Form 990 for tax year 2022
Filed by ST ELIZABETH HOME WORKERS COMP TR.
Totals
- Total revenue
- $434,666
- Total expenses
- $477,147
- Contributions and grants received
- $0
- Grants paid
- $0
- Program service revenue
- $428,000
- Investment income
- $6,666
- Other revenue
- $0
- Total assets, end of year
- $643,260
- Total liabilities, end of year
- $69,394
- Net assets or fund balances, end of year
- $573,866
- Program services expenses (Part IX)
- $477,147
- Management and general expenses
- $0
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $477,147
Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
2a · Program service revenue: EMPLOYER CONTRIBUTIONS
total $428,000 · related or exempt $428,000
-
3 · Investment income
total $6,666 · excluded $6,666
Functional expenses
Part IX, the statement of functional expenses.
-
11g · Fees: other
total $34,146 · program services $34,146
-
24a · Other expenses: CLAIMS PAID
total $342,663 · program services $342,663
-
24b · Other expenses: EXCESS INSURANCE PREMIU
total $66,159 · program services $66,159
-
24c · Other expenses: STATE ASSESSMENT FEE
total $28,108 · program services $28,108
-
24d · Other expenses: ADMINISTRATIVE EXPENSES
total $6,071 · program services $6,071
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $13,630 · end of year $9,947
-
2 · Savings and temporary cash investments
beginning of year $608,717 · end of year $609,313
-
4 · Accounts receivable
beginning of year $56,000 · end of year $24,000
-
17 · Accounts payable and accrued expenses
beginning of year $62,000 · end of year $69,394
-
29 · Capital stock, trust principal or current funds
beginning of year $0 · end of year $0
-
30 · Paid-in or capital surplus, or land, building or equipment fund
beginning of year $0 · end of year $0
-
31 · Retained earnings, endowment or other funds
beginning of year $616,347 · end of year $573,866
Mission and programs · 2022
Mission
TO PROVIDE WORKERS COMPENSATION BENEFITS TO THE EMPLOYEES OF SAINT ELIZABETH HOME, EAST GREENWICH, SAINT ELIZABETH MANOR, EAST BAY, ST. ELIZABETH APARTMENTS FOR SENIORS AND MOBILITY IMPAIRED, ST. ELIZABETH ASSISTED LIVING, L.P., AND ST. ELIZABETH APARTMENTS FOR SENIORS.
Activities or mission (Part I)
TO PROVIDE WORKERS COMPENSATION BENEFITS TO THE EMPLOYEES OF SAINT ELIZABETH HOME, EAST GREENWICH, SAINT ELIZABETH MANOR, EAST BAY THROUGH ITS SALE IN MARCH 2021, ST. ELIZABETH APARTMENTS FOR SENIORS AND MOBILITY IMPAIRED, ST. ELIZABETH ASSISTED LIVING, L.P., AND ST. ELIZABETH APARTMENTS FOR SENIORS.
-
THE TRUST WAS FORMED SOLELY AND EXCLUSIVELY TO SUPPORT AND TO BENEFIT SAINT ELIZABETH HOME, EAST GREENWICH, SAINT ELIZABETH MANOR, EAST BAY THROUGH ITS SALE IN MARCH 2021, ST. ELIZABETH APARTMENTS FOR SENIORS AND MOBILITY IMPAIRED, ST. ELIZABETH ASSISTED LIVING, L.P., AND ST. ELIZABETH APARTMENTS FOR SENIORS. SERVING AS A REPOSITORY FOR THEIR FUNDS TO MEET THEIR OBLIGATION TO PROVIDE WORKERS' COMPENSATION BENEFITS TO THEIR EMPLOYEES.
Expenses $477,147 · Revenue $428,000
As filed on the 2022 return.
Listed in Part VII
-
Steven W TilleySTEVEN W TILLEY
CHAIR
- Total calculated
- $0
- Hours/week
- 2 + 9.5 related
-
Claire C FlahertyCLAIRE C FLAHERTY
VICE CHAIR
- Total calculated
- $0
- Hours/week
- 2 + 9.5 related
-
Steven H KitchinSTEVEN H KITCHIN
VICE PRESIDENT
- Total calculated
- $0
- Hours/week
- 2 + 9.5 related
-
Judy W VigarJUDY W VIGAR
TREASURER
- Total calculated
- $0
- Hours/week
- 2 + 9.5 related
-
Craig W CarpenterCRAIG W CARPENTER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 2 + 9.5 related
-
Kristen L DisantoKRISTEN L DISANTO
TRUSTEE
- Total calculated
- $0
- Hours/week
- 2 + 9.5 related
-
Robin DziubaROBIN DZIUBA
TRUSTEE
- Total calculated
- $0
- Hours/week
- 2 + 9.5 related
-
Frederick G HarrisonFREDERICK G HARRISON
TRUSTEE
- Total calculated
- $0
- Hours/week
- 2 + 9.5 related
-
Peter Hollmann MDPETER HOLLMANN MD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 2 + 9.5 related
-
E Paul Larrat PhD RphE PAUL LARRAT PHD RPH
TRUSTEE
- Total calculated
- $0
- Hours/week
- 2 + 9.5 related
-
Timothy MurrayTIMOTHY MURRAY
TRUSTEE
- Total calculated
- $0
- Hours/week
- 2 + 9.5 related
-
Robert H Pease JrROBERT H PEASE JR
TRUSTEE
- Total calculated
- $0
- Hours/week
- 2 + 9.5 related
-
Wayne D PellandWAYNE D PELLAND
TRUSTEE
- Total calculated
- $0
- Hours/week
- 2 + 9.5 related
-
Mark J ProvostMARK J PROVOST
TRUSTEE
- Total calculated
- $0
- Hours/week
- 2 + 9.5 related
-
Kimberley RanalliKIMBERLEY RANALLI
TRUSTEE
- Total calculated
- $0
- Hours/week
- 2 + 9.5 related
-
Philip C SlocumPHILIP C SLOCUM
TRUSTEE
- Total calculated
- $0
- Hours/week
- 2 + 9.5 related
-
Matthew TrimbleMATTHEW TRIMBLE
PRESIDENT & CEO
- Total calculated
- $312,619
- From this org
- $0
- From related orgs
- $286,080
- Other
- $26,539
- Hours/week
- 0.5 + 39.5 related
Schedule J breakdown matched by us
- Base
- $0 + $286,080 related
- Bonus
- $0
- Other
- $0
- Deferred
- $0 + $8,608 related
- Nontaxable benefits
- $0 + $17,931 related
- Filer's total
- $0 + $312,619 related
-
Mark LoiselleMARK LOISELLE
CHIEF FINANCIAL OFFICER
- Total calculated
- $230,684
- From this org
- $0
- From related orgs
- $214,802
- Other
- $15,882
- Hours/week
- 0.5 + 39.5 related
Schedule J breakdown matched by us
- Base
- $0 + $214,802 related
- Bonus
- $0
- Other
- $0
- Deferred
- $0 + $6,444 related
- Nontaxable benefits
- $0 + $9,438 related
- Filer's total
- $0 + $230,684 related
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
None.
Answered no
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
SAINT ELIZABETH HOME EAST GREENWICH
501(C)(3) · OPERATES NURSING HOME · RI
-
SAINT ELIZABETH MANOR EAST BAY
501(C)(3) · OPERATES NURSING HOME (THROUGH ITS SALE IN MARCH 2021) · RI
-
SAINT ELIZABETH APARTMENTS FOR SENIORS AND MOBILITY IMPAIRED
501(C)(3) · OPERATES APARTMENT COMPLEX FOR ELDERLY · RI
-
501(C)(3) · SUPPORTS AND MAKES CONTRIBUTIONS TO RELATED ORGANIZATIONS · RI
-
SAINT ELIZABETH DEVELOPMENT CORPORATION
501(C)(2) · RENTS LAND · RI
-
SAINT ELIZABETH APARTMENTS FOR SENIORS
501(C)(3) · ELDERLY HOUSING FACILITIES AND SERVICES · RI
-
SAINT ELIZABETH ADULT DAY CENTERS
501(C)(3) · ADULT DAY CARE · RI
-
501(C)(3) · HOME CARE · RI
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Related partnerships
Part III: related organizations taxable as a partnership, with the filer's share.
-
ST ELIZABETH ASSISTED LIVING LP
OPERATES ASSISTED LIVING FACILITY · RI
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
SEAL MELROSE INC
C · REAL ESTATE DEVELOPERS · RI
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 13 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202323189349305077
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
The source document this was parsed from is served over the API, which is where bulk and document access live.