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SAINT ELIZABETH HOME EAST GREENWICH: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
SAINT ELIZABETH HOME EAST GREENWICH (EIN 05-0258998)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-08-14
IRS object ID
201332269349302688
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

FieldValueIRS element (for citing)
Timestamp2013-08-14T15:48:27-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN453994797EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LGC&D LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1TEN WEYBOSSET STREET - SUITE 700AddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code02903ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN050258998EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SAINT ELIZABETH HOME EAST GREENWICHBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSAINNameControl
Phone4014716060Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE SAINT ELIZABETH WAYAddressLine1
CityEAST GREENWICHCity
StateRIState
ZIP Code02818ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSTEVEN J HOROWITZName
TitlePRESIDENTTitle
Phone4014716060Phone
Date Signed2013-08-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLYNN O'MARRA ESQUIREName
PTINP00821716PTIN
Phone4014214800Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSTEVEN J HOROWITZNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1ONE SAINT ELIZABETH WAYAddressLine1
CityEAST GREENWICHCity
StateRIState
ZIP Code02818ZIPCode
FieldValueIRS element (for citing)
Gross Receipts13565620GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.STELIZABETHCOMMUNITY.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1943YearFormation
State Legal DomicileRIStateLegalDomicile
Activity Or Mission DescriptionTHE 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members18NbrIndependentVotingMembers
Total Nbr Employees247TotalNbrEmployees
Total Nbr Volunteers140TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year256956ContributionsGrantsPriorYear
Contributions Grants Current Year434480ContributionsGrantsCurrentYear
Program Service Revenue Prior Year12116304ProgramServiceRevenuePriorYear
Program Service Revenue CY12936585ProgramServiceRevenueCY
Investment Income Prior Year21InvestmentIncomePriorYear
Investment Income Current Year7InvestmentIncomeCurrentYear
Other Revenue Prior Year219235OtherRevenuePriorYear
Other Revenue Current Year194548OtherRevenueCurrentYear
Total Revenue Prior Year12592516TotalRevenuePriorYear
Total Revenue Current Year13565620TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year7313176SalariesEtcPriorYear
Salaries Etc Current Year7846542SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year109005TotalFundrsngExpCurrentYear
Other Expense Prior Year5292158OtherExpensePriorYear
Other Expenses Current Year5637416OtherExpensesCurrentYear
Total Expenses Prior Year12605334TotalExpensesPriorYear
Total Expenses Current Year13483958TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-12818RevenuesLessExpensesPriorYear
Revenues Less Expenses CY81662RevenuesLessExpensesCY
Total Assets BOY9595622TotalAssetsBOY
Total Assets EOY9619161TotalAssetsEOY
Total Liabilities BOY6903653TotalLiabilitiesBOY
Total Liabilities EOY6845530TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2691969NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2773631NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense12176271Expense
Revenue13131133Revenue
DescriptionSAINT 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.Description
Total Program Service Expense12176271TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109617NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees247NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members18NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MARK LOISELLE CO SAINT ELIZABETH COMMUNITYBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4014716060TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1ONE SAINT ELIZABETH WAYAddressLine1
CityEAST GREENWICHCity
StateRIState
ZIP Code02818ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
MARIA R GIL
CHAIR2.009.50XX000
LINDA SILVEIRA
VICE CHAIR2.009.50XX000
ROBERT H PEASE JR
SECRETARY2.009.50XX000
DONNA M GOUVEIA
TREASURER2.009.50XX000
CRAIG CARPENTER
TRUSTEE2.009.50X000
KELLY E CUMMINGS
TRUSTEE2.009.50X000
ANNE DESTEFANO
TRUSTEE2.009.50X000
SALLY DICKSON
TRUSTEE2.00X000
RUDOLPH L DIPIPPO
TRUSTEE2.009.50X000
JEFF W KASLE
TRUSTEE2.009.50X000
STEVEN KITCHIN
TRUSTEE2.00X000
JANE MCAULIFFE
TRUSTEE2.009.50X000
DANIEL J PENDERGAST JR
TRUSTEE2.009.50X000
PHILIP C SLOCUM
TRUSTEE2.009.50X000
CANON PETER L SPENCER
TRUSTEE2.009.50X000
MICHAEL SUTILA
TRUSTEE2.009.50X000
STEVE W TILLEY
TRUSTEE2.009.50X000
WILLIAM WHITE
TRUSTEE2.009.50X000
STEVEN J HOROWITZ
PRESIDENT14.3025.70X1835005100019270
MARK LOISELLE
DIRECTOR OF FINANCE15.5024.50X60954551495360
LINDA GORMAN
RN40.00115775014719X
STEVE LEBLANC
RN40.00109815014439X
MATT TRIMBLE
ADMINISTRATOR40.00106965015578X
FieldValueIRS element (for citing)
Total Reportable Comp From Org577009TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs106149TotalReportableCompFrmRltdOrgs
Total Other Compensation69366TotalOtherCompensation
Number Individuals GT100 K4NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Related Organizations141624RelatedOrganizations
All Other Contributions292856AllOtherContributions
Total Contributions434480TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE/MEDICAID62300065467086546708
PATIENT SERVICES62300063898776389877
FieldValueIRS element (for citing)
Total Program Service Revenue12936585TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column7TotalRevenueColumn
Exclusion$7ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MANAGEMENT FEE623000185282185282
MEALS REVENUE62300092669266
FieldValueIRS element (for citing)
Total Other Revenue194548TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column13565620TotalRevenueColumn
Related Or Exempt Function Income13131133RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$7ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total269084Total
Management And General269084ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6035999Total
Program Services5335167ProgramServices
Management And General606064ManagementAndGeneral
Fundraising94768Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total279832Total
Program Services241936ProgramServices
Management And General37896ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total750324Total
Program Services662757ProgramServices
Management And General80317ManagementAndGeneral
Fundraising7250Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total511303Total
Program Services435074ProgramServices
Management And General69242ManagementAndGeneral
Fundraising6987Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total26603Total
Management And General26603ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1784317Total
Program Services1764488ProgramServices
Management And General19829ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total231815Total
Program Services231815ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total544336Total
Program Services544336ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total262581Total
Program Services240166ProgramServices
Management And General22415ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES AND OTHER EXPE1458311139107967232
PROVIDER ASSESSMENT717369717369
FOOD COST351026351026
UTILITIES261058261058

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total13483958Total
Program Services12176271ProgramServices
Management And General1198682ManagementAndGeneral
Fundraising109005Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY481613BOY
EOY948432EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1549181BOY
EOY1373081EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY68090BOY
EOY33675EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY19252BOY
EOY23417EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY73162BOY
EOY74906EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis11928621LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5600775LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6543756BOY
EOY6327846EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY19183BOY
EOY14387EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY841385BOY
EOY823417EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY9595622BOY
EOY9619161EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1511239BOY
EOY1623158EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY4772091BOY
EOY4631185EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY620323BOY
EOY591187EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY6903653BOY
EOY6845530EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2658019BOY
EOY2773631EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY33950BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2691969BOY
EOY2773631EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9595622BOY
EOY9619161EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses81662ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years266941CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years341868CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years390345CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year256956CurrentTaxYearMinus1Year
Current Tax Year434480CurrentTaxYear
Total1690590Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years266941CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years341868CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years390345CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year256956CurrentTaxYearMinus1Year
Current Tax Year434480CurrentTaxYear
Total1690590Total
FieldValueIRS element (for citing)
Public Support Total1701690590PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years168CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years403CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years184CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year21CurrentTaxYearMinus1Year
Current Tax Year7CurrentTaxYear
Total783Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years152896CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years156278CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years175221CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year219235CurrentTaxYearMinus1Year
Current Tax Year194548CurrentTaxYear
Total898178Total
FieldValueIRS element (for citing)
Total Support2589551TotalSupport
Gross Receipts From Admissions Etc57452323GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.65290PublicSupportPertcentage170
Public Support Pertcent Prior Year0.69360PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9476359OtherCostOrOtherBasis
Depreciation3891251Depreciation
Book Value5585108BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2452262OtherCostOrOtherBasis
Depreciation1709524Depreciation
Book Value742738BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6327846TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
RESTRICTED USE ASSETS591187
PREPAID PENSION232230
FieldValueIRS element (for citing)
Total Book Value Other Assets823417TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionEST. WORKERS COMP SELF INSURANCEDescription
Amount$591,187Amount
FieldValueIRS element (for citing)
Total Of Amounts591187TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt13565620TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal13565620RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99013565620TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt13483958TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal13483958ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99013483958TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonSTEVEN J HOROWITZNamePerson
TitlePRESIDENTTitle
Base Compensation Filing Org183500BaseCompensationFilingOrg
Comp Based On Related Orgs51000CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org9952DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org9318NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org202770TotalCompensationFilingOrg
Total Compensation Related Orgs51000TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonWILLIAM WHITENamePerson
FieldValueIRS element (for citing)
RelationshipBOARD TRUSTEE OF ST. ELIZABETH HOME AND PRESIDENT AND CEO OF COASTWAY BANK.Relationship
Amount Of Transaction4631185AmountOfTransaction
Description Of TransactionTHE ORGANIZATION HAS ITS MORTGAGE AND LINE OF CREDIT WITH COASTWAY BANK. THE ORGANIZATION'S DECISION TO CONDUCT ITS BANKING WITH COASTWAY IS BASED UPON THE CONVENIENCE OF AVAILABLE TERMS AND CONDITIONS, AND NOT THE RELATIONSHIP WITH ITS TRUSTEE MEMBER. THE TRANSACTION AMOUNT REPORTED ON SCHEDULE L, PART IV, COLUMN (C) REFLECTS THE ORGANIZATION'S BALANCE AT THE END OF THE YEAR.DescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION IS ORGANIZED AS A NON-STOCK NOT-FOR-PROFIT CORPORATION WITH MEMBERS WHO HAVE THE RIGHTS TO PARTICIPATE IN THE ORGANIZATION'S GOVERNANCE.
FORM 990, PART VI, SECTION B, LINE 11THE 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 12COFFICERS, 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 15COMPENSATION 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 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC AT THE ORGANIZATION'S LOCATION - ONE SAINT ELIZABETH WAY, EAST GREENWICH, RI 02818.
FORM 990, PART IX, LINE 11GCONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 1,764,488. MANAGEMENT AND GENERAL EXPENSES 19,829. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,784,317.OTHER FEES
FORM 990, PART XII, LINE 2(C):THE AUDIT PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
SAINT ELIZABETH MANOR EAST BAY
ONE DAWN HILLBRISTOLRI02809050456800OPERATES NURSING HOMERI501(C)(3)9N/A0
THE SAINT ELIZABETH COMMUNITY
ONE SAINT ELIZABETH WAYEAST GREENWICHRI02818050457342SUPPORTING AND MAKING CONTRIBUTIONS TO THE RELATED ORGANIZATIONSRI501(C)(3)11BN/A0
ST ELIZABETH'S WORKERS' COMPENSATION TRUST
ONE SAINT ELIZABETH WAYEAST GREENWICHRI02818050462175SELF INSURED WORKERS' COMPENSATION TRUSTRI501(C)(3)11AN/A0
SAINT ELIZABETH DEVELOPMENT CORPORATION
ONE SAINT ELIZABETH WAYEAST GREENWICHRI02818050506057RENTS LAND TO NURSING FACILITIESRI501(C)(2)N/A0
SAINT ELIZABETH PLACE
WESTMINSTER STREETPROVIDENCERI02903050392246OPERATES APARTMENT COMPLEX FOR ELDERLYRI501(C)(3)7N/A0
SAINT ELIZABETH TERRACE WARWICK
ONE PARK ROW SUITE 300PROVIDENCERI02903000504789ELDERLY HOUSING FACILITIES AND SERVICESRI501(C)(3)7N/A0

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1ST ELIZABETH ASSISTED LIVING LPBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1ONE SAINT ELIZABETH WAYAddressLine1
CityEAST GREENWICHCity
StateRIState
ZIP Code02818ZIPCode
FieldValueIRS element (for citing)
EIN050518113EIN
Primary ActivityOPERATES ASSISTED LIVING FACILITYPrimaryActivity
Legal Domicile StateRILegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1SEAL MELROSE INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1ONE SAINT ELIZABETH WAYAddressLine1
CityEAST GREENWICHCity
StateRIState
ZIP Code02818ZIPCode
FieldValueIRS element (for citing)
EIN050518115EIN
Primary ActivityREAL ESTATE DEVELOPERSPrimaryActivity
Legal Domicile StateRILegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg