2024-08-15T11:07:07-05:00 2023-09-30 060903326 WHITTLESEY PC 280 TRUMBULL ST 24TH FL HARTFORD CT 06103 990 2022-10-01 060907212 MONSIGNOR BOJNOWSKI MANOR INC MONS 8602290336 50 PULASKI STREET NEW BRITAIN CT 06053 MARTIN JULMISSE EXECUTIVE DIRECTOR 8602290336 2024-08-15 1 THOMAS GOLDFUSS P01373588 8605223111 2022 2024-08-08 14:25:15Z MARTIN JULMISSE 50 PULASKI STREET NEW BRITAIN CT 06053 8397956 0 X N/A X 1975 CT THE PROVIDING OF ROOM, BOARD AND CARE FOR ALL RESIDENTS OF THE FACILITY WHICH CARES FOR THE GENERAL PUBLIC IN CONNECTION WITH THE MISSION OF THE DAUGHTERS OF THE IMMACULATE CONCEPTION AND THE ROMAN CATHOLIC CHURCH. 9 9 133 0 0 0 143653 1428832 6199097 6965003 2290 1816 8778 -5515 6353818 8390136 0 0 0 0 3783285 4105235 0 0 0 2971183 3798788 6754468 7904023 -400650 486113 2787415 3387529 2678778 2327426 108637 1060103 THE PROVIDING OF ROOM, BOARD AND CARE FOR ALL RESIDENTS OF THE FACILITY WHICH CARES FOR THE GENERAL PUBLIC IN CONNECTION WITH THE MISSION OF THE DAUGHTERS OF THE IMMACULATE CONCEPTION AND THE ROMAN CATHOLIC CHURCH. 0 0 7194206 6965003 SIXTY BED SKILLED NURSING FACILITY FOR THE AGED PROVIDED 20,115 DAYS OF CARE TO THE GENERAL PUBLIC FURTHERING THE MISSION OF THE DAUGHTERS OF MARY OF THE IMMACULATE CONCEPTION AND THE ROMAN CATHOLIC CHURCH. 7194206 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 2 0 1 133 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 0 0 X MARTIN JULMISSE 8602290336 50 PULASKI STREET NEW BRITAIN CT 06053 SR M CATHERINE SIROTNAK PRESIDENT OF DMICC 1.00 X X 0 0 0 DORIS RUDNICKI PRESIDENT 1.00 X 0 0 0 MARTHA MARTYNSKI DIRECTOR 1.00 X 0 0 0 STANISLAW JANKOWSKI DIRECTOR 1.00 X 0 0 0 MARTIN JULMISSE EXECUTIVE DIRECTOR 40.00 X X 110672 0 0 JADWIGA PANUS DIRECTOR 1.00 X 0 0 0 STEVEN ZEBROWSKI MD DIRECTOR 1.00 X 0 0 0 SR M DEBORAH BLADOS DIRECTOR 1.00 X 0 0 0 MONIKA GRODZKI DIRECTOR 1.00 X 0 0 0 MARIOLA OBERC-GERMAINE RN SUPERVISOR 40.00 X 142752 0 0 INNA INNES DIRECTOR OF NURSING 40.00 X 119086 0 0 372510 0 0 3 0 0 0 BRIGHT STAR 1105 NEW BRITAIN AVE WEST HARTFORD CT 06110 HOME HEALTH AID SERVICES 412902 FUSION MEDICAL STAFFING LLC 475 FLATBUSH AVE HARTFORD CT 06106 HOME HEALTH AID SERVICES 285858 THE NURSE NETWORK INC 653 MAIN STREET PLANTSVILLE CT 06479 HOME HEALTH AID SERVICES 214866 3 1428832 1428832 MEDICARE/MEDICAID PAYM 623990 4858924 4858924 PATIENT REVENUE 623990 2106079 2106079 6965003 1816 1816 2305 7820 -5515 -5515 8390136 6965003 0 -3699 110672 102372 8300 3200499 2960461 240038 794064 734509 59555 33187 33187 19888 19888 279801 279801 35704 35704 324997 324997 2465 2363 102 13429 13429 13201 13201 205321 205321 63922 63922 THERAPY AND MEDICAL 2225869 2225869 PROVIDER TAX 385804 385804 FOOD 168691 168691 OTHER 26509 19897 6612 7904023 7194206 709817 0 871182 1883027 44797 44797 519973 445027 21864 24160 127378 127378 7466048 6602908 1202221 863140 2787415 3387529 9831 640355 3259 3259 2665688 1683812 2678778 2327426 X 108637 1060103 108637 1060103 2787415 3387529 486113 675 464678 0 X X 0 0 0 X 36751 185186 183750 152431 1428832 1986950 6273881 6446015 5667622 6199097 6965003 31551618 6310632 6631201 5851372 6351528 8393835 33538568 0 0 0 33538568 1625 1436 1137 2290 1816 8304 1625 1436 1137 2290 1816 8304 6312257 6632637 5852509 6353818 8395651 33546872 0.99980 0.99970 0.00020 0.00030 X 5537195 4943577 593618 337426 237926 99500 1591427 1421405 170022 863140 LOAN DUE TO THE DAUGHTERS OF MARY OF THE IMMACULATE CONCEPTION 82462 NOTES PAYABLE TO THE DAUGHTERS OF MARY OF THE IMMACULATE CONCEPTION 1580337 RESIDENT FUNDS 21013 1683812 8398631 675 675 8397956 -7820 -7820 8390136 7911843 7820 7820 7904023 0 7904023 PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES -7,820. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 7,820. FORM 990, PART VI, SECTION B, LINE 11B THE ADMININSTRATOR OF THE MANOR WILL REVIEW THE 990 AND APPROVE THE FORM TO BE FILED. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS MONITORS AND REVIEWS RELATIONSHIPS ANNUALLY AND ANY CONFLICTS ARE BROUGHT TO THE ATTENTION OF THE BOARD. THE BOARD WILL REVIEW THE CONFLICTS TO DETERMINE THEIR AFFECTS ON THE MANOR. FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION FOR THE ADMINISTRATOR WILL BE BASED ON A FAIR MARKET RATE. THIS WILL BE ACCOMPLISHED BY COMPARING COMPENSATION PACKAGES OF SIMILIAR SIZE HEALTH CARE FACILITIES BY GATHERING COMPENSATION DATA FROM ONLINE RESOURCES AND TRADE ASSOCIATIONS. ADDITIONALLY, THE EXPERIENCE OF THE CANDIDATE IS CONSIDERED AS PART OF THE COMPENSATION DETERMINATION. THE COMPENSATION PACKAGE WILL BE REVIEWED BY THE BOARD OF DIRECTORS AND APPROVED BY THE PRESIDENT OF THE DAUGHTERS OF MARY OF THE IMMACULATE CONCEPTION, INC. FORM 990, PART VI, SECTION C, LINE 18 DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. PART XII, LINE 2C THE BOARD OF DIRECTORS HAS THE AUTHORITY FOR THE OVERSIGHT OF THE ANNUAL AUDIT. THE DAUGHTERS OF MARY OF THE IMMACULATE CONCEPTION 314 OSGOOD AVE NEW BRITAIN CT 06053 060995128 CHURCH CT 501(C)(3) LINE 1 N/A 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 THE DAUGHTERS OF MARY OF THE IMMACULATE CONCEPTION E 1587799 HISTORICAL COST