EDGAR P BENJAMIN HEALTHCARE CENTER INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
EDGAR P BENJAMIN HEALTHCARE CENTER INC (EIN 04-2104452)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-15
IRS object ID
201143199349305484
Schema version
2010v3.4
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)
Timestamp2011-11-15T14:34:10-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LARSONALLEN 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 Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN042104452EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1EDGAR P BENJAMIN HEALTHCARE CENTER INCBusinessNameLine1
Business Name Line2FKA RESTHAVEN CORPORATIONBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlEDGANameControl
Phone6177381500Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1120 FISHER AVENUEAddressLine1
CityROXBURYCity
StateMAState
ZIP Code02120ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMYRNA WYNNName
TitleCEO/DIRECTORTitle
Phone6177381500Phone
Date Signed2011-11-10DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBARBARA J MORRISONName
Phone6179848100Phone
Date Prepared2011-11-10DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonPERRY SMITHNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1120 FISHER AVEAddressLine1
CityROXBURYCity
StateMAState
ZIP Code02110ZIPCode
FieldValueIRS element (for citing)
Gross Receipts13518581GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteBENJAMINHEALTHCARE.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1927YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionPROVIDING NURSING CARE TO THE ELDERLY.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees256TotalNbrEmployees
Total Nbr Volunteers150TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year131553ContributionsGrantsPriorYear
Contributions Grants Current Year368252ContributionsGrantsCurrentYear
Program Service Revenue Prior Year13525989ProgramServiceRevenuePriorYear
Program Service Revenue CY12549097ProgramServiceRevenueCY
Investment Income Prior Year42421InvestmentIncomePriorYear
Investment Income Current Year7179InvestmentIncomeCurrentYear
Other Revenue Prior Year351000OtherRevenuePriorYear
Other Revenue Current Year431793OtherRevenueCurrentYear
Total Revenue Prior Year14050963TotalRevenuePriorYear
Total Revenue Current Year13356321TotalRevenueCurrentYear
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 Year9641748SalariesEtcPriorYear
Salaries Etc Current Year9277813SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4647696OtherExpensePriorYear
Other Expenses Current Year4131383OtherExpensesCurrentYear
Total Expenses Prior Year14289444TotalExpensesPriorYear
Total Expenses Current Year13409196TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-238481RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-52875RevenuesLessExpensesCY
Total Assets BOY4839717TotalAssetsBOY
Total Assets EOY4883857TotalAssetsEOY
Total Liabilities BOY4290836TotalLiabilitiesBOY
Total Liabilities EOY4387851TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY548881NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY496006NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE NURSING CARE TO THE ELDERLY, AND TO PROVIDE HELP TO EDUCATION SERVICES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense11943666Expense
Revenue12979308Revenue
DescriptionOPERATING A 205-BED NURSING HOMEDescription
Total Program Service Expense11943666TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
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 Footnote0ReportFin48Footnote
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 With10963NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees256NumberOfEmployees
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
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
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 Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement0RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMYRNA E WYNNNamePerson
Telephone Number6177381500TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1120 FISHER AVEAddressLine1
CityROXBURYCity
StateMAState
ZIP Code02120ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
PERRY SMITH
CHAIRMAN1.00XX000
SANDY JACKSON
DIRECTOR1.00X000
DELORIS TUGGLE
DIRECTOR1.00X000
EVAN TOBASKY
SECRETARY1.00XX000
LUZ QUINCHIA
DIRECTOR1.00X000
REV GREGORY FERNANDES
DIRECTOR1.00X000
STEVEN GREEN
TREASURER12.00XX3680700
MYRNA WYNN
CEO & DIRECTOR40.00X173635011813X
REV EVAN C HINES
DIRECTOR1.00X000
DIANNE WILKERSON
DIRECTOR1.00X000
MR BARRY NELSON
DIRECTOR1.00X000
BERTHELINA SPRIGGS
DON40.0012222307063X
MARILYN LIGUID
DIRECTOR OF REHAB37.0010727309462X
FieldValueIRS element (for citing)
Total Reportable Comp From Org439938TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation28338TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events2500FundraisingEvents
Government Grants2050GovernmentGrants
All Other Contributions363702AllOtherContributions
Total Contributions368252TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE REVENUDescription
Business Code623000BusinessCode
Total Revenue Column12466622TotalRevenueColumn
Related Or Exempt Function Income12466622RelatedOrExemptFunctionIncome

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column82475TotalRevenueColumn
Related Or Exempt Function Income82475RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue12549097TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column7179TotalRevenueColumn
Exclusion$7,179ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real559343Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real129132Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real430211Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column430211TotalRevenueColumn
Related Or Exempt Function Income430211RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Income Fundraising Events34710GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events2500CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses33128FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column1582TotalRevenueColumn
Exclusion$1,582ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column13356321TotalRevenueColumn
Related Or Exempt Function Income12979308RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$8,761ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total236371Total
Management And General236371ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7221629Total
Program Services6563428ProgramServices
Management And General658201ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total113294Total
Program Services103281ProgramServices
Management And General10013ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1125883Total
Program Services1023267ProgramServices
Management And General102616ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total580636Total
Program Services512861ProgramServices
Management And General67775ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total144773Total
Management And General144773ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total51113Total
Management And General51113ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total202241Total
Program Services100241ProgramServices
Management And General102000ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total13608Total
Program Services13608ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total109454Total
Program Services109454ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total485108Total
Program Services485108ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total22291Total
Program Services22291ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total1821Total
Program Services1821ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total112427Total
Program Services112427ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total92668Total
Management And General92668ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
USER FEES10729891072989
SUPPLIES AND EXPENSE896796896796
FOOD379205379205
REPAIRS AND MAINTENANCE167193167193
ENVIRONMENTAL REMEDIATI150000150000

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total229696Total
Program Services229696ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total13409196Total
Program Services11943666ProgramServices
Management And General1465530ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY513261BOY
EOY609534EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1842327BOY
EOY2182134EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1611687BOY
EOY1251814EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY74825BOY
EOY101139EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis5002107LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4335553LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY759997BOY
EOY666554EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY37620BOY
EOY72682EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4839717BOY
EOY4883857EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1393847BOY
EOY1340862EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2300000BOY
EOY2300000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY596989BOY
EOY746989EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4290836BOY
EOY4387851EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY548881BOY
EOY496006EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY548881BOY
EOY496006EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4839717BOY
EOY4883857EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-52875ReconcilationRevenueExpenses
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)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years141292CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years116878CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years119106CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year130328CurrentTaxYearMinus1Year
Current Tax Year241095CurrentTaxYear
Total748699Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11924030CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13298369CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13136702CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13525989CurrentTaxYearMinus1Year
Current Tax Year12549099CurrentTaxYear
Total64434189Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12065322CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13415247CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13255808CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13656317CurrentTaxYearMinus1Year
Current Tax Year12790194CurrentTaxYear
Total65182888Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50965182888PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years366035CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years390656CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years428884CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year377177CurrentTaxYearMinus1Year
Current Tax Year728387CurrentTaxYear
Total2291139Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years366035CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years390656CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years428884CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year377177CurrentTaxYearMinus1Year
Current Tax Year728387CurrentTaxYear
Total2291139Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12431357CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13805903CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13684692CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14033494CurrentTaxYearMinus1Year
Current Tax Year13518581CurrentTaxYear
Total67474027Total
FieldValueIRS element (for citing)
Public Support Percentage5090.96600PublicSupportPercentage509
Prior Year Support Percentage0.97160PriorYearSupportPercentage
Investment Income Percentage0.03400InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.02840PriorYrInvestIncomePercentage
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$2,485OtherActivitiesAmount
Total Lobbying Expenditures IIB2485TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

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

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis200000OtherCostOrOtherBasis
Book Value200000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2496437OtherCostOrOtherBasis
Depreciation2385153Depreciation
Book Value111284BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis948849OtherCostOrOtherBasis
Depreciation659289Depreciation
Book Value289560BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1356821OtherCostOrOtherBasis
Depreciation1291111Depreciation
Book Value65710BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings666554TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ACCRUED INTEREST PAYABLE$596,989
ENVIRONMENTAL REMEDIATION LIABILITY$150,000
FieldValueIRS element (for citing)
Total Of Amounts746989TotalOfAmounts
Total Revenue13356321TotalRevenue
Total Expenses13409196TotalExpenses
Excess Or Deficit For Year-52875ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS-52875ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt13518581TotRevenueEtcAuditedFinclStmt
Other Revenues162260OtherRevenues
Revenue Not Rptd F990162260RevenueNotRptdF990
Revenue Subtotal13356321RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99013356321TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt13571456TotExpensesEtcAuditedFinclStmt
Other Expenses Included162260OtherExpensesIncluded
Expenses Not Rptd F990162260ExpensesNotRptdF990
Expenses Subtotal13409196ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99013409196TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierExplanationExplanation
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSE NETTED AGAINST INCOME 129,132. FUNDRAISING EXPENES NETTED AGAINST INCOME 33,128.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES NETTED AGAINST INCOME 129,132. FUNDRAISING EXPENSES NETTED AGAINST INCOME 33,128.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF TOURNAMENTNameOfEvent1
Gross Receipts Event137210GrossReceiptsEvent1
Charitable Contributions Event12500CharitableContributionsEvent1
Gross Revenue Event134710GrossRevenueEvent1
Non Cash Prizes Event1200NonCashPrizesEvent1
Rent Facility Costs Event118911RentFacilityCostsEvent1
Other Direct Expenses Event11878OtherDirectExpensesEvent1
Name Of Event2RECEPTIONNameOfEvent2
Other Direct Expenses Event212139OtherDirectExpensesEvent2
Gross Receipts Total37210GrossReceiptsTotal
Charitable Contributions Total2500CharitableContributionsTotal
Gross Revenue Total Events34710GrossRevenueTotalEvents
Non Cash Prizes Total Events200NonCashPrizesTotalEvents
Rent Facility Costs Total Events18911RentFacilityCostsTotalEvents
Other Direct Expenses Total Events14017OtherDirectExpensesTotalEvents
Direct Expense Summary Events33128DirectExpenseSummaryEvents
Net Income Summary1582NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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

FieldValueIRS element (for citing)
Name PersonMYRNA WYNNNamePerson
Base Compensation Filing Org140000BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org15395BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org18240OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org11813NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org185448TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11THE BOARD OF DIRECTORS RECEIVED A COPY OF A DRAFT 990 TO REVIEW BEFORE FILING.
THE BOARD MEMBERS MET TO DETERMINE THE COMPENSATION OF THE CEO WITH A VOTE IN 2008.FORM 990, PART VI, SECTION B, LINE 15A
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 VI, SECTION C, LINE 19
THE ORGANIZATION HAS AUDIT COMMITTEE THAT OVERSEAS THE AUDITOF THE FINANCIAL STATEMENTS AND APPROVES THE AUDITOR.FORM 990, PART XII, LINE 2C:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1RESTHAVEN CORPORATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1120 FISHER AVENUEAddressLine1
CityROXBURYCity
StateMAState
ZIP Code02120ZIPCode
FieldValueIRS element (for citing)
EIN043448700EIN
Primary ActivitiesOWNS MORTGAGEPrimaryActivities
Legal Domicile StateMALegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity StatusLINE 11C, III-FIPublicCharityStatus
Controlled Org0ControlledOrg
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 Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
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 Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
RESTHAVEN CORPORATION
C362884
RESTHAVEN CORPORATION
E2896989

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