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Nonprofiteer
← ST ELIZABETH HOME WORKERS COMP TR

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 Tilley

    CHAIR

    Total calculated
    $0
    Hours/week
    2 + 9.5 related
  • Claire C Flaherty

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    2 + 9.5 related
  • Steven H Kitchin

    VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    2 + 9.5 related
  • Judy W Vigar

    TREASURER

    Total calculated
    $0
    Hours/week
    2 + 9.5 related
  • Craig W Carpenter

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2 + 9.5 related
  • Kristen L Disanto

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2 + 9.5 related
  • Robin Dziuba

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2 + 9.5 related
  • Frederick G Harrison

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2 + 9.5 related
  • Peter Hollmann MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2 + 9.5 related
  • E Paul Larrat PhD Rph

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2 + 9.5 related
  • Timothy Murray

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2 + 9.5 related
  • Robert H Pease Jr

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2 + 9.5 related
  • Wayne D Pelland

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2 + 9.5 related
  • Mark J Provost

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2 + 9.5 related
  • Kimberley Ranalli

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2 + 9.5 related
  • Philip C Slocum

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2 + 9.5 related
  • Matthew 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 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.

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

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