PROVIDENCE REST: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- PROVIDENCE REST (EIN 13-1740301)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-15
- IRS object ID
- 202113199349323191
- Schema version
- 2020v4.1
- 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
- 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 | 2021-11-15T16:44:09-06:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 271728945 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PKF O'CONNOR DAVIES LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 MAMARONECK AVENUE | AddressLine1Txt |
| City | HARRISON | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 105281633 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 131740301 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PROVIDENCE REST | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PROV | BusinessNameControlTxt |
| Phone | 7189313000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3304 WATERBURY AVENUE | AddressLine1Txt |
| City | BRONX | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10465 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SR SELINE MARY FLORES | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 7189313000 | PhoneNum |
| Signature | 2021-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | SR | PersonFirstNm |
| Person Last | SELINE MARY FLORES | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | GARRETT M HIGGINS | PreparerPersonNm |
| PTIN | P00543209 | PTIN |
| Phone | 9143818900 | PhoneNum |
| Preparation | 2021-11-10 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SR SELINE MARY FLORES | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3304 WATERBURY AVENUE | AddressLine1Txt |
| City | BRONX | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10465 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $41,288,296 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.PROVIDENCEREST.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1956 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | TO RENDER INPATIENT MEDICAL CARE TO THE AGED. | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 19 | VotingMembersIndependentCnt |
| Total Employee | 301 | TotalEmployeeCnt |
| Total Volunteers | 19 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,274,456 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,250,841 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $27,220,750 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $22,545,205 | CYProgramServiceRevenueAmt |
| PY Investment Income | $749,675 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,128,273 | CYInvestmentIncomeAmt |
| PY Other Revenue | $327,717 | PYOtherRevenueAmt |
| CY Other Revenue | $312,241 | CYOtherRevenueAmt |
| PY Total Revenue | $29,572,598 | PYTotalRevenueAmt |
| CY Total Revenue | $27,236,560 | 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 | $18,058,590 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $16,985,174 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $27,000 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $82,156 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $14,248,067 | PYOtherExpensesAmt |
| CY Other Expenses | $13,974,138 | CYOtherExpensesAmt |
| PY Total Expenses | $32,333,657 | PYTotalExpensesAmt |
| CY Total Expenses | $30,959,312 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,761,059 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$3,722,752 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $45,049,358 | TotalAssetsBOYAmt |
| Total Assets EOY | $42,104,175 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $27,423,710 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $28,880,049 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $17,625,648 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $13,224,126 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | IT IS OUR MISSION TO PROVIDE EXCEPTIONAL SKILLED NURSING AND REHABILITATIVE CARE IN A SAFE, PEACE-FILLED, SPIRITUALLY-CENTERED ENVIRONMENT TO THE OLDER ADULTS ENTRUSTED TO US. WE CONSIDER IT OUR PRIVILEGE TO CARE FOR EACH PERSON AS GOD'S PRECIOUS GIFT OF LIFE AND LOVE. WE FULLY COMMIT OURSELVES TO A CIRCLE OF COMMUNITY WITH OUR RESIDENTS AS THE CENTER, SURROUNDED BY STAFF, FAMILIES AND FRIENDS; THE RECOGNITION OF EACH RESIDENT AS AN AUTONOMOUS INDIVIDUAL WITH SPECIAL AND UNIQUE NEEDS, INTERESTS AND PREFERENCES; THE INVOLVEMENT OF ALL STAFF IN THE DAILY LIVES OF OUR RESIDENTS; CREATING A CARE ENVIRONMENT WHERE ALL THE MEMBERS OF OUR COMMUNITY WORK IN HARMONY TO PROVIDE A HAPPY HOME. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $26,521,074 | ExpenseAmt |
| Revenue | $22,474,010 | RevenueAmt |
| Desc | OUR SNF OFFERS SHORT TERM REHABILITATION, SUBACUTE SERVICES, LONG TERM CARE AND RESPITE CARE. IN ADDITION, WE HAVE A COMPREHENSIVE PALLIATIVE CARE PROGRAM AND PROVIDE IN-PATIENT HOME HOSPICE CARE. OUR SERVICES FOCUS ON THE OLDER ADULTS IN OUR COMMUNITY. WE HAVE A PERSON-CENTERED PHILOSOPHY, FOCUSING ON ALL THE NEEDS OF EACH INDIVIDUAL ENTRUSTED TO US PHYSICAL, SPIRITUAL, PSYCHOLOGICAL AND SOCIAL. WE HAD 470 ADMISSIONS TO PROVIDENCE REST IN 2020, DISCHARGED 132 RESIDENTS BACK TO THEIR HOMES. WE RENDERED 54,556 DAYS OF RESIDENT CARE AND 21 DAYS OF RESPITE CARE. PROVIDENCE REST CONTINUED TO EXTEND THE BOUNDARIES OF THE HOME TO THE COMMUNITY AT LARGE, SHARING EXPERTISE, PROGRAMS AND RESOURCES, THROUGH INTERNSHIP PROGRAMS, COMMUNITY INFORMATION PROGRAMS, HEALTH FAIR PARTICIPATION AND OTHER OUTREACH EFFORTS INCLUDING PROVIDING THE BOARD OF ELECTIONS WITH PROVIDENCE AS A NEW, HANDICAPPED ACCESSIBLE POLLING SITE. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $6,466 | ExpenseAmt |
| Revenue | $71,195 | RevenueAmt |
| Desc | OUR OUTPATIENT PROGRAM PROVIDES PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY SERVICES TO THE ADULTS OF OUR COMMUNITY, SPECIALIZING IN REHABILITATION FOR THE SENIOR POPULATION. THE PROGRAM ALSO PROVIDES CONTINUITY FOR OUR DISCHARGED SHORT-TERM REHAB CLIENTS WHO CHOOSE TO REMAIN WITH OUR THERAPISTS FOR THEIR REHABILITATION ONCE THEY RETURN HOME. WE RENDERED 2 PATIENT VISITS DURING 2020. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $26,527,540 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 27 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 301 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 19 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANNMARIE COVONE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7189313000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3304 WATERBURY AVENUE | AddressLine1Txt |
| City | BRONX | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10465 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| SR CLAUDETTE JASZCYNSKI CSJB | ||||||||
| PRESIDENT | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CHRISTOPHER D'ANGELO | ||||||||
| VICE-CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JOHN A DECINA | ||||||||
| CHAIRMAN | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JOSEPH SAPORITO | ||||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| SR THERESA D'ONOFRIO CSJB | ||||||||
| SECRETARY | 1.00 | 0.10 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| SR SELINE MARY FLORES CSJB | ||||||||
| DIRECTOR/CEO | 35.00 | 0.10 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DR ANNE M CASEY | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| REV ERIC P CRUZ | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DENISE L DEMARZO | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SR MARY MARGARET DULSKY CSJB | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| SR LORETTA MARIE FLORIO CSJB | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JACK GLEASON | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JOSEPH J GUARRACINO | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SR ELSA JERONIMO CSJB | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT F MARIANI JR | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CAMILLE MILEA | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| FRANK S PATERNO | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JOSEPH SCIAME | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SR MICHELLE SINNONA CSJB | ||||||||
| DIRECTOR/PURCHASING DIRECTOR | 35.00 | Yes (X) | $0 | $0 | $0 | |||
| RICHARD J LOHNE | ||||||||
| EXECUTIVE DIRECTOR | 35.00 | Yes (X) | $275,849 | $0 | $21,402 | |||
| VENETIA UY | ||||||||
| MDS MANAGER | 35.00 | $124,056 | $0 | $32,498 | Yes (X) | |||
| ERNESTO S ANTONINO | ||||||||
| DIRECTOR OF NURSING | 35.00 | $167,285 | $0 | $33,668 | Yes (X) | |||
| JULIET GORDONCILLO | ||||||||
| RN SUPERVISOR | 35.00 | $111,513 | $0 | $21,833 | Yes (X) | |||
| YAKOV KATSNELSON | ||||||||
| DIRECTOR OF PLANT MAINTENANCE | 35.00 | $107,496 | $0 | $21,833 | Yes (X) | |||
| KIM A D'AMICO | ||||||||
| NURSE COORDINATOR | 35.00 | $114,844 | $0 | $32,498 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $901,043 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $163,732 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 7 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SELECT REHABILITATION | |||||
| PO BOX 674102 | DALLAS | TX | 75267 | REHAB SERVICES | $1,414,565 |
| MORRISON MANAGEMENT SPECIALIST | |||||
| 100 SOUTHCREST DRIVE | STOCKBRIDGE | GA | 30281 | NUTRITION MGMT SERVICES | $1,344,094 |
| CATHOLIC HEALTH CARE SYSTEM | |||||
| 205 LEXINGTON AVE 2ND FLR | NEW YORK | NY | 10012 | ADMINISTRATIVE SERVICES | $418,843 |
| RN EXPRESS STAFFING | |||||
| 71 WEST 23RD ST SUITE 1622 | NEW YORK | NY | 10010 | STAFFING SERVICES | $267,468 |
| UNITEX TEXTILE RENTAL SERVICES | |||||
| 401 SOUTH MAXQUESTEN PARKWAY | MOUNT VERNON | NY | 10550 | LAUNDRY SERVICES | $169,742 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $25,000 | RelatedOrganizationsAmt |
| Government Grants | $1,488,689 | GovernmentGrantsAmt |
| All Other Contributions | $737,152 | AllOtherContributionsAmt |
| Total Contributions | $2,250,841 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAID REVENUE | 623000 | $11,143,483 | $11,143,483 |
| MEDICARE REVENUE | 623000 | $5,818,068 | $5,818,068 |
| PRIVATE PAY AND OTHER | 623000 | $4,454,916 | $4,454,916 |
| OTHER PATIENT REVENUE | 623000 | $1,128,738 | $1,128,738 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $22,545,205 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $310,025 | TotalRevenueColumnAmt |
| Exclusion | $310,025 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $258,133 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $258,133 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $258,133 | TotalRevenueColumnAmt |
| Exclusion | $258,133 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $15,865,155 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $14,046,907 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,818,248 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,818,248 | TotalRevenueColumnAmt |
| Exclusion | $1,818,248 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $27,358 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $4,829 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,529 | TotalRevenueColumnAmt |
| Exclusion | $22,529 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| INTEREST ON PAST DUE ACCTS | 900099 | $12,484 | $12,484 |
| CABLE/PHONE CHARGES | 900099 | $6,902 | $6,902 |
| PURCHASE DISCOUNTS | 900099 | $6,734 | $6,734 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,459 | TotalRevenueColumnAmt |
| Exclusion | $5,459 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $31,579 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $27,236,560 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $22,545,205 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,440,514 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $317,155 | TotalAmt |
| Management And General | $317,155 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,770,441 | TotalAmt |
| Program Services | $10,323,883 | ProgramServicesAmt |
| Management And General | $446,558 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,415,456 | TotalAmt |
| Program Services | $1,326,040 | ProgramServicesAmt |
| Management And General | $89,416 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,925,876 | TotalAmt |
| Program Services | $2,761,095 | ProgramServicesAmt |
| Management And General | $164,781 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,556,246 | TotalAmt |
| Program Services | $1,457,936 | ProgramServicesAmt |
| Management And General | $98,310 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $500,000 | TotalAmt |
| Management And General | $500,000 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $282,363 | TotalAmt |
| Management And General | $282,363 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,125 | TotalAmt |
| Management And General | $88,125 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,021 | TotalAmt |
| Management And General | $6,021 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,900 | TotalAmt |
| Management And General | $58,900 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,546,355 | TotalAmt |
| Program Services | $4,393,938 | ProgramServicesAmt |
| Management And General | $1,152,417 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,170 | TotalAmt |
| Management And General | $15,170 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $631,942 | TotalAmt |
| Program Services | $469,090 | ProgramServicesAmt |
| Management And General | $80,696 | ManagementAndGeneralAmt |
| Fundraising | $82,156 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $175,768 | TotalAmt |
| Management And General | $175,768 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,360,730 | TotalAmt |
| Program Services | $1,274,095 | ProgramServicesAmt |
| Management And General | $86,635 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $437 | TotalAmt |
| Program Services | $417 | ProgramServicesAmt |
| Management And General | $20 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,021,378 | TotalAmt |
| Program Services | $3,021,378 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $473,531 | TotalAmt |
| Management And General | $473,531 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| NY CASH RECEIPT ASSMNT | $956,000 | $956,000 | |
| BAD DEBT EXPENSE | $287,401 | $287,401 | |
| MEDICATIONS | $254,553 | $254,553 | |
| REPAIRS & MAINTENANCE | $152,799 | $152,799 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $162,665 | TotalAmt |
| Program Services | $136,316 | ProgramServicesAmt |
| Management And General | $26,349 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,959,312 | TotalAmt |
| Program Services | $26,527,540 | ProgramServicesAmt |
| Management And General | $4,349,616 | ManagementAndGeneralAmt |
| Fundraising | $82,156 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,202,690 | BOYAmt |
| EOY | $662,451 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,931,247 | BOYAmt |
| EOY | $6,543,553 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,321,273 | BOYAmt |
| EOY | $2,796,643 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,632 | BOYAmt |
| EOY | $142,886 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $380,470 | BOYAmt |
| EOY | $270,700 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $65,281,408 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $48,205,863 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,945,905 | BOYAmt |
| EOY | $17,075,545 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,076,996 | BOYAmt |
| EOY | $13,166,518 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,119,145 | BOYAmt |
| EOY | $1,445,879 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,049,358 | BOYAmt |
| EOY | $42,104,175 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,573,820 | BOYAmt |
| EOY | $4,605,100 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $822,153 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,587,042 | BOYAmt |
| EOY | $18,620,223 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $158,127 | BOYAmt |
| EOY | $267,242 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,282,568 | BOYAmt |
| EOY | $5,387,484 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,423,710 | BOYAmt |
| EOY | $28,880,049 | 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 | $17,625,648 | BOYAmt |
| EOY | $13,224,126 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,625,648 | BOYAmt |
| EOY | $13,224,126 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,049,358 | BOYAmt |
| EOY | $42,104,175 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$3,722,752 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$475,170 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$203,600 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | 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 | $300,200 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $354,002 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $353,407 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,274,456 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,204,677 | CurrentTaxYearAmt |
| Total | $4,486,742 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $31,677,208 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $28,834,800 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $27,405,705 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $27,244,362 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $22,545,205 | CurrentTaxYearAmt |
| Total | $137,707,280 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $31,977,408 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $29,188,802 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $27,759,112 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $28,518,818 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $24,749,882 | CurrentTaxYearAmt |
| Total | $142,194,022 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $18,572 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $21,133 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $22,513 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $19,373 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,070 | CurrentTaxYearAmt |
| Total | $90,661 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $18,572 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $21,133 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $22,513 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $19,373 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,070 | CurrentTaxYearAmt |
| Total | $90,661 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $142,103,361 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $519,383 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $348,424 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $585,284 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $594,055 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $568,158 | CurrentTaxYearAmt |
| Total | $2,615,304 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $519,383 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $348,424 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $585,284 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $594,055 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $568,158 | CurrentTaxYearAmt |
| Total | $2,615,304 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,747 | CurrentTaxYearMinus4YearsAmt |
| Total | $9,747 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $36,094 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $47,212 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $50,992 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $53,982 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $58,937 | CurrentTaxYearAmt |
| Total | $247,217 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $32,542,632 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $29,584,438 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $28,395,388 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $29,166,855 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $25,376,977 | CurrentTaxYearAmt |
| Total | $145,066,290 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.97960 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98210 | PublicSupportPY509Pct |
| Investment Income CY | 0.01800 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01550 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | OTHER REVENUE - 2018 AMOUNT: $ 1,386. 2019 AMOUNT: $ 4,060. CABLE / PHONE CHARGES - 2016 AMOUNT: $ 8,378. 2017 AMOUNT: $ 8,592. 2018 AMOUNT: $ 10,039. 2019 AMOUNT: $ 8,079. 2020 AMOUNT: $ 6,902. PURCHASE DISCOUNTS - 2016 AMOUNT: $ 22,157. 2017 AMOUNT: $ 23,067. 2018 AMOUNT: $ 29,959. 2019 AMOUNT: $ 26,929. 2020 AMOUNT: $ 6,734. INTEREST ON PAST DUE ACCOUNTS - 2016 AMOUNT: $ 3,965. 2017 AMOUNT: $ 934. 2018 AMOUNT: $ 7,174. 2019 AMOUNT: $ 11,102. 2020 AMOUNT: $ 12,484. MEDICAL RECORD ABSTRACTS - 2016 AMOUNT: $ 1,594. 2017 AMOUNT: $ 6,966. 2018 AMOUNT: $ 2,434. 2019 AMOUNT: $ 3,612. 2020 AMOUNT: $ 2,213. MISCELLANEOUS - 2017 AMOUNT: $ 4,000. GIFT SHOP - 2017 AMOUNT: $ 3,653. REBATES - 2019 AMOUNT: $ 200. 2020 AMOUNT: $ 3,246. BEAUTY PARLOR - 2020 AMOUNT: $ 7,037. COFFEE SHOP - 2020 AMOUNT: $ 20,321. | ExplanationTxt |
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) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $6,021 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $6,021 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | COSTS ARE INCURRED AS PART OF DUES PAID TO NURSING HOME INDUSTRY ORGANIZATIONS. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,525,290 | OtherCostOrOtherBasisAmt |
| Book Value | $2,525,290 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $58,326,055 | OtherCostOrOtherBasisAmt |
| Depreciation | $44,545,787 | DepreciationAmt |
| Book Value | $13,780,268 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $52,275 | OtherCostOrOtherBasisAmt |
| Depreciation | $52,275 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,377,788 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,607,801 | DepreciationAmt |
| Book Value | $769,987 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $17,075,545 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO THIRD PARTY PAYORS | $745,984 |
| ACCRUED PENSION OBLIGATION | $1,285,420 |
| PROFESSIONAL LIABILITIES | $831,000 |
| DUE TO RELATED PARTY | $2,980 |
| PAYCHECK PROTECTION PROGRAM LOAN | $2,522,100 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $5,387,484 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $26,291,598 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$475,170 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $4,829 | OtherRevenueAmt |
| Revenue Not Reported | -$470,341 | RevenueNotReportedAmt |
| Revenue Subtotal | $26,761,939 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $58,900 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $415,721 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $474,621 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $27,236,560 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $30,489,520 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $4,829 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $4,829 | ExpensesNotReportedAmt |
| Expenses Subtotal | $30,484,691 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $58,900 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $415,721 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $474,621 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $30,959,312 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 2B: | RESIDENTS' FUNDS ARE HELD BY THE HOME ON BEHALF OF THE RESIDENTS. SUCH FUNDS REPRESENT ALLOWANCES RECEIVED BY RESIDENTS AS WELL AS OTHER RESIDENTS' FUNDS DEPOSITED WITH THE HOME FOR SAFEKEEPING. THESE FUNDS ARE DISBURSED BY THE HOME AT THE REQUEST OF, OR ON BEHALF OF, RESIDENTS FOR THEIR PERSONAL USE. |
| PART X, LINE 2: | THE HOME RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE HOME HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE HOME IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO DECEMBER 31, 2017. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | COST OF GOODS SOLD REPORTED ON PART VIII, LINE 10B 4,829. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | RECLASS OF BAD DEBT EXPENSE TO PART IX, LINE 24 287,401. RECLASS OF FUNDRAISING EXPENSE TO PART IX 82,156. RECLASS FFCRA CREDIT TO PART VIII, LINE 13 46,164. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | COST OF GOODS SOLD REPORTED ON PART VIII, LINE 10B 4,829. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | RECLASS OF BAD DEBT EXPENSE TO PART IX, LINE 24 287,401. RECLASS OF FUNDRAISING EXPENSE TO PART IX 82,156. RECLASS FFCRA CREDIT TO PART VIII, LINE 13 46,164. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RICHARD J LOHNE | ||||||||||||||
| EXECUTIVE DIRECTOR | $250,449 | $0 | $25,400 | $0 | $0 | $0 | $0 | $0 | $21,402 | $0 | $297,251 | $0 | $0 | $0 |
| ERNESTO S ANTONINO | ||||||||||||||
| DIRECTOR OF NURSING | $161,885 | $0 | $5,400 | $0 | $0 | $0 | $0 | $0 | $33,668 | $0 | $200,953 | $0 | $0 | $0 |
| VENETIA UY | ||||||||||||||
| MDS MANAGER | $123,656 | $0 | $400 | $0 | $0 | $0 | $10,450 | $0 | $22,048 | $0 | $156,554 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 7 | FormAndLineReferenceDesc |
| Explanation | RICHARD J. LOHNE, ERNESTO S. ANTONINO, KIM A. D'AMICO, AND VENETIA UY BONUS IS BASED ON THEIR PERFORMANCE AND IS DETERMINED AND APPROVED BY THE GOVERNANCE AND COMPENSATION COMMITTEE OF THE BOARD. THE TAXABLE BONUSES WERE REPORTED IN BOX 5 OF THEIR 2020 W-2. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| DORMITORY AUTHORITY OF THE STATE OF NEW YORK (DASNY) | ||||||||
| A | 146000293 | 64983QQN2 | 2005-09-29 | $42,107,501 | CAPITAL IMPROVEMENTS PROJECTS | Yes (1) | 0 | 0 |
| DORMITORY AUTHORITY OF THE STATE OF NEW YORK (DASNY) | ||||||||
| B | 146000293 | 000000000 | 2016-12-29 | $22,821,500 | REFINANCING ISSUE | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt |
|---|---|---|---|---|---|---|---|---|---|---|
| A | $12,660,000 | $42,107,501 | $165,250 | $42,106,567 | 2009 | 0 | 0 | Yes (1) | Yes (1) | |
| B | $3,732,203 | $22,821,500 | $3,908,329 | $18,512,309 | 2016 | Yes (1) | 0 | Yes (1) | Yes (1) | $400,862 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | 0 |
| B | Yes (1) |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | THE ORGANIZATION HAS A MANAGEMENT AGREEMENT FOR CERTAIN ADMINISTRATIVE AND CONSULTING SERVICES WITH CATHOLIC HEALTH CARE SYSTEM D/B/A ARCHCARE. CATHOLIC HEALTH CARE SYSTEM SHALL PROVIDE HUMAN RESOURCES, IT SERVICES, FINANCE SERVICES, LEGAL SERVICES, COMPLIANCE, AND SUPPLY CHAIN MANAGEMENT TO THE ORGANIZATION. CATHOLIC HEALTH CARE SYSTEM WAS PAID $500,000 IN 2020 FOR THESE SERVICES. SCOTT LA RUE, BOARD MEMBER, IS AN EMPLOYEE OF CATHOLIC HEALTH CARE SYSTEM D/B/A ARCHCARE. IN 2020, HE RECEIVED A W-2 IN THE AMOUNT OF $1,406,730, RETIREMENT AND OTHER DEFERRED COMPENSATION, AND NON-TAXABLE BENEFITS OF $343,704. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE MEMBERS OF THE CORPORATION SHALL BE THE PROVINCIAL OF THE SPONSOR ("THE PROVINCIAL"), THE PROVINCIAL COUNCIL OF THE SPONSOR, AND THE PROVINCIAL TREASURER OF THE SPONSOR. EACH MEMBER OF THE CORPORATION MUST BE A MEMBER IN GOOD STANDING OF THE CONGREGATION OF SISTERS OF ST. JOHN THE BAPTIST (THE SPONSOR). |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MEMBERS OF THE CORPORATION SHALL HAVE THE SOLE AND EXCLUSIVE AUTHORITY FOR THE ELECTION AND REMOVAL WITH OR WITHOUT CAUSE OF THE BOARD OF DIRECTORS OR ANY INDIVIDUAL DIRECTOR OF THE CORPORATION. THE BOARD OF DIRECTORS SHALL HAVE THE AUTHORITY TO REMOVE A DIRECTOR FOR CAUSE. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE MEMBERS OF THE CORPORATION SHALL HAVE THE SOLE AND EXCLUSIVE AUTHORITY WITH REGARD TO THE FOLLOWING ACTIONS: (A) AMENDMENT OR REVISION OF THE NAME OR MISSION OF THE CORPORATION (B) ELECTION AND REMOVAL WITH OR WITHOUT CAUSE OF THE BOARD OF DIRECTORS OR ANY INDIVIDUAL DIRECTOR OF THE CORPORATION. THE BOARD OF DIRECTORS SHALL HAVE THE AUTHORITY TO REMOVE A DIRECTOR FOR CAUSE. (C) AMENDMENT OF THE CERTIFICATE OF INCORPORATION OF THE CORPORATION (D) ADOPTION, AMENDMENT AND REPEAL OF THE BY-LAWS OF THE CORPORATION (E) APPROVAL OF A STRATEGIC PLAN FOR THE OPERATIONS AND PROGRAMS OF THE CORPORATION AND APPROVAL OF ANY ACTIVITY OUTSIDE THE SCOPE OF SUCH STRATEGIC PLAN IN CONSULTATION WITH THE BOARD OF DIRECTORS OF THE CORPORATION (F) APPROVAL OF ANY CHANGES TO THE ANNUAL OPERATING AND / OR CAPITAL BUDGETS PROPOSED BY THE BOARD OF DIRECTORS TO THE EXTENT THAT THE SAME ARE INCONSISTENT WITH THE MISSION AND PHILOSOPHY OF THE CORPORATION. (G) APPROVAL, AUTHORIZATION AND/OR INDUCEMENT OF ANY SALE, ASSIGNMENT, TRANSFER, EXCHANGE, ENCUMBRANCE, MORTGAGE, INSURANCE OR GUARANTY OF ANY INDEBTEDNESS, OR CREATION OF ANY OTHER LIENS ON ANY ASSETS OF THE CORPORATION OUTSIDE THE ORDINARY COURSE OF BUSINESS OR IN EXCESS OF THE THRESHOLDS ESTABLISHED FROM TIME TO TIME FOR ALIENATION OF ECCLESIASTICAL GOODS IN ACCORDANCE WITH CANON LAW OF THE ROMAN CATHOLIC CHURCH (H) APPROVAL, AUTHORIZATION AND/OR INDUCEMENT OF THE DISSOLUTION, LIQUIDATION, MERGER OR CONSOLIDATION OF THE CORPORATION. (I) THE APPOINTMENT AND DISMISSAL OF THE ADMINISTRATOR/CEO OF THE CORPORATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | FORM 990 REVIEW PROCESS INCLUDES THE FOLLOWING: 1) ONCE THE FORM 990 IS COMPLETED AND READY TO BE FILED IT WILL BE ELECTRONICALLY SENT TO MANAGEMENT FOR REVIEW. 2) ONCE APPROVED BY MANAGEMENT, IT IS EMAILED TO THE BOARD OF DIRECTORS. ANY QUESTIONS OR CONCERNS WILL BE DIRECTED TO MANAGEMENT. 3) NO LATER THAN THREE (3) DAYS PRIOR TO THE FILING DATE, THE BOARD WILL MEET TO DOCUMENT AND FORMALIZE THEIR PARTICIPATION IN THE REVIEW PROCESS. ONCE THE FORM 990 HAS BEEN APPROVED BY THE BOARD, IT WILL BE FILED WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | COMPLIANCE OFFICER OBTAINS DISCLOSURE FROM EACH BOARD MEMBER PRIOR TO A DIRECTOR'S FIRST ATTENDANCE AT A BOARD MEETING AND FROM ALL BOARD MEMBERS AT LEAST EVERY TWO YEARS. BOARD MEMBERS ARE IN-SERVICED ANNUALLY ON THE POLICIES AND PROCEDURES OF THE CORPORATE COMPLIANCE PROGRAM. EMPLOYEES ARE IN-SERVICED ON THE POLICY AND CORPORATE COMPLIANCE PROGRAM DURING ORIENTATION AND ANNUALLY DURING THE MONTH OF JULY. THEY ARE REQUIRED TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST TO THE ADMINISTRATOR AND TO AVOID PARTICIPATING IN ANY DECISIONS OR DELIBERATIONS RELATED TO AN INSTITUTIONAL OR BUSINESS TRANSACTION IN WHICH A POTENTIAL OR ACTUAL CONFLICT OF INTEREST EXISTS. AN EMPLOYEE WHO FAILS TO DISCLOSE A CONFLICT MAY BE DISCIPLINED AND/OR DISCHARGED. IN ADDITION, UNDER THE CORPORATE COMPLIANCE PROGRAM ANYONE CAN REPORT A SUSPECTED VIOLATION OF THE CONFLICT OF INTEREST POLICY. THE COMPLIANCE OFFICER AND/OR COMPLIANCE COMMITTEE WILL INVESTIGATE THE ALLEGATION TO DETERMINE ITS VALIDITY. THE COMPLIANCE OFFICER CONDUCTS A COMPREHENSIVE INVESTIGATION INCLUDING INTERVIEWS WITH APPROPRIATE STAFF, VENDORS, REVIEW OF DOCUMENTS, CONSULTATION WITH LEGAL COUNSEL IF NECESSARY. THE COMPLIANCE OFFICER KEEPS THE ADMINISTRATOR AND CHAIRMAN OF THE BOARD APPRISED OF THE PROGRESS OF THE INVESTIGATION. AT THE CONCLUSION OF THE INVESTIGATION A REPORT IS PREPARED FOR THE ADMINISTRATOR. IF THE INVESTIGATION REVEALED A VIOLATION HAD OCCURRED THE OFFICER WILL RECOMMEND CORRECTIVE ACTION. APPROPRIATE ACTION MAY INCLUDE DISCIPLINARY ACTION, DISMISSAL (BOARD MEMBER), COMMUNICATIONS TO EMPLOYEES, STAFF, CONTRACTORS AND BOARD MEMBERS. AUDITS ARE CONDUCTED DURING THE YEAR TO ENSURE EMPLOYEES, CONSULTANTS AND CONTRACTORS ARE ADHERING TO THE POLICY. THIS INCLUDES A REVIEW OF EACH NEW CONTRACTOR AND/OR VENDOR PRIOR TO BUSINESS BEING CONDUCTED. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE GOVERNANCE AND COMPENSATION COMMITTEE OF THE BOARD WILL OBTAIN RESEARCH AND INFORMATION TO MAKE A RECOMMENDATION TO THE FULL BOARD FOR THE COMPENSATION (SALARY AND BENEFITS) OF THE EXECUTIVE OFFICERS OF PROVIDENCE REST BASED ON A REVIEW OF COMPARABILITY DATA. THE HUMAN RESOURCES DIRECTOR WILL ASSIST THE BOARD IN OBTAINING SUCH INFORMATION. THIS INCLUDES SECURING DATA THAT DOCUMENTS COMPENSATION LEVELS AND BENEFITS FOR SIMILARLY QUALIFIED INDIVIDUALS IN COMPARABLE POSITIONS AT SIMILAR ORGANIZATIONS. THIS DATA MAY INCLUDE THE FOLLOWING: 1. SALARY AND BENEFIT COMPENSATION STUDIES BY INDEPENDENT SOURCES; 2. WRITTEN JOB OFFERS FOR POSITIONS AT SIMILAR ORGANIZATIONS; 3. DOCUMENTED TELEPHONE CALLS ABOUT SIMILAR POSITIONS AT BOTH NONPROFIT AND FOR-PROFIT ORGANIZATIONS; AND 4. INFORMATION OBTAINED FROM THE IRS FORM 990 FILINGS OF SIMILAR ORGANIZATIONS. TO APPROVE THE COMPENSATION FOR THE CEO, ADMINISTRATOR AND OTHER HIGHLY COMPENSATED EMPLOYEES, THE BOARD DOCUMENTS HOW IT MADE ITS DECISIONS, INCLUDING THE DATA ON WHICH IT RELIED, IN MINUTES OF THE MEETING DURING WHICH THE COMPENSATION WAS APPROVED. DOCUMENTATION INCLUDES: 1. A DESCRIPTION OF THE PACKAGE AND THE DATE IT WAS APPROVED; 2. THE MEMBERS OF THE BOARD WHO WERE PRESENT DURING THE DISCUSSION ABOUT COMPENSATION AND BENEFITS; AND THE RESULTS OF THE VOTE; 3. A DESCRIPTION OF THE COMPARABILITY DATA RELIED UPON AND HOW THE DATA WAS OBTAINED; AND 4. ANY ACTIONS TAKEN (SUCH AS ABSTAINING FROM DISCUSSION AND VOTE) WITH RESPECT TO CONSIDERATION OF THE COMPENSATION BY ANYONE WHO IS OTHERWISE A MEMBER OF THE BOARD BUT WHO HAD A CONFLICT OF INTEREST WITH RESPECT TO THE DECISION ON THE COMPENSATION AND BENEFITS. 5. WRITTEN PERFORMANCE REVIEWS OF EXECUTIVES. THE CHAIRMAN OF THE BOARD'S GOVERNANCE AND COMPENSATION COMMITTEE, WHO IS A VOLUNTEER AND NOT COMPENSATED BY PROVIDENCE REST, WILL OPERATE INDEPENDENTLY WITHOUT UNDUE INFLUENCE FROM THE CHIEF EXECUTIVE OFFICER OR ADMINISTRATOR. NO MEMBER OF THE GOVERNANCE AND COMPENSATION COMMITTEE WILL BE A STAFF MEMBER, THE RELATIVE OF A STAFF MEMBER, OR HAVE ANY RELATIONSHIP WITH STAFF THAT COULD PRESENT A CONFLICT OF INTEREST. THE ADMINISTRATOR AND CEO'S SALARIES WERE REVIEWED/RECALIBRATED IN MARCH 2018 IN ACCORDANCE WITH THE POLICY WHEN WE CHANGED MANAGEMENT STRUCTURE. COMPENSATION PAID TO THE CEO AND DIRECTOR OF PURCHASING: PLEASE NOTE THAT BOTH THE CEO AND DIRECTOR OF PURCHASING AS RELIGIOUS MEMBERS OF THE CONGREGATION OF SISTERS OF ST. JOHN THE BAPTIST HAVE TAKEN A VOW OF POVERTY AND ARE PROVIDED WITH ZERO (0) COMPENSATION FROM THE HOME. ALL COMPENSATION THAT WOULD HAVE BEEN PAID TO THE CEO, DIRECTOR OF PURCHASING OR ANY OTHER SISTER WORKING WITHIN THE HOME ON BEHALF OF SERVICES PROVIDED TO THE HOME IS INSTEAD PAID TO THE SISTERS OF ST. JOHN THE BAPTIST, INC. (THE ORDER), RATHER THAN THE INDIVIDUALS. FOR 2020, THE HOME PAID THE ORDER AN AMOUNT OF $290,253 FOR SERVICES THE CEO AND DIRECTOR OF PURCHASING PROVIDED TO THE HOME. TOTAL PAYMENTS IN 2020 TO THE ORDER FROM THE HOME FOR SERVICES PROVIDED BY ALL THE SISTERS WORKING WITHIN THE HOME AMOUNTED TO $543,359 FOR SALARIES, $171,749 FOR PENSION, AND $117,130 FOR BENEFITS. |
| FORM 990, PART VI, SECTION C, LINE 18 | THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. THE ORGANIZATION'S FORM 990 IS ALSO AVAILABLE ON GUIDESTAR AND OTHER SIMILAR WEBSITES. |
| FORM 990, PART VI, SECTION C, LINE 19 | PROVIDENCE REST MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINACIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. THE ORGANIZATION ALSO FILES AN ANNUAL COST REPORT WITH THE NEW YORK STATE DEPARTMENT OF HEALTH WHICH CONTAINS FINANCIAL STATEMENTS AND RELATED NOTE DISCLOSURES, WHICH IS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | BILLING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 144,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 144,000. CONSULTING: PROGRAM SERVICE EXPENSES 25,780. MANAGEMENT AND GENERAL EXPENSES 963,973. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 989,753. DASNY FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 11,731. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,731. EMPLOYMENT AGENCY: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 32,713. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,713. ENGINEERING: PROGRAM SERVICE EXPENSES 258,769. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 258,769. FOOD SERVICES: PROGRAM SERVICE EXPENSES 1,325,492. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,325,492. LAUNDRY SERVICES: PROGRAM SERVICE EXPENSES 200,452. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 200,452. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 103,125. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 103,125. LABORATORY/RADIOLOGY: PROGRAM SERVICE EXPENSES 92,745. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 92,745. RN, LPN, CAN: PROGRAM SERVICE EXPENSES 578,547. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 578,547. SECURITY: PROGRAM SERVICE EXPENSES 19,081. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,081. THERAPISTS & NON PHYS.: PROGRAM SERVICE EXPENSES 1,543,665. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,543,665. PASTORAL CARE: PROGRAM SERVICE EXPENSES 246,282. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 246,282. |
| FORM 990, PART XI, LINE 9: | EFFECT OF PENSION LIABILITY ADJUSTMENT -203,600. |
| FORM 990, PART XII, LINE 2C: | THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS ASSUMES THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTING FIRM. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SISTERS OF ST JOHN THE BAPTIST INC | |||||||||||
| 3308 CAMPBELL DRIVE | BRONX | NY | 10465 | 136131396 | RELIGIOUS INSTITUTION | NY | 501(C)3 | LINE 1 | N/A | 0 | |
| PROVIDENCE REST CHILD DAY CARE CENTER INC | |||||||||||
| 3310 CAMPBELL AVENUE | BRONX | NY | 10465 | 133614259 | CHILD DAY CARE SERVICES | NY | 501(C)3 | LINE 10 | 0 | SISTERS OF ST JOHN THE BAPTIST INC | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |