 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 377177 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 728387 | CurrentTaxYearMinus1Year |
| Current Tax Year | 698671 | CurrentTaxYear |
| Total | 2623775 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 390656 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 428884 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 377177 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 728387 | CurrentTaxYearMinus1Year |
| Current Tax Year | 698671 | CurrentTaxYear |
| Total | 2623775 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 13805903 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 13684692 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 14033494 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 13518581 | CurrentTaxYearMinus1Year |
| Current Tax Year | 12498463 | CurrentTaxYear |
| Total | 67541133 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.95550 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.96600 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.03880 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.03400 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $2,458 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 2458 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | PAID MEMBERSHIP DUES TO STATE HEALTHCARE ORGANIZATION | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 200000 | OtherCostOrOtherBasis |
| Book Value | 200000 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3480786 | OtherCostOrOtherBasis |
| Depreciation | 3137659 | Depreciation |
| Book Value | 343127 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1369450 | OtherCostOrOtherBasis |
| Depreciation | 1304688 | Depreciation |
| Book Value | 64762 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 607889 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| CONSTRUCTION IN PROGRESS | 122576 |
| RENT RECEIVABLE | 254696 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 377272 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ACCRUED INTEREST PAYABLE | $596,989 |
| ENVIRONMENTAL REMEDIATION LIABILITY | $150,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 746989 | TotalOfAmounts |
| Total Revenue | 12304377 | TotalRevenue |
| Total Expenses | 12622761 | TotalExpenses |
| Excess Or Deficit For Year | -318384 | ExcessOrDeficitForYear |
| Other | -$4,512 | OtherAmount |
| Total Adjustments | -4512 | TotalAdjustments |
| Excess Or Deficit Per FS | -322896 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 12466334 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -4512 | NetUnrealizedGainsInvestments |
| Other Revenues | 166469 | OtherRevenues |
| Revenue Not Rptd F990 | 161957 | RevenueNotRptdF990 |
| Revenue Subtotal | 12304377 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 12304377 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 12789230 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 166469 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 166469 | ExpensesNotRptdF990 |
| Expenses Subtotal | 12622761 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 12622761 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | THE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SEC 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND STATE TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE ORGANIZATIONS 2008 THROUGH 2011 TAX RETURNS ARE OPEN FOR EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES, |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | UNREALIZED LOSS ON SECURITIES -4,512. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSE NETTED AGAINST INCOME 166,469. | |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES NETTED AGAINST INCOME 166,469. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GOLF TOURNAMENT | NameOfEvent1 |
| Gross Receipts Event1 | 34687 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 27800 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 6887 | GrossRevenueEvent1 |
| Rent Facility Costs Event1 | 19077 | RentFacilityCostsEvent1 |
| Other Direct Expenses Event1 | 2445 | OtherDirectExpensesEvent1 |
| Total Number Of Other Events | 2 | TotalNumberOfOtherEvents |
| Other Direct Expenses Other Events | 6095 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 34687 | GrossReceiptsTotal |
| Charitable Contributions Total | 27800 | CharitableContributionsTotal |
| Gross Revenue Total Events | 6887 | GrossRevenueTotalEvents |
| Rent Facility Costs Total Events | 19077 | RentFacilityCostsTotalEvents |
| Other Direct Expenses Total Events | 8540 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 27617 | DirectExpenseSummaryEvents |
| Net Income Summary | -20730 | NetIncomeSummary |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | MYRNA WYNN | NamePerson |
| Base Compensation Filing Org | 140005 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 0 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 16300 | BonusFilingOrg |
| Bonus Related Orgs | 0 | BonusRelatedOrgs |
| Other Compensation Filing Org | 19950 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 0 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 0 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 0 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 10242 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 0 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 186497 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 0 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 0 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 0 | CompReportPrior990RelatedOrgs |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE BOARD OF DIRECTORS ARE GIVEN A COPY OF THE FORM 990 TO REVIEW AND IT IS DISCUSSED AT A BOARD MEETING PRIOR TO FILING. | |
| THE BOARD OF DIRECTORS MET TO DETERMINE THE COMPENSATION OF THE CEO WITH A VOTE IN 2008. | ||
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC ON AN UPON REQUEST BASIS. | |
| FORM 990, PART XI, LINE 5: | UNREALIZED LOSS ON SECURITIES -4,512. TOTAL TO FORM 990, PART XI, LINE 5: -4,512. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART XII, LINE 2C: | THE ORGANIZATION HAS AN AUDIT COMMITTEE THAT OVERSEES THE AUDIT OF THE FINANCIAL STATEMENTS AND APPROVES THE AUDITOR. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTHAVEN CORPORATION | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 120 FISHER AVENUE | AddressLine1 |
| City | ROXBURY | City |
| State | MA | State |
| ZIP Code | 02120 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 043448700 | EIN |
| Primary Activities | OWNS MORTGAGE | PrimaryActivities |
| Legal Domicile State | MA | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | LINE 11C, III-FI | PublicCharityStatus |
| 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 | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| 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 | 0 | 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 | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
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