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DYOUVILLE SENIOR CARE INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
DYOUVILLE SENIOR CARE INC (EIN 04-2510563)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-15
IRS object ID
201213209349306681
Schema version
2011v1.2
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)
Timestamp2012-11-15T15:05:33-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN410746749EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1300 CROWN COLONY DRIVE SUITE 310AddressLine1
CityQUINCYCity
StateMAState
ZIP Code02169ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN042510563EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1D'YOUVILLE SENIOR CARE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlDYOUNameControl
Phone9785691000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1981 VARNUM AVENUEAddressLine1
CityLOWELLCity
StateMAState
ZIP Code01854ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameNAOMI PRENDERGASTName
TitleCEO/PRESIDENTTitle
Phone9785691000Phone
Date Signed2012-11-09DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBARBARA MORRISONName
PTINP00173340PTIN
Phone6179848100Phone
Date Prepared2012-10-22DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonNAOMI PRENDERGASTNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1981 VARNUM AVENUEAddressLine1
CityLOWELLCity
StateMAState
ZIP Code01854ZIPCode
FieldValueIRS element (for citing)
Gross Receipts25759439GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.DYOUVILLE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1960YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionD'YOUVILLE SENIOR CARE, INC. OPERATES A 208 BED SKILLED NURSING FACILITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees513TotalNbrEmployees
Total Nbr Volunteers76TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year124184ContributionsGrantsPriorYear
Contributions Grants Current Year23382ContributionsGrantsCurrentYear
Program Service Revenue Prior Year20330165ProgramServiceRevenuePriorYear
Program Service Revenue CY20724529ProgramServiceRevenueCY
Investment Income Prior Year522791InvestmentIncomePriorYear
Investment Income Current Year578097InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year20977140TotalRevenuePriorYear
Total Revenue Current Year21326008TotalRevenueCurrentYear
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 Year13132352SalariesEtcPriorYear
Salaries Etc Current Year13485740SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year83996TotalFundrsngExpCurrentYear
Other Expense Prior Year7283815OtherExpensePriorYear
Other Expenses Current Year7219265OtherExpensesCurrentYear
Total Expenses Prior Year20416167TotalExpensesPriorYear
Total Expenses Current Year20705005TotalExpensesCurrentYear
Revenues Less Expenses Prior Year560973RevenuesLessExpensesPriorYear
Revenues Less Expenses CY621003RevenuesLessExpensesCY
Total Assets BOY28626959TotalAssetsBOY
Total Assets EOY27737735TotalAssetsEOY
Total Liabilities BOY13016647TotalLiabilitiesBOY
Total Liabilities EOY15990009TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY15610312NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY11747726NetAssetsOrFundBalancesEOY
Mission DescriptionD'YOUVILLE SENIOR CARE FURTHERS THE HEALING MINISTRY OF JESUS CHRIST BY EXTENDING PROFESSIONAL AND COMPASSIONATE CARE TO SENIORS IN NEED.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense18570328Expense
Revenue20761553Revenue
DescriptionOPERATION OF A 208 BED LONG-TERM NURSING CARE FACILITY.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense427131Expense
Revenue384763Revenue
DescriptionOPERATION OF A 23 LICENSED ADULT DAY CENTERDescription
FieldValueIRS element (for citing)
Total Program Service Expense18997459TotalProgramServiceExpense
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 Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
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 Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109626NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees513NumberOfEmployees
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 Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
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
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMARK ALTENWEGNamePerson
Telephone Number9785691000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1DYOUVILLE SENIOR CARE INC 981AddressLine1
CityLOWELLCity
StateMAState
ZIP Code01854ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
DANIEL HANLEY
DIRECTOR1.00X000
ROY JOHNSON
DIRECTOR1.00X000
WILLIAM SOUCY
DIRECTOR1.00X000
ROBERT YOUNG
CHAIRPERSON2.00X000X
SR PRESCILLE MALO SCO
SPONSOR2.00X000X
NAOMI PRENDERGAST
PRESIDENT/CEO40.00X193193030732X
JOSEPH CLERMONT ESQUIRE
DIRECTOR1.00X000
ANN MONTMINY
DIRECTOR1.00X000
SR PAULA BRADLEY SCO
CLERK2.00X000X
KAREN DEVEREAUX MELILLO
DIRECTOR1.00X000
JAMES M GEARY JR HON
DIRECTOR1.00X000
MARK S COCHRAN
TREASURER1.00X000X
JAMES LINNEHAN JR ESQ
VICE CHAIRPERSON1.00X000X
STEPHEN GUIMOND
DIRECTOR1.00X000
THOMAS J BROWN
DIRECTOR1.00X000
SR JEANE ARCHAMBAULT SCO
DIRECTOR1.00X000
PHILIP J TAVANO MD
DIRECTOR1.00X000
MARK ALTENWEG
CFO40.00138628024982X
ANDREA RATHBONE
ADMINISTRATOR40.00129405020809X
CYNTHIA THORTON
DIRECTOR OF NURSING40.00110189020530X
FieldValueIRS element (for citing)
Total Reportable Comp From Org571415TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation97053TotalOtherCompensation
Number Individuals GT100 K4NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CUTLER ASSOCIATES LTD
43 HARVARD ST PO BOX 15409WORCESTERMA01609DESIGN BUILD8317271
HPC FOODSERVICE INC
DEPT 385 PO BOX 150473HARTFORDCT06115FOOD DISTRIBUTOR594914
BLUE CROSS BLUE SHIELD
PO BOX 371318PITTSBURGHPA15250HEALTH DENTAL INSURANCE525817
PARTNER'S PHARMACY
181 CEDAR HILL RDMARLBOROUGHMA01752PHARMACY458429
TRIMARK UNITED EAST INC
PO BOX 3505S ATTLEBOROMA02703FOODSERVICE EQUIP AND SUPPLIES391679
FieldValueIRS element (for citing)
Number Of Contractors GT100 K10NumberOfContractorsGT100K
All Other Contributions23382AllOtherContributions
Total Contributions23382TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT REVENUE6239902033976620339766
ADULT DAY HEALTH623990384763384763
FieldValueIRS element (for citing)
Total Program Service Revenue20724529TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column156310TotalRevenueColumn
Exclusion$156,310ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities4855218Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities4433431Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities421787Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column421787TotalRevenueColumn
Related Or Exempt Function Income421787RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column21326008TotalRevenueColumn
Related Or Exempt Function Income21146316RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$156,310ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total387535Total
Management And General387535ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total10771410Total
Program Services9818112ProgramServices
Management And General884141ManagementAndGeneral
Fundraising69157Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total146312Total
Program Services132475ProgramServices
Management And General12904ManagementAndGeneral
Fundraising933Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1244215Total
Program Services1126550ProgramServices
Management And General109730ManagementAndGeneral
Fundraising7935Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total936268Total
Program Services847726ProgramServices
Management And General82571ManagementAndGeneral
Fundraising5971Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total27509Total
Management And General27509ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total63245Total
Management And General63245ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total561213Total
Program Services505298ProgramServices
Management And General55915ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total69719Total
Program Services69719ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total165428Total
Program Services165428ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total43440Total
Program Services43440ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1091113Total
Program Services1091113ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total25814Total
Program Services25814ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1020007Total
Program Services1020007ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total412091Total
Program Services412091ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
USER FEES12107891210789
DIETARY650163650163
ADULT DAY HEALTH427131427131
PHARMACY SUPPLIES372034372034

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1079569Total
Program Services1079569ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total20705005Total
Program Services18997459ProgramServices
Management And General1623550ManagementAndGeneral
Fundraising83996Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1034789BOY
EOY1142829EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2040008BOY
EOY2765092EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1032681BOY
EOY1252799EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY239971BOY
EOY104244EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis26389517LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec11202900LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY15524658BOY
EOY15186617EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY5197147BOY
EOY5217164EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3557705BOY
EOY2068990EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY28626959BOY
EOY27737735EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2016647BOY
EOY3512681EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY11000000BOY
EOY12477328EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY13016647BOY
EOY15990009EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY15607363BOY
EOY11747726EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2949BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY15610312BOY
EOY11747726EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY28626959BOY
EOY27737735EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses621003ReconcilationRevenueExpenses
Reconcilation Other Changes-4483589ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years73544CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years158770CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years91049CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year124184CurrentTaxYearMinus1Year
Current Tax Year15382CurrentTaxYear
Total462929Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years19010107CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years19493132CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19892082CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year20330165CurrentTaxYearMinus1Year
Current Tax Year20724531CurrentTaxYear
Total99450017Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years19083651CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years19651902CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19983131CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year20454349CurrentTaxYearMinus1Year
Current Tax Year20739913CurrentTaxYear
Total99912946Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50999912946PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years465594CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years328378CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years192559CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year182689CurrentTaxYearMinus1Year
Current Tax Year164310CurrentTaxYear
Total1333530Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years465594CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years328378CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years192559CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year182689CurrentTaxYearMinus1Year
Current Tax Year164310CurrentTaxYear
Total1333530Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years19549245CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years19980280CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years20175690CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year20637038CurrentTaxYearMinus1Year
Current Tax Year20904223CurrentTaxYear
Total101246476Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98680PublicSupportPercentage509
Prior Year Support Percentage0.98430PriorYearSupportPercentage
Investment Income Percentage0.01320InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01570PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance2949BeginningOfYearBalance
Other Expenditures2949OtherExpenditures

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance2949BeginningOfYearBalance
End Of Year Balance2949EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2949BeginningOfYearBalance
End Of Year Balance2949EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2949BeginningOfYearBalance
End Of Year Balance2949EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.00000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis820995OtherCostOrOtherBasis
Book Value820995BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis21272900OtherCostOrOtherBasis
Depreciation7928791Depreciation
Book Value13344109BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4072153OtherCostOrOtherBasis
Depreciation3068282Depreciation
Book Value1003871BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis223469OtherCostOrOtherBasis
Depreciation205827Depreciation
Book Value17642BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings15186617TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
COST OF FINANCING162336
SOFTWARE (NET)56339
CONSTRUCTION IN PROGRESS1676322
DUE FROM RELATED PARTIES173993
FieldValueIRS element (for citing)
Total Book Value Other Assets2068990TotalBookValueOtherAssets

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:THE INTENDED USE OF THE ENDOWMENT FUNDS WERE USED FOR THE FUNDING OF A LIBRARY.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:THE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE ORGANIZATION FILES AS A TAX-EXEMPT ENTITY. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, THE ORGANIZATION'S 2008 THROUGH 2011 TAX YEARS ARE OPEN FOR EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
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 (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
NAOMI PRENDERGAST
1921770001016000307320223925000
MARK ALTENWEG
136019025000109000249820163610000
ANDREA RATHBONE
1294050000000208090150214000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1MASSACHUSETTS DEVELOPMENT FINANCE AGENCYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN043431814IssuerEIN
Date Issued2010-05-24DateIssued
Issue Price20500000IssuePrice
Description Of PurposeDEBT REFINANCING AND CONSTRUCTIONDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds12500000TotalProceeds
Capitalized Interest91520CapitalizedInterest
Capital Expenditures1408480CapitalExpenditures
Other Spent Proceeds11000000OtherSpentProceeds
Year Of Subst Completion2012YearOfSubstCompletion
Current Refunding1CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made0FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue1VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate

Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
SCHEDULE K SUPPLENTAL INFORMATIONTHE BOND ISSUANCE OF $20,500,000 WAS PARTIALLY USED FOR THE PAYOFF OF AN EXISTING DEBT OF $11,000,000 AND $1,500,000 OF CONSTRUCTION FOR D'YOUVILE SENIOR CARE INC, IN ADDITION THE REMAINING $8,000,000 WAS USED FOR CONSTRUCTION OF A RELATED ORGANIZATION D'YOUVILLE TRANSITIONAL CARE INC
FORM K PART II LINE 3THE GROSS PROCEEDS FROM THE BOND ISSUANCE TOTAL $20,500,000, THE PROCEEDS USED BY D'YOUVILLE SENIOR CARE, INC TOTAL $12,500,000. THE REMAINING PROCEEDS OF $8,000,000 HAVE BEEN USED BY A RELATED TAX EXEMPT PARTY CONSISTENT WITH THE TERMS OF THE BOND ISSUANCE.TOTAL PROCEEDS OF ISSUE

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
MERRIMACK VALLEY INTERNAL MEDICINE ASSOCIATES PC (DR LOUIS BRESNICK)
MEDICAL DIRECTOR AND BOD36000MEDICAL DIRECTOR0
JEANNE DARC CREDIT UNION (MARK COCHRAN)
BOD TREASURER12500000CEO OF PARTICIPATING BANK - NEW BONDS0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2THE FOLLOWING DIRECTOR'S HAD A BUSINESS RELATIONSHIP: 1) SR. PRESCILLE MALO, SCO, 2.) SR. PAULA BRADLEY, SCO, 3.) RAYMOND ANSTISS JR. (TERM EXPIRED IN 2011), 4.) WIN BROWN ( TERM EXPIRED IN 2011), 5.) DR. LOUIS BRESNICK ( TERM EXPIRED IN 2011), 6.) JAMES LINNEHAN JR., 7.) ANN MONTMINY, 8.) NAOMI PRENDERGAST, 9.) ROBERT YOUNG, 10.) MARK COCHRAN, 11.) WILLIAM SOUCY, 12.) CATHERINE SEELEY ( TERM EXPIRED IN 2011) 13.) KAREN MELILLO, 14.) STEPHEN GUIMOND.
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION'S SPONSORS ARE THE SISTERS OF CHARITY OF OTTAWA.
FORM 990, PART VI, SECTION A, LINE 7ATHE SISTERS OF CHARITY OF OTTAWA ELECT THE BOARD OF DIRECTORS
FORM 990, PART VI, SECTION B, LINE 11FULL REVIEW BY CFO, CEO AND BOARD TREASURER. THEN IT IS SENT TO ALL TRUSTEES FOR TOP-LEVEL REVIEW.
FORM 990, PART VI, SECTION B, LINE 12CEACH EMPLOYEE, DIRECTOR, OFFICER, AND KEY EMPLOYEE IS GIVEN THE POLICY AT ORIENTATION. THIS IS REVIEWED ANNUALLY AT IN-SERVICE FAIR. TO PREVENT TRADE CONFLICT, ALL MATERIAL EXPENDITURES NEED A MINIMUM OF 3 BIDS FROM CONTRACTORS.
FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION COMMITTEE WAS ESTABLISHED TO REVIEW CEO AND CFO COMPENSATION. OFFICER AND KEY EMPLOYEE COMPENSATION IS REVIEWED ANNUALLY BY THE CEO.
FORM 990, PART VI, SECTION C, LINE 19THE CONFLICT OF INTEREST POLICY IS AVAILABLE IN THE CORPORATE INTEGRITY PROGRAM HANDBOOK AND THE GOVERNING DOCUMENTS AND THE FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -483,588. TRANSFER TO AFFILIATE -4,000,000. ROUNDING -1. TOTAL TO FORM 990, PART XI, LINE 5: -4,483,589.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990 PART XII LINE 2CTHE ORGANIZATION HAS A COMMITTEE THAT IS RESPONSIBLE FOR THE OVERSIGHT OF THE FINANCIAL STATEMENTS AND THE SELECTION OF THE AUDITOR. THE 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
D'YOUVILLE SENIOR CARE FOUNDATION INC
981 VARNUM AVELOWELLMA01854912055004FUNDRAISINGMA501(C)(3)LINE 11A, IN/A0
D'YOUVILLE SENIOR LIVING INC
979 VARNUM AVELOWELLMA01854200837361LOW-INCOME SENIOR HOUSINGMA501(C)(3)LINE 9N/A0
D'YOUVILLE ELDERLY HOUSING INC
975 VARNUM AVELOWELLMA01854043536564LOW-INCOME SENIOR HOUSINGMA501(C)(3)LINE 7N/A0
D'YOUVILLE TRANSITIONAL CARE UNIT INC
1071 VARNUM AVELOWELLMA01854271680453SHORT-TERM REHABMA501(C)(3)LINE 1N/A0
D'YOUVILLE LEADERSHIP SOLUTIONS INC
981 VARNUM AVELOWELLMA01854274675543MANAGEMENT COMPANYMA501(C)(3)LINE 11B, IIN/A0
D'YOUVILLE LIFE & WELLNESS COMMUNITY INC
981 VARNUM AVELOWELLMA01854274675379SENIOR CAREMA501(C)(3)LINE 11B, IIN/A0
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 Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
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 Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg