2024-09-03T20:46:12-05:00 2023-12-31 410746749 CLIFTONLARSONALLEN LLP 4 BATTERYMARCH PARK SUITE 100 QUINCY MA 02169 990 2023-01-01 042066524 SANCTA MARIA HOSPITAL INC SANC 6178682200 799 CONCORD AVENUE CAMBRIDGE MA 02138 ADAM CHAMBERS ADMINISTRATOR 6178682200 2024-08-29 1 0 DANIELLE NIHILL P01350943 7819821001 2024-08-29 2023 2024-08-08 14:25:15Z SANCTA MARIA NURSING FACILITY MOTHER MARY JANICE DM 799 CONCORD AVENUE CAMBRIDGE MA 02138 27198272 0 X HTTP://SANCTAMARIA.ORG X 1948 MA SKILLED NURSING SERVICES TO INDIVIDUALS DUE TO PHYSICAL CONDITION OR INFIRMITY. 8 7 258 9 3751 0 844204 70280 18891190 19749442 122872 358773 942083 1082816 20800349 21261311 0 0 0 0 13062294 13502403 0 0 0 6326804 7006913 19389098 20509316 1411251 751995 15840403 17165626 6234606 6502746 9605797 10662880 X FAITHFUL TO THE SPIRIT OF THE CONGREGATION OF THE DAUGHTERS OF MARY, SANCTA MARIA NURSING FACILITY'S MISSION IS TO WITNESS CHRIST'S COMPASSION, CARING AND LOVE, REFLECTING THE CATHOLIC CHURCH'S ROLE IN THE CONTINUATION OF CHRIST'S HEALING MINISTRY. COMMITTED TO THE VALUES OF DIGNITY AND RESPECT, LIFE, SERVICE AND SOCIAL JUSTICE, SANCTA MARIA STRIVES TO PROVIDE QUALITY HEALTH CARE TO ALL OF ITS PATIENTS/RESIDENTS. 0 0 17372927 0 19749442 PROVISION OF CHARITABLE HEALTH CARE SERVICES TO THE SURROUNDING COMMUNITY SUFFERING FROM ILLNESS OR DISABILITIES REQUIRING NURSING HOME CARE THROUGH A CATHOLIC, NON-PROFIT FACILITY COMMITTED TO THE HIGHEST STANDARDS OF MEDICAL CARE AND PRACTICE. THE FACILITY IS LICENSED FOR 136 BEDS OF WHICH, 134 BEDS WERE IN SERVICE AT YEAR-END RESULTING IN AN OCCUPANCY OF 98.53%. 17372927 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 29 0 258 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 8 7 1 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X ADAM CHAMBERS 6178682200 799 CONCORD AVENUE CAMBRIDGE MA 02138 SISTER MARY THERESA TINANA DM VICE PRESIDENT 40.00 X X 51265 0 195 SISTER MARY JANICE PRESIDENT 2.00 X X 0 0 0 JOSEPH BARRELL JR CHAIR 2.00 X X 0 0 0 JOSEPH CONNARTON VICE CHAIR 1.00 X X 0 0 0 MARTINA N ALIBRANDI TREASURER 2.00 X X 0 0 0 SHEILA HICKEY SECRETARY 1.00 X X 0 0 0 JOSEPH R NOLAN JR DIRECTOR 1.00 X 0 0 0 MICHAEL GULESERIAN DIRECTOR 1.00 X 0 0 0 ADAM CHAMBERS ADMINISTRATOR (AS OF 5/23) 40.00 X 169786 0 195 THOMAS GOMES ADMINISTRATOR (UNTIL 5/23) 10.00 X 82465 0 15496 GEORGIA WAYNE DIR. OF NURSING 40.00 X 173937 0 1232 JEAN CITARELLA DIR. OF HR 40.00 X 146734 0 15428 TERESA ROCK DIR. CLINICAL REIMBURSEMENT 40.00 X 157665 0 195 ANASTASIA JEFFERSON LPN 48.00 X 153583 0 11226 QINGYA FAN RN 40.00 X 142712 0 195 1078147 0 44162 33 0 1 0 ADVOCATE HEALTHCARE MANAGEMENT 35 AVCO RD HAVERHILL MA 01835 MANAGEMENT SERVICES 971955 STORROW COMPANY 777 CONCORD AVE STE 205 CAMBRIDGE MA 02138 CONSTRUCTION 834440 PHARMSCRIPT LLC 150 PIERCE STREET SOMERSET NJ 08873 PHARMACY 421595 UNICORN HEALTHCARE 284 BROADWAY REVERE MA 02151 NURSING AGENCY 332034 US FOODS PO BOX 3155 BOSTON MA 022413155 FOOD SUPPLIES 315048 6 61680 8600 70280 NET PATIENT SERVICE REVENUE 623000 19749442 19749442 19749442 214787 214787 1619549 536733 1082816 1082816 3751 1079065 5544214 5400228 143986 143986 143986 21261311 19749442 3751 1437838 319402 319402 11226025 10914768 311257 917638 884944 32694 1039338 985252 54086 742059 742059 134469 134469 46890 46890 31941 31941 39074 36699 2375 75716 75716 94262 94262 195475 195475 844222 802011 42211 2776 2776 321427 305356 16071 117498 46300 71198 MEDICAL SUPPLIES & EXPE 2089354 2089354 BAD DEBT EXPENSES 917824 917824 USER FEE 910315 910315 FOOD AND DIETARY EXPENS 353813 353714 99 89798 44214 45584 20509316 17372927 3136389 0 150248 70775 6113170 3612202 3230703 3670587 62592 59901 124163 121480 12436898 8066794 3556854 4370104 2521688 5260577 80985 0 15840403 17165626 2001130 1616051 768143 4233476 4118552 6234606 6502746 X 9571050 10628133 34747 34747 9605797 10662880 15840403 17165626 751995 305088 0 X 0 1 X 1 0 X 2775 1744929 2814896 844204 70280 5477084 15768854 16241971 17524958 18891190 19749442 88176415 15771629 17986900 20339854 19735394 19819722 93653499 0 0 0 93653499 1236232 1413108 1456275 1551137 1834336 7491088 1236232 1413108 1456275 1551137 1834336 7491088 2514 310 2824 17007861 19402522 21796439 21286531 21654058 101147411 0.92590 0.92770 0.07410 0.07220 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2020 AMOUNT: $ 2,514. 2021 AMOUNT: $ 310. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 34747 34747 34747 34747 34747 34747 34747 34747 47695 12948 34747 0.00000 0.67550 0.32450 0 0 335323 335323 7599304 5029412 2569892 4294150 2930596 1363554 208121 106786 101335 4370104 ASSETS RETIREMENT OBLIGATION 782063 DUE TO RELATED PARTY 2953601 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 332631 SECURITY DEPOSITS LIABILITY 50257 4118552 X 22071191 305088 305088 21766103 31941 -536733 -504792 21261311 21014108 536733 536733 20477375 31941 31941 20509316 PART V, LINE 4: THE ORGANIZATION'S ENDOWMENT FUNDS ARE TO BE USED FOR EDUCATIONAL PURPOSES, THE ORGANIZATION'S CHAPEL EXPENSES, AND FURTHERING THE ORGANIZATION'S MISSION. PART X, LINE 2: THE FACILITY IS A NONPROFIT 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 FACILITY FOLLOWS THE POLICY FOR UNCERTAINTY IN INCOME TAXES TO BE RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THE POLICY PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PRINCIPLES FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. NO UNCERTAIN INCOME TAX POSITIONS WERE IDENTIFIED FOR THE YEARS ENDED DECEMBER 31, 2023 AND 2022. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -536,733. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 536,733. X X X 0 0 0 0 0 0 0 0 0 GEORGIA WAYNE DIR. OF NURSING 173937 0 0 0 0 0 0 0 1232 0 175169 0 0 0 ADAM CHAMBERS ADMINISTRATOR (AS OF 5/23) 169786 0 0 0 0 0 0 0 195 0 169981 0 0 0 ANASTASIA JEFFERSON LPN 153583 0 0 0 0 0 0 0 11226 0 164809 0 0 0 JEAN CITARELLA DIR. OF HR 146734 0 0 0 0 0 0 0 15428 0 162162 0 0 0 TERESA ROCK DIR. CLINICAL REIMBURSEMENT 157665 0 0 0 0 0 0 0 195 0 157860 0 0 0 PART I, LINE 3 THE BOARD CHAIRMAN ANNUALLY REVIEWS THE COMPENSATION OF THE ADMINISTRATOR BASED ON HIS/HER PERFORMANCE AND THROUGH THE USE OF A COMPENSATION SURVEY. THE MEMBERS OF THE BOARD REVIEW, DOCUMENT, AND APPROVE THE ANNUAL BUDGET. ARRELL CORPORATION BOARD MEMBER'S BUSINESS PROVIDING SERVICES 40754 PLUMBING SERVICES 0 MARTINA ALIBRANDI BOARD MEMBER'S BUSINESS PROVIDING SERVICES 2450 RENTAL/TENANT SERVICES COMP 0 FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS CONSISTS OF THE CHAIRPERSON OF THE BOARD AND THE PRESIDENT, WHO SHALL BE AN EX OFFICIO MEMBER OF THE COMMITTEE, AND FROM TWO TO FOUR ADDITIONAL DIRECTORS APPOINTED BY THE BOARD OF DIRECTORS UPON THE RECOMMENDATION OF THE CHAIRPERSON OF THE COMMITTEE. FORM 990, PART VI, SECTION A, LINE 2 JOSEPH R. NOLAN, JR. AND MARTINA N. ALIBRANDI ARE BROTHER AND SISTER. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION DELEGATED CONTROL OVER MANAGEMENT DUTIES TO A THIRD-PARTY, ADVOCATE HEALTHCARE MANAGEMENT. FORM 990, PART VI, SECTION A, LINE 6 AS DEFINED BY THE BY-LAWS, THE ORGANIZATION HAS MEMBERS OF THE ORGANIZATION REFERRED TO AS SUPERIOR GENERAL AND MEMBERS OF THE GENERAL COUNCIL OF THE CONGREGATION OF THE DAUGHTERS OF MARY OF THE IMMACULATE CONCEPTION. EACH SUCH PERSON SHALL REMAIN A MEMBER OF THE ORGANIZATION FOR SO LONG AS SHE SERVES AS THE SUPERIOR GENERAL OR A MEMBER OF THE GENERAL COUNCIL OF THE CONGREGATION. FORM 990, PART VI, SECTION A, LINE 7A AS DEFINED BY THE BY-LAWS, THE SUPERIOR GENERAL OF THE CONGREGATION SHALL SERVE AS CHAIR OF THE MEMBERS AND HAS THE AUTHORITY TO APPOINT A SECRETARY OF THE MEMBERS FROM AMONG THE MEMBERS. THE MEMBERS HAVE THE RIGHT TO APPOINT THE MEMBERS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBERS OF THE ORGANIZATION HAVE THE POWERS AND RIGHTS TO APPROVE OR CHANGE(1) THE PHILOSOPHY, MISSION AND OBJECTIVES, (2) APPOINT OR REMOVE DIRECTORS, (3) APPOINT THE PRESIDENT, (4) AMEND BY-LAWS, (5) APPROVE MERGERS, REORGANIZATION, AND CONSOLIDATIONS OR DISSOLUTION OF THE ORGANIZATION, (6) APPROVE ACQUISITION, SALE, LEASE, TRANSFER OR ENCUMBRANCE, CONSTRUCTION OR DESTRUCTION OF LAND AND/ OR BUILDINGS OWNED BY THE ORGANIZATION, AND (7) TO APPROVE TO ANY INCREMENT OR ADDITIONS TO THE CAPITAL DEBT OF THE ORGANIZATION BEFORE SUCH DEBT IS INCURRED. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION PROVIDES A COPY OF THE COMPLETE FORM 990 TO THE BOARD MEMBERS AND REVIEWS THE FORM 990 IN AN OFFICIAL MEETING WITH ITS FINANCE COMMITTEE BEFORE SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C NO INDIVIDUAL ON THE BOARD SHOULD HAVE ANY UNDISCLOSED CONFLICT OF INTEREST WITH THE ORGANIZATION. ACTIVE MONITORING IS CONDUCTED BY THE COMPLIANCE OFFICER, WHICH REPORTS WHEN ANY CONFLICT OF INTEREST IS DETECTED FOR PROPER RESOLUTION BY THE COMPLIANCE OFFICER, ADMINISTRATOR OR BOARD OF DIRECTORS. FURTHERMORE, MONITORING IS ALSO DONE VIA YEARLY ATTESTATION BY BOARD AND CONFLICTS WOULD BE DEALT WITH AT THAT LEVEL. IF AN INDIVIDUAL ON THE BOARD HAS A CONFLICT OF INTEREST, THAT INDIVIDUAL MUST ABSTAIN FROM VOTING ON ANY MATTERS RELATED TO THAT CONFLICT. IN ANY MATTER THAT WOULD RESULT IN A CONFLICT OF INTEREST, SUCH INDIVIDUALS ARE NOT PERMITTED TO FACTOR IN THE DECISION-MAKING PROCESS. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD CHAIRMAN ANNUALLY REVIEWS THE COMPENSATION OF THE ADMINISTRATOR BASED ON HIS/HER PERFORMANCE AND THROUGH THE USE OF A MASS SENIOR CARES COMPENSATION SURVEY. THE MEMBERS OF THE BOARD REVIEW, DOCUMENT, AND APPROVE THE ANNUAL BUDGET. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2022. FORM 990, PART VI, SECTION C, LINE 19 AN INTERESTED PARTY CAN MAKE A DIRECT REQUEST TO SEE THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS OF THE ORGANIZATION. DAUGHTERS OF MARY OF THE IMMACULATE CONCEPTION 314 OSGOOD AVE SUITE 408 NEW BRITAN CT 06053 RELIGIOUS COMMUNITY CT 501(C)(3) LINE 1 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 DAUGHTERS OF MARY OF THE IMMACULATE CONCEPTION E 2953601 FMV