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Villa Rosa Nursing Home Inc: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
Villa Rosa Nursing Home Inc (EIN 52-0849910)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-06-11
IRS object ID
201301629349300710
Schema version
2012v2.0
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)
Timestamp2013-06-11T08:28:59-07:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Schiavi Wallace & Rowe PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11400 Front Avenue Suite 301AddressLine1
CityLuthervilleCity
StateMDState
ZIP Code21093ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN520849910EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Villa Rosa Nursing Home IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlVILLNameControl
Phone3014594700Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13800 Lottsford Vista RoadAddressLine1
CityMitchellvilleCity
StateMDState
ZIP Code20721ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSteven WynnName
TitleAdministratorTitle
Date Signed2013-06-11DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLinda Rajewski CPAName
PTINP00365170PTIN
Phone4104949517Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSteven WynnNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13800 Lottsford Vista RoadAddressLine1
CityMitchellvilleCity
StateMDState
ZIP Code20721ZIPCode
FieldValueIRS element (for citing)
Gross Receipts10599586GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1991YearFormation
State Legal DomicileMDStateLegalDomicile
Activity Or Mission DescriptionTo provide residence and nursing care for the elderly.ActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees221TotalNbrEmployees
Total Nbr Volunteers40TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year2614ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year10464275ProgramServiceRevenuePriorYear
Program Service Revenue CY10547224ProgramServiceRevenueCY
Investment Income Prior Year499InvestmentIncomePriorYear
Investment Income Current Year686InvestmentIncomeCurrentYear
Other Revenue Prior Year26865OtherRevenuePriorYear
Other Revenue Current Year51676OtherRevenueCurrentYear
Total Revenue Prior Year10494253TotalRevenuePriorYear
Total Revenue Current Year10599586TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year5044307SalariesEtcPriorYear
Salaries Etc Current Year5224815SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4741543OtherExpensePriorYear
Other Expenses Current Year5077278OtherExpensesCurrentYear
Total Expenses Prior Year9785850TotalExpensesPriorYear
Total Expenses Current Year10302093TotalExpensesCurrentYear
Revenues Less Expenses Prior Year708403RevenuesLessExpensesPriorYear
Revenues Less Expenses CY297493RevenuesLessExpensesCY
Total Assets BOY9197784TotalAssetsBOY
Total Assets EOY10113282TotalAssetsEOY
Total Liabilities BOY752123TotalLiabilitiesBOY
Total Liabilities EOY1370128TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY8445661NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY8743154NetAssetsOrFundBalancesEOY
Mission DescriptionTo provide residence and nursing care for the elderly.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense8242273Expense
Revenue10547224Revenue
DescriptionVilla Rosa Nursing Home, Inc. is licensed for 101 beds to provide residence and nursing care for the elderly.Description
Total Program Service Expense8242273TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109619NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees221NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledMDStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSteven WynnNamePerson
Telephone Number3014594700TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13800 Lottsford Vista RoadAddressLine1
CityMitchellvilleCity
StateMDState
ZIP Code20721ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (7 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
Rev Angelo Plodari
Board Member0.250.00X000
Rev Dallagnese Sergio
Treasurer0.250.00X000X
Rev Leonir Chiarello
Secretary0.250.00X000X
Rev Moacir Balen
Vice President0.250.00X000X
Rev Matthew Didone' cs
President0.250.00X000X
Steven Wynn
Administrator40.000.000433871114X
Neva Babcock
Administrator40.000.009228206640X
FieldValueIRS element (for citing)
Total Reportable Comp From Org92282TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs43387TotalReportableCompFrmRltdOrgs
Total Other Compensation7754TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Missionaries of St Charles
209 Flagg PlaceStaten IslandNY10304Management Fees445000
Mid Atlantic Health Care
1922 Greenspring DriveTimoniumMD21093Management Fees522935
Flagship Rehabilitation
157 Baltimore StreetCumberlandMD21502Therapy Services780167
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Private/Other Insurance62300011942021194202
Medicaid/Medicare Income62300093530229353022
FieldValueIRS element (for citing)
Total Program Service Revenue10547224TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column686TotalRevenueColumn
Exclusion$686ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
TV Income6230007347$7,347
Miscellaneous Income62300041187$41,187
Food Program Reimbursemen6230003142$3,142
FieldValueIRS element (for citing)
Total Other Revenue51676TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column10599586TotalRevenueColumn
Related Or Exempt Function Income10547224RelatedOrExemptFunctionIncome
Exclusion$52,362ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total98922Total
Management And General98922ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4136210Total
Program Services3751484ProgramServices
Management And General384726ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total127572Total
Program Services115784ProgramServices
Management And General11788ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total520918Total
Program Services465442ProgramServices
Management And General55476ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total341193Total
Program Services302704ProgramServices
Management And General38489ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total445000Total
Management And General445000ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total69925Total
Management And General69925ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total10533Total
Management And General10533ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total33236Total
Program Services11991ProgramServices
Management And General21245ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total57485Total
Management And General57485ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total58340Total
Program Services29170ProgramServices
Management And General29170ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total259020Total
Program Services233118ProgramServices
Management And General25902ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total15957Total
Program Services15199ProgramServices
Management And General758ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total217737Total
Program Services197048ProgramServices
Management And General20689ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total93748Total
Program Services86802ProgramServices
Management And General6946ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
OTC/Rx Drugs439430439430
Nursing Home Assessment Fee583161583161
Contract Services Administrati714988714988
Contract Services Medicare Svc850591850591

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1228127Total
Program Services1160349ProgramServices
Management And General67778ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total10302093Total
Program Services8242273ProgramServices
Management And General2059820ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY800BOY
EOY1450EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1076812BOY
EOY1569048EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1086417BOY
EOY1451507EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY11982BOY
EOY14017EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis5735489LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1925512LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3754489BOY
EOY3809977EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY3267283BOY
EOY3267283EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY9197784BOY
EOY10113282EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY752123BOY
EOY1363372EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
EOY6756EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY752123BOY
EOY1370128EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY8445661BOY
EOY8743154EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8445661BOY
EOY8743154EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9197784BOY
EOY10113282EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses297493ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedfalseFSAudited
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years35224CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4960CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16096CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2614CurrentTaxYearMinus1Year
Total58894Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years35224CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4960CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16096CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2614CurrentTaxYearMinus1Year
Total58894Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total0AmountsSubstContributorsTotal
Public Support Total17058894PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years94891CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1146CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years274CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year499CurrentTaxYearMinus1Year
Current Tax Year686CurrentTaxYear
Total97496Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years23338CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11062CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3690CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year26865CurrentTaxYearMinus1Year
Current Tax Year51676CurrentTaxYear
Total116631Total
FieldValueIRS element (for citing)
Total Support273021TotalSupport
Gross Receipts From Admissions Etc47764285GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.21570PublicSupportPertcentage170
Public Support Pertcent Prior Year0.38470PublicSupportPertcentPriorYear
Thirty Three Percnt Tests PY170XThirtyThreePercntTestsPY170
Facts And Circumstances TestPart II, Line 17a--Villa Rosa meets the 10% facts and circumstances public support test because 99.51% of its support consistes of gross receipts from related activities. For 2012 there was no support from governmental units or public contributions. For the purpose of the 10% facts and circumstances public support test, Medicare and Medicaid payments are treated as gross receipts from patients rather than as contributions from the government payor.FactsAndCircumstancesTest

Schedule D IRS990ScheduleD

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4370200OtherCostOrOtherBasis
Depreciation1370010Depreciation
Book Value3000190BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis7700OtherCostOrOtherBasis
Depreciation146Depreciation
Book Value7554BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis92438OtherCostOrOtherBasis
Depreciation85167Depreciation
Book Value7271BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1265151OtherCostOrOtherBasis
Depreciation470189Depreciation
Book Value794962BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3809977TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Rounding$1
Capital Lease Payable-LT$6,755
FieldValueIRS element (for citing)
Total Of Amounts6756TotalOfAmounts

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (23 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part IX, Line 24eForm 990, Part IX, Line 24e: Other ExpensesSUPPLIES: Column (A) - Total = $291880; Column (B) - Program Services = $261030; Column (C) - Management & General = $30850; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24eForm 990, Part IX, Line 24e: Other ExpensesREPAIRS AND MAINTENANCE: Column (A) - Total = $62541; Column (B) - Program Services = $62541; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24eForm 990, Part IX, Line 24e: Other ExpensesRaw Food/Supplements: Column (A) - Total = $249794; Column (B) - Program Services = $249794; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24eForm 990, Part IX, Line 24e: Other ExpensesProperty Taxes: Column (A) - Total = $1189; Column (B) - Program Services = $1189; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24eForm 990, Part IX, Line 24e: Other ExpensesPatient Care/Hygiene Items: Column (A) - Total = $10103; Column (B) - Program Services = $10103; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24eForm 990, Part IX, Line 24e: Other ExpensesOxygen: Column (A) - Total = $1198; Column (B) - Program Services = $1198; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24eForm 990, Part IX, Line 24e: Other ExpensesMISCELLANEOUS: Column (A) - Total = $18618; Column (B) - Program Services = $0; Column (C) - Management & General = $18618; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24eForm 990, Part IX, Line 24e: Other ExpensesMINOR EQUIPMENT: Column (A) - Total = $23135; Column (B) - Program Services = $23135; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24eForm 990, Part IX, Line 24e: Other ExpensesLINEN REPLACEMENT: Column (A) - Total = $8218; Column (B) - Program Services = $8218; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24eForm 990, Part IX, Line 24e: Other ExpensesLicenses and Fees: Column (A) - Total = $12153; Column (B) - Program Services = $0; Column (C) - Management & General = $12153; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24eForm 990, Part IX, Line 24e: Other ExpensesEQUIPMENT RENTAL: Column (A) - Total = $98237; Column (B) - Program Services = $98237; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24eForm 990, Part IX, Line 24e: Other ExpensesDUES AND SUBSCRIPTIONS: Column (A) - Total = $8996; Column (B) - Program Services = $4498; Column (C) - Management & General = $4498; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24eForm 990, Part IX, Line 24e: Other ExpensesContributions/Penalties: Column (A) - Total = $1659; Column (B) - Program Services = $0; Column (C) - Management & General = $1659; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24eForm 990, Part IX, Line 24e: Other ExpensesContract Services Routine: Column (A) - Total = $114434; Column (B) - Program Services = $114434; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24eForm 990, Part IX, Line 24e: Other ExpensesContract Services Religious: Column (A) - Total = $93600; Column (B) - Program Services = $93600; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24eForm 990, Part IX, Line 24e: Other ExpensesContract Services Pharmacy: Column (A) - Total = $6060; Column (B) - Program Services = $6060; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24eForm 990, Part IX, Line 24e: Other ExpensesContract Services Medical: Column (A) - Total = $330; Column (B) - Program Services = $330; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24eForm 990, Part IX, Line 24e: Other ExpensesContract Services Activities: Column (A) - Total = $12253; Column (B) - Program Services = $12253; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24eForm 990, Part IX, Line 24e: Other ExpensesBad Debt Expense: Column (A) - Total = $213729; Column (B) - Program Services = $213729; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableDocuments, policies and statements are made available upon request.
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesAnnually the performance of the Administrator and Executive Director is evaluated by the Board of Directors and compensation is determined by regional salaries of employees with the same education and experience, in the same size organizations.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsAnnually Board of Directors and key employees review conflict of interest policy and sign statement attesting to compliance with the policy.
Form 990, Part VI, Line 11bForm 990, Part VI, Line 11b: Form 990 Review ProcessAfter the Form 990 is prepared, it is forwarded to the Provincial Office for review by the Board prior to filing.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1Pious Soc Missionaries St Charles BoroBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1209 Flagg PlaceAddressLine1
CityStaten IslandCity
StateNYState
ZIP Code10304ZIPCode
FieldValueIRS element (for citing)
EIN132596551EIN
Primary ActivitiesAssist Elderly Migrants (Nursing Home)PrimaryActivities
Legal Domicile StateMALegalDomicileState
Exempt Code Section501(c)(3)ExemptCodeSection
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg