2023-08-21T09:05:17-05:00 2022-09-30 990 2021-10-01 060907212 MONSIGNOR BOJNOWSKI MANOR INC MONS 8602290336 50 PULASKI STREET NEW BRITAIN CT 06053 MARTIN JULMISSE EXECUTIVE DIRECTOR 8602290336 2023-08-21 MARTIN JULMISSE 999009999 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z MARTIN JULMISSE 50 PULASKI STREET NEW BRITAIN CT 06053 6359379 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. 10 10 133 9 0 0 183750 143653 5750177 6199097 0 2290 1137 8778 5935064 6353818 0 0 0 0 0 3783285 0 0 0 0 2971183 0 6754468 5935064 -400650 3228495 2787415 2984315 2678778 244180 108637 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 5785516 6199097 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. 5785516 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 X 10 10 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 DIRECTOR 1.00 X 0 0 0 MARTHA MARTYNSKI DIRECTOR 1.00 X 0 0 0 STANISLAW JANKOWSKI DIRECTOR 1.00 X 0 0 0 MSGR DANIEL PLOCHARCZYK DIRECTOR 1.00 X 0 0 0 MARTIN JULMISSE EXECUTIVE DIRECTOR 40.00 X X 106305 0 6980 JADWIGA PANUS DIRECTOR 1.00 X 0 0 0 STEVEN ZEBROWSKI MD DIRECTOR 1.00 X 0 0 0 DEBORAH BLADOS DIRECTOR 1.00 X 0 0 0 MINIKA GRODZKI DIRECTOR 1.00 X 0 0 0 MARIOLA OBERC-GERMAINE REGISTERED NURSE 40.00 X 147311 0 1461 253616 0 8441 2 0 0 0 PREFERRED THERAPY 850 SILAS DEANE HWY WETHERSFIELD CT 06109 THERAPY PROVIDERS 285503 BRIGHT STAR 1105 NEW BRITAIN AVE WEST HARTFORD CT 06110 HOME HEALTH AID SERVICES 253301 2 143653 143653 MEDICARE/MEDICAID PAYM 623110 4866031 4866031 PATIENT REVENUE 623110 1333066 1333066 6199097 2290 2290 14339 5561 8778 8778 6353818 6199097 0 11068 253616 235863 17753 2841505 2627124 214381 12163 11333 830 676001 625219 50782 90553 90553 32919 32919 154340 154340 67812 67812 241922 207890 34032 4215 4201 14 1756 1756 58435 58435 76462 76462 78547 78547 THERAPY AND MEDICAL 1433055 1433055 PROVIDER TAX 300123 300123 BAD DEBT EXPENSE 286607 41262 245345 FOOD 144437 144437 6754468 5785516 968952 0 1263404 871182 44797 44797 637975 519973 12638 21864 65272 127378 7469062 6266841 1204409 1202221 3228495 2787415 324200 9831 3259 3259 2656856 2665688 2984315 2678778 X 244180 108637 244180 108637 3228495 2787415 -400650 265107 0 X 0 1 X 0 0 X 114959 36751 185186 183750 152431 673077 6442986 6273881 6446015 5667622 6199097 31029601 6557945 6310632 6631201 5851372 6351528 31702678 0 0 0 31702678 1459 1625 1436 1137 2290 7947 1459 1625 1436 1137 2290 7947 6559404 6312257 6632637 5852509 6353818 31710625 0.99970 0.99980 0.00030 0.00020 X 5542167 4541452 1000715 337426 208727 128699 1589469 1516662 72807 1202221 LOAN DUE TO THE DAUGHTERS OF MARY OF THE IMMACULATE CONCEPTION 82462 NOTES PAYABLE TO THE DAUGHTERS OF MARY OF THE IMMACULATE CONCEPTION 1755212 RESIDENT FUNDS 36061 REFUNDABLE ADVANCE - PAYCHECK PROTECTION PROGRAM 791953 2665688 6353818 0 6353818 0 6353818 6754468 0 6754468 0 6754468 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. 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 1 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 1681542 HISTORICAL COST