2022-11-14T15:52:35-06:00 2021-12-31 872525370 CITRIN COOPERMAN ADVISORS LLC 500 EXCHANGE STREET SUITE 9-100 PROVIDENCE RI 02903 990 2021-01-01 050456800 SAINT ELIZABETH MANOR EAST BAY SAIN 4017737400 ONE DAWN HILL ROAD BRISTOL RI 02809 MATTHEW R TRIMBLE PRESIDENT 4017737400 2022-11-14 1 MATTHEW TRIMBLE 999009999 MICHAEL CRISCIONE P01456801 4014214800 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z MATTHEW R TRIMBLE ONE DAWN HILL ROAD BRISTOL RI 02809 21006054 0 X WWW.STELIZABETHCOMMUNITY.ORG X 1990 RI SAINT ELIZABETH MANOR, EAST BAY PROVIDED NURSING AND REHABILITATION SERVICES FOR 133 INDIVIDUALS WITH A 43-BED SPECIAL CARE UNIT FOR INDIVIDUALS WITH ALZHEIMER'S DISEASE AND RELATED DEMENTIAS. SHORT-TERM TRANSITIONAL CARE PROVIDES INDIVIDUALS WITH THE SPECIALIZED THERAPY AND REHABILITATION NEEDED TO RETURN HOME AFTER HOSPITALIZATIONS THROUGH ITS SALE IN MARCH 2021. X 18 18 213 0 0 0 2093614 2795745 12820489 3083961 100 7494617 74505 26337 14988708 13400660 0 0 0 0 10484425 2468908 0 0 24202 6061859 8811545 16546284 11280453 -1557576 2120207 9230650 1381234 11661698 1692075 -2431048 -310841 X SAINT ELIZABETH MANOR, EAST BAY PROVIDED NURSING AND REHABILITATION SERVICES FOR 133 INDIVIDUALS WITH A 43-BED SPECIAL CARE UNIT FOR INDIVIDUALS WITH ALZHEIMER'S DISEASE AND RELATED DEMENTIAS. SHORT-TERM TRANSITIONAL CARE PROVIDES INDIVIDUALS WITH THE SPECIALIZED THERAPY AND REHABILITATION NEEDED TO RETURN HOME AFTER HOSPITALIZATIONS THROUGH ITS SALE IN MARCH 2021. 0 1 9767977 3110298 SAINT ELIZABETH MANOR, EAST BAY PROVIDES 24 HOUR CARE IN HOUSE AND MAKES NO DISBURSEMENTS OTHER THAN TO INDIVIDUALS AND SUPPLIERS FOR CARE TO RESIDENTS OF THE HOME. 9767977 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 9 0 1 213 1 0 0 0 0 0 0 0 0 0 0 0 0 X 18 18 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X MARK LOISELLE CO SAINT ELIZABETH COMMUNITY 4017737417 2364 POST ROAD WARWICK RI 02886 PHILIP C SLOCUM TRUSTEE 2.00 9.50 X 0 0 0 CRAIG W CARPENTER CHAIR 2.00 9.50 X X 0 0 0 CLAIRE C FLAHERTY TREASURER 2.00 9.50 X X 0 0 0 STEVEN W TILLEY VICE CHAIR 2.00 9.50 X X 0 0 0 ROBIN DZIUBA TRUSTEE 2.00 9.50 X 0 0 0 LISA HOLLEY TRUSTEE 2.00 9.50 X 0 0 0 PETER HOLLMANN MD TRUSTEE 2.00 9.50 X 0 0 0 JEFFREY W KASLE TRUSTEE 2.00 9.50 X 0 0 0 STEVEN H KITCHIN SECRETARY 2.00 9.50 X X 0 0 0 E PAUL LARRAT PH D RPH TRUSTEE 2.00 9.50 X 0 0 0 RT REV W NICHOLAS KNISELY TRUSTEE 2.00 9.50 X 0 0 0 ROBERT H PEASE JR TRUSTEE 2.00 9.50 X 0 0 0 WAYNE D PELLAND TRUSTEE 2.00 9.50 X 0 0 0 TIMOTHY MURRAY TRUSTEE 2.00 9.50 X 0 0 0 JUDY W VIGAR TRUSTEE 2.00 9.50 X 0 0 0 RICHARD CRELLIN TRUSTEE 2.00 9.50 X 0 0 0 KIMBERLEY RANALLI TRUSTEE 2.00 9.50 X 0 0 0 KRISTEN L DISANTO TRUSTEE 2.00 9.50 X 0 0 0 MARK LOISELLE CHIEF FINANCIAL OFFICER 3.15 36.85 X 78354 128605 8975 MATTHEW TRIMBLE PRESIDENT BEGINNING JUNE 2020 4.13 35.88 X 100780 184180 25951 ROBERTA MERKLE VP-STRATEGIC INITIATIVES 4.63 35.38 X 58636 107220 13832 STEVEN J HOROWITZ FORMER PRESIDENT THROUGH JUNE 2020 0.00 0.00 X 5023 307445 7559 242793 727450 56317 1 1 1 0 CARELINK INC 400 MASSASOIT AVE SUITE 113 EAST PROVIDENCE RI 02914 PATIENT SERVICES REHABILITATION 463780 MAS MEDICAL STAFFING 156 HARVEY RD LONDONDERRY NH 03053 STAFFING 165220 MEDICAL ASSOCIATES OF RI 950 WARREN AVE EAST PROVIDENCE RI 02914 STAFFING 127448 MCKESSON MEDICAL SURGICAL 8741 LANDMARK ROAD RICHMOND VA 23228 HEALTH CARE SERVICES 125696 OMNICARE OF RI 30 CENTRE OF NEW ENGLAND BLVD COVENTRY RI 02816 PHARMACEUTICAL 106016 5 1022176 1772159 1410 2795745 PATIENT SERVICES 623000 3083961 3083961 3083961 11 11 15100000 7605394 7494606 7494606 7494606 MISCELLANEOUS INCOME 900099 26337 26337 26337 13400660 3110298 0 7494617 255236 73331 181905 1747165 1613127 113700 20338 48335 44938 2829 568 254953 238725 14647 1581 163219 140360 21327 1532 70479 70479 718542 655076 63283 183 81205 81205 356 356 291107 96735 194372 164139 164139 631808 631808 SUPPLIES AND OTHER 6516738 6415196 101542 PROVIDER ASSESSMENT 161492 161492 FOOD COSTS 83297 83297 RESTRICTED DONATIONS 52500 52500 39882 39882 11280453 9767977 1488274 24202 570995 90413 670995 1235146 52682 0 125888 0 0 0 7615718 0 194372 55675 9230650 1381234 4126774 1692075 7534924 11661698 1692075 X -2431048 -310841 -2431048 -310841 9230650 1381234 2120207 0 X X 0 0 0 X 1276604 1210022 1752123 1144473 1722921 7106143 13811572 14157386 14718013 12820489 3083961 58591421 15088176 15367408 16470136 13964962 4806882 65697564 0 0 0 65697564 27 53 247 100 11 438 27 53 247 100 11 438 148995 7437 35099 23715 26337 241583 15237198 15374898 16505482 13988777 4833230 65939585 0.99630 0.99680 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X X X X 0 0 0 0 0 0 0 0 0 STEVEN J HOROWITZ FORMER PRESIDENT THROUGH JUNE 2020 0 0 0 0 5023 307445 53 3231 69 4206 5145 314882 0 0 MATTHEW TRIMBLE PRESIDENT BEGINNING JUNE 2020 100780 184180 0 0 0 0 3023 5525 6155 11248 109958 200953 0 0 MARK LOISELLE CHIEF FINANCIAL OFFICER 78354 128605 0 0 0 0 2351 3858 1047 1719 81752 134182 0 0 ROBERTA MERKLE VP-STRATEGIC INITIATIVES 58636 107220 0 0 0 0 1759 3217 3131 5725 63526 116162 0 0 PART I, LINE 3 A SALARY SURVEY WAS COMPLETED. RESULTS OF THE SURVEY ARE USED BY THE ORGANIZATION AND COMPARED AGAINST INDUSTRY STATISTICS AND INFLATION RATES IN DETERMINING APPROPRIATE COMPENSATION. A RHODE ISLAND HEALTH AND EDUCATIONAL BUILDING CORPORATION NONEAVAIL 2013-07-31 8000000 REFINANCE; FACILITY EXPANSION/RENOVATIONS PAID IN FULL IN MARCH 2021 0 0 0 A 7917303 8000000 82697 7917303 2015 0 0 1 1 A 0 0 0 0 0 0 1 A 0 0 0 0 0 0 0 0 1 A 1 LAND, BUILDINGS, FURNITURE, FIXTURES, AND EQUIPMENT 2021-03-31 11500000 PURCHASE AND SALES AGREEMENT GREEN TREE NURSING AND REHAB LLC ONE DAWN HILL ROAD BRISTOL RI 02809 LLC 0 0 0 0 FORM 990, PART III, LINE 3 SAINT ELIZABETH MANOR, EAST BAY PROVIDED 24 HOUR CARE IN HOUSE AND MAKES NO DISBURSEMENTS OTHER THAN TO INDIVIDUALS AND SUPPLIERS FOR CARE TO RESIDENTS OF THE HOME THROUGH ITS SALE IN MARCH 2021 WHEN IT CEASED THESE SERVICES. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION IS ORGANIZED AS A NON-STOCK NOT-FOR-PROFIT CORPORATION WITH MEMBERS WHO HAVE THE RIGHT TO PARTICIPATE IN THE ORGANIZATION'S GOVERNANCE. FORM 990, PART VI, SECTION A, LINE 7A THE RELATED ORGANIZATION - THE SAINT ELIZABETH COMMUNITY ESTABLISHES THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE AUDIT COMMITTEE REVIEWED THE FORM 990 PRIOR TO FILING AND RECOMMENDED TO THE ORGANIZATION'S BOARD OF TRUSTEES TO ACCEPT THE FILING. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO REVIEW THE WRITTEN CONFLICT OF INTEREST POLICY ANNUALLY AND DISCLOSE ANY INTERESTS THAT COULD GIVE RISE TO CONFLICTS. SIGNED STATEMENTS ARE RETAINED BY THE ORGANIZATION'S PRESIDENT AND ARE REVIEWED ANNUALLY BY BOTH THE ORGANIZATION'S BOARD OF TRUSTEES AND PRESIDENT. FORM 990, PART VI, SECTION B, LINE 15A A SALARY SURVEY WAS COMPLETED FOR THE LEADERSHIP STAFF OF THE SAINT ELIZABETH COMMUNITY (RELATED ORGANIZATION). RESULTS OF THE SURVEY ARE USED BY THE ORGANIZATION AND COMPARED AGAINST INDUSTRY STATISTICS AND INFLATION RATES IN DETERMINING APPROPRIATE COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST AT 2364 POST ROAD, SUITE 100, WARWICK, RI 02886. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. THE SAINT ELIZABETH COMMUNITY 2364 POST ROAD SUITE 100 WARWICK RI 02886 050457342 SUPPORTS AND MAKES CONTRIBUTIONS TO THE RELATED ORGANIZATIONS. RI 501(C)(3) LINE 12B, II N/A 0 SAINT ELIZABETH HOME EAST GREENWICH ONE SAINT ELIZABETH WAY EAST GREENWICH RI 02818 050258998 OPERATES NURSING HOME RI 501(C)(3) LINE 10 N/A 0 SAINT ELIZABETH APARTMENTS FOR SENIORS AND MOBILITY-IMPAIRED WESTMINSTER STREET PROVIDENCE RI 02903 050392246 OPERATES APARTMENT COMPLEX FOR ELDERLY RI 501(C)(3) LINE 10 N/A 0 SAINT ELIZABETH DEVELOPMENT CORPORATION 2364 POST ROAD SUITE 100 WARWICK RI 02886 050506057 RENTS LAND RI 501(C)(2) LINE 12A, I N/A 0 SAINT ELIZABETH COMMUNITY WORKERS' COMPENSATION TRUST 2364 POST ROAD SUITE 100 WARWICK RI 02886 050462175 SELF INSURED WORKERS' COMPENSATION TRUST RI 501(C)(3) LINE 12A, I N/A 0 SAINT ELIZABETH APARTMENTS FOR SENIORS 150 WARWICK NECK AVENUE WARWICK RI 02889 264338544 ELDERLY HOUSING FACILITIES AND SERVICES RI 501(C)(3) LINE 10 N/A 0 SAINT ELIZABETH ADULT DAY CENTERS 140 WARWICK NECK AVENUE WARWICK RI 02889 050429500 ADULT DAYCARE SERVICES RI 501(C)(3) LINE 10 N/A 0 SAINT ELIZABETH HOME CARE 2364 POST ROAD SUITE 100 WARWICK RI 02886 474523236 HOME CARE RI 501(C)(3) LINE 10 N/A 0 SAINT ELIZABETH ASSISTED LIVING LP 109 MELROSE STREET PROVIDENCE RI 02907 050518113 OPERATES ASSISTED LIVING FACILITY RI N/A 0 0 SEAL MELROSE INC 2364 POST ROAD WARWICK RI 02886 050518115 REAL ESTATE DEVELOPERS RI N/A C 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 SAINT ELIZABETH COMMUNITY C 22326 ACTUAL AMOUNT SAINT ELIZABETH COMMUNITY B 4402559 ACTUAL AMOUNT SAINT ELIZABETH HOME AND OTHERS O 1634830 ACTUAL AMOUNT