2021-11-09T11:17:29-06:00 2020-12-31 410746749 CLIFTONLARSONALLEN 100 FRONT STREET 7TH FLOOR WORCESTER MA 01608 990 2020-01-01 050511505 THE FRASSATI RESIDENCE D/B/A THE VILLA AT SAINT ANTOINE FRAS 4017672574 400 MENDON ROAD NORTH SMITHFIELD RI 02896 TAMMY SUMMIEL EXECUTIVE DIRECTOR 4017672574 2021-11-09 1 TAMMY SUMMIEL 999009999 LYNN O'MARRA P00821716 5087136900 2021-11-09 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z THOMAS J TOBIN 400 MENDON ROAD NORTH SMITHFIELD RI 02896 5100006 0 X WWW.STANTOINE.NET X 1999 RI THE MISSION OF THE VILLA AT SAINT ANTOINE IS TO PROVIDE ASSISTED LIVING AND MEMORY CARE FOR THE ELDERLY OF OUR DIOCESE AND COMMUNITY IN ADDITION TO STRENGTHENING EACH RESIDENT AND FAMILY WITH A COMPASSIONATE, CARING AND CHRISTIAN ENVIRONMENT. 5 2 69 3 0 0 4236 597690 4762512 4476137 3370 1764 35909 24415 4806027 5100006 0 0 0 0 2520456 2765567 0 0 0 1821408 1873510 4341864 4639077 464163 460929 6129412 6202663 6314132 6027488 -184720 175175 THE MISSION OF THE VILLA AT SAINT ANTOINE IS TO PROVIDE ASSISTED LIVING AND MEMORY CARE FOR THE ELDERLY OF OUR DIOCESE AND COMMUNITY IN ADDITION TO STRENGTHENING EACH RESIDENT AND FAMILY WITH A COMPASSIONATE, CARING AND CHRISTIAN ENVIRONMENT. 0 0 4040370 4460601 OPERATION OF A 76-UNIT ASSISTED LIVING FACILITY PROVIDING AN ENVIRONMENT WHERE CARE AND ATTENTION ARE UTILIZED TO MEET RESIDENTS' SOCIAL, MEDICAL, EMOTIONAL, AND SPIRITUAL NEEDS. 11914 15536 PROVISION OF MEALS TO ADULT DAY CARE PROGRAM OPERATED BY PACE, AN EXEMPT ORGANIZATION DESCRIBED IN INTERNAL REVENUE CODE SECTION 501(C)(3). 4052284 1 0 0 0 0 0 0 0 1 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 2 0 1 69 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 2 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X THE ORGANIZATION 4017672574 10 RHODES AVE NORTH SMITHFIELD RI 02896 X MOST REV THOMAS J TOBIN PRESIDENT/TREASURER 1.00 39.00 X X 0 43482 30216 MSGR ALBERT A KENNEY VICE PRESIDENT 1.00 39.00 X X 0 44453 30216 REV TIMOTHY D REILLY SECRETARY 1.00 39.00 X X 0 32282 19416 DEBRA PUTNAM ASSISTANT TREASURER 1.00 39.00 X X 0 147504 0 JOHN J BARRY III DIRECTOR 1.00 1.00 X 0 0 0 REV MSGR GEORGE FRAPPIER DIRECTOR 1.00 1.00 X 0 0 0 TAMMY SUMMIEL ADMINISTRATOR 40.00 X 110915 0 26823 110915 267721 106671 1 0 0 0 0 584178 13512 597690 ROOM, BOARD & OTHER 623000 4460601 4460601 MEALS REVENUE 900099 15536 15536 4476137 1764 1764 OTHER INCOME 900099 11536 11536 GUEST & EMPLOYEE MEALS 900099 10810 10810 REVENUE-HAIRDRESSER 900099 2069 2069 24415 5100006 4476137 0 26179 137738 137738 1980856 1808787 172069 154572 144437 10135 333992 301226 32766 158409 136979 21430 75000 75000 28138 28138 18805 14400 4405 38541 38541 6459 6459 622864 622864 4036 4036 1340 1340 257271 257271 304635 304635 50024 50024 FOOD 240035 240035 PURCHASED SERVICES/SUPP 122156 122156 CREDIT CARD FEES 23783 23783 LICENSES AND DUES 21841 21841 58582 44094 14488 4639077 4052284 586793 0 1191023 1325172 97554 77062 86732 63257 20165 19217 9449 9424 10252209 5543678 4655671 4708531 68818 6129412 6202663 338952 350229 91326 117116 5120691 4627491 763163 932652 6314132 6027488 X -184720 175175 -184720 175175 6129412 6202663 460929 -101034 0 X X 0 1 X 1 0 X 30460 40176 3125 4236 597690 675687 4476054 4234840 4184021 4762512 4476137 22133564 22009 33142 20928 13175 89254 4528523 4308158 4208074 4779923 5073827 22898505 0 0 0 22898505 201 5328 5403 3370 1764 16066 201 5328 5403 3370 1764 16066 8772 9947 56741 22734 24415 122609 4537496 4323433 4270218 4806027 5100006 23037180 0.99400 0.99450 0.00070 0.00070 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2016 AMOUNT: $ 8,772. 2017 AMOUNT: $ 9,947. 2018 AMOUNT: $ 56,741. 2019 AMOUNT: $ 22,734. 2020 AMOUNT: $ 24,415. 0 1 X 8967791 4555634 4412157 1211122 925539 285583 73296 62505 10791 4708531 INTEREST RATE SWAP 766643 SECURITY DEPOSIT PAYABLE 77062 DUE TO RELATED PARTY 88947 932652 X 4998972 -101034 -101034 5100006 0 5100006 4639077 0 4639077 0 4639077 PART IV, LINE 2B: THE AMOUNTS HELD IN THE ESCROW ACCOUNT ARE RESIDENT FUNDS HELD FOR RESIDENTS. PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. 0 0 0 0 0 0 0 0 0 PART I, LINE 3 THE ORGANIZATION'S EXECUTIVE DIRECTOR IS COMPENSATED BY A RELATED EXEMPT ORGANIZATION. THE BOARD OF THE RELATED ORGANIZATION USES A COMPENSATION STUDY AND BOARD APPROVAL TO ESTABLISH THE COMPENSATION OF THE EXECUTIVE DIRECTOR. A RHODE ISLAND HEALTH AND EDUCATIONAL BUILDING CORPORATION 521300173 2016-09-29 6717000 TO FINANCE PAY-OFF OF BOND LIABILITY ISSUED ON 12/19/2007. 0 0 0 A 2027687 6717000 91461 6625539 2007 1 0 1 1 A 0 1 0 0 0 1 MERILL LYNCH CAPITAL SERVICES 13.000000000000 0 0 0 0 1 A 1 FORM 990, PART VI, SECTION B, LINE 11B THE DIRECTOR OF FINANCE AND THE EXECUTIVE DIRECTOR/ASSISTANT TREASURER REVIEW THE FORM 990 PRIOR TO FILING. UPON REVIEW AND APPROVAL, THE RETURN IS SIGNED AND FILED WITH THE IRS. A COPY IS SUBMITTED TO THE FISCAL OFFICE AT THE DIOCESE OF PROVIDENCE AND ONE IS KEPT AT THE BUSINESS OFFICE. FORM 990, PART VI, SECTION B, LINE 12C ALL KEY EMPLOYEES AND MEMBERS OF THE BOARD OF DIRECTORS ARE ASKED TO READ THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND ANNUALLY THEY ARE ASKED TO DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST. THE EXECUTIVE DIRECTOR AND THE FINANCE DIRECTOR REVIEW ALL POTENTIAL CONFLICTS OF INTEREST DISCLOSED BY KEY EMPLOYEES AND DETERMINE IF AN ACTUAL CONFLICT EXISTS. IF AN INDIVIDUAL HAS A CONFLICT, THE EXECUTIVE DIRECTOR AND THE DIRECTOR OF FINANCE REPORT THIS INFORMATION TO THE BOARD OF DIRECTORS. ALL MEMBERS OF THE BOARD OF DIRECTORS ARE ASKED TO DISCLOSE ANY CONFLICTS OF INTEREST, AND DEPENDING UPON THE CONFLICT THEY ARE ASKED TO RECUSE THEMSELVES FROM DISCUSSIONS AND VOTING ON THE RELATED ISSUE. ALL DECISIONS ARE RECORDED IN THE MINUTES OF THE BOARD OF DIRECTORS' MEETING. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS FUNCTIONS AS A COMPENSATION COMMITTEE IN DETERMINING COMPENSATION FOR THE ADMINISTRATOR AND OFFICERS. IN MAKING ITS DECISION ON COMPENSATION, IT TAKES INTO ACCOUNT THE COMPENSATION PAID TO SIMILAR ADMINISTRATORS AT COMPARABLE NON-PROFIT ORGANIZATIONS IN THE AREA. THE COMMITTEE CONSIDERS THE PERFORMANCE OF THE ORGANIZATION DURING THE REVIEW PERIOD AND CONSIDERS THE ADMINISTRATOR'S SUCCESS IN ACHIEVING ORGANIZATIONAL GOALS. THE ADMINISTRATOR REVIEWS THE COMPENSATION OF ALL OTHER EMPLOYEES. IN MAKING A DECISION ON THE AMOUNT OF COMPENSATION, THE ADMINISTRATOR TAKES INTO ACCOUNT THE COMPENSATION PAID TO SIMILAR EXECUTIVES, PERFORMING SIMILAR TYPES OF DUTIES, AT COMPARABLE NON-PROFIT ORGANIZATIONS IN THE RHODE ISLAND AREA. COMPENSATION RELATED DECISIONS ARE DOCUMENTED IN THE MINUTES OF THE BOARD MEETINGS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION HAS A WRITTEN EMPLOYEE PROTECTION (WHISTLEBLOWER) POLICY THAT IS DISTRIBUTED TO ALL NEW EMPLOYEES. FORM 990, PART VII: DEBRA PUTNAM IS EMPLOYED AND COMPENSATED BY SAINT ANTOINE RESIDENCE, A RELATED ORGANIZATION. SAINT ANTOINE RESIDENCE PROVIDES BOOKKEEPING AND MANAGEMENT SERVICES TO THE FRASSATI RESIDENCE D/B/A THE VILLA AT SAINT ANTOINE, SOME OF WHICH IS PROVIDED BY MS. PUTNAM. AS SUCH, A PORTION OF HER COMPENSATION IS INCLUDED IN THE CALCULATION OF THE $75,000 OF BOOKKEEPING AND MANAGEMENT SERVICE FEE CHARGED BY SAINT ANTOINE RESIDENCE TO THE FRASSATI RESIDENCE. FORM 990 PART XII, LINE 2C: THE FINANCE COMMITTEE IS RESPONSIBLE FOR OVERSIGHT OF THE COMPLETION OF THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE AUDITED FINANCIAL STATEMENTS ARE REVIEWED BY THE FINANCE COMMITTEE AND SUBMITTED TO THE ADVISORY BOARD AND CORPORATE BOARD. SAINT ANTOINE RESIDENCE 10 RHODES AVENUE NORTH SMITHFIELD RI 02896 050275443 PROVISION OF CARE AND HOUSING FOR THE ELDERLY RI 501(C)(3) LINE 11 THE FRASSATI RESIDENCE DBA THE VILLA AT SAINT ANTOINE 1 DIOCESAN SERVICE CORPORATION 1 CATHEDRAL SQUARE PROVIDENCE RI 02903 050493814 ROMAN CATHOLIC ORGANIZATION RI 501(C)(3) LINE 1 1 DIOCESAN ADMINISTRATION CORPORATION 1 CATHEDRAL SQUARE PROVIDENCE RI 02903 050508345 ROMAN CATHOLIC ORGANIZATION RI 501(C)(3) LINE 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 SAINT ANTOINE RESIDENCE M 75000 CASH