WILLIAM B RICE EVENTIDE HOME: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- WILLIAM B RICE EVENTIDE HOME (EIN 04-2106771)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-15
- IRS object ID
- 201123199349306907
- Schema version
- 2010v3.4
- 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 | 2011-11-15T15:03:59-06:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LARSONALLEN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 CROWN COLONY DRIVE SUITE 310 | AddressLine1 |
| City | QUINCY | City |
| State | MA | State |
| ZIP Code | 02169 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 042106771 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WILLIAM B RICE EVENTIDE HOME INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | WILL | NameControl |
| Phone | 6174728300 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 215 ADAMS STREET | AddressLine1 |
| City | QUINCY | City |
| State | MA | State |
| ZIP Code | 02169 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | GAYLE DAVIS | Name |
| Title | PRESIDENT | Title |
| Phone | 6174728300 | Phone |
| Date Signed | 2011-11-10 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BARBARA J MORRISON | Name |
| Phone | 6179848100 | Phone |
| Date Prepared | 2011-11-01 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | GAYLE DAVIS | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 215 ADAMS STREET | AddressLine1 |
| City | QUINCY | City |
| State | MA | State |
| ZIP Code | 02169 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 8803144 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.EVENTIDEHOME.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1924 | YearFormation |
| State Legal Domicile | MA | StateLegalDomicile |
| Activity Or Mission Description | OPERATION OF A NURSING HOME PROVIDING ROOM AND BOARD AND NURSING SERVICES TO THE ELDERLY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 16 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 16 | NbrIndependentVotingMembers |
| Total Nbr Employees | 142 | TotalNbrEmployees |
| Total Nbr Volunteers | 35 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 41866 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 8775 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 5780157 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 5949078 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 359467 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1725652 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 24891 | OtherRevenuePriorYear |
| Other Revenue Current Year | 19316 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 6206381 | TotalRevenuePriorYear |
| Total Revenue Current Year | 7702821 | 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 | 4450365 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 4377206 | 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 | 1832380 | OtherExpensePriorYear |
| Other Expenses Current Year | 2078405 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 6282745 | TotalExpensesPriorYear |
| Total Expenses Current Year | 6455611 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -76364 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1247210 | RevenuesLessExpensesCY |
| Total Assets BOY | 20743136 | TotalAssetsBOY |
| Total Assets EOY | 24025400 | TotalAssetsEOY |
| Total Liabilities BOY | 915478 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 3130701 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 19827658 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 20894699 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO MAINTAIN A UNIQUE LIFE-CARE RETIREMENT COMMUNITY THAT PROVIDES INDIVIDUALIZED AND CARING SUPPORTIVE SERVICES IN A HOME-LIKE ATMOSPHERE WHICH ALLOWS THE RESIDENTS TO MAINTAIN INDEPENDENT LIVES WITH DIGNITY. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 5780064 | Expense |
| Revenue | 5968394 | Revenue |
| Description | THE HOME PROVIDES SECURE HOUSING, QUALITY NURSING CARE, MEANINGFUL ACTIVITIES, OPPORTUNITIES FOR SOCIALIZATION, AND A WIDE VARIETY OF SUPPORTIVE SERVICES TO SIXTY FRAIL ELDERS UNABLE TO LIVE INDEPENDENTLY IN THE COMMUNITY, WITHOUT REGARD FOR THEIR ABILITY TO PAY. | Description |
| Total Program Service Expense | 5780064 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | 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 | 0 | 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 | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 5 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 142 | 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 | 16 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 16 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | 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 | 0 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JANICE FARIA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6174728300 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 215 ADAMS STREET | AddressLine1 |
| City | QUINCY | City |
| State | MA | State |
| ZIP Code | 02169 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (18 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| GAYLE DAVIS | ||||||||
| PRESIDENT | 5.00 | X | X | 0 | 0 | 0 | ||
| RICHARD MEADE | ||||||||
| FIRST VICE PRESIDENT | 5.00 | X | X | 0 | 0 | 0 | ||
| DONALD POWELL | ||||||||
| SECOND VICE PRESIDENT | 5.00 | X | X | 0 | 0 | 0 | ||
| MICHAEL MCFARLAND | ||||||||
| CLERK | 5.00 | X | X | 0 | 0 | 0 | ||
| RUTH DOBBIE | ||||||||
| DIRECTOR | 5.00 | X | 0 | 0 | 0 | |||
| ROBERT DOLBEC | ||||||||
| DIRECTOR | 5.00 | X | 0 | 0 | 0 | |||
| ROBERT DWYER | ||||||||
| DIRECTOR | 5.00 | X | 0 | 0 | 0 | |||
| ROBERT FOY | ||||||||
| DIRECTOR | 5.00 | X | 0 | 0 | 0 | |||
| ROBERT GUARNIERI | ||||||||
| DIRECTOR | 5.00 | X | 0 | 0 | 0 | |||
| LYNNE HOUGHTON | ||||||||
| DIRECTOR | 5.00 | X | 0 | 0 | 0 | |||
| WILLIAM JACKSON | ||||||||
| DIRECTOR | 5.00 | X | 0 | 0 | 0 | |||
| SHEILA MCINTYRE | ||||||||
| DIRECTOR | 5.00 | X | 0 | 0 | 0 | |||
| CHARLES RIPPBERGER | ||||||||
| DIRECTOR | 5.00 | X | 0 | 0 | 0 | |||
| WILLIAM SMITH | ||||||||
| DIRECTOR | 5.00 | X | 0 | 0 | 0 | |||
| PRISCILLA URANN | ||||||||
| DIRECTOR | 5.00 | X | 0 | 0 | 0 | |||
| RICHARD WELCH | ||||||||
| DIRECTOR | 5.00 | X | 0 | 0 | 0 | |||
| JOYCE HAGLUND | ||||||||
| ADMINISTRATOR | 40.00 | 153138 | 0 | 0 | X | |||
| PAULA O'CONNOR | ||||||||
| DIRECTOR OF NURSES | 40.00 | 136259 | 0 | 0 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 289397 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 2 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (3 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| ROGERSON COMMUNITIES | |||||
| FLORENCE ST | BOSTON | MA | 02131 | DEVELOPMENT CONSULTANT | 375000 |
| SHESKEY ARCHITECTS | |||||
| FRANKLIN ST | QUINCY | MA | 02169 | ARCHITECTURAL SERVICES | 374668 |
| NIXON PEABODY | |||||
| SUMMER ST | BOSTON | MA | 02110 | LEGAL | 270449 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 3 | NumberOfContractorsGT100K |
| All Other Contributions | 8775 | AllOtherContributions |
| Total Contributions | 8775 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PUBLICALY AIDED | 623000 | 3244661 | 3244661 |
| PRIVATE | 623000 | 2201391 | 2201391 |
| MEDICARE | 623000 | 341349 | 341349 |
| ANCIALLARY INCOME | 623000 | 161677 | 161677 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 5949078 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1650975 | TotalRevenueColumn |
| Exclusion | $1,650,975 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1175000 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1100323 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 74677 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 74677 | TotalRevenueColumn |
| Exclusion | $74,677 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISC. REVENUE | Description |
| Business Code | 623000 | BusinessCode |
| Total Revenue Column | 19316 | TotalRevenueColumn |
| Related Or Exempt Function Income | 19316 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 19316 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7702821 | TotalRevenueColumn |
| Related Or Exempt Function Income | 5968394 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $1,725,652 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3598692 | Total |
| Program Services | 3148332 | ProgramServices |
| Management And General | 450360 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 55443 | Total |
| Program Services | 48505 | ProgramServices |
| Management And General | 6938 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 418278 | Total |
| Program Services | 365932 | ProgramServices |
| Management And General | 52346 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 304793 | Total |
| Program Services | 266650 | ProgramServices |
| Management And General | 38143 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 55342 | Total |
| Management And General | 55342 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37099 | Total |
| Management And General | 37099 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 418671 | Total |
| Program Services | 387108 | ProgramServices |
| Management And General | 31563 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5880 | Total |
| Program Services | 5880 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 75188 | Total |
| Program Services | 71432 | ProgramServices |
| Management And General | 3756 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 355635 | Total |
| Program Services | 355635 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 284 | Total |
| Program Services | 284 | ProgramServices |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6149 | Total |
| Program Services | 6149 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 279901 | Total |
| Program Services | 279901 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42446 | Total |
| Program Services | 42446 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| PATIENT CARE EXPENSES | 710423 | 710423 |
| 205 ADAMS STREET | 75724 | 75724 |
| BAD DEBTS | 15431 | 15431 |
| MISCELLANEOUS | 232 | 232 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6455611 | Total |
| Program Services | 5780064 | ProgramServices |
| Management And General | 675547 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 204441 | BOY |
| EOY | 82310 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3165656 | BOY |
| EOY | 3409712 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 321420 | BOY |
| EOY | 680167 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 68902 | BOY |
| EOY | 66310 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 11359710 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 5274160 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3756751 | BOY |
| EOY | 6085550 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12537866 | BOY |
| EOY | 11783187 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 688100 | BOY |
| EOY | 1918164 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20743136 | BOY |
| EOY | 24025400 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 230368 | BOY |
| EOY | 728608 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 685110 | BOY |
| EOY | 2402093 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 915478 | BOY |
| EOY | 3130701 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19776533 | BOY |
| EOY | 20834799 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10125 | BOY |
| EOY | 18900 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41000 | BOY |
| EOY | 41000 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19827658 | BOY |
| EOY | 20894699 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20743136 | BOY |
| EOY | 24025400 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 1247210 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -180169 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| 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 | 2314 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1894 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2495 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 41866 | CurrentTaxYearMinus1Year |
| Current Tax Year | 8775 | CurrentTaxYear |
| Total | 57344 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 5300897 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5618337 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5823211 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5805048 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5968394 | CurrentTaxYear |
| Total | 28515887 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 5303211 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5620231 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5825706 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5846914 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5977169 | CurrentTaxYear |
| Total | 28573231 | 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 | 28573231 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 441955 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 501078 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 470096 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 325401 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1650976 | CurrentTaxYear |
| Total | 3389506 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 441955 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 501078 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 470096 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 325401 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1650976 | CurrentTaxYear |
| Total | 3389506 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 5745166 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 6121309 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 6295802 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 6172315 | CurrentTaxYearMinus1Year |
| Current Tax Year | 7628145 | CurrentTaxYear |
| Total | 31962737 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.89400 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.92360 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.10600 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.07640 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 51125 | BeginningOfYearBalance |
| Contributions | 8775 | Contributions |
| End Of Year Balance | 59900 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 41000 | BeginningOfYearBalance |
| Contributions | 10125 | Contributions |
| End Of Year Balance | 51125 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 0.86000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.14000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3151077 | OtherCostOrOtherBasis |
| Book Value | 3151077 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3143250 | OtherCostOrOtherBasis |
| Depreciation | 1492783 | Depreciation |
| Book Value | 1650467 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3638252 | OtherCostOrOtherBasis |
| Depreciation | 2561105 | Depreciation |
| Book Value | 1077147 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1414371 | OtherCostOrOtherBasis |
| Depreciation | 1207512 | Depreciation |
| Book Value | 206859 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 12760 | OtherCostOrOtherBasis |
| Depreciation | 12760 | Depreciation |
| Book Value | 0 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 6085550 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| INTEREST RECEIVABLE | 45341 |
| MORTGAGE ACQUISITION COSTS, NET | 27860 |
| CONSTRUCTION IN PROGRESS | 1826138 |
| SOFTWARE, NET | 18825 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 1918164 | TotalBookValueOtherAssets |
| Total Revenue | 7702821 | TotalRevenue |
| Total Expenses | 6455611 | TotalExpenses |
| Excess Or Deficit For Year | 1247210 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -180169 | NetUnrealizedGLOnInvestments |
| Total Adjustments | -180169 | TotalAdjustments |
| Excess Or Deficit Per FS | 1067041 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 7485553 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -180169 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | -180169 | RevenueNotRptdF990 |
| Revenue Subtotal | 7665722 | RevenueSubtotal |
| Investment Expenses Not Included | 37099 | InvestmentExpensesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 37099 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 7702821 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 6418512 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 6418512 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 37099 | InvestmentExpensesNotIncluded2 |
| Expenses Not Rptd On Fin Stmt | 37099 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 6455611 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | Identifier |
| Return Reference | PART V, LINE 4: | ReturnReference |
| Explanation | TERM ENDOWMENT FUNDS ARE TO BE USED FOR NEW RESIDENT BEDS. THE PERMANENT ENDOWMENT FUND'S INCOME IS USED FOR THE GENERAL PURPOSES OF THE HOME. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JOYCE HAGLUND | NamePerson |
| Base Compensation Filing Org | 146200 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 0 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 0 | BonusFilingOrg |
| Bonus Related Orgs | 0 | BonusRelatedOrgs |
| Other Compensation Filing Org | 6938 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 0 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 0 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 0 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 0 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 0 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 153138 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 0 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 0 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 0 | CompReportPrior990RelatedOrgs |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE ADMINISTRATOR WILL REVIEW FORM 990 WITH MEMBERS OF THE BOARD'S EXECUTIVE COMMITTEE PRIOR TO ITS FILING WITH THE IRS. THE EXECUTIVE COMMITTEE WILL REPORT ON IT'S REVIEW TO THE FULL BOARD. | |
| THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY THAT IS ENFORCED ANNUALLY BY DISTRIBUTION OF THE POLICY AND FOLLOW UP TO CONFIRM NO ONE IS IN CONFLICT OF THE POLICY. | FORM 990, PART VI, SECTION B, LINE 12C | |
| THE EXECUTIVE COMMITTEE APPROVES ADMINISTRATOR'S SALARY. THEY REGULARLY REVIEW SALARY STUDIES DONE BY STATE HEALTHCARE ASSOCIATIONS. APPROVAL IS DOCUMENETED IN THE BOARD OF DIRECTORS MINUTES. THIS WAS LAST DONE IN 2010. | FORM 990, PART VI, SECTION B, LINE 15B | |
| THE ORGANIZATION MAKES GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. | FORM 990, PART VI, SECTION C, LINE 19 | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET UNREALIZED LOSSES ON INVESTMENTS: -180,169. | FORM 990, PART XI, LINE 5: |
| PROCEDURES FOR REVIEW OF AUDITED STATEMENTS | THE ORGANIZATION HAS AN AUDIT COMMITTEE THAT OVERSEES THE AUDIT OF THE FINANCIAL STATEMENTS AND APPOINTS THE AUDITOR. | FORM 990, PART XII, LINE 2C |