STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

STONE INSTITUTE AND NEWTON HOME FOR AGED PEOPLE: Form 990PF, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
STONE INSTITUTE AND NEWTON HOME FOR AGED PEOPLE (EIN 04-2105896)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-11-14
IRS object ID
202423199349101917
Schema version
2023v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-11-14T09:12:19-06:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390859910PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BAKER TILLY ADVISORY GROUP LPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line120 STANWIX STREETAddressLine1Txt
CityPITTSBURGHCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15222ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN042105896EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1STONE INSTITUTE AND NEWTON HOME FORBusinessNameLine1Txt
Business Name Line2AGED PEOPLEBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlSTONBusinessNameControlTxt
Phone6175270023PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1277 ELLIOT STREETAddressLine1Txt
CityNEWTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02464ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJENNIFER SANTERREPersonNm
Person TitleCFOPersonTitleTxt
Phone6175270023PhoneNum
Signature2024-11-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJEFFREY J PETRELLPreparerPersonNm
PTINP00138808PTIN
Phone4126976400PhoneNum
Preparation2024-11-13PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$8,172,506FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$269,177ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$109,644InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$109,644InterestOnSavNetInvstIncmAmt
Interest On Savings Adj Net Incm$109,644InterestOnSavingsAdjNetIncmAmt
Net Gain Sale Ast Rev And Expnss$882,035NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$3,189,451GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$882,035CapGainNetIncmNetInvstIncmAmt
Net ST Capital Gain Adj Net Incm$0NetSTCapitalGainAdjNetIncmAmt
Other Income Rev And Expnss$10,708,611OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$0OtherIncomeNetInvstIncmAmt
Other Income Adj Net Incm$10,708,611OtherIncomeAdjNetIncmAmt
Total Rev And Expnss$11,969,467TotalRevAndExpnssAmt
Total Net Invst Incm$991,679TotalNetInvstIncmAmt
Total Adj Net Incm$10,818,255TotalAdjNetIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Adj Net Incm$0CompOfcrDirTrstAdjNetIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Rev And Expnss$5,887,674OthEmplSlrsWgsRevAndExpnssAmt
Oth Empl Slrs Wgs Net Invst Incm$0OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Adj Net Incm$4,981,957OthEmplSlrsWgsAdjNetIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$905,717OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Rev And Expnss$653,098PensionEmplBnftRevAndExpnssAmt
Pension Empl Bnft Net Invst Incm$0PensionEmplBnftNetInvstIncmAmt
Pension Empl Bnft Adj Net Incm$552,630PensionEmplBnftAdjNetIncmAmt
Pension Empl Bnft Dsbrs Chrtbl$100,468PensionEmplBnftDsbrsChrtblAmt
Legal Fees Rev And Expnss$74,749LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$0LegalFeesNetInvstIncmAmt
Legal Fees Adj Net Incm$63,250LegalFeesAdjNetIncmAmt
Legal Fees Dsbrs Chrtbl$11,499LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$37,474AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$31,709AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$5,765AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$589,041OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$17,773OtherProfFeesNetInvstIncmAmt
Other Prof Fees Adj Net Incm$483,388OtherProfFeesAdjNetIncmAmt
Other Prof Fees Dsbrs Chrtbl$87,880OtherProfFeesDsbrsChrtblAmt
Interest Rev And Expnss$140,778InterestRevAndExpnssAmt
Interest Net Invst Incm$0InterestNetInvstIncmAmt
Interest Adj Net Incm$119,122InterestAdjNetIncmAmt
Interest Dsbrs Chrtbl$21,656InterestDsbrsChrtblAmt
Taxes Rev And Expnss$446,458TaxesRevAndExpnssAmt
Taxes Net Invst Incm$0TaxesNetInvstIncmAmt
Taxes Adj Net Incm$377,778TaxesAdjNetIncmAmt
Taxes Dsbrs Chrtbl$68,680TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$354,976DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$0DeprecAndDpltnNetInvstIncmAmt
Deprec And Dpltn Adj Net Incm$354,976DeprecAndDpltnAdjNetIncmAmt
Occupancy Rev And Expnss$409,633OccupancyRevAndExpnssAmt
Occupancy Net Invst Incm$0OccupancyNetInvstIncmAmt
Occupancy Adj Net Incm$346,618OccupancyAdjNetIncmAmt
Occupancy Dsbrs Chrtbl$63,015OccupancyDsbrsChrtblAmt
Trav Conf Meeting Rev And Expnss$449TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Net Invst Incm$0TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Adj Net Incm$380TravConfMeetingAdjNetIncmAmt
Trav Conf Meeting Dsbrs Chrtbl$69TravConfMeetingDsbrsChrtblAmt
Other Expenses Rev And Expnss$4,126,143OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$0OtherExpensesNetInvstIncmAmt
Other Expenses Adj Net Incm$3,506,447OtherExpensesAdjNetIncmAmt
Other Expenses Dsbrs Chrtbl$619,696OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$12,720,473TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$17,773TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$10,818,255TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$1,884,445TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$0ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$0ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$12,720,473TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$17,773TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$10,818,255TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$1,884,445TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$751,006ExcessRevenueOverExpensesAmt
Net Investment Income$973,906NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$2,047,910CashBOYAmt
Cash EOY$628,850CashEOYAmt
Cash EOYFMV$628,850CashEOYFMVAmt
Sav And Temp Cash Invst BOY$330,402SavAndTempCashInvstBOYAmt
Acct Rcvbl$2,027,531AcctRcvblAmt
Acct Rcvbl Allwnc Dbtfl Acct$262,363AcctRcvblAllwncDbtflAcctAmt
Acct Rcvbl BOY$987,068AcctRcvblBOYAmt
Acct Rcvbl EOY$1,765,168AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$1,765,168AcctRcvblEOYFMVAmt
Prepaid Expenses BOY$27,734PrepaidExpensesBOYAmt
Prepaid Expenses EOY$123,326PrepaidExpensesEOYAmt
Prepaid Expenses EOYFMV$123,326PrepaidExpensesEOYFMVAmt
Other Investments BOY$2,365,226OtherInvestmentsBOYAmt
Other Investments EOY$2,405,223OtherInvestmentsEOYAmt
Other Investments EOYFMV$2,405,223OtherInvestmentsEOYFMVAmt
Land Bldg Equip Cost Or Other Bss$12,496,593LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$9,246,654LandBldgEquipAccumDeprecAmt
Land BOY$3,507,330LandBOYAmt
Land EOY$3,249,939LandEOYAmt
Land EOYFMV$3,249,939LandEOYFMVAmt
Total Assets BOY$9,265,670TotalAssetsBOYAmt
Total Assets EOY$8,172,506TotalAssetsEOYAmt
Total Assets EOYFMV$8,172,506TotalAssetsEOYFMVAmt
Accounts Payable BOY$1,143,892AccountsPayableBOYAmt
Accounts Payable EOY$1,627,068AccountsPayableEOYAmt
Deferred Revenue BOY$90,836DeferredRevenueBOYAmt
Mortgages And Notes Payable BOY$3,128,974MortgagesAndNotesPayableBOYAmt
Mortgages And Notes Payable EOY$2,954,610MortgagesAndNotesPayableEOYAmt
Other Liabilities BOY$0OtherLiabilitiesBOYAmt
Other Liabilities EOY$38,908OtherLiabilitiesEOYAmt
Total Liabilities BOY$4,363,702TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,620,586TotalLiabilitiesEOYAmt
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind
No Donor Rstr Net Assests BOY$4,849,465NoDonorRstrNetAssestsBOYAmt
No Donor Rstr Net Assests EOY$3,512,824NoDonorRstrNetAssestsEOYAmt
Donor Rstr Net Assets BOY$52,503DonorRstrNetAssetsBOYAmt
Donor Rstr Net Assets EOY$39,096DonorRstrNetAssetsEOYAmt
Tot Net Ast Or Fund Balances BOY$4,901,968TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$3,551,920TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$9,265,670TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$8,172,506TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$4,901,968TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$751,006ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$4,150,962SubtotalAmt
Other Decreases$599,042OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$3,551,920TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp

FieldValueIRS element (for citing)
PropertySALES ON INVESTMENTPropertyDesc
Gross Sales Price$3,189,451GrossSalesPriceAmt
Cost Or Other Basis$2,307,416CostOrOtherBasisAmt
Gain Or Loss$882,035GainOrLossAmt
Gains Minus Excess Or Losses$882,035GainsMinusExcessOrLossesAmt
FieldValueIRS element (for citing)
Capital Gain Net Income$882,035CapitalGainNetIncomeAmt
Net Short Term Capital Gain Loss$0NetShortTermCapitalGainLossAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Exempt Operating FoundationsYes (X)ExemptOperatingFoundationsInd
Ruling Letter1992-12-21RulingLetterDt
Not ApplicableN/ANotApplicableCd
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$0SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$0TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$0EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$0TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Tax Due$0TaxDueAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateMAOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating FoundationYes (1)PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressWWW.STONEREHABANDSENIORLIVING.COMWebsiteAddressTxt

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6175270023PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1277 ELLIOT STREETAddressLine1Txt
CityNEWTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02464ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
SALLY H JENKS
277 ELLIOT STREETNEWTONMA02464PRESIDENT1.00$0$0$0
DENNIS C RIESKE
277 ELLIOT STREETNEWTONMA02464VICE PRESIDENT1.00$0$0$0
CHRISTOPHER Y SHEPLER
277 ELLIOT STREETNEWTONMA02464TREASURER1.00$0$0$0
MICHAEL ROSSI
277 ELLIOT STREETNEWTONMA02464CLERK1.00$0$0$0
MICHAEL ALEXANDER
277 ELLIOT STREETNEWTONMA02464SECRETARY1.00$0$0$0
JEAN M THURSTON
277 ELLIOT STREETNEWTONMA02464DIRECTOR1.00$0$0$0
JOYCE LOCHIATTO
277 ELLIOT STREETNEWTONMA02464DIRECTOR1.00$0$0$0
ZEILA DE SOUZA
277 ELLIOT STREETNEWTONMA02464DIRECTOR1.00$0$0$0
EMILY KUHL
277 ELLIOT STREETNEWTONMA02464DIRECTOR1.00$0$0$0
WILFRED MAMUYA
277 ELLIOT STREETNEWTONMA02464DIRECTOR1.00$0$0$0

Compensation Highest Paid Empl CompensationHighestPaidEmplGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee BenefitsEmployeeBenefitsAmtExpense AccountExpenseAccountAmt
OLIVE CHITO
277 ELLIOT STREETNEWTONMA02464RN57.00$187,178$0$3,837
JIANWU CHEN
277 ELLIOT STREETNEWTONMA02464RN55.00$165,067$0$14,309
UGUETTE JOSEPH
277 ELLIOT STREETNEWTONMA02464LPN49.00$140,541$0$17,791
SYLVESTER BOACHIE
277 ELLIOT STREETNEWTONMA02464CNA80.00$149,816$0$3,194
MARTHA KELLY
277 ELLIOT STREETNEWTONMA02464CNA59.00$146,878$0$3,859
FieldValueIRS element (for citing)
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt

Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdService TypeServiceTypeTxtCompensationCompensationAmt
CHELSEA JEWISH LIFECARE INC
165 CAPTAINS ROWCHELSEAMA02150MANAGEMENT SERVICES$362,277
PERFORMANCE HEALTHCARE SERVICES INC
47R RIVER STREET SUITE 200RWELLESLEYMA02481AGENCY HOUSEKEEPING$268,223
SYNCHRONY REHAB
PO BOX 74590CLEVELANDOH44194CONTRACT REHABILIATION SERVICES$219,244
EXPRESS HEALTHCARE GROUP INC
241 WAVERLY ROADNORTH ANDOVERMA01845AGENCY NURSING$173,162
INTELYCARE INC
1250 HANCOCK STREET 501NQUINCYMA02169AGENCY NURSING$91,378
FieldValueIRS element (for citing)
Contractor Paid Over50k0ContractorPaidOver50kCnt

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1OPERATION OF A 24-BED RETIREMENT HOME FOR AGED PERSONS IN INDIGENT CIRCUMSTANCES, AND AN 82-BED SKILLED NURSING FACILITY.Description1Txt
Expenses1$12,348,181Expenses1Amt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Description1N/ADescription1Txt
Expenses1$0Expenses1Amt
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$2,365,313AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$1,523,493AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$3,888,806TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$3,888,806AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$58,332CashDeemedCharitableAmt
Net Vl Noncharitable Assets$3,830,474NetVlNoncharitableAssetsAmt
Minimum Investment Return$191,524MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Sect4942j3j5 Fndtn And Frgn OrgYes (X)Sect4942j3j5FndtnAndFrgnOrgInd

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$1,884,445ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$1,884,445QualifyingDistributionsAmt

Private Operating Foundations PrivateOperatingFoundationsGrp

FieldValueIRS element (for citing)
Private Operating Fndtn Ruling1992-12-21PrivateOperatingFndtnRulingDt
Section4942j3Yes (X)Section4942j3Ind

Lessor Adj Net Incm Min Invst Ret LessorAdjNetIncmMinInvstRetGrp

FieldValueIRS element (for citing)
Current Year$0CurrentYearAmt
Year1$1Year1Amt
Year2$0Year2Amt
Year3$45,208Year3Amt
Total$45,209TotalAmt

Pct85 Lessor Adj Incm Or Min Ret Pct85LessorAdjIncmOrMinRetGrp

FieldValueIRS element (for citing)
Current Year$0CurrentYearAmt
Year1$1Year1Amt
Year2$0Year2Amt
Year3$38,427Year3Amt
Total$38,428TotalAmt

Qualifying Distributions QualifyingDistributionsGrp

FieldValueIRS element (for citing)
Current Year$1,884,445CurrentYearAmt
Year1$1,978,217Year1Amt
Year2$695,234Year2Amt
Year3$323,119Year3Amt
Total$4,881,015TotalAmt

Qualifying Distri Not Used Drt QualifyingDistriNotUsedDrtGrp

FieldValueIRS element (for citing)
Current Year$0CurrentYearAmt
Year1$0Year1Amt
Year2$0Year2Amt
Year3$0Year3Amt
Total$0TotalAmt

Qualifying Distri Made Drt QualifyingDistriMadeDrtGrp

FieldValueIRS element (for citing)
Current Year$1,884,445CurrentYearAmt
Year1$1,978,217Year1Amt
Year2$695,234Year2Amt
Year3$323,119Year3Amt
Total$4,881,015TotalAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
Year1$9,265,670Year1Amt
Year2$11,360,099Year2Amt
Year3$11,359,233Year3Amt
Total$31,985,002TotalAmt

Total Assets Sect4942j3 Bi TotalAssetsSect4942j3BiGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Two Thirds Minimum Invst Ret TwoThirdsMinimumInvstRetGrp

FieldValueIRS element (for citing)
Current Year$127,683CurrentYearAmt
Year1$1Year1Amt
Year2$0Year2Amt
Year3$30,139Year3Amt
Total$157,823TotalAmt

Total Support TotalSupportGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Public Support Type PublicSupportType

FieldValueIRS element (for citing)
Total$0TotalAmt

Largest Support From EO LargestSupportFromEOGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Gross Investment Income GrossInvestmentIncomeGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonEDWARD BLAKERecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line1277 ELLIOT STREETAddressLine1Txt
CityNEWTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02464ZIPCd
FieldValueIRS element (for citing)
Recipient Phone6177620882RecipientPhoneNum
Form And Info And MaterialsN/AFormAndInfoAndMaterialsTxt
Submission DeadlinesNOSubmissionDeadlinesTxt
Restrictions On AwardsNO RESTRICTIONS HAVE BEEN NOTED.RestrictionsOnAwardsTxt
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$0TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Program Service Revenue Dtl ProgramServiceRevenueDtl

FieldValueIRS element (for citing)
DescPATIENT SERVICE REVENUEDesc
Related Or Exempt Function Incm$10,699,767RelatedOrExemptFunctionIncmAmt

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$109,644ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$882,035ExclusionAmt

Other Revenue Described OtherRevenueDescribedGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Related Or Exempt Function Incm$8,844RelatedOrExemptFunctionIncmAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$991,679ExclusionAmt
Related Or Exempt Function Incm$10,708,611RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$11,700,290TotalIncomeProducingActyAmt

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp (2 entries)

Line NumberLineNumberTxtRelationship StatementRelationshipStatementTxt
1ALL INCOME RELATED TO PRIVATE OPERATING FOUNDATION PROVIDING NURSING CARE AND OTHER RELATED SERVICES TO RESIDENTS OF THE FACILITY.
3THE ORGANIZATION USES ITS INVESTMENT INCOME TO SUPPORT ITS MISSION TO PROVIDE NURSING CARE AND OTHER RELATED SERVICES TO RESIDENTS OF THE FACILITY

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
General RuleYes (X)GeneralRuleInd

Contributor Information ContributorInformationGrp (3 entries)

ContributorContributorNumAddress Line1ContributorUSAddress/AddressLine1TxtCityContributorUSAddress/CityNmState AbbreviationContributorUSAddress/StateAbbreviationCdZIPContributorUSAddress/ZIPCdTotal ContributionsTotalContributionsAmtPerson ContributionPersonContributionInd
EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES
11 ASHBURN PL 11TH FLOORBOSTONMA02108$236,652Yes (X)
CHRISTOPHER SHEPLER
244 SOULE AVEDUXBURYMA02332$8,000Yes (X)
HAMILTON CO CHARITABLE FOUNDATION (HCCF) PROJECT FUND
339 BRIGHTON AVEBOSTONMA02134$15,000Yes (X)

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$37,474Amt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$31,709AdjustedNetIncomeAmt
Disbursements Charitable Prps$5,765DisbursementsCharitablePrpsAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (2 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
CASH AND CASH INVESTMENTSFMV$39,823$39,823
OTHER INVESTMENTSFMV$2,365,400$2,365,400

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryLEGAL FEESCategoryTxt
Legal Fees$74,749LegalFeesAmt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$63,250AdjustedNetIncomeAmt
Disbursements Charitable Prps$11,499DisbursementsCharitablePrpsAmt

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescUNREALIZED GAINES/LOSSESDesc
Amt$599,042Amt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (15 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
ADVERTISING$1,005$0$850$155
OFFICE EXPENSE$31,551$0$26,697$4,854
INFORMATION TECHNOLOGY$155,849$0$131,874$23,975
INSURANCE$134,927$0$114,171$20,756
MEDICAL EXPENSES$81,412$0$68,888$12,524
NURSING EXPENSE$1,037,751$0$878,111$159,640
DUES AND SUBSCRIPTIONS$16,792$0$14,209$2,583
DIETARY EXPENSES$382,346$0$323,529$58,817
USER FEE EXPENSE$613,080$0$518,768$94,312
STAFF RECRUITMENT$54,542$0$46,152$8,390
MISCELLANEOUS EXPENSE$560,418$0$489,247$71,171
HOUSEKEEPING EXPENSES$445,100$0$376,629$68,471
PHARMACY EXPENSES$62,076$0$52,527$9,549
REHAB EXPENSE$448,867$0$379,817$69,050
BAD DEBT EXPENSE$100,427$0$84,978$15,449

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtAdjusted Net IncomeAdjustedNetIncomeAmt
PATIENT SERVICE REVENUE$10,699,767$10,699,767
MISCELLANEOUS INCOME$8,844$8,844

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail (2 entries)

DescDescBOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmt
DUES TO RELATED PARTIES$0$6,595
RESIDENT FUNDS$0$32,313

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail (3 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
MANAGEMENT FEES$561,159$0$474,834$86,325
INVESTMENT MANAGEMENT FEES$17,773$17,773$0$0
OTHER FEES$10,109$0$8,554$1,555

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryPAYROLL TAXESCategoryTxt
Amt$446,458Amt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$377,778AdjustedNetIncomeAmt
Disbursements Charitable Prps$68,680DisbursementsCharitablePrpsAmt