ELMHURST EXTENDED CARE FACILITIES INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ELMHURST EXTENDED CARE FACILITIES INC (EIN 22-2723407)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-14
IRS object ID
201233199349304128
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-11-14T13:44:20-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN061470257EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1SULLIVAN & COMPANY CPAS LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line150 HOLDEN STREETAddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code02908ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN222723407EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ELMHURST EXTENDED CARE FACILITY INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlELMHNameControl
Phone4014562600Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line150 MAUDE STREETAddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code02908ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKENNETH BELCHERName
TitlePRESIDENTTitle
Phone4014562600Phone
Date Signed2012-11-02DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDONALD SULLIVANName
PTINP00059830PTIN
Phone4012725600Phone
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKENNETH BELCHERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line150 MAUDE STREETAddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code02908ZIPCode
FieldValueIRS element (for citing)
Gross Receipts18190461GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteELMHURSTEXTENDEDCARE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1985YearFormation
State Legal DomicileRIStateLegalDomicile
Activity Or Mission DescriptionELMHURST EXTENDED CARE FACILITY'S MISSION IS TO PROVIDE LONG TERM HEALTH CARE SERVICES TO THE ELDERLY AND NEEDY IN PROVIDENCE, RI AREAActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees353TotalNbrEmployees
Total Nbr Volunteers12TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year37440ContributionsGrantsPriorYear
Contributions Grants Current Year4267ContributionsGrantsCurrentYear
Program Service Revenue Prior Year18460957ProgramServiceRevenuePriorYear
Program Service Revenue CY18118339ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year51985OtherRevenuePriorYear
Other Revenue Current Year67855OtherRevenueCurrentYear
Total Revenue Prior Year18550382TotalRevenuePriorYear
Total Revenue Current Year18190461TotalRevenueCurrentYear
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 Year10821811SalariesEtcPriorYear
Salaries Etc Current Year11272780SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year7447162OtherExpensePriorYear
Other Expenses Current Year6908184OtherExpensesCurrentYear
Total Expenses Prior Year18268973TotalExpensesPriorYear
Total Expenses Current Year18180964TotalExpensesCurrentYear
Revenues Less Expenses Prior Year281409RevenuesLessExpensesPriorYear
Revenues Less Expenses CY9497RevenuesLessExpensesCY
Total Assets BOY3726374TotalAssetsBOY
Total Assets EOY3132742TotalAssetsEOY
Total Liabilities BOY5137334TotalLiabilitiesBOY
Total Liabilities EOY4534205TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-1410960NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-1401463NetAssetsOrFundBalancesEOY
Mission DescriptionELMHURST EXTENDED CARE FACILITY'S MISSION IS TO PROVIDE LONG TERM HEALTH CARE SERVICES TO THE ELDERLY AND NEEDY IN THE PROVIDENCE, RI AREA.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense16476454Expense
Revenue18118339Revenue
DescriptionELMHURST EXTENDED CARE FACILITY PROVIDES LONG TERM HEALTH CARE FOR THE ELDERLY THROUGH THE OPERATION OF A NURSING CARE FACILITY. THE FACILITY IS MEDICARE AND MEDICAID CERTIFIED. DURING 2011 THERE WERE 67,034 PATIENT BED DAYS PROVIDED. INCLUDED IN THIS TOTAL WERE 44,033 MEDICAID AND 6,595 MEDICARE BED DAYS.Description
Total Program Service Expense16476454TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
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 Activities1FundraisingActivities
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 Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109626NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees353NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
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 Chapters0LocalChapters
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 FiledRIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4014562600TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line150 MAUDE STREETAddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code02908ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (7 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
DONALD MCQUEEN
CHAIRMAN1.00XX000
KENNETH BELCHER
PRESIDENT1.00XX0427364102593
GARY PANNONE
SECRETARY1.00XX000
MICHAEL CONKLIN
TREASURER1.00XX0328308110723
ADOZINDA KANE
TREASURER TO 3/121.00XX024223321496
RICHARD GAMACHE
ADMINISTRATOR40.00X017773652304
CHERYL FITZGERALD
CLINICAL SERVICE DIRECTOR40.00130111013345X
FieldValueIRS element (for citing)
Total Reportable Comp From Org130111TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1175641TotalReportableCompFrmRltdOrgs
Total Other Compensation300461TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SUNDANCE REHABILITATION
6549 PAYSPHERE CIRCLECHICAGOIL60674THERAPY SERVICES993623
SODEXO MARRIOTT SERVICES
PO BOX 81049WOBURNMA01813FOOD & NUTRITION MANAGEMENT SERVICES254139
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
All Other Contributions4267AllOtherContributions
Total Contributions4267TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PROGRAM SERVICE REVENU6230001764531017645310
ANCILLARY SERVICES623000473029473029
FieldValueIRS element (for citing)
Total Program Service Revenue18118339TotalProgramServiceRevenue
Gross Income Fundraising Events61453GrossIncomeFundraisingEvents
Fundraising Direct Expenses0FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column61453TotalRevenueColumn
Exclusion$61,453ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
MISCELLANEOUS INCOME9000995060$5,060
HAIRDRESSER INCOME9000991342$1,342
FieldValueIRS element (for citing)
Total Other Revenue6402TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column18190461TotalRevenueColumn
Related Or Exempt Function Income18118339RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$67,855ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total230040Total
Management And General230040ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8577189Total
Program Services8029620ProgramServices
Management And General547569ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1768113Total
Program Services1673937ProgramServices
Management And General94176ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total697438Total
Program Services639658ProgramServices
Management And General57780ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total232339Total
Program Services46406ProgramServices
Management And General185933ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total3604Total
Management And General3604ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total48845Total
Management And General48845ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1757051Total
Program Services1603304ProgramServices
Management And General153747ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total5370Total
Program Services5370ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total44234Total
Program Services40363ProgramServices
Management And General3871ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total85079Total
Program Services77422ProgramServices
Management And General7657ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total282908Total
Program Services162591ProgramServices
Management And General120317ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
PURCHASED SERVICES14035301403530
SUPPLIES12735021273502
HEALTH CARE PROVIDER AS10040891004089
DRUG AND PHARMACEUTICAL507838507838

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total259795Total
Program Services8824ProgramServices
Management And General250971ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total18180964Total
Program Services16476454ProgramServices
Management And General1704510ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1060956BOY
EOY530480EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2200542BOY
EOY1998611EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY39241BOY
EOY51187EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY24327BOY
EOY57720EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1536528LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1041784LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY401308BOY
EOY494744EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3726374BOY
EOY3132742EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2200607BOY
EOY1926619EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY565927BOY
EOY539644EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2370800BOY
EOY2067942EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5137334BOY
EOY4534205EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-1410960BOY
EOY-1401463EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-1410960BOY
EOY-1401463EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3726374BOY
EOY3132742EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses9497ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis465792OtherCostOrOtherBasis
Depreciation271627Depreciation
Book Value194165BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis988819OtherCostOrOtherBasis
Depreciation738746Depreciation
Book Value250073BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis81917OtherCostOrOtherBasis
Depreciation31411Depreciation
Book Value50506BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings494744TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO AFFILIATESDescription
Amount$2,067,942Amount
FieldValueIRS element (for citing)
Total Of Amounts2067942TotalOfAmounts
Total Revenue18190461TotalRevenue
Total Expenses18180964TotalExpenses
Excess Or Deficit For Year9497ExcessOrDeficitForYear
Excess Or Deficit Per FS9497ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt18190461TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal18190461RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99018190461TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt18180964TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal18180964ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99018180964TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationTHE ORGANIZATION HAS ADOPTED THE GUIDANCE IN ASC 740, INCOME TAXES, RELATING TO UNCERTAIN TAX POSITIONS. THIS GUIDANCE PRESCRIBES A TWO STEP PROCESS FOR THE MEASUREMENT OF UNCERTAIN TAX POSITIONS THAT HAVE BEEN TAKEN OR ARE EXPECTED TO BE TAKEN ON A TAX RETURN. THE FIRST STEP IS A DETERMINATION OF WHETHER THE TAX POSITION SHOULD BE RECOGNIZED IN THE FINANCIAL STATEMENTS. THE SECOND STEP DETERMINES THE MEASUREMENT OF THE TAX POSITION. SUCH POSITIONS FOR A NONPROFIT CORPORATION WOULD INCLUDE THE NONPROFIT ORGANIZATION'S STATUS AS AN EXEMPT ORGANIZATION, WHETHER THE ORGANIZATION'S ACTIVITIES ARE RELATED TO ITS TAX EXEMPT PURPOSE AND, IF APPLICABLE, HOW THE ORGANIZATION ALLOCATES REVENUE AND EXPENSES BETWEEN ITS EXEMPT PURPOSE AND UNRELATED BUSINESS ACTIVITIES. ASC 740 ALSO PROVIDES GUIDANCE ON DERECOGNITION OF SUCH TAX POSITIONS, CLASSIFICATION, POTENTIAL INTEREST AND PENALTIES, AND DISCLOSURE. NO UNCERTAIN TAX POSITIONS WITHIN THE SCOPE OF ASC 740 EXIST AS OF DECEMBER 31, 2011.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1FUNDRAISERNameOfEvent1
Gross Receipts Event161453GrossReceiptsEvent1
Gross Revenue Event161453GrossRevenueEvent1
Gross Receipts Total61453GrossReceiptsTotal
Gross Revenue Total Events61453GrossRevenueTotalEvents
Net Income Summary61453NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantXIndependentConsultant
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 (4 entries)

Base 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
KENNETH BELCHER
04273640000048612053981052995700
MICHAEL CONKLIN
03283080000033000077723043903100
ADOZINDA KANE
0242233000006162015334026372900
RICHARD GAMACHE
01777360000020057032247023004000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 3EFFECTIVE JANUARY 2010, THE PRINCIPAL MANAGEMENT FUNCTIONS OF ELMHURST EXTENDED CARE FACILITY IS CONDUCTED UNDER THE DIRECTION OF CHARTERCARE HEALTH PARTNERS OFFICERS AND KEY EMPLOYEES. CONSEQUENTLY THERE ARE NO KEY EMPLOYEES DISCLOSED FOR THE EXECUTIVE OR FINANCIAL MANAGEMENT FUNCTIONS.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990, ONCE COMPLETED, IS DISTRIBUTED IN DRAFT FORM TO THE SENIOR MANAGEMENT TO ENSURE INDIVIDUALS ARE PROVIDED TIME TO REVIEW AND APPROVE THE FORM 990 PRIOR TO THE DEADLINE. AFTER THE INTERNAL REVIEW IS COMPLETED, THE FORM 990 IS PROVIDED TO THE FINANCE COMMITTEE FOR THEIR REVIEW AND COMMENTS. QUESTIONS AND COMMENTS REGARDING THE 990 ARE FORWARDED TO THE APPROPRIATE INDIVIDUAL FOR RESOLUTION. UPON FINANCE COMMITTE APPROVAL, A FINAL COPY OF THE FORM 990 IS DISTRIBUTED TO EACH VOTING BOARD MEMBER AND FILED WITH THE TAXING AUTHORITY.
FORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICT OF INTEREST POLICY INCLUDED IN THE BY-LAWS IS TO PROTECT THE CORPORATION'S INTEREST WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF AN OFFICER OR TRUSTEE OF THE CORPORATION. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF HIS OR HER FINANCIAL INTEREST AND ALL MATERIAL FACTS TO THE OFFICERS, TRUSTEES, OR MEMBERS OF ANY COMMITTEES WITH BOARD-DELEGATED POWERS CONSIDERING THE PROPOSAED TRANSACTION OR ARRANGEMENT. ON AN ANNUAL BASIS, EACH MEMBER OF THE BOARD IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT AND ALL RESPONSES ARE SUBMITTED AND REVIEWED BY LEGAL COUNCEL. ANY ACTUAL AND POSSIBLE CONFLICTS OF INTEREST ARE REVIEWED WITH THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION B, LINE 15ANNUALLY AN OUTSIDE CONSULTING AGENCY, HEALTHCARE STRATEGIES, CONDUCTS A MARKET REVIEW AND ASSESSMENT OF THE ADMINISTRATOR AND OTHER KEY EMPLOYEE SALARIES AND BENEFIT PACKAGES. THIS INCLUDES AN ASSESSMENT OF COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. RECOMMENDATIONS ON SALARY AND BENEFITS FOR THE ADMINISTRATOR AND THE KEY EMPLOYEES ARE MADE BY THE CONSULTANT TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS FOR A REVIEW. THE EXECUTIVE COMMITTEE VOTES ON AND APPROVES ANNUAL ADJUSTMENTS TO KEY EMPLOYEE COMPENSATION BASED ON ALL OF THE RELEVANT DATA.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENT, AND POLICIES ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
PART XI, LINE 2CTHE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS IS RESPONSIBLE FOR THE OVERSIGHT OF THE ANNUAL AUDIT.OVERSIGHT OF ANNUAL AUDIT

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
ROGER WILLIAMS MEDICAL ASSOCIATES
825 CHALKSTONE AVENUEPROVIDENCERI02908203346936HEALTHCARERI501(C)(3)LINE 11A, IN/A0
ROGER WILLIAMS REALTY CORPORATION
825 CHALKSTONE AVENUEPROVIDENCERI02908050423855HEALTHCARERI501(C)(3)LINE 11A, IN/A0
ROGER WILLIAMS MEDICAL CENTER (FORMERLY ROGER WILLIAMS HOSPITAL)
825 CHALKSTONE AVENUEPROVIDENCERI02908050258959HEALTHCARERI501(C)(3)LINE 3N/A0
CHARTERCARE HEALTH PARTNERS
825 CHALKSTONE AVENUEPROVIDENCERI02908264235815HEALTHCARERI501(C)(3)LINE 11A, IN/A0
RWGH PHYSICIANS OFFICE BUILDING
825 CHALKSTONE AVENUEPROVIDENCERI02908050398588HEALTHCARERI501(C)(3)LINE 11A, IN/A0
ST JOSEPH HEALTH SERVICES OF RI
200 HIGH SERVICE AVENUENORTH PROVIDENCERI02904050259026HEALTHCARERI501(C)(3)LINE 3N/A0
CHARTERCARE HEALTH PARTNERS FOUNDATION
200 HIGH SERVICE AVENUENORTH PROVIDENCERI02904260236669FUNDRAISINGRI501(C)(3)LINE 7N/A0

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntity
OUR LADY OF FATIMA ANCILLARY SERVICES
200 HIGH SERVICE AVENUENORTH PROVIDENCERI02904050519862HEALTHCARERIN/AC
ELMHURST HEALTH ASSOCIATES
825 CHALKSTONE BLVDPROVIDENCERI02908050437610HEALTHCARERIN/AC
ROSEBANK CORPORATION
825 CHALKSTONE BLVDPROVIDENCERI02908050342046REAL ESTATERIN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

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