NOTRE DAME HEALTH CARE CENTER INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
NOTRE DAME HEALTH CARE CENTER INC (EIN 04-3108782)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-15
IRS object ID
201243209349302054
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)
Timestamp2012-11-15T09:08:00-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

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 Date2011-01-01TaxPeriodBeginDate

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 Signed2012-11-08DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBARBARA MORRISONName
PTINP00173340PTIN
Phone6179848100Phone
Date Prepared2012-11-07DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1NOTRE DAME LT CARE CENTER NOTRE DAME DU LAC NOTRE DAME HOSPICEBusinessNameLine1
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 Receipts22434932GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteNOTREDAMELTCC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1990YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE NURSING & RELATED HEALTHCARE SERVICES TO THE ELDERLYActivityOrMissionDescription
Nbr Voting Members Governing Body21NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees434TotalNbrEmployees
Total Nbr Volunteers40TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year67437ContributionsGrantsPriorYear
Contributions Grants Current Year103085ContributionsGrantsCurrentYear
Program Service Revenue Prior Year19244665ProgramServiceRevenuePriorYear
Program Service Revenue CY20117740ProgramServiceRevenueCY
Investment Income Prior Year414501InvestmentIncomePriorYear
Investment Income Current Year344127InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year14723OtherRevenueCurrentYear
Total Revenue Prior Year19726603TotalRevenuePriorYear
Total Revenue Current Year20579675TotalRevenueCurrentYear
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 Year11494184SalariesEtcPriorYear
Salaries Etc Current Year12119498SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year7032059OtherExpensePriorYear
Other Expenses Current Year7238876OtherExpensesCurrentYear
Total Expenses Prior Year18526243TotalExpensesPriorYear
Total Expenses Current Year19358374TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1200360RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1221301RevenuesLessExpensesCY
Total Assets BOY35537901TotalAssetsBOY
Total Assets EOY36144510TotalAssetsEOY
Total Liabilities BOY21623555TotalLiabilitiesBOY
Total Liabilities EOY22352296TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY13914346NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY13792214NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDE NURSING & RELATED HEALTHCARE SERVICES TO THE ELDERLY; NURSING HOME; ASSISTED LIVING AND HOSPICE SERVICESMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense18039379Expense
Revenue20132463Revenue
DescriptionPROVIDE SKILLED NURSING HOME CARE TO THE ELDERLY AND DISABLEDDescription
Total Program Service Expense18039379TotalProgramServiceExpense
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 Securities1ReportInvestOthSecurities
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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109626NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees434NumberOfEmployees
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 Members21NbrVotingGoverningBodyMembers
Number Independent Voting Members17NumberIndependentVotingMembers
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 Policy0DocumentRetentionPolicy
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 (24 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
PRESIDENT1.00X000X
SR ELIZABETH MCLAUGHLIN
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
EXECUTIVE DIRECTOR40.00X8114301050X
MS KATHERINE LEMAY
CEO/ADMINSTRATOR40.00X153648012464X
MR JOHN LIND
DIRECTOR1.00X000
MR GARTH JOHNSON
DIRECTOR1.00X000
MS JACQUELYN MCCARTHY
DIRECTOR1.00X000
ROBERT LIAN
DIRECTOR1.00X000
SR ANDREA WALSH SND
CLERK1.00X000X
MS MELISSA MOORE
DIRECTOR1.00X000
SR ELLEN AGRITELLEY SND
CHAIRMAN1.00X000X
MS KAREN RIZZO
DIRECTOR/DIRECTOR OF HOSPICE40.00X14499709587
SR FRANCIS ELLEN ULRICH SND
DIRECTOR1.00X000
SUSANNE STAUFFER
DIRECTOR1.00X000
PATRICIA CAMPBELL
DIRECTOR OF EDUCATION CENTER32.00X6751303472
MR STEPHEN TOTINO
DIRECTOR OF FINANCE40.0089212010364X
MS DEBRA FORSS
DIRECTOR OF NURSING40.0013216602093X
BEVERLY AMOSAH
NURSING MANAGER40.00103414011553X
FieldValueIRS element (for citing)
Total Reportable Comp From Org772093TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation50583TotalOtherCompensation
Number Individuals GT100 K4NumberIndividualsGT100K
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
Compensation583462Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
All Other Contributions103085AllOtherContributions
Total Contributions103085TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NURSING HOME REVENUE6230001332128913321289
ASSISTED LIVING REVENU62300053016755301675
HOSPICE REVENUE62300013855311385531
EDUCATION CENTER623000109245109245
FieldValueIRS element (for citing)
Total Program Service Revenue20117740TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column310453TotalRevenueColumn
Exclusion$310,453ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1888931Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1855257Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities33674Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column33674TotalRevenueColumn
Exclusion$33,674ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISC. REVENUE-RELATED-Description
Business Code623000BusinessCode
Total Revenue Column14723TotalRevenueColumn
Related Or Exempt Function Income14723RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue14723TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column20579675TotalRevenueColumn
Related Or Exempt Function Income20132463RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$344,127ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total431189Total
Program Services70985ProgramServices
Management And General360204ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total9631153Total
Program Services9062595ProgramServices
Management And General568558ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total31830Total
Program Services29471ProgramServices
Management And General2359ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1295870Total
Program Services1220580ProgramServices
Management And General75290ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total729456Total
Program Services661033ProgramServices
Management And General68423ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total8376Total
Management And General8376ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total74650Total
Management And General74650ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total291632Total
Program Services176739ProgramServices
Management And General114893ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total94129Total
Program Services94129ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total254076Total
Program Services252478ProgramServices
Management And General1598ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1599629Total
Program Services1599629ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total32275Total
Program Services32275ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total9144Total
Program Services9144ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total881809Total
Program Services881809ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total341732Total
Program Services297089ProgramServices
Management And General44643ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
PATIENT CARE EXPENSES22980182298018
USER FEE769299769299
HOSPICE EXPENSES335606335606
EDUCATION CENTER9828398283

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total150218Total
Program Services150218ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total19358374Total
Program Services18039379ProgramServices
Management And General1318994ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1801405BOY
EOY3205362EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1385470BOY
EOY1249073EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2297984BOY
EOY1834263EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY153045BOY
EOY161128EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis31636388LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec11702767LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY19922615BOY
EOY19933621EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY8418555BOY
EOY8928890EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1558827BOY
EOY832173EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY35537901BOY
EOY36144510EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1951807BOY
EOY1561443EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY15077BOY
EOY112431EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY17250000BOY
EOY16525000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2406671BOY
EOY4153422EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY21623555BOY
EOY22352296EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY13873215BOY
EOY13720085EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY41131BOY
EOY72129EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13914346BOY
EOY13792214EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY35537901BOY
EOY36144510EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1221301ReconcilationRevenueExpenses
Reconcilation Other Changes-1343433ReconcilationOtherChanges
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)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12357CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years36642CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years29398CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year67437CurrentTaxYearMinus1Year
Current Tax Year60770CurrentTaxYear
Total206604Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16637473CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17804725CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18342745CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19244665CurrentTaxYearMinus1Year
Current Tax Year20174779CurrentTaxYear
Total92204387Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16649830CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17841367CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18372143CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19312102CurrentTaxYearMinus1Year
Current Tax Year20235549CurrentTaxYear
Total92410991Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year35000CurrentTaxYearMinus1Year
Current Tax Year25000CurrentTaxYear
Total60000Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year35000CurrentTaxYearMinus1Year
Current Tax Year25000CurrentTaxYear
Total60000Total
FieldValueIRS element (for citing)
Public Support Total50992350991PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years432517CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years305680CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years263905CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year342949CurrentTaxYearMinus1Year
Current Tax Year344127CurrentTaxYear
Total1689178Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years432517CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years305680CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years263905CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year342949CurrentTaxYearMinus1Year
Current Tax Year344127CurrentTaxYear
Total1689178Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17082347CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18147047CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18636048CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19655051CurrentTaxYearMinus1Year
Current Tax Year20579676CurrentTaxYear
Total94100169Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98140PublicSupportPercentage509
Prior Year Support Percentage0.99230PriorYearSupportPercentage
Investment Income Percentage0.01800InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00770PriorYrInvestIncomePercentage
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$1,800OtherActivitiesAmount
Total Lobbying Expenditures IIB1800TotalLobbyingExpendituresIIB
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 Balance41131BeginningOfYearBalance
Contributions30998Contributions
End Of Year Balance72129EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance8966BeginningOfYearBalance
Contributions9367Contributions
Other Expenditures3494OtherExpenditures
End Of Year Balance14839EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.00000PermanentEndowmentEOYBalance
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 Basis25517339OtherCostOrOtherBasis
Depreciation9150761Depreciation
Book Value16366578BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2996304OtherCostOrOtherBasis
Depreciation2293749Depreciation
Book Value702555BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis497745OtherCostOrOtherBasis
Depreciation258257Depreciation
Book Value239488BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings19933621TotalOfBookValueLandBuildings

Other Securities OtherSecurities (3 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
EQUITIES2303076F
FIXED INCOME SECURITIES6483395F
GOLD - FUND142419F
FieldValueIRS element (for citing)
Total Of Book Value Securities8928890TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
UNREALIZED LOSS - INTEREST RATE SWAP$3,786,322
DEPOSITS FROM TENNANTS$367,100
FieldValueIRS element (for citing)
Total Of Amounts4153422TotalOfAmounts
Total Revenue20579675TotalRevenue
Total Expenses19358374TotalExpenses
Excess Or Deficit For Year1221301ExcessOrDeficitForYear
Net Unrealized GL On Investments36220NetUnrealizedGLOnInvestments
Other-$1,379,653OtherAmount
Total Adjustments-1343433TotalAdjustments
Excess Or Deficit Per FS-122132ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt20405973TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments36220NetUnrealizedGainsInvestments
Revenue Not Rptd F99036220RevenueNotRptdF990
Revenue Subtotal20369753RevenueSubtotal
Other Revenues Not Included209922OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt209922RevenueNotRptdOnFinStmt
Total Revenue Per Form99020579675TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt20528105TotExpensesEtcAuditedFinclStmt
Other Expenses Included1379654OtherExpensesIncluded
Expenses Not Rptd F9901379654ExpensesNotRptdF990
Expenses Subtotal19148451ExpensesSubtotal
Other Expenses Not Included209923OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt209923ExpensesNotRptdOnFinStmt
Total Expenses Per Form99019358374TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (7 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: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 2008 THROUGH 2011 TAX YEARS ARE OPEN FOR EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES.
PART XI, LINE 8 - OTHER ADJUSTMENTS:UNREALIZED LOSS ON INTEREST RATE SWAP -1,379,651. ROUNDING -2. TOTAL TO SCHEDULE D, PART XI, LINE 8: -1,379,653.
PART XII, LINE 2D - OTHER ADJUSTMENTS:UNREALIZED GAIN ON INTEREST RATE SWAP
PART XII, LINE 4B - OTHER ADJUSTMENTS:NON OPERATING REVENUE NET AGAINST EXPENSES 209,923. ROUNDING -1.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:UNREALIZED LOSS ON INTEREST RATE SWAP 1,379,651. ROUNDING 3.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:NON OPERATING REVENUE NET AGAINST EXPENSES 209,923. ROUNDING

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)

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
MS KATHERINE LEMAY
1536480000000124640166112000
MS KAREN RIZZO
144997000000095870154584000

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
GARTH JOHNSON
DIRECTOR OF THIS ORGANIZATION201737IS EMPLOYED BY A CONTRACTOR WHICH RECEIVED FEES FROM THE ORGANIZATION.0
DAVID PUTNAM
MEMBER OF THE FINANCE COMMITTEE24380IS EMPLOYED BY AN INVESTMENT FIRM WHICH RECEIVED FEES FROM THE ORGANIZATION.0
MARY CULHANE
DIRECTOR OF THIS ORGANIZATION16250IS 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 ORGANIZATION'S CONTROLLER REVIEWS THE FORM 990 AND SENDS A COPY OF THE DRAFT TAX RETURN TO EACH BOARD MEMBER BEFORE FILING.
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 5:NET UNREALIZED GAINS ON INVESTMENTS: 36,220. UNREALIZED LOSS ON INTEREST RATE SWAP -1,379,651. ROUNDING -2. TOTAL TO FORM 990, PART XI, LINE 5: -1,343,433.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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