2023-11-09T16:25:01-06:00 2022-12-31 042536173 LIVINGSTON & HAYNES PC 40 GROVE STREET WELLESLEY MA 024827711 990 2022-01-01 042277710 MARIAN MANOR INC MARI 5086798154 33 SUMMER STREET TAUNTON MA 02780 JOANNE ROQUE DIRECTOR 5086751311 2023-11-07 1 JOANNE ROQUE 999009999 0 MARIA BUNKER P00652618 7812373339 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z EDGAR M DA CUNHA 394 HIGHLAND AVENUE FALL RIVER MA 02720 6871138 0 X WWW.DHFO.ORG X 1963 MA PROVIDES SKILLED NURSING AND REHABILITATIVE CARE FOR THE FRAIL AND ELDERLY. 8 1 106 2 0 0 9172 6915 6939596 6255656 399120 485 537640 603350 7885528 6866406 0 0 0 0 4791909 4238956 0 0 0 3737149 3944393 8529058 8183349 -643530 -1316943 2390891 1577163 4504875 5008090 -2113984 -3430927 TO PROVIDE EXTENDED CARE TO THE CHRONICALLY ILL AND DISABLED, WITH SPECIAL EMPHASIS ON THE CARE OF THE FRAIL ELDERLY. 0 0 7379407 6255656 TO PROVIDE NURSING AND/OR REHABILITATION SERVICES TO THE AGED AND INFIRMED FOR 20,802 PATIENT DAYS. 7379407 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 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 4 0 1 106 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 8 1 1 1 0 0 1 1 0 0 0 0 1 1 1 1 1 1 1 1 1 1 0 MA X LAURA MITCHELL 5086798154 368 N MAIN STREET FALL RIVER MA 02720 X EDGAR M DA CUNHA M + PRESIDENT & TREASURER 1.00 0.00 X X 0 0 0 DAVID A PIGNATO M + SECRETARY 1.00 0.00 X X 0 0 0 TIMOTHY REIS M + DIRECTOR 1.00 0.00 X 0 0 0 JOANNE ROQUE DIRECTOR 1.00 0.00 X 0 0 0 KEVIN KILEY DIRECTOR 1.00 0.00 X 0 0 0 GREGORY A MATHIAS M + VICE PRESIDENT 1.00 0.00 X X 0 0 0 LAURA MITCHELL DIRECTOR 1.00 0.00 X 0 0 0 DAVID GAY DIRECTOR 1.00 0.00 X 0 0 0 WILLIAM M RODRIGUES UNTIL 111022 M + DIRECTOR 1.00 0.00 X 0 0 0 JO-ANN MELCHERT ADMINISTRATOR 40.00 0.00 X 131574 0 38972 131574 0 38972 1 0 0 0 SYMBRIA REHAB INC 28100 TORCH PARKWAY WARRENVILLE IL 60555 THERAPY SERVICES 506518 HEALTHCARE SERVICES GROUP INC 3220 TILLMAN DRIVE SUITE 300 BENSALEM PA 19020 LAUNDRY/HOUSEKEEPING SERVICES 277093 INTELYCARE INC 1250 HANCOCK STREET 501N QUINCY MA 02169 NURSING SERVICES 215628 DIOCESAN HEALTH FACILITIES OFFICE 368 N MAIN STREET FALL RIVER MA 02720 MANAGEMENT SERVICES 206617 CONNECT RNINC 203 CRESCENT STREET SUITE 403 WALTHAM MA 02453 NURSING SERVICES 109542 5 6915 6915 MEDICARE/MEDICAID 623000 4348999 4348999 ROOM AND BOARD 623000 1906657 1906657 6255656 485 485 10031 4732 5299 5299 OTHER REVENUE 900099 598051 598051 598051 6866406 6255656 0 603835 X 3538730 3248892 289838 134928 111547 23381 285462 279038 6424 279836 256916 22920 206617 206617 6420 6420 22000 22000 1894227 1882959 11268 16861 16861 105050 105050 288977 259365 29612 4073 4073 13272 13272 134524 117477 17047 81041 67382 13659 USER FEE 444843 444843 SUPPLIES 277740 277740 COVID-19 TESTING 190750 190750 FOOD 169284 169284 88714 59942 28772 8183349 7379407 803942 0 300 619731 16130 710941 610173 17903 20970 40948 43562 4717908 3831580 1001068 886328 2390891 1577163 1007458 1479288 3497417 3528802 4504875 5008090 X -2113984 -3430927 -2113984 -3430927 2390891 1577163 -1316943 0 X X 0 1 X 1 0 X 7128 3390 4767 9172 6915 31372 9336108 9476393 9151324 6939596 6255656 41159077 9343236 9479783 9156091 6948768 6262571 41190449 0 0 0 41190449 7017 704 2406 878 485 11490 7017 704 2406 878 485 11490 229798 164719 1829702 537640 608082 3369941 9580051 9645206 10988199 7487286 6871138 44571880 0.92410 0.94000 0.00030 0.00040 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2018 AMOUNT: $ 210,063. 2019 AMOUNT: $ 147,125. 2020 AMOUNT: $ 1,829,702. 2021 AMOUNT: $ 537,640. 2022 AMOUNT: $ 598,051. FUNDRAISING INCOME - 2018 AMOUNT: $ 19,735. 2019 AMOUNT: $ 17,594. 2022 AMOUNT: $ 10,031. 0 0 0 0 0 0 0 0 1 34 34 0 PART II-B, LINE 1: A PORTION OF MEMBERSHIP DUES PAID TO STATE TRADE ASSOCIATION ORGANIZATION. 37751 37751 3345629 2679565 666064 1273212 1103453 169759 61316 48562 12754 886328 DUE TO AFFILIATES 3004771 UNSECURED LOAN PAYABLE TO RELATED PARTY 524031 3528802 X 6871138 4732 4732 6866406 0 6866406 8188081 4732 4732 8183349 0 8183349 PART X, LINE 2: THE HOME RECOGNIZES THE TAX BENEFIT FROM ANY UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE TAX POSITION. ANY TAX BENEFITS RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE RESOLUTION. MANAGEMENT HAS ANALYZED THE HOME'S TAX POSITIONS, AND HAS CONCLUDED THAT NO LIABILITY FOR UNRECOGNIZED TAX BENEFITS SHOULD BE RECORDED RELATED TO UNCERTAIN TAX POSITIONS TAKEN ON RETURNS FILED FOR OPEN YEARS (2019-2021) OR EXPECTED TO BE TAKEN IN THE HOME'S 2022 TAX RETURNS. THE HOME IDENTIFIES ITS MAJOR TAX JURISDICTIONS AS U.S. FEDERAL AND THE COMMONWEALTH OF MASSACHUSETTS; HOWEVER, THE HOME IS NOT AWARE OF ANY TAX POSITIONS FOR WHICH IT IS REASONABLY POSSIBLE THAT THE TOTAL AMOUNTS OF UNRECOGNIZED TAX BENEFITS WILL CHANGE MATERIALLY IN THE NEXT TWELVE MONTHS. THE HOME ALSO FOLLOWS THE POLICY TO RECOGNIZE INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS (IF ANY) IN INCOME TAX EXPENSE. NO SUCH INTEREST AND PENALTIES HAVE BEEN RECORDED AS OF DECEMBER 31, 2022 AND 2021. PART XI, LINE 2D - OTHER ADJUSTMENTS: DIRECT FUNDRAISING EXPENSES PART XII, LINE 2D - OTHER ADJUSTMENTS: DIRECT FUNDRAISING EXPENSES FORM 990, PART VI, SECTION A, LINE 2 MOST REVEREND EDGAR DA CUNHA, REVEREND DAVID A. PIGNATO, VERY REVEREND GREGORY A. MATHIAS, REVEREND TIMOTHY REIS, REVEREND WILLIAM M. RODRIGUES, LAURA MITCHELL, JOANNE ROQUE AND KEVIN KILEY HAVE BUSINESS RELATIONSHIPS WITH EACH OTHER. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION DELEGATED MANAGEMENT DUTIES TO THE DIOCESAN HEALTH FACILITIES OFFICE. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS ELECT THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 8A THERE WERE NO BOARD MEETINGS HELD BY THE GOVERNING BODY DURING 2022. FORM 990, PART VI, SECTION A, LINE 8B THERE WERE NO COMMITTEE MEETINGS WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY HELD DURING 2022. FORM 990, PART VI, SECTION B, LINE 11B THE CFO OF THE MANAGEMENT COMPANY REVIEWS AND APPROVES THE 990. THEN THE PRESIDENT OF THE BOARD OF DIRECTORS REVIEWS AND SIGNS THE 990. FORM 990, PART VI, SECTION B, LINE 12C EMPLOYEES AND DIRECTORS ARE REQUIRED TO DISCLOSE ALL CONFLICTS OF INTEREST ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS FOR DETERMINING THE COMPENSATION OF ANY KEY EMPLOYEE AND THE TOP MANAGEMENT OFFICIAL (THE ADMINISTRATOR) INVOLVES EXAMINING SIMILAR SALARIES OF OTHER EMPLOYEES IN SIMILAR POSITIONS IN OTHER NURSING HOME FACILITIES. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST FORM 990, PART IX, LINE 11G COMPUTER SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 8,578. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,578. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,125,046. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,125,046. MEDICAL DIRECTOR: PROGRAM SERVICE EXPENSES 20,400. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,400. MANAGEMENT CONSULTANTS: PROGRAM SERVICE EXPENSES 9,230. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,230. THERAPISTS: PROGRAM SERVICE EXPENSES 493,606. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 493,606. ALL INCLUSIVE: PROGRAM SERVICE EXPENSES 43,021. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 43,021. LAB FEES: PROGRAM SERVICE EXPENSES 8,867. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,867. AMBULANCE: PROGRAM SERVICE EXPENSES 4,501. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,501. RADIOLOGY: PROGRAM SERVICE EXPENSES 3,407. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,407. DIETICIAN CONSULTANTS: PROGRAM SERVICE EXPENSES 25,263. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,263. RELATED PARTY LABOR: PROGRAM SERVICE EXPENSES 149,618. MANAGEMENT AND GENERAL EXPENSES 2,690. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 152,308. PART XI, LINE 26 THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT CATHOLIC MEMORIAL HOME INC 2446 HIGHLAND AVENUE FALL RIVER MA 02720 042106393 SKILLED NURSING FACILITY MA 501(C)(3) 9 N/A 0 MADONNA MANOR INC 85 NORTH WASHINGTON STREET NORTH ATTLEBORO MA 02760 042596550 SKILLED NURSING FACILITY MA 501(C)(3) 9 N/A 0 OUR LADY'S HAVEN OF FAIRHAVEN INC 71 CENTER STREET FAIRHAVEN MA 02719 042106632 SKILLED NURSING FACILITY MA 501(C)(3) 9 N/A 0 SACRED HEART HOME INC 359 SUMMER STREET NEW BEDFORD MA 02740 042140119 SKILLED NURSING FACILITY MA 501(C)(3) 9 N/A 0 ROMAN CATHOLIC BISHOP OF FALL RIVER 450 HIGHLAND AVENUE FALL RIVER MA 02720 043000709 RELIGIOUS ORGANIZATION MA 501(C)(3) 1 N/A 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 1 1 1 1 0 SACRED HEART HOME INC O 45141 COST OF SERVICES PURCHASED CATHOLIC MEMORIAL HOME INC O 2289 COST OF SERVICES PURCHASED CATHOLIC MEMORIAL HOME INC M 2289 COST OF SERVICES PURCHASED DIOCESAN HEALTH FACILITIES OFFICE M 4667 COST OF SERVICES PURCHASED ROMAN CATHOLIC BISHOP OF FALL RIVER M 134928 COST OF SERVICES PURCHASED CATHOLIC MEMORIAL HOME INC P 324315 ACTUAL AMOUNT PAID SACRED HEART HOME INC P 19630 ACTUAL AMOUNT PAID DIOCESAN HEALTH FACILITIES OFFICE P 25689 ACTUAL AMOUNT PAID ROMAN CATHOLIC BISHOP OF FALL RIVER M 322276 COST OF SERVICES PURCHASED OUR LADY'S HAVEN L 579 COST OF SERVICES PROVIDED SACRED HEART HOME INC M 45141 COST OF SERVICES PURCHASED MADONNA MANOR INC Q 18573 ACTUAL AMOUNT RECEIVED CATHOLIC MEMORIAL HOME INC Q 324258 ACTUAL AMOUNT RECEIVED OUR LADY'S HAVEN Q 17191 ACTUAL AMOUNT RECEIVED SACRED HEART HOME INC Q 12273 ACTUAL AMOUNT RECEIVED DIOCESAN HEALTH FACILITIES OFFICE Q 82287 ACTUAL AMOUNT RECEIVED OUR LADY'S HAVEN P 9085 ACTUAL AMOUNT PAID ROMAN CATHOLIC BISHOP OF FALL RIVER R 29860 PRINCIPAL AND INTEREST PAYMENTS MADONNA MANOR INC P 16463 ACTUAL AMOUNT PAID OUR LADY'S HAVEN O 579 COST OF SERVICES PROVIDED MADONNA MANOR INC M 69732 COST OF SERVICES PURCHASED MADONNA MANOR INC O 77618 COST OF SERVICES PROVIDED/PURCHAS DIOCESAN HEALTH FACILITIES OFFICE O 4667 COST OF SERVICES PURCHASED MADONNA MANOR INC L 7885 COST OF SERVICES PROVIDED DIOCESAN HEALTH FACILITIES OFFICE M 206617 COST OF SERVICES PURCHASED DIOCESAN HEALTH FACILITIES OFFICE E 55000 ACTUAL AMOUNT OF LOAN