ST ANNS HOME FOR THE AGED CORP: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- ST ANNS HOME FOR THE AGED CORP (EIN 22-2823794)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-09-22
- IRS object ID
- 202312659349300701
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-09-22T07:54:51-05:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WithumSmithBrown PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 Jefferson Park Suite 400 | AddressLine1Txt |
| City | Whippany | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 079811070 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222823794 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST ANN'S HOME FOR THE AGED CORP | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % ROBERT REYES LNHA | InCareOfNm |
| Business Name Control | STAN | BusinessNameControlTxt |
| Phone | 2014330950 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 198 OLD BERGEN ROAD | AddressLine1Txt |
| City | JERSEY CITY | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07305 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KYLE HREBEN | PersonNm |
| Person Title | COO | PersonTitleTxt |
| Phone | 2016538300 | PhoneNum |
| Signature | 2023-09-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | KYLE | PersonFirstNm |
| Person Last | HREBEN | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 000000000 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | HAYLEY L STOUT CPA | PreparerPersonNm |
| PTIN | P01293083 | PTIN |
| Phone | 9738989494 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PEACE CARE ST ANN'S | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KYLE HREBEN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 198 OLD BERGEN ROAD | AddressLine1Txt |
| City | JERSEY CITY | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07305 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $13,558,449 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | PEACECARENJ.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1987 | FormationYr |
| Legal Domicile State | NJ | LegalDomicileStateCd |
| Activity Or Mission | THE HOME PROVIDES LONG TERM NURSING CARE AS WELL AS ADULT DAYCARE TO THE COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 4 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 3 | VotingMembersIndependentCnt |
| Total Employee | 276 | TotalEmployeeCnt |
| Total Volunteers | 3 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $438,725 | PYContributionsGrantsAmt |
| CY Contributions Grants | $251,978 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $12,888,254 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $12,956,386 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,808,617 | PYInvestmentIncomeAmt |
| CY Investment Income | $347,679 | CYInvestmentIncomeAmt |
| PY Other Revenue | $5,325 | PYOtherRevenueAmt |
| CY Other Revenue | $1,486 | CYOtherRevenueAmt |
| PY Total Revenue | $16,140,921 | PYTotalRevenueAmt |
| CY Total Revenue | $13,557,529 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $9,328,279 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $9,737,842 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $77,815 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,104,949 | PYOtherExpensesAmt |
| CY Other Expenses | $5,498,959 | CYOtherExpensesAmt |
| PY Total Expenses | $14,433,228 | PYTotalExpensesAmt |
| CY Total Expenses | $15,236,801 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,707,693 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,679,272 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $33,848,969 | TotalAssetsBOYAmt |
| Total Assets EOY | $28,681,178 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $12,402,323 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $11,948,894 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $21,446,646 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $16,732,284 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | ST. ANN'S IS A COMMUNITY OF SKILLED, COMPASSIONATE, CAREGIVERS, ROOTED IN CATHOLIC TRADITION AND THE VALUES OF THE SISTERS OF ST. JOSEPH OF PEACE. ST. ANN'S PROVIDES CARE WITH DIGNITY FOR THE HEALING OF THE WHOLE PERSON. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $13,018,524 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $12,956,386 | RevenueAmt |
| Desc | ST. ANN'S HOME FOR THE AGED CORP D/B/A PEACE CARE ST. ANN'S (THE "HOME") IS A NONPROFIT ORGANIZATION WHICH OPERATES A 120-BED HOME IN JERSEY CITY, NEW JERSEY. THE HOME PROVIDES LONG-TERM, POST-ACUTE AND RESPITE CARE SERVICES AS WELL AS AN OUTPATIENT REHABILITATION PROGRAM. POST-ACUTE CARE IS A SHORT-TERM REHABILITATION SERVICE PROVIDED TO A PATIENT FOLLOWING SURGERY, HOSPITALIZATIONS, INJURY, OR A DISABILITY. THE SHORT-TERM REHABILITATION SERVICES INCLUDE SKILLED NURSING, SOCIAL SERVICES FOR THE OVERALL WELL-BEING OF THE PATIENT, PHYSICAL THERAPY, OCCUPATIONAL THERAPY AND/OR SPEECH THERAPY PROVIDED BY HIGHLY TRAINED STAFF. THERAPY SERVICES ARE ALSO OFFERED AS PART OF THE OUTPATIENT REHABILITATION PROGRAM WHICH INCLUDES TRANSPORTATION FROM AND TO THE PATIENT'S HOME. RESPITE CARE IS A SHORT-TERM STAY AVAILABLE FOR A VARIETY OF CARE LEVELS FOR PATIENTS WHO NEED EXTRA ASSISTANCE BEFORE RETURNING HOME AFTER A HOSPITAL STAY OR SIMPLY FOR CARETAKERS WHO NEED A BREAK FROM TAKING CARE OF THEIR FAMILY MEMBER. IN ADDITION TO PROVIDING LONG-TERM, POST-ACUTE AND RESPITE CARE SERVICES, THE HOME ALSO OPERATES A 50-SLOT ADULT MEDICAL DAYCARE UNIT. | Desc |
| Total Program Service Expenses | $13,018,524 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | Yes (true) | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (true) | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 30 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 276 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 4 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 3 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NJ | StatesWhereCopyOfReturnIsFldCd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ROBERT REYES LNHA | PersonNm |
| Phone | 2014330950 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 198 OLD BERGEN ROAD | AddressLine1Txt |
| City | JERSEY CITY | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07305 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|---|
| ELIZABETH BAMBALAN-RATA | ||||||||
| DIRECTOR OF NURSING | 40.0 | 0.0 | Yes (X) | $218,558 | $0 | $2,687 | ||
| JANET MERLY-LIRANZO LNHA | ||||||||
| TRUSTEE-PCSA ADMIN(TERM 10/22) | 40.0 | 0.0 | $150,743 | $0 | $27,617 | Yes (X) | Yes (X) | |
| MINERVA BANAYOS | ||||||||
| DIRECTOR OF REHABILITATION | 40.0 | 0.0 | Yes (X) | $104,138 | $0 | $38,884 | ||
| KYLE HREBEN MBA LNHA | ||||||||
| TRUSTEE - COO (EFF 7/5/22) | 19.5 | 20.5 | $116,042 | $0 | $5,907 | Yes (X) | Yes (X) | |
| KERLANGE CLAUDE ALEXANDRE | ||||||||
| OCCUPATIONAL THERAPIST | 40.0 | 0.0 | Yes (X) | $100,726 | $0 | $20,304 | ||
| CHERYL DORN | ||||||||
| TRUSTEE - COO (TERMED 2/17/22) | 19.5 | 20.5 | $112,999 | $0 | $174 | Yes (X) | Yes (X) | |
| DONALD LYNCH LNHA | ||||||||
| PCSA ADMIN (10/22 - 12/22) | 40.0 | 0.0 | $29,474 | $0 | $0 | Yes (X) | ||
| CHRISTINE BACKIEL CSJP | ||||||||
| CHAIRPERSON - TRUSTEE | 2.0 | 2.0 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| CATHERINE YAXLEY MBACPARN | ||||||||
| SECRETARY - TRUSTEE | 2.0 | 4.0 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| SILVANA BUCCIANTI | ||||||||
| TREASURER - TRUSTEE | 2.0 | 3.0 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| KENNETH D ROBBINS | ||||||||
| TRUSTEE-INTERIM COO (2/14-6/3) | 19.5 | 20.5 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| CHARLES DEDERDING | ||||||||
| TREAS-TRUSTEE (TERMED 06/2022) | 2.0 | 1.0 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $832,680 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $95,573 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| UNIDINE CORPORATION | |||||
| 1000 WASHINGTON STREET SUITE 510 | BOSTON | MA | 02118 | DIETARY | $773,413 |
| ST BERNADINE HOME CARE SERVICES | |||||
| 591 SUMMIT AVENUE SUITE 411 | JERSEY CITY | NJ | 07306 | STAFFING | $170,340 |
| HOLY NAME MEDICAL CENTER | |||||
| 718 TEANECK ROAD | TEANECK | NE | 07666 | FINANCIAL MANAGEMENT | $143,514 |
| RUBEN SAGUIL CONSTRUCTION | |||||
| 5 CRAIG ROAD | SPRINGFIELD | NJ | 07081 | CONSTRUCTION | $133,350 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $19,588 | RelatedOrganizationsAmt |
| Government Grants | $150,000 | GovernmentGrantsAmt |
| All Other Contributions | $82,390 | AllOtherContributionsAmt |
| Total Contributions | $251,978 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 623110 | $12,937,977 | $12,937,977 |
| OTHER HEALTHCARE RELATED REVENUE | 623110 | $18,409 | $18,409 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $12,956,386 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $347,679 | TotalRevenueColumnAmt |
| Exclusion | $347,679 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $100 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $920 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$820 | TotalRevenueColumnAmt |
| Exclusion | -$820 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CANTEEN/GIFT SHOP/BEAUTY PARLOR | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $2,306 | TotalRevenueColumnAmt |
| Exclusion | $2,306 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,306 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,557,529 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,956,386 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $349,165 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $178,360 | TotalAmt |
| Program Services | $107,016 | ProgramServicesAmt |
| Management And General | $71,344 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,422,075 | TotalAmt |
| Program Services | $6,550,306 | ProgramServicesAmt |
| Management And General | $799,723 | ManagementAndGeneralAmt |
| Fundraising | $72,046 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $128,961 | TotalAmt |
| Program Services | $105,546 | ProgramServicesAmt |
| Management And General | $23,068 | ManagementAndGeneralAmt |
| Fundraising | $347 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,489,308 | TotalAmt |
| Program Services | $1,216,905 | ProgramServicesAmt |
| Management And General | $268,364 | ManagementAndGeneralAmt |
| Fundraising | $4,039 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $519,138 | TotalAmt |
| Program Services | $425,833 | ProgramServicesAmt |
| Management And General | $91,922 | ManagementAndGeneralAmt |
| Fundraising | $1,383 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $143,514 | TotalAmt |
| Program Services | $114,032 | ProgramServicesAmt |
| Management And General | $29,482 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,707 | TotalAmt |
| Program Services | $56,181 | ProgramServicesAmt |
| Management And General | $14,526 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,084 | TotalAmt |
| Program Services | $42,179 | ProgramServicesAmt |
| Management And General | $10,905 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,454 | TotalAmt |
| Management And General | $12,454 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $570,240 | TotalAmt |
| Program Services | $453,094 | ProgramServicesAmt |
| Management And General | $117,146 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,365 | TotalAmt |
| Program Services | $7,441 | ProgramServicesAmt |
| Management And General | $1,924 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $266,428 | TotalAmt |
| Program Services | $211,695 | ProgramServicesAmt |
| Management And General | $54,733 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,814 | TotalAmt |
| Program Services | $6,209 | ProgramServicesAmt |
| Management And General | $1,605 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $505,083 | TotalAmt |
| Program Services | $401,323 | ProgramServicesAmt |
| Management And General | $103,760 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,388 | TotalAmt |
| Program Services | $28,118 | ProgramServicesAmt |
| Management And General | $7,270 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,701 | TotalAmt |
| Program Services | $6,119 | ProgramServicesAmt |
| Management And General | $1,582 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $302,781 | TotalAmt |
| Program Services | $242,225 | ProgramServicesAmt |
| Management And General | $60,556 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,015,607 | TotalAmt |
| Program Services | $812,858 | ProgramServicesAmt |
| Management And General | $202,749 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $230,790 | TotalAmt |
| Program Services | $183,378 | ProgramServicesAmt |
| Management And General | $47,412 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PATIENT FOOD & NOURISHMENTS | $1,038,260 | $896,310 | $141,950 |
| MEDICAL SUPPLIES | $434,220 | $434,220 | |
| NURSING ASSESMENT | $415,894 | $415,894 | |
| REPAIRS AND MAINTENANCE | $206,998 | $164,474 | $42,524 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $172,631 | TotalAmt |
| Program Services | $137,168 | ProgramServicesAmt |
| Management And General | $35,463 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,236,801 | TotalAmt |
| Program Services | $13,018,524 | ProgramServicesAmt |
| Management And General | $2,140,462 | ManagementAndGeneralAmt |
| Fundraising | $77,815 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,223,056 | BOYAmt |
| EOY | $565,936 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $370,607 | BOYAmt |
| EOY | $263,015 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,028,552 | BOYAmt |
| EOY | $1,758,213 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,745 | BOYAmt |
| EOY | $49,037 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $256,588 | BOYAmt |
| EOY | $269,788 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $31,891,885 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $20,167,874 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,143,628 | BOYAmt |
| EOY | $11,724,011 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,665,445 | BOYAmt |
| EOY | $12,975,807 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $110,348 | BOYAmt |
| EOY | $1,075,371 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,848,969 | BOYAmt |
| EOY | $28,681,178 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,418,815 | BOYAmt |
| EOY | $1,539,766 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,184,807 | BOYAmt |
| EOY | $8,899,710 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $370,607 | BOYAmt |
| EOY | $263,015 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,428,094 | BOYAmt |
| EOY | $1,246,403 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,402,323 | BOYAmt |
| EOY | $11,948,894 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,412,504 | BOYAmt |
| EOY | $16,676,146 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,142 | BOYAmt |
| EOY | $56,138 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,446,646 | BOYAmt |
| EOY | $16,732,284 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,848,969 | BOYAmt |
| EOY | $28,681,178 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$1,679,272 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$3,035,090 | NetUnrlzdGainsLossesInvstAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $539,289 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $515,901 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,999,701 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $438,725 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $251,978 | CurrentTaxYearAmt |
| Total | $4,745,594 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,274,743 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,797,882 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,505,020 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,892,270 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,956,386 | CurrentTaxYearAmt |
| Total | $67,426,301 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,814,032 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $15,313,783 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,504,721 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,330,995 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,208,364 | CurrentTaxYearAmt |
| Total | $72,171,895 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $66,323 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,308 | CurrentTaxYearMinus2YearsAmt |
| Total | $79,631 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $66,323 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,308 | CurrentTaxYearMinus2YearsAmt |
| Total | $79,631 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $72,092,264 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $262,794 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $365,137 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $265,469 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $247,758 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $347,679 | CurrentTaxYearAmt |
| Total | $1,488,837 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $262,794 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $365,137 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $265,469 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $247,758 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $347,679 | CurrentTaxYearAmt |
| Total | $1,488,837 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $32,432 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $88,722 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,122 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,221 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,306 | CurrentTaxYearAmt |
| Total | $133,803 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $15,109,258 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $15,767,642 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,775,312 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,583,974 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,558,349 | CurrentTaxYearAmt |
| Total | $73,794,535 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.97693 | PublicSupportCY509Pct |
| Public Support PY509 | 0.97790 | PublicSupportPY509Pct |
| Investment Income CY | 0.02017 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01858 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1 | FormAndLineReferenceDesc |
| Explanation | This organization is a member of the Catholic Health Association, which engages in lobbying efforts on behalf of its member organizations. During the year ended December 31, 2022 the organization did not pay dues to the Catholic Health Association and therefore there is no amount allocated to lobbying. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| Agent Trustee Etc | false | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (true) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,997,898 | OtherCostOrOtherBasisAmt |
| Book Value | $2,997,898 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $25,823,045 | OtherCostOrOtherBasisAmt |
| Depreciation | $17,527,145 | DepreciationAmt |
| Book Value | $8,295,900 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,041,642 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,638,603 | DepreciationAmt |
| Book Value | $403,039 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $29,300 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,126 | DepreciationAmt |
| Book Value | $27,174 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $11,724,011 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| MUTUAL FUNDS | $11,916,899 | F |
| FIXED INCOME | $999,576 | F |
| ASSETS LIMITED AS TO USE, CASH | $59,332 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $12,975,807 | TotalBookValueProgramRltdAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO AFFILIATES | $140,951 |
| DUE TO THIRD PARTIES | $1,028,515 |
| OTHER LIABILITIES | $76,937 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,246,403 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $10,555,353 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$3,035,090 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $44,448 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | -$2,990,642 | RevenueNotReportedAmt |
| Revenue Subtotal | $13,545,995 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $12,454 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | -$920 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $11,534 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $13,557,529 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $15,269,715 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $44,448 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $920 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $45,368 | ExpensesNotReportedAmt |
| Expenses Subtotal | $15,224,347 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $12,454 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $12,454 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $15,236,801 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART IV; LINE 2B | The organization maintains separate bank accounts for resident security deposits and personal funds received on behalf of numerous residents. The organization has fiduciary responsibility for the administration of the bank accounts and the distribution of the funds to residents. |
| SCHEDULE D, PART XI; LINE 4B | AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1 INCLUDE: - RAFFLE EXPENSES ($920). |
| SCHEDULE D, PART XII; LINE 2D | AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25: - RAFFLE EXPENSES - $920. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ELIZABETH BAMBALAN-RATA | ||||||||||||||
| DIRECTOR OF NURSING | $218,346 | $0 | $0 | $0 | $212 | $0 | $1,741 | $0 | $946 | $0 | $221,245 | $0 | $0 | $0 |
| JANET MERLY-LIRANZO LNHA | ||||||||||||||
| TRUSTEE-PCSA ADMIN(TERM 10/22) | $150,605 | $0 | $0 | $0 | $138 | $0 | $1,318 | $0 | $26,299 | $0 | $178,360 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| CORE FORM, PART VII AND SCHEDULE J | TAXABLE COMPENSATION REPORTED HEREIN IS DERIVED FROM 2022 FORMS W-2. |
| SCHEDULE J, PART I, QUESTION 7 | CERTAIN INDIVIDUALS INCLUDED IN core form, part VII received a bonus during calendar year 2022 which was included in each individual's 2022 Form W-2, Box 5, as taxable Medicare wages. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NJ HEALTH CARE FACILITIES FINANCING AUTHORITY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 221987084 | BondIssuerEIN |
| CUSIP | 64579FVF7 | CUSIPNum |
| Bond Issued | 2010-05-01 | BondIssuedDt |
| Issue Price | $11,625,000 | IssuePriceAmt |
| Purpose | BUILDING EXPANSION AND RETIREMENT | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $2,440,193 | RetiredAmt |
| Bond Defeased | $0 | BondDefeasedAmt |
| Total Proceeds | $11,625,000 | TotalProceedsAmt |
| In Reserve Fund | $59,332 | InReserveFundAmt |
| Capitalized Interest | $0 | CapitalizedInterestAmt |
| Refunding Escrow | $0 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $248,623 | IssuanceCostsFromProceedsAmt |
| Credit Enhancement | $0 | CreditEnhancementAmt |
| Working Capital Expenditures | $0 | WorkingCapitalExpendituresAmt |
| Capital Expenditures | $11,317,045 | CapitalExpendituresAmt |
| Other Spent Proceeds | $0 | OtherSpentProceedsAmt |
| Unspent | $0 | UnspentAmt |
| Substantial Completion | 2011 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | Yes (true) | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | false | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (true) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | false | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0 | PrivateBusUseByOthersPct |
| Bond Iss Meet Prvt Sec Pymt Test | false | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| Remedial Action Taken | false | RemedialActionTakenInd |
| Procs Nonqualified Bond Remdtd | false | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Exception To Rebate | Yes (true) | ExceptionToRebateInd |
| Variable Rate Issue | false | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
Hedge Provider Name HedgeProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
GIC Provider Name GICProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | false | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | false | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| CORE FORM, PART VI, SECTION A; QUESTION 3 | The organization is an affiliate within Peace Care, Inc. and affiliates. This organization has a financial management services agreement with Holy Name Medical Center, Inc.; an internal revenue code section 501(c)(3) tax-exempt hospital organization. Through this agreement, Holy Name provides this organization with certain back office financial support services and financial management services. Peace Care, Inc. is a related 501(C)(3) tax-exempt organization that serves as the parent entity of this organization. Peace Care, Inc. provides this organization with certain centralized administrative services, including management, finance, human resources, marketing, public relations and development. In addition, during the year ended December 31, 2022, Peace Care, Inc. delegated control over the management duties of its Chief Operating Officer position to an independent firm, Scott Senior Services, LLC. On behalf of Scott Senior Services, LLC, Kenneth D. Robbins assumed the role of interim Chief Operating Officer for the period February 14, 2022 through June 3, 2022. The amount paid for these services totaled $97,000. These payments were made by Peace Care St. Ann's, on behalf of Peace Care, Inc. and its affiliates. The amounts paid were rendered at fair market value pursuant to arm's length negotiations. |
| CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 | Peace Care, Inc. is the sole member of this organization. Peace Care, Inc. has the ultimate authority and right to elect the members of this organization's board of trustees and has certain reserved powers as defined in this organization's bylaws. |
| CORE FORM, PART VI, SECTION B; QUESTION 11B | The organization is an affiliate within Peace Care, Inc. and affiliates ("system"). The organization's federal form 990 was provided to each voting member of the organization's governing body prior to filing of the form 990 with the internal revenue service ("irs"). As part of the tax return preparation process the organization hired a professional certified public accounting ("CPA") firm with experience and expertise in both healthcare and not-for-profit tax return preparation to prepare the federal form 990. The CPA firm's tax professionals worked closely with the system's finance personnel and various other system individuals ("internal working group") to obtain the information needed in order to prepare a complete and accurate tax return. The CPA firm prepared a draft federal form 990 and furnished it to the system's internal working group for their review. The internal working group reviewed the draft federal form 990 and discussed questions and comments with the CPA firm. Revisions were made to the draft federal form 990 where necessary and a final draft was furnished by the CPA firm to the internal working group for final review. Following this review, the form 990 was then presented to Peace Care, Inc.'s audit and compliance committee and provided to the organization's governing body prior to filing with the irs. |
| CORE FORM, PART VI, SECTION B, LINE 12C | The organization is an affiliate within Peace Care, Inc. and affiliates ("system"). The organization and system regularly monitor and enforce compliance with its conflict of interest policy. The primary purpose of the policy is to ensure that the board and executive staff can make decisions in an objective manner without undue influence by interested persons and to ensure that the center fulfills its charitable purposes. Each board member and principal officer with board delegated power shall annually sign a statement which affirms that such persons have complied with the following: 1) received a copy of this policy, 2) read and understand this policy, 3) agreed to comply with this policy, 4) understand that the center is a charitable organization and that in order to maintain its federal tax exemption it must engage primarily in activities which accomplish one or more of its tax-exempt purposes and, 5) disclosed activities and financial interests which may result in a conflict of interest. Potential conflicts are discussed at the appropriate audit committee meeting and a decision on how to handle is voted on in the absence of the individual who has a conflict. |
| CORE FORM, PART VI, SECTION B, LINE 15A | THE ORGANIZATION IS AN AFFILIATE WITHIN PEACE CARE, INC. AND AFFILIATES ("SYSTEM"). THE ORGANIZATION HAS A COMPENSATION COMMITTEE ("COMMITTEE") OF THE BOARD OF TRUSTEES. THE COMPENSATION AND BENEFITS OF THIS ORGANIZATION'S OFFICER(S) ARE REVIEWED BY THE COMMITTEE ON AN ANNUAL BASIS TO ENSURE FAIR MARKET VALUE COMPENSATION IS PAID. WHERE APPROPRIATE, THE COMMITTEE ALSO REVIEWS EXTERNAL COMPARABLE DATA AND SEEKS ADVICE FROM EXTERNAL INDUSTRY CONSULTANTS. |
| CORE FORM, PART VI, SECTION C; QUESTION 18 | Pursuant to State of New Jersey P.L. 2021, Chapter 457, (which was effective on November 1, 2022), this organization has posted on its internet website a copy of this Internal Revenue Service (IRS) Form 990 and all schedules and supporting documentation required to be submitted to the IRS in conjunction with the Form 990 with the exception of those schedules not open for public inspection. Said Form 990 was posted by the organization after filing its Form 990 with the IRS. |
| CORE FORM, PART VI, SECTION C; QUESTION 19 | The organization's filed certificate of incorporation and any amendments can be obtained and reviewed through the State of New Jersey Department of the Treasury. In addition, the organization's conflict of interest policy and audited financial statements are available upon request. |
| CORE FORM, PART VII AND SCHEDULE J | Core form, part vii and schedule j reflect certain board members and officers receiving compensation and benefits from this organization or a related organization. Please note that this remuneration was for services rendered as full-time employees of the organization or a related organization and not for services rendered as a voting member or officer of this organization's board of trustees. |
| CORE FORM, PART XII; QUESTION 2 | The organization is an affiliate within Peace Care, Inc. and affiliates ("system"). An independent CPA firm audited the consolidated financial statements of Peace Care, Inc. and affiliates, for the years ended December 31, 2022 and December 31, 2021; respectively. The audited consolidated financial statements contain consolidating schedules on an entity by entity basis. The independent CPA firm issued an unmodified opinion with respect to the audited consolidated financial statements each year. In addition, an independent CPA firm audited the separate financial statements of Peace Care St. Ann's, for the years ended December 31, 2022 and December 31, 2021; respectively. The independent CPA firm issued an unmodified opinion with respect to the audited separate financial statements each year. Peace Care, Inc.'s audit and compliance committee has assumed responsibility for the oversight of the audit of the consolidated financial statements, which includes this organization and the selection of an independent auditor. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| PEACE CARE INC | ||||||||||
| 198 OLD BERGEN ROAD | JERSEY CITY | NJ | 07305 | 812589807 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(3) | PEACE MINIST | false |
| MARGARET ANNA CUSACK CARE CENTER INC | ||||||||||
| 537 PAVONIA AVENUE | JERSEY CITY | NJ | 07306 | 760847915 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(2) | PEACE CARE | false |
| PEACE MINISTRIES INC | ||||||||||
| 399 HUDSON TERRACE | ENGLEWOOD CLIFFS | NJ | 07632 | 465202238 | RELIGIOUS | NJ | 501(C)(3) | 509(A)(1) | NA | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R, PART V | FormAndLineReferenceDesc |
| Explanation | This organization is a member of Peace Care, Inc. and affiliates ("system"). Funds are routinely transferred between affiliates and business activities are common on behalf of the system's affiliates, including this organization. These transactions may be recorded on the revenue/expense and balance sheet statements of this organization and other affiliates. These entities work together to deliver high quality cost effective healthcare and wellness services to their communities and in furtherance of charitable tax-exempt purposes. | ExplanationTxt |