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PROVIDENCE REST: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
PROVIDENCE REST (EIN 13-1740301)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-13
IRS object ID
201803179349303580
Schema version
2017v2.3
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-11-13T11:55:43-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN271728945PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PKF O'CONNOR DAVIES LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 MAMARONECK AVENUEAddressLine1Txt
CityHARRISONCityNm
State AbbreviationNYStateAbbreviationCd
ZIP105281633ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN131740301EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PROVIDENCE RESTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPROVBusinessNameControlTxt
Phone7189313000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13304 WATERBURY AVENUEAddressLine1Txt
CityBRONXCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10465ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSR SELINE MARY FLORESPersonNm
Person TitleCEOPersonTitleTxt
Phone7189313000PhoneNum
Signature2018-11-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGARRETT M HIGGINSPreparerPersonNm
PTINP00543209PTIN
Phone9143818900PhoneNum
Preparation2018-11-12PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address65.51.112.58IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-11-13IPDt
IP Tm11:55:40IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id9616F4B14A694591D1E716C270910E6FA5556DA3AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSR SELINE MARY FLORESPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13304 WATERBURY AVENUEAddressLine1Txt
CityBRONXCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10465ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$38,019,318GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PROVIDENCEREST.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1956FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTO RENDER INPATIENT MEDICAL CARE TO THE AGED.ActivityOrMissionDesc
Voting Members Governing Body19VotingMembersGoverningBodyCnt
Voting Members Independent19VotingMembersIndependentCnt
Total Employee362TotalEmployeeCnt
Total Volunteers26TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$300,200PYContributionsGrantsAmt
CY Contributions Grants$354,002CYContributionsGrantsAmt
PY Program Service Revenue$31,597,073PYProgramServiceRevenueAmt
CY Program Service Revenue$28,774,992CYProgramServiceRevenueAmt
PY Investment Income$210,177PYInvestmentIncomeAmt
CY Investment Income$866,180CYInvestmentIncomeAmt
PY Other Revenue$97,434PYOtherRevenueAmt
CY Other Revenue$71,505CYOtherRevenueAmt
PY Total Revenue$32,204,884PYTotalRevenueAmt
CY Total Revenue$30,066,679CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$16,055,291PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$16,760,920CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$56,041PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$33,000CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$86,855CYTotalFundraisingExpenseAmt
PY Other Expenses$15,401,142PYOtherExpensesAmt
CY Other Expenses$14,045,518CYOtherExpensesAmt
PY Total Expenses$31,512,474PYTotalExpensesAmt
CY Total Expenses$30,839,438CYTotalExpensesAmt
PY Revenues Less Expenses$692,410PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$772,759CYRevenuesLessExpensesAmt
Total Assets BOY$82,732,554TotalAssetsBOYAmt
Total Assets EOY$47,606,679TotalAssetsEOYAmt
Total Liabilities BOY$61,117,250TotalLiabilitiesBOYAmt
Total Liabilities EOY$25,875,367TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$21,615,304NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$21,731,312NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionIT 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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$26,513,652ExpenseAmt
Revenue$27,422,320RevenueAmt
DescOUR 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 683 ADMISSIONS TO PROVIDENCE REST IN 2017, 69% OF WHOM WERE ADMITTED FOR SHORT TERM/SUBACUTE STAYS. WE DISCHARGED 230 RESIDENTS BACK TO THEIR HOMES. WE RENDERED 68,388 DAYS OF RESIDENT CARE AND 185 DAYS OF RESPITE CARE. 86% OF OUR LONG TERM RESIDENTS WHO PASSED AWAY WERE IN THE PALLIATIVE CARE PROGRAM AT THE END OF THE DAYS. 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

FieldValueIRS element (for citing)
Expense$1,281,839ExpenseAmt
Revenue$1,378,020RevenueAmt
DescOUR ADULT DAY HEALTH CARE PROGRAM WAS A COMMUNITY-BASED MEDICAL MODEL. WE PROVIDED NURSING, MEDICAL, NUTRITIONAL, AND RECREATIONAL SERVICES TO OUR REGISTRANTS. OUR GOAL WAS TO ENABLE CHRONICALLY ILL, MENTALLY AND/OR PHYSICALLY DISABLED ADULTS TO REMAIN IN THE COMMUNITY THROUGH TEAM SUPPORT, AND TO MAINTAIN THEIR OPTIMAL LEVEL OF FUNCTIONING. WE RENDERED 6,904 DAYS OF CARE IN 2017.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$17,751ExpenseAmt
Revenue$7,494RevenueAmt
DescOUR 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 181 PATIENT VISITS DURING 2017.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$27,813,242TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional FundraisingYes (1)ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming ActivitiesYes (1)GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document24IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee362EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members19GoverningBodyVotingMembersCnt
Independent Voting Member19IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ANNMARIE COVONEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7189313000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13304 WATERBURY AVENUEAddressLine1Txt
CityBRONXCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10465ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeInd
SR CLAUDETTE JASZCYNSKI CSJB
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
MR CHRISTOPHER D'ANGELO
VICE-CHAIR1.00Yes (X)Yes (X)$0$0$0
MR JOHN A DECINA
CHAIRMAN1.00Yes (X)Yes (X)$0$0$0
MR JOSEPH SAPORITO
TREASURER1.00Yes (X)Yes (X)$0$0$0
SR THERESA D'ONOFRIO CSJB
SECRETARY1.00Yes (X)Yes (X)$0$0$01.00
SR SELINE MARY FLORES
DIRECTOR/CEO35.00Yes (X)Yes (X)$0$0$01.00
SR MARY CECILE SWANTON CSJB
DIRECTOR1.00Yes (X)$0$0$0
DR ANNE M CASEY
DIRECTOR1.00Yes (X)$0$0$0
MR ELIAS LOU NEMNOM
DIRECTOR1.00Yes (X)$0$0$0
MR JEFFREY MENKES
DIRECTOR1.00Yes (X)$0$0$0
MR JACK GLEASON
DIRECTOR1.00Yes (X)$0$0$0
MR JOSEPH SCIAME
DIRECTOR1.00Yes (X)$0$0$0
MR SCOTT LA RUE
DIRECTOR1.00Yes (X)$0$0$0
MRS CAMILLE MILEA
DIRECTOR1.00Yes (X)$0$0$0
MRS DENISE L DEMARZO
DIRECTOR1.00Yes (X)$0$0$0
MSGR THOMAS E GILLEECE
DIRECTOR1.00Yes (X)$0$0$0
SR MARY MARGARET DULSKY
DIRECTOR1.00Yes (X)$0$0$01.00
SR MICHELLE SINNONA CSJB
DIRECTOR/PURCHASING DIRECT35.00Yes (X)$0$0$01.00
SR ELSA JERONIMO CSJB
DIRECTOR1.00Yes (X)$0$0$01.00
SUSAN STEINBERG
ADMINISTRATOR35.00$155,418$0$10,450Yes (X)
VENETIA UY
MDS MANAGER35.00$109,369$0$29,646Yes (X)
JEAN MARIE BARTLEY-CHRISTIE
DIRECTOR OF NURSING35.00$132,915$0$10,207Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$397,702TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$50,303TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K3IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
SELECT REHABILITATION
PO BOX 674102DALLASTX75267REHAB SERVICES$1,956,484
MORRISON MANAGEMENT SPECIALIST
100 SOUTHCREST DRIVESTOCKBRIDGEGA30281NUTRITION MGMT SERVICES$1,211,400
CATHOLIC HEALTH CARE SYSTEM
205 LEXINGTON AVE 2ND FLRNEW YORKNY10012ADMINISTRATIVE SERVICES$1,132,110
D&J AMBULETTE SERVICES
1200 ZEREGA AVEBRONXNY10462AMBULETTE SERVICES$414,335
UNITEX TEXTILE RENTAL SERVICES
401 SOUTH MAXQUESTEN PARKWAYMOUNT VERNONNY10550LAUNDRY SERVICES$187,306
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K7CntrctRcvdGreaterThan100KCnt
Fundraising$164,172FundraisingAmt
Government Grants$7,611GovernmentGrantsAmt
All Other Contributions$182,219AllOtherContributionsAmt
Total Contributions$354,002TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICAID REVENUE623000$15,655,264$15,655,264
MEDICARE REVENUE623000$7,286,163$7,286,163
PRIVATE PAY AND OTHER623000$4,478,447$4,478,447
OTHER PATIENT REVENUE623000$974,989$974,989
UNIVERSAL SETTLEMENT INCOME623000$380,129$380,129
FieldValueIRS element (for citing)
Total Program Service Revenue$28,774,992TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$346,641TotalRevenueColumnAmt
Exclusion$346,641ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,783RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,783RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,783TotalRevenueColumnAmt
Exclusion$1,783ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$8,386,947SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$7,867,408SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$519,539SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$519,539TotalRevenueColumnAmt
Exclusion$519,539ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$32,388FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$164,172ContriRptFundraisingEventAmt
Fundraising Direct Expenses$56,730FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$24,342TotalRevenueColumnAmt
Exclusion-$24,342ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$15,545GamingGrossIncomeAmt
Gaming Direct Expenses$1,535GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,010TotalRevenueColumnAmt
Exclusion$14,010ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$59,808GrossSalesOfInventoryAmt
Cost Of Goods Sold$26,966CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$32,842TotalRevenueColumnAmt
Related Or Exempt Func Income$32,842RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
PURCHASE DISCOUNTS900099$23,067$23,067
CABLE/PHONE CHARGES900099$8,592$8,592
MEDICAL RECORDS ABSTRACTS900099$6,966$6,966

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,587TotalRevenueColumnAmt
Exclusion$8,587ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$47,212OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$30,066,679TotalRevenueColumnAmt
Related Or Exempt Func Income$28,807,834RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$904,843ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$11,288,357TotalAmt
Program Services$10,780,447ProgramServicesAmt
Management And General$507,910ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,071,593TotalAmt
Program Services$1,023,185ProgramServicesAmt
Management And General$48,408ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,816,021TotalAmt
Program Services$2,689,212ProgramServicesAmt
Management And General$126,809ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,584,949TotalAmt
Program Services$1,513,636ProgramServicesAmt
Management And General$71,313ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$500,000TotalAmt
Management And General$500,000ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$66,710TotalAmt
Management And General$66,710ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$57,500TotalAmt
Management And General$57,500ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$3,091TotalAmt
Management And General$3,091ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$33,000TotalAmt
Fundraising$33,000FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$129,278TotalAmt
Management And General$129,278ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$5,346,003TotalAmt
Program Services$4,889,513ProgramServicesAmt
Management And General$456,490ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$26,303TotalAmt
Program Services$6,129ProgramServicesAmt
Management And General$20,174ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$541,097TotalAmt
Program Services$438,966ProgramServicesAmt
Management And General$102,131ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$197,311TotalAmt
Program Services$51,797ProgramServicesAmt
Management And General$145,514ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,635,395TotalAmt
Program Services$1,494,929ProgramServicesAmt
Management And General$138,296ManagementAndGeneralAmt
Fundraising$2,170FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$42,949TotalAmt
Program Services$38,505ProgramServicesAmt
Management And General$4,444ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,911,732TotalAmt
Program Services$2,769,368ProgramServicesAmt
Management And General$142,364ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$374,675TotalAmt
Management And General$374,675ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
NYS CASH ASSESSMENTS$1,309,647$1,309,647
MEDICATIONS$461,359$461,359
REPAIRS & MAINTENANCE$162,715$162,715
MEDICAL SUPPLIES$118,770$118,770

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$160,983TotalAmt
Program Services$65,064ProgramServicesAmt
Management And General$44,234ManagementAndGeneralAmt
Fundraising$51,685FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$30,839,438TotalAmt
Program Services$27,813,242ProgramServicesAmt
Management And General$2,939,341ManagementAndGeneralAmt
Fundraising$86,855FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,388,763BOYAmt
EOY$1,365,137EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$7,334,600BOYAmt
EOY$6,651,843EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$175,359BOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,225,847BOYAmt
EOY$3,468,750EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$40,016BOYAmt
EOY$42,638EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$155,499BOYAmt
EOY$226,773EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$63,255,158LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$39,228,231LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$26,618,427BOYAmt
EOY$24,026,927EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$43,296,632BOYAmt
EOY$11,617,524EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$497,411BOYAmt
EOY$207,087EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$82,732,554BOYAmt
EOY$47,606,679EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,028,357BOYAmt
EOY$2,312,276EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$55,588,112BOYAmt
EOY$21,427,371EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$100,844BOYAmt
EOY$71,415EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,399,937BOYAmt
EOY$2,064,305EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$61,117,250BOYAmt
EOY$25,875,367EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$21,615,304BOYAmt
EOY$21,731,312EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$21,615,304BOYAmt
EOY$21,731,312EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$82,732,554BOYAmt
EOY$47,606,679EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$772,759ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$869,632NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$19,135OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$380,520CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$538,049CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,964,391CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$300,200CurrentTaxYearMinus1YearAmt
Current Tax Year$354,002CurrentTaxYearAmt
Total$3,537,162TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$27,817,903CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$28,762,042CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$30,405,073CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$31,677,208CurrentTaxYearMinus1YearAmt
Current Tax Year$28,834,800CurrentTaxYearAmt
Total$147,497,026TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$28,198,423CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$29,300,091CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$32,369,464CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$31,977,408CurrentTaxYearMinus1YearAmt
Current Tax Year$29,188,802CurrentTaxYearAmt
Total$151,034,188TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$14,026CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$21,101CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$18,572CurrentTaxYearMinus1YearAmt
Current Tax Year$21,133CurrentTaxYearAmt
Total$74,832TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$14,026CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$21,101CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$18,572CurrentTaxYearMinus1YearAmt
Current Tax Year$21,133CurrentTaxYearAmt
Total$74,832TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$150,959,356PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$159,966CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$357,151CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$321,563CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$519,383CurrentTaxYearMinus1YearAmt
Current Tax Year$348,424CurrentTaxYearAmt
Total$1,706,487TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$159,966CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$357,151CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$321,563CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$519,383CurrentTaxYearMinus1YearAmt
Current Tax Year$348,424CurrentTaxYearAmt
Total$1,706,487TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,776CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,431CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,722CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,747CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$29,676TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$23,864CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$20,138CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$54,285CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$36,094CurrentTaxYearMinus1YearAmt
Current Tax Year$47,212CurrentTaxYearAmt
Total$181,593TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$28,387,029CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$29,685,811CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$32,752,034CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$32,542,632CurrentTaxYearMinus1YearAmt
Current Tax Year$29,584,438CurrentTaxYearAmt
Total$152,951,944TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98700PublicSupportCY509Pct
Public Support PY5090.98220PublicSupportPY509Pct
Investment Income CY0.01120InvestmentIncomeCYPct
Investment Income PY0.00970InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationOTHER REVENUE - 2013 AMOUNT: $ 3,886. 2014 AMOUNT: $ 2,445. 2015 AMOUNT: $ 32,148. CABLE / PHONE CHARGES - 2013 AMOUNT: $ 19,978. 2014 AMOUNT: $ 17,693. 2015 AMOUNT: $ 8,020. 2016 AMOUNT: $ 8,378. 2017 AMOUNT: $ 8,592. PURCHASE DISCOUNTS - 2015 AMOUNT: $ 11,098. 2016 AMOUNT: $ 22,157. 2017 AMOUNT: $ 23,067. INTEREST ON PAST DUE ACCOUNTS - 2015 AMOUNT: $ 1,251. 2016 AMOUNT: $ 3,965. 2017 AMOUNT: $ 934. MEDICAL RECORD ABSTRACTS - 2015 AMOUNT: $ 1,768. 2016 AMOUNT: $ 1,594. 2017 AMOUNT: $ 6,966. MISCELLANEOUS - 2017 AMOUNT: $ 4,000. GIFT SHOP - 2017 AMOUNT: $ 3,653.ExplanationTxt

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$3,091OtherActivitiesAmt
Total Lobbying Expenditures$3,091TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationCOSTS ARE INCURRED AS PART OF DUES PAID TO NURSING HOME INDUSTRY ORGANIZATIONS.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,525,290OtherCostOrOtherBasisAmt
Book Value$2,525,290BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$56,906,643OtherCostOrOtherBasisAmt
Depreciation$36,040,599DepreciationAmt
Book Value$20,866,044BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$52,275OtherCostOrOtherBasisAmt
Depreciation$52,275DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,770,950OtherCostOrOtherBasisAmt
Depreciation$3,135,357DepreciationAmt
Book Value$635,593BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$24,026,927TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DUE TO THIRD PARTY PAYORS$1,198,974
ACCRUED PENSION OBLIGATION$865,331
FieldValueIRS element (for citing)
Total Liability$2,064,305TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$30,747,144TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$869,632NetUnrealizedGainsInvstAmt
Other Revenue$26,966OtherRevenueAmt
Revenue Not Reported$896,598RevenueNotReportedAmt
Revenue Subtotal$29,850,546RevenueSubtotalAmt
Investment Expenses Not Incld$129,278InvestmentExpensesNotIncldAmt
Other Revenues Not Included$86,855OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$216,133RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$30,066,679TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$30,650,271TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$26,966OtherExpensesIncludedAmt
Expenses Not Reported$26,966ExpensesNotReportedAmt
Expenses Subtotal$30,623,305ExpensesSubtotalAmt
Investment Expenses Not Incld2$129,278InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$86,855OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$216,133ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$30,839,438TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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, 2014.
PART XI, LINE 2D - OTHER ADJUSTMENTS:COST OF GOODS SOLD REPORTED ON PART VIII, LINE 10B 26,966.
PART XI, LINE 4B - OTHER ADJUSTMENTS:FUNDRAISING EXPENSE RECLASS REPORTED ON PART IX: 86,855.
PART XII, LINE 2D - OTHER ADJUSTMENTS:COST OF GOODS SOLD REPORTED ON PART VIII, LINE 10B 26,966.
PART XII, LINE 4B - OTHER ADJUSTMENTS:FUNDRAISING EXPENSE RECLASS REPORTED ON PART IX: 86,855.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsYes (X)MailSolicitationsInd
Email SolicitationsYes (X)EmailSolicitationsInd
Phone SolicitationsYes (X)PhoneSolicitationsInd
In Person SolicitationsYes (X)InPersonSolicitationsInd
Solicitation Of Non Govt GrantsYes (X)SolicitationOfNonGovtGrantsInd
Solicitation Of Govt GrantsYes (X)SolicitationOfGovtGrantsInd
Special Fundraising EventsYes (X)SpecialFundraisingEventsInd
Agrmt Prof Fundraising ActyYes (1)AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

FieldValueIRS element (for citing)
PersonKEELYN MULVEYPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line151 FOREST AVE 140AddressLine1Txt
CityOLD GREENWICHCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06870ZIPCd
FieldValueIRS element (for citing)
ActivityFUNDRAISING CONSULTANTActivityTxt
Fundraiser Control Of Funds0FundraiserControlOfFundsInd
Gross Receipts$100,000GrossReceiptsAmt
Retained By Contractor$33,000RetainedByContractorAmt
Net To Organization$67,000NetToOrganizationAmt
FieldValueIRS element (for citing)
Total Gross Receipts$100,000TotalGrossReceiptsAmt
Total Retained By Contractors$33,000TotalRetainedByContractorsAmt
Total Net To Organization$67,000TotalNetToOrganizationAmt
Licensed StatesNYLicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GALAEvent1Nm
Gross Receipts Event1$132,390GrossReceiptsEvent1Amt
Charitable Contri Event1$112,032CharitableContriEvent1Amt
Gross Revenue Event1$20,358GrossRevenueEvent1Amt
Rent Facility Costs Event1$19,459RentFacilityCostsEvent1Amt
Entertainment Event1$2,375EntertainmentEvent1Amt
Other Direct Expenses Event1$8,031OtherDirectExpensesEvent1Amt
Event2GOLF OUTINGEvent2Nm
Gross Receipts Event2$64,170GrossReceiptsEvent2Amt
Charitable Contri Event2$52,140CharitableContriEvent2Amt
Gross Revenue Event2$12,030GrossRevenueEvent2Amt
Rent Facility Costs Event2$25,970RentFacilityCostsEvent2Amt
Other Direct Expenses Event2$895OtherDirectExpensesEvent2Amt
Gross Receipts Total$196,560GrossReceiptsTotalAmt
Charitable Contributions Tot$164,172CharitableContributionsTotAmt
Gross Revenue Total Events$32,388GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$45,429RentFcltyCostsTotalEventsAmt
Entertainment Total Events$2,375EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$8,926OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$56,730DirectExpenseSummaryEventsAmt
Net Income Summary-$24,342NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

FieldValueIRS element (for citing)
Gross Revenue Other Gaming$15,545GrossRevenueOtherGamingAmt
Cash Prizes Other Gaming$500CashPrizesOtherGamingAmt
Non Cash Prizes Other Gaming$1,035NonCashPrizesOtherGamingAmt
Volunteer Labor Other GamingYes (1)VolunteerLaborOtherGamingInd
Volunteer Labor Other Gaming1.00000VolunteerLaborOtherGamingPct
Gross Revenue Total Gaming$15,545GrossRevenueTotalGamingAmt
Cash Prizes Total Gaming$500CashPrizesTotalGamingAmt
Non Cash Prizes Total Gaming$1,035NonCashPrizesTotalGamingAmt
Direct Expense Summary Gaming$1,535DirectExpenseSummaryGamingAmt
Net Gaming Income Summary$14,010NetGamingIncomeSummaryAmt
FieldValueIRS element (for citing)
States Where Gaming ConductedNYStatesWhereGamingConductedCd
Licensed0LicensedInd
Explanation If NoTHE ORGANIZATION IS NOT REQUIRED TO OBTAIN A LICENSE IN NY AS IT IS NET PROCEEDS IS UNDER THE MINIMUM THRESHOLD.ExplanationIfNoTxt
License Suspended Etc0LicenseSuspendedEtcInd
Gaming With NonmembersYes (1)GamingWithNonmembersInd
Member Of Other Entity0MemberOfOtherEntityInd
Gaming Other Facility1.00000GamingOtherFacilityPct
Individual With BooksSR SISTER M FLORESIndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

FieldValueIRS element (for citing)
Address Line13304 WATERBURY AVENUEAddressLine1Txt
CityBRONXCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10465ZIPCd
FieldValueIRS element (for citing)
Cntrct With3rd Prty For Game Rev0CntrctWith3rdPrtyForGameRevInd
Gaming Manager PersonSR SISTER M FLORESGamingManagerPersonNm
Gaming Manager Compensation$0GamingManagerCompensationAmt
Gaming Manager Services ProvSR. FLORES DID THE RECORD KEEPING, AND MONEY COUNTING FOR THE GAMING OPERATION.GamingManagerServicesProvTxt
Gaming Manager Is Director OfcrYes (X)GamingManagerIsDirectorOfcrInd
Charitable Distribution Rqr0CharitableDistributionRqrInd

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonSUSAN STEINBERGPersonNm
TitleADMINISTRATORTitleTxt
Base Compensation Filing Org$155,418BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$10,450DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$165,868TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
DORMITORY AUTHORITY OF THE STATE OF NEW YORK (DASNY)
A14600029364983QQN22005-09-29$42,107,501CAPITAL IMPROVEMENTS PROJECTSYes (1)00
DORMITORY AUTHORITY OF THE STATE OF NEW YORK (DASNY)
B1460002932016-12-29$22,821,500REFINANCING ISSUE000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndIssuance Costs From ProceedsIssuanceCostsFromProceedsAmt
A$42,107,501$42,107,501$38,186,245$22,182,667200900Yes (1)Yes (1)
B$826,798$22,821,500$4,019,276$689,3582016Yes (1)0Yes (1)Yes (1)$400,862

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0000000
B000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000000000
B00000000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
A0
BYes (1)

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3THE 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 2017 FOR THESE SERVICES. SCOTT LA RUE, BOARD MEMBER, IS AN EMPLOYEE OF CATHOLIC HEALTH CARE SYSTEM D/B/A ARCHCARE. IN 2017, HE RECEIVED A W-2 IN THE AMOUNT OF $1,012,199, RETIREMENT AND OTHER DEFERRED COMPENSATION, AND NON-TAXABLE BENEFITS OF $271,931.
FORM 990, PART VI, SECTION A, LINE 6THE 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 7ATHE 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 7BTHE 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 11BFORM 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) NO LATER THAN TWO (2) WEEKS PRIOR TO THE FILING DATE IT WILL BE 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 12CCOMPLIANCE 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 15ATHE 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 JUNE 2010 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 2017, THE HOME PAID THE ORDER AN AMOUNT OF $258,620 FOR SERVICES THE CEO AND DIRECTOR OF PURCHASING PROVIDED TO THE HOME. TOTAL PAYMENTS IN 2017 TO THE ORDER FROM THE HOME FOR SERVICES PROVIDED BY ALL THE SISTERS WORKING WITHIN THE HOME AMOUNTED TO $481,857 FOR SALARIES, $171,516 FOR PENSION, AND $99,450 FOR BENEFITS.
FORM 990, PART VI, SECTION C, LINE 18THE 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 19PROVIDENCE 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 11GAMBULETTE SERVICES: PROGRAM SERVICE EXPENSES 411,696. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 411,696. BILLING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 144,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 144,000. CONSULTING: PROGRAM SERVICE EXPENSES 28,217. MANAGEMENT AND GENERAL EXPENSES 256,127. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 284,344. DASNY FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 13,447. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,447. EMPLOYMENT AGENCY: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 42,916. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 42,916. ENGINEERING: PROGRAM SERVICE EXPENSES 231,039. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 231,039. FOOD SERVICES: PROGRAM SERVICE EXPENSES 1,312,541. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,312,541. LAUNDRY SERVICES: PROGRAM SERVICE EXPENSES 279,144. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 279,144. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 110,938. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 110,938. LABORATORY/RADIOLOGY: PROGRAM SERVICE EXPENSES 78,112. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 78,112. RESPIRATORY THERAPIST: PROGRAM SERVICE EXPENSES 14,864. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,864. RN, LPN, CAN: PROGRAM SERVICE EXPENSES 284,032. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 284,032. SECURITY: PROGRAM SERVICE EXPENSES 6,186. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,186. THERAPISTS & NON PHYS.: PROGRAM SERVICE EXPENSES 1,908,414. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,908,414. PASTORAL CARE: PROGRAM SERVICE EXPENSES 224,330. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 224,330.
FORM 990, PART XI, LINE 9:EFFECT OF PENSION LIABILITY ADJUSTMENT 19,135.
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/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
SISTERS OF ST JOHN THE BAPTIST INC
3308 CAMPBELL DRIVEBRONXNY10465136131396RELIGIOUS INSTITUTIONNY501(C)3LINE 1N/A0
PROVIDENCE REST CHILD DAY CARE CENTER INC
3310 CAMPBELL AVENUEBRONXNY10465133614259CHILD DAY CARE SERVICESNY501(C)3LINE 100SISTERS OF ST JOHN THE BAPTIST INC
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd