2017-11-15T09:16:39-06:00 2016-12-31 222428965 CITRIN COOPERMAN & COMPANY LLP TEN WEYBOSSET STREET - SUITE 700 PROVIDENCE RI 02903 990 2016-01-01 050258998 SAINT ELIZABETH HOME EAST GREENWICH SAIN 4014716060 ONE SAINT ELIZABETH WAY EAST GREENWICH RI 02818 STEVEN J HOROWITZ PRESIDENT 4014716060 2017-11-15 1 PAMELA SAWIN P00852182 4014214800 2017-11-15 38.108.113.34 2017-11-15 09:56:57 ES P 5F78F9A719E69DACE160D09AD4BCADA47CE01B37 B33F9AAA1BB37DDA69855E0057B0BCBF8CB5723C 2016 2021-01-29 14:40:06Z STEVEN J HOROWITZ ONE SAINT ELIZABETH WAY EAST GREENWICH RI 02818 14756840 0 X WWW.STELIZABETHCOMMUNITY.ORG X 1943 RI THE ORGANIZATION PROVIDES NURSING AND REHABILITATION SERVICES FOR 120 MEN AND WOMEN WITH A 40-BED SPECIAL CARE UNIT FOR INDIVIDUALS WITH ALZHEIMER'S DISEASE AND RELATED DEMENTIAS. SHORT-TERM TRANSITIONAL CARE PROVIDES INDIVIDUALS WITH THE SPECIALIZED THERAPY AND REHABILITATION NEEDED TO RETURN HOME AFTER HOSPITALIZATIONS. 16 16 260 87 0 0 671075 828031 13390735 13707483 304 -20039 215028 217365 14277142 14732840 0 0 0 0 8418625 8663417 0 0 159506 6144395 5753497 14563020 14416914 -285878 315926 19686740 22179607 16492517 18669458 3194223 3510149 X THE ORGANIZATION PROVIDES NURSING AND REHABILITATION SERVICES FOR 120 MEN AND WOMEN WITH A 40-BED SPECIAL CARE UNIT FOR INDIVIDUALS WITH ALZHEIMER'S DISEASE AND RELATED DEMENTIAS. SHORT-TERM TRANSITIONAL CARE PROVIDES INDIVIDUALS WITH THE SPECIALIZED THERAPY AND REHABILITATION NEEDED TO RETURN HOME AFTER HOSPITALIZATIONS. 0 0 12460478 13924848 SAINT ELIZABETH HOME, EAST GREENWICH PROVIDES 24 HOUR NURSING CARE IN HOUSE AND MAKES NO DISBURSEMENTS OTHER THAN TO INDIVIDUALS AND SUPPLIERS FOR CARE TO RESIDENTS OF THE HOME. 12460478 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 23 0 1 260 1 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 1 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X MARK LOISELLE CO SAINT ELIZABETH COMMUNITY 4014716060 ONE SAINT ELIZABETH WAY EAST GREENWICH RI 02818 PHILIP C SLOCUM CHAIR 2.00 9.50 X X 0 0 0 CRAIG CARPENTER VICE CHAIR 2.00 9.50 X X 0 0 0 STEVEN W TILLEY SECRETARY 2.00 9.50 X X 0 0 0 CLAIRE C FLAHERTY TREASURER 2.00 9.50 X X 0 0 0 RICHARD CRELLIN TRUSTEE 2.00 9.50 X 0 0 0 KELLY E CUMMINGS TRUSTEE 2.00 9.50 X 0 0 0 E PAUL LARRAT PHDRPH TRUSTEE 2.00 9.50 X 0 0 0 LISA HOLLEY TRUSTEE 2.00 9.50 X 0 0 0 JEFFREY W KASLE TRUSTEE 2.00 9.50 X 0 0 0 STEVEN KITCHIN TRUSTEE 2.00 9.50 X 0 0 0 REV W NICHOLAS KNISELY TRUSTEE 2.00 9.50 X 0 0 0 PATRICIA WEGRZYN MCGREEN TRUSTEE 2.00 9.50 X 0 0 0 LINDA SILVEIRA TRUSTEE 2.00 9.50 X 0 0 0 JUDY W VIGAR TRUSTEE 2.00 9.50 X 0 0 0 PETER HOLLMANN MD TRUSTEE 2.00 9.50 X 0 0 0 WAYNE D PELLAND TRUSTEE 2.00 9.50 X 0 0 0 STEPHEN TINGLE TRUSTEE 2.00 9.50 X 0 0 0 ROBERT H PEASE JR TRUSTEE 2.00 9.50 X 0 0 0 STEVEN J HOROWITZ PRESIDENT / CEO 14.55 25.45 X 215357 60742 15766 MARK LOISELLE CFO 15.40 24.60 X 78126 64674 5584 STEVE LEBLANC RN 40.00 X 117848 0 10019 ROBERTA MERKLE VP - STRATEGIC INITIATIVES 21.00 19.00 X 66272 59961 10271 SHARON GARLAND CPO 15.50 24.50 X 58752 53156 12215 MATT TRIMBLE COO 15.50 24.50 X 84389 76352 18381 JEFFREY FRENCH ADMINISTRATOR 40.00 X 130560 0 17639 751304 314885 89875 3 0 1 0 0 644577 183454 828031 MEDICARE/MEDICAID 623000 7071996 7071996 PATIENT SERVICES 623000 6635487 6635487 13707483 3961 3961 24000 -24000 -24000 -24000 MANAGEMENT FEE 623000 202451 202451 MEALS REVENUE 623000 9990 9990 MISCELLANEOUS INCOME 623000 4924 4924 217365 14732840 13924848 0 -20039 X 751304 248408 444144 58752 6525360 5488054 957235 80071 173788 131768 39732 2288 656180 551870 96022 8288 556785 468276 78402 10107 1220 1220 28800 28800 1829388 1730325 99063 27620 27620 285830 285830 112147 112147 640346 640346 329079 276767 52312 SUPPLIES AND OTHER EXPE 1184055 1184055 PROVIDER ASSESSMENT 749097 749097 FOOD COST 415915 415915 RELATED ORGANIZATIONS 150000 150000 14416914 12460478 1796930 159506 11088448 5612292 1157042 1855898 61044 63023 27868 22615 109307 99864 21966770 8004835 6722109 13961935 204517 216672 316405 347308 19686740 22179607 1903827 4155801 83349 14272285 14083000 316405 347308 16492517 18669458 X 3194223 3510149 3194223 3510149 19686740 22179607 315926 0 X X 0 1 X 1 0 X 434480 434724 307216 671075 828031 2675526 434480 434724 307216 671075 828031 2675526 319675 2355851 7 231 19 304 3961 4522 194548 210943 210417 215028 217365 1048301 3728349 66618524 0.63190 0.51190 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 18497133 5318662 13178471 3469637 2686173 783464 13961935 EST. WORKERS COMP SELF INSURANCE 347308 347308 14756840 0 14756840 -24000 -24000 14732840 14440914 24000 24000 14416914 0 14416914 PART XI, LINE 4B - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF ASSETS -24,000. X X X X 0 0 0 0 0 0 0 0 0 STEVEN J HOROWITZ PRESIDENT / CEO 215357 60742 0 0 0 0 8021 2262 4277 1206 227655 64210 0 0 MATT TRIMBLE COO 84389 76352 0 0 0 0 3188 2884 6462 5847 94039 85083 0 0 A RHODE ISLAND HEALTH AND EDUCATION BUILDING CORP NONEAVAIL 2015-12-17 13900000 REFINANCE AND CONSTRUCTION 0 0 0 A 13900000 214422 8816763 4868815 2015 0 0 0 0 A 0 0 0 0 0 0 1 A 0 0 1 0 0 0 0 0 1 A 1 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION IS ORGANIZED AS A NON-STOCK NOT-FOR-PROFIT CORPORATION WITH MEMBERS WHO HAVE THE RIGHT TO PARTICIPATE IN THE ORGANIZATION'S GOVERNANCE. FORM 990, PART VI, SECTION B, LINE 11B THE AUDIT COMMITTEE REVIEWED THE FORM 990 PRIOR TO FILING AND RECOMMENDED TO THE ORGANIZATION'S BOARD TO ACCEPT THE FILING. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO REVIEW THE WRITTEN CONFLICT OF INTEREST POLICY ANNUALLY AND DISCLOSE ANY INTERESTS THAT COULD GIVE RISE TO CONFLICTS. SIGNED STATEMENTS ARE RETAINED BY THE ORGANIZATION'S CEO AND REVIEWED ANNUALLY BY BOTH THE ORGANIZATION'S BOARD OF TRUSTEES AND CEO. FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION FOR THE CEO, EXECUTIVE DIRECTOR, AND TOP MANAGEMENT IS DETERMINED BASED ON ANALYSIS PREPARED BY AN OUTSIDE COMPENSATION ANALYST THAT DETERMINES THE APPROPRIATENESS OF SALARIES. A SALARY SURVEY WAS COMPLETED FOR THE LEADERSHIP STAFF OF THE SAINT ELIZABETH COMMUNITY (RELATED ORGANIZATION). RESULTS OF THE SURVEY ARE USED BY THE ORGANIZATION AND COMPARED AGAINST INDUSTRY STATISTICS AND INFLATION RATES IN DETERMINING APPROPRIATE COMPENSATION OF OFFICERS AND KEY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST AT THE ORGANIZATION'S LOCATION - ONE SAINT ELIZABETH WAY, EAST GREENWICH, RI 02818. FORM 990, PART IX, LINE 11G CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 1,730,325. MANAGEMENT AND GENERAL EXPENSES 99,063. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,829,388. FORM 990, PART XII, LINE 2(C): THE AUDIT PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. SAINT ELIZABETH MANOR EAST BAY ONE DAWN HILL BRISTOL RI 02809 050456800 OPERATES NURSING HOME RI 501(C)(3) 9 N/A 0 THE SAINT ELIZABETH COMMUNITY ONE SAINT ELIZABETH WAY EAST GREENWICH RI 02818 050457342 SUPPORTING AND MAKING CONTRIBUTIONS TO THE RELATED ORGANIZATIONS RI 501(C)(3) 11B N/A 0 ST ELIZABETH'S WORKERS' COMPENSATION TRUST ONE SAINT ELIZABETH WAY EAST GREENWICH RI 02818 050462175 SELF INSURED WORKERS' COMPENSATION TRUST RI 501(C)(3) 11A N/A 0 SAINT ELIZABETH DEVELOPMENT CORPORATION ONE SAINT ELIZABETH WAY EAST GREENWICH RI 02818 050506057 RENTS LAND TO NURSING FACILITIES RI 501(C)(2) N/A 0 SAINT ELIZABETH PLACE WESTMINSTER STREET PROVIDENCE RI 02903 050392246 OPERATES APARTMENT COMPLEX FOR ELDERLY RI 501(C)(3) 7 N/A 0 SAINT ELIZABETH TERRACE WARWICK ONE SAINT ELIZABETH WAY EAST GREENWICH RI 02818 264338544 ELDERLY HOUSING FACILITIES AND SERVICES RI 501(C)(3) 7 N/A 0 CORNERSTONE ADULT SERVICES INC 140 WARWICK NECK AVENUE WARWICK RI 02889 050429500 LOW-COST ADULT DAYCARE SERVICES RI 501(C)(3) 7 N/A 0 SAINT ELIZABETH AT HOME CORP ONE SAINT ELIZABETH WAY EAST GREENWICH RI 02818 474523236 HOME CARE RI 501(C)(3) 7 N/A 0 ST ELIZABETH ASSISTED LIVING LP ONE SAINT ELIZABETH WAY EAST GREENWICH RI 02818 050518113 OPERATES ASSISTED LIVING FACILITY RI N/A SEAL MELROSE INC ONE SAINT ELIZABETH WAY EAST GREENWICH RI 02818 050518115 REAL ESTATE DEVELOPERS RI N/A C 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 1 THE SAINT ELIZABETH COMMUNITY B 150000 FAIR MARKET VALUE THE SAINT ELIZABETH COMMUNITY C 644577 FAIR MARKET VALUE SAINT ELIZABETH MANOR EAST BAY O 527731 ACTUAL AMOUNT