MI NURSING-RESTORATIVE CENTER INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- MI NURSING-RESTORATIVE CENTER INC (EIN 04-2104851)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-08-01
- IRS object ID
- 201332139349300753
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-08-01T13:53:16-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020383073 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WILLIAM STEELE & ASSOCIATES PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 40 STARK STREET | AddressLine1 |
| City | MANCHESTER | City |
| State | NH | State |
| ZIP Code | 03101 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 042104851 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MI NURSING RESTORATIVE CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MINU | NameControl |
| Phone | 9786856321 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 172 LAWRENCE STREET | AddressLine1 |
| City | LAWRENCE | City |
| State | MA | State |
| ZIP Code | 01841 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | GERARD FOLEY | Name |
| Title | PRESIDENT/CEO | Title |
| Phone | 9786856321 | Phone |
| Date Signed | 2013-07-10 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | WILLIAM G STEELE JR CPA | Name |
| PTIN | P00233103 | PTIN |
| Phone | 6036228881 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | GERARD FOLEY | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 172 LAWRENCE STREET | AddressLine1 |
| City | LAWRENCE | City |
| State | MA | State |
| ZIP Code | 01841 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 20139092 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | MIHCS.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1875 | YearFormation |
| State Legal Domicile | MA | StateLegalDomicile |
| Activity Or Mission Description | THE MISSION OF MI NURSING RESTORATIVE CENTER, INC. IS TO RESPOND WITH COMPASSIONATE CARE AND DIGNITY TO THE HEALTH, SOCIAL AND SPIRITUAL NEEDS OF WELL, SICK, AND FRAIL ELDERS. MI ALSO OFFERS AND EXTENDS SUPPORTIVE PRESENCE AND PROGRAMS TO THE FAMILIES OF RESIDENTS. THE QUALITY OF OUR SERVICES ARE ACHIEVED THROUGH EMBRACING CORE VALUES THAT INCLUDE COMPASSION, COMPETENCE AND COLLABORATION | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 473 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 38520 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 3304 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 20618322 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 19903248 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 152263 | InvestmentIncomePriorYear |
| Investment Income Current Year | 173627 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 111329 | OtherRevenuePriorYear |
| Other Revenue Current Year | 58913 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 20920434 | TotalRevenuePriorYear |
| Total Revenue Current Year | 20139092 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 13002467 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 12874723 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 6088678 | OtherExpensePriorYear |
| Other Expenses Current Year | 6164322 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 19091145 | TotalExpensesPriorYear |
| Total Expenses Current Year | 19039045 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1829289 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1100047 | RevenuesLessExpensesCY |
| Total Assets BOY | 23332865 | TotalAssetsBOY |
| Total Assets EOY | 25281374 | TotalAssetsEOY |
| Total Liabilities BOY | 2110226 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 2208240 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 21222639 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 23073134 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE MISSION OF MI NURSING RESTORATIVE CENTER, INC. IS TO RESPOND WITH COMPASSIONATE CARE AND DIGNITY TO THE HEALTH, SOCIAL AND SPIRITUAL NEEDS OF WELL, SICK, AND FRAIL ELDERS. MI ALSO OFFERS AND EXTENDS SUPPORTIVE PRESENCE AND PROGRAMS TO THE FAMILIES OF RESIDENTS. THE QUALITY OF OUR SERVICES ARE ACHIEVED THROUGH EMBRACING CORE VALUES THAT INCLUDE COMPASSION, COMPETENCE AND COLLABORATION. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 16638561 | Expense |
| Revenue | 19962161 | Revenue |
| Description | THE PROVISION OF ELDERCARE THROUGH THE OPERATION OF A 250 BED SKILLED NURSING FACILITY, THE PROVISION OF 81,462 RESIDENT DAYS OF SKILLED NURSING CARE, REHABILIATION SERVICES, DIETARY, LAUNDRY AND HOUSEKEEPING SERVICES AND NUMEROUS SOCIAL ACTIVITIES. MEDICAID DAYS REPRESENT 61,159 OF THE 81,462 TOTAL RESIDENT DAYS. | Description |
| Total Program Service Expense | 16638561 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 23 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 473 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MA | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PAMELA STRELETSKY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9786856321 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 172 LAWRENCE STREET | AddressLine1 |
| City | LAWRENCE | City |
| State | MA | State |
| ZIP Code | 01841 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (15 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| FRED SHAHEEN | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| JOHN NICEFORO JR MD | ||||||
| CHAIRPERSON | 1.00 | X | 0 | 0 | 0 | X |
| KELLY SULLIVAN ESQ | ||||||
| CLERK | 1.00 | X | 0 | 0 | 0 | X |
| MARGARET SHAHEEN | ||||||
| VICE CHAIRPERSON | 1.00 | X | 0 | 0 | 0 | |
| MATTHEW CAFFREY ESQ | ||||||
| DIRECTOR. | 1.00 | X | 0 | 0 | 0 | |
| RAISA CARRASCO-VELEZ | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| SR SUSAN FORGET SGM | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| HON JOHN E FENTON JR | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| KAREN MILLER | ||||||
| TREASURER | 1.00 | X | 0 | 0 | 0 | X |
| MARY LOUISE RETELLE | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| MARY ALICE ROCK | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| EFRAIN ROLON | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| REV WILLIAM WATERS OSA | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| ROSEMARIE A CONNOLLY | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| GERARD J FOLEY | ||||||
| PRESIDENT/CEO | 40.00 | 206020 | 0 | 37714 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 206020 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 37714 | TotalOtherCompensation |
| Number Individuals GT100 K | 4 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| PEOPLEFIRST REHABILITATION SERVICES | |||||
| PO BOX 277365 | ATLANTA | GA | 30384 | REHABILITAION SERVICES | 660374 |
| REHABCARE | |||||
| 7733 FORSYTH BLVD STE 2300 | ST LOUIS | MO | 63105 | REHABILITAION SERVICES | 613989 |
| COVENANT HEALTH SYSTEMS | |||||
| 100 AMES POND SUITE 102 | TEWKSBURY | MA | 01876 | HEALTH CARE MGMT CO. | 309708 |
| UNIDINE CORP | |||||
| PO BOX 60479 | CHARLOTTE | NC | 28260 | FOOD SERVICE MGMT | 301803 |
| KDSA CONSULTING LLC | |||||
| 145 MILK ST | METHUEN | MA | 01844 | IT MANAGEMENT SERVICES | 193153 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 6 | NumberOfContractorsGT100K |
| All Other Contributions | 3304 | AllOtherContributions |
| Total Contributions | 3304 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT SERVICE REVENU | Description |
| Business Code | 623000 | BusinessCode |
| Total Revenue Column | 19903248 | TotalRevenueColumn |
| Related Or Exempt Function Income | 19903248 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 19903248 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 173627 | TotalRevenueColumn |
| Exclusion | $173,627 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS REVENUE | Description |
| Business Code | 623000 | BusinessCode |
| Total Revenue Column | 58913 | TotalRevenueColumn |
| Related Or Exempt Function Income | 58913 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 58913 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 20139092 | TotalRevenueColumn |
| Related Or Exempt Function Income | 19962161 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $173,627 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 313382 | Total |
| Program Services | 261674 | ProgramServices |
| Management And General | 51708 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10530543 | Total |
| Program Services | 8793003 | ProgramServices |
| Management And General | 1737540 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1227600 | Total |
| Program Services | 1025046 | ProgramServices |
| Management And General | 202554 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 803198 | Total |
| Program Services | 670670 | ProgramServices |
| Management And General | 132528 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 232281 | Total |
| Management And General | 232281 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16019 | Total |
| Management And General | 16019 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27854 | Total |
| Management And General | 27854 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11693 | Total |
| Program Services | 11693 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 222190 | Total |
| Program Services | 222190 | ProgramServices |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 170389 | Total |
| Program Services | 170389 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 402762 | Total |
| Program Services | 402762 | ProgramServices |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10535 | Total |
| Program Services | 10535 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 716423 | Total |
| Program Services | 716423 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 143074 | Total |
| Program Services | 143074 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| PURCHASED SERVICES | 2059893 | 2059893 |
| SUPPLIES | 1740528 | 1740528 |
| BAD DEBTS | 240000 | 240000 |
| MEDICAID USER FEE | 136344 | 136344 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34337 | Total |
| Program Services | 34337 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19039045 | Total |
| Program Services | 16638561 | ProgramServices |
| Management And General | 2400484 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6418865 | BOY |
| EOY | 2621496 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 5017331 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2456193 | BOY |
| EOY | 1615652 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 137230 | BOY |
| EOY | 169391 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 19864424 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 14085415 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6094429 | BOY |
| EOY | 5779009 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8162181 | BOY |
| EOY | 9075862 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 63967 | BOY |
| EOY | 1002633 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23332865 | BOY |
| EOY | 25281374 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1431860 | BOY |
| EOY | 1543869 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 678366 | BOY |
| EOY | 664371 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2110226 | BOY |
| EOY | 2208240 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21212639 | BOY |
| EOY | 23070114 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10000 | BOY |
| EOY | 3020 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21222639 | BOY |
| EOY | 23073134 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23332865 | BOY |
| EOY | 25281374 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 1100047 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 757424 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | -6976 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 66851 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 66851 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 36391 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 38520 | CurrentTaxYearMinus1Year |
| Current Tax Year | 3304 | CurrentTaxYear |
| Total | 211917 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 19126517 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 19020645 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 20236630 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 20729651 | CurrentTaxYearMinus1Year |
| Current Tax Year | 19965465 | CurrentTaxYear |
| Total | 99078908 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 19193368 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 19087496 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 20273021 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 20768171 | CurrentTaxYearMinus1Year |
| Current Tax Year | 19968769 | CurrentTaxYear |
| Total | 99290825 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 99290825 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 151731 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 7868 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4462 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 152263 | CurrentTaxYearMinus1Year |
| Current Tax Year | 173627 | CurrentTaxYear |
| Total | 489951 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 151731 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 7868 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4462 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 152263 | CurrentTaxYearMinus1Year |
| Current Tax Year | 173627 | CurrentTaxYear |
| Total | 489951 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 19345099 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 19095364 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 20277483 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 20920434 | CurrentTaxYearMinus1Year |
| Current Tax Year | 20142396 | CurrentTaxYear |
| Total | 99780776 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99510 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99630 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00490 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00370 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 104779 | OtherCostOrOtherBasis |
| Book Value | 104779 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 12796473 | OtherCostOrOtherBasis |
| Depreciation | 8394431 | Depreciation |
| Book Value | 4402042 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6963172 | OtherCostOrOtherBasis |
| Depreciation | 5690984 | Depreciation |
| Book Value | 1272188 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 5779009 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | OTHER INVESTMENTS | Description |
| Book Value | 9075862 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 9075862 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DEFFERED EXPENSES | $529,766 |
| RESIDENT FUNDS LIABILITY | $73,955 |
| PROFESSIONAL LIABILITY LOSS RESERVE | $60,650 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 664371 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X, LINE 2: | ReturnReference |
| Explanation | INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS IS THE FOLLOWING "TAX EXEMPT ORGANIZATIONS COULD BE REQUIRED TO RECORD AN OBLIGATION FOR INCOME TAXES AS THE RESULT OF A TAX POSITION THEY HAVE HISTORICALLY TAKEN ON VARIOUS TAX EXPOSURE ITEMS INCLUDING UNRELATED BUSINESS INCOME OR TAX STATUS. THE SYSTEM HAS EVALUATED THE POSITIONS TAKEN ON ITS FILED TAX RETURNS, AND HAS CONCLUDED NO UNCERTAIN INCOME TAX POSITIONS EXIST AT DECEMBER 31, 2012." | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | GERARD J FOLEY | NamePerson |
| Title | PRESIDENT/CEO | Title |
| Base Compensation Filing Org | 206020 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 0 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 0 | BonusFilingOrg |
| Bonus Related Orgs | 0 | BonusRelatedOrgs |
| Other Compensation Filing Org | 0 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 0 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 11347 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 0 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 26367 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 0 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 243734 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 0 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 0 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 0 | CompReportPrior990RelatedOrgs |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 3 | EVERY TWO TO THREE YEARS THE COMPENSATION COMMITTEE OF THE COVENANT HEALTH SYSTEMS BOARD OF DIRECTORS ENGAGES AN EXTERNAL CONSULTANT TO PROVIDE COMPETITIVE MARKETS DATA FROM VARIOUS SOURCES, WHICH IS USED TO DEVELOP RECOMMENDATIONS FOR CHANGES TO THE COMPENSATION PROGRAM. SINCE 2003, THE COMPENSATION COMMITTEE HAS ENGAGED MERCER HUMAN RESOURCES CONSULTING TO CONDUCT THIS ANALYSIS. OBJECTIVES ARE TO ASSESS THE COMPOSITENESS OF THE CURRENT TOTAL CASH COMPENSATION EVELS OF THE SENIOR LEADERSHIP TEAM, DEVELOP MARKET BASED COMPETITIVE SALARY RANGES FOR ALL EXECUTIVE POSITIONS AND ENSURE THAT THE ANNUAL INCENTIVE OPPORTUNITIES, IF THERE ARE ANY, ARE COMPETITIVE AND REASONABLE. |
| PART I, LINE 7 | THE RELATED ORGANIZATION, COVENANT HEALTH SYSTEM, MAINTAINS AN INCENTIVE COMPENSATION PLAN FOR EXECUTIVES THAT IS ADMINISTERED BY THAT ORGANIZATION'S COMPENSATION COMMITTEE. THE PLAN PROVIDES EXECUTIVES WITH THE OPPORTUNITY TO EARN REASONABLE INCENTIVE COMPENSATION BASED ON THE PERFORMANCE OF THE ORGANIZATION AND THE PERFORMANCE OF THE INDIVIDUAL EXECUTIVE, AS MEASURED AGAINST GOALS ESTABLISHED AT THE BEGINNING OF THE YEAR. THE ENTITLEMENT TO AWARDS FOR A PARTICULAR YEAR IS NOT DETERMINED UNTIL EARLY THE FOLLOWING YEAR. AMOUNTS PAID IN 2012 UNDER THE PLAN ARE REPORTED ON SCHEDULE J, PART II, COLUMN (B)(II). |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| FRED SHAHEEN | |||
| DIRECTOR | 209229 | FOOD SUPPLIES ARE PURCHASED FROM SHAHEEN BROTHERS, INC. FRED SHAHEEN IS AN OWNER OF THE COMPANY. SHAHEEN BROTHERS, INC. IS ONE OF SEVERAL VENDORS USED BY THE ORGANIZATION AND ALL TRANSACTIONS ARE CONDUCTED AT FAIR MARKET VALUE. | 0 |
| MARGARET SHAHEEN | |||
| DIRECTOR | 0 | MARGARET IS THE WIFE OF AN OWNER OF SHAHEEN BROTHERS, INC. SHAHEEN BROTHERS, INC. TRANSACTIONS ARE LISTED ABOVE. | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | FRED SHAHEEN, DIRECTOR AND MARGARET SHAHEEN, DIRECTOR, ARE IN LAWS. | |
| FORM 990, PART VI, SECTION A, LINE 6 | COVENANT HEALTH SYSTEMS IS THE SOLE MEMBER OF THE ORGANIZATION. ACORDINGLY, IT RETAINS CERTAIN RESERVE RIGHTS OVER CORPORATE DECISIONS AND BOARD COMPOSITION. | |
| FORM 990, PART VI, SECTION A, LINE 7A | COVENANT HEALTH SYSTEMS IS THE SOLE MEMBER OF THE OPRGANIZATION. AS SUCH IT RETAINS CERTAIN RESERVE RIGHTS OVER CORPORATE DECISIONS AND BOARD COMPOSITION. | |
| FORM 990, PART VI, SECTION A, LINE 7B | COVENANT HEALTH SYSTEMS IS THE SOLE MEMBER OF THE ORGANIZATION. ACCORDINGLY IT RETAINS CERTAIN RESERVE RIGHTS OVER CORPORATE DECISIONS AND BOARD COMPOSITION. | |
| FORM 990, PART VI, SECTION B, LINE 11 | FORM 990 IS PROVIDED TO THE BOARD MEMBERS AND REVIEWED AT THAT TIME. | |
| FORM 990, PART VI, SECTION B, LINE 12C | THIS PROCESS IS THE RESPONSIBILITY OF THE COMPLIANCE OFFICER. A FORM IS SUBMITTED TO ALL LEADERSHIP, BOARD MEMBERS, BOARD COMMITTEE MEMBERS, EMPLOYED PHYSICIANS, MEDICAL DIRECTORS AND CERTAIN EMPLOYEES IN KEY POSITIONS ANNUALLY TO BE COMPLETED. REMINDERS ARE SENT OUT TO MAKE CERTAIN THAT ALL CONFLICT OF INTEREST FORMS ARE RETURNED. | |
| FORM 990, PART VI, SECTION B, LINE 15 | EVERY TWO TO THREE YEARS THE COMPENSATION COMMITTEE OF THE COVENANT HEALTH SYSTEMS BOARD OF DIRECTORS ENGAGES AN EXTERNAL CONSULTANT TO PROVIDE COMPETITIVE MARKET DATA FROM VARIOUS SURVEY SOURCES, WHICH IS USED TO DEVELOP RECOMMENDATIONS FOR CHANGES TO THE COMPENSATION PROGRAM. SINCE 2003, THE COMPENSATION COMMITTEE HAS ENGAGED MERCER HUMAN RESOURCES CONSULTING TO CONDUCT THIS ANALYSIS. OBJECTIVES ARE TO ASSESS THE COMPOSITENESS OF THE TOTAL CASH COMPENSATION LEVELS OF THE SENIOR LEADERSHIP TEAM, DEVELOP MARKET BASED COMPETITIVE SALARY RANGES FOR ALL EXECUTIVE POSITIONS AND ENSURE THAT THE ANNUAL INCENTIVE OPPORTUNITIES, IF THERE ARE ANY, ARE COMPETITIVE AND REASONABLE. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION PROVIDES FORM 990 AND ACCESS TO GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS UPON REQUEST. THE FORM 990 IS POSTED ON COVENANT HEALTH SYSTEMS' WEBSITE ALSO. | |
| FORM 990, PART XI, LINE 9: | CHANGE IN TEMPORARILY RESTRICTED NET ASSETS -6,976. | CHANGES IN NET ASSETS OR FUND BALANCES: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| MI RESIDENTIAL COMMUNITY III INC | ||||||||||
| 193 MAPLE ST | LAWRENCE | MA | 01841 | 042686043 | PROVIDER OF LOW INCOME HOUSING (HUD) TO ELDERLY AND DISABLED RESIDENTS | MA | 501 (C) (3) | 509 (A)(2) | COVENANT HEALTH SYSTEMS | 0 |
| MI TRANSPORTATION INC | ||||||||||
| 189 MAPLE ST | LAWRENCE | MA | 01841 | 042921889 | PROVIDER OF TRANSPORTATION SERVICES TO ELDERLY, SICK AND SIABLES RESIDENTS | MA | 501 (C) (3) | 509 (A)(2) | COVENANT HEALTH SYSTEMS | 0 |
| COVENANT HEALTH SYSTEMS INC | ||||||||||
| 100 AMES POND SUITE 102 | TEWKSBURY | MA | 01876 | 222484505 | HEALTHCARE MANAGEMENT AND RESOURCE ORGANIZATION | MA | 501 (C) (3) | 509 (A)(2) | 0 | |
| MI MANAGEMENT INC | ||||||||||
| 172 LAWRENCE ST | LAWRENCE | MA | 01841 | 042857794 | PROVIDER OF ASSISTED LIVING SERVICES TO THE ELDERLY | MA | 501 (C) (3) | 509 (A)(3) | COVENANT HEALTH SYSTEMS | 0 |
| MI ADULT DAY HEALTH CARE CENTER INC | ||||||||||
| 189 MAPLE ST | LAWRENCE | MA | 01841 | 042921888 | ADULT DAY CARE FOR ELDERLY, SICK AND HANDICAPPED | MA | 501 (C) (3) | 509 (A)(2) | COVENANT HEALTH SYSTEMS | 0 |
| MI RESIDENTIAL COMMUNITY II INC | ||||||||||
| 191 MAPLE ST | LAWRENCE | MA | 01841 | 042679954 | PROVIDER OF LOW INCOME HOUSING (HUD) TO ELDERLY AND SIABLED RESIDENTS | MA | 501 (C) (3) | 509 (A)(2) | COVENANT HEALTH SYSTEMS | 0 |
| MI RESIDENTIAL COMMUNITY INC | ||||||||||
| 189 MAPLE ST | LAWRENCE | MA | 01841 | 042647207 | PROVIDER OF ASSISTED LIVING SERVICES TO THE ELDERLY | MA | 501 (C) (3) | 509 (A)(2) | COVENANT HEALTH SYSTEMS | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COVENANT HEALTH SYSTEMS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | M | TransactionType |
| Amount Involved | 232281 | AmountInvolved |
| Method Of Amt Determination | CASH | MethodOfAmtDetermination |