MATULAITIS NURSING HOME INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- MATULAITIS NURSING HOME INC (EIN 06-0983700)
- Tax period
- 2020-10-01 to 2021-09-30
- Filed
- 2022-08-01
- IRS object ID
- 202202139349300890
- Schema version
- 2020v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-08-01T13:17:09-05:00 | ReturnTs |
| Tax Period End | 2021-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 111986323 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARCUM LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 555 LONG WHARF DRIVE | AddressLine1Txt |
| City | NEW HAVEN | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06511 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 060983700 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MATULAITIS NURSING HOME INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MATU | BusinessNameControlTxt |
| Phone | 8609287976 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 THURBER ROAD | AddressLine1Txt |
| City | PUTNAM | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06260 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LISA RYAN | PersonNm |
| Person Title | ADMINISTRATOR | PersonTitleTxt |
| Phone | 8609287976 | PhoneNum |
| Signature | 2022-07-28 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | LISA | PersonFirstNm |
| Person Last | RYAN | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | CATHIANN BELLARD | PreparerPersonNm |
| PTIN | P01314856 | PTIN |
| Phone | 2037819600 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | LISA RYAN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 THURBER ROAD | AddressLine1Txt |
| City | PUTNAM | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06260 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $12,802,420 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MATULAITISNH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1978 | FormationYr |
| Legal Domicile State | CT | LegalDomicileStateCd |
| Activity Or Mission | TO PARTICIPATE IN THE HEALING MISSION OF THE CATHOLIC CHURCH AND ARE COMMITTED TO RESPECT HUMAN LIFE AND THE INHERENT DIGNITY OF EACH PERSON, AND WE STRIVE TO PROVIDE COMPASSIONATE, HOLISTIC AND COMPETENT CARE FOR THE SICK, CONVALESCENT OR DYING. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 199 | TotalEmployeeCnt |
| Total Volunteers | 15 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $32,008 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,056,144 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $11,357,940 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $10,740,021 | CYProgramServiceRevenueAmt |
| PY Investment Income | $5,473 | PYInvestmentIncomeAmt |
| CY Investment Income | $6,255 | CYInvestmentIncomeAmt |
| PY Other Revenue | $518,070 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $11,913,491 | PYTotalRevenueAmt |
| CY Total Revenue | $12,802,420 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $7,878,753 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $7,712,343 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,701,289 | PYOtherExpensesAmt |
| CY Other Expenses | $3,662,982 | CYOtherExpensesAmt |
| PY Total Expenses | $11,580,042 | PYTotalExpensesAmt |
| CY Total Expenses | $11,375,325 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $333,449 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,427,095 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $6,999,468 | TotalAssetsBOYAmt |
| Total Assets EOY | $6,828,225 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,781,007 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,182,669 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,218,461 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $5,645,556 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PARTICIPATE IN THE HEALING MISSION OF THE CATHOLIC CHURCH AND ARE COMMITTED TO RESPECT HUMAN LIFE AND THE INHERENT DIGNITY OF EACH PERSON, AND WE STRIVE TO PROVIDE COMPASSIONATE, HOLISTIC AND COMPETENT CARE FOR THE SICK, CONVALESCENT OR DYING. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $9,696,561 | ExpenseAmt |
| Revenue | $10,740,021 | RevenueAmt |
| Desc | MATULAITIS NURSING HOME WAS BORN, BRINGING SKILLED CARE AND NURSING TO THE SENIOR COMMUNITY AS BOTH A NURSING HOME AND REHABILITATION CENTER, AND AS A RESOURCE FOR ELDER CARE. WE MAINTAIN OUR CATHOLIC IDENTITY AND OUR ROOTS WITH THE SISTERS, WHILE PROVIDING MODERN, STATE-OF-THE-ART MEDICAL CARE AND AMENITIES. TODAY PASTORAL CARE RECEIVES INCREASING SUPPORT IN THE GENERAL MEDICAL AND SCIENTIFIC COMMUNITY, WHICH ACKNOWLEDGES THAT FAITH HAS AN IMPORTANT ROLE IN THE HEALING PROCESS OF THE SICK AND IN FOSTERING SERENITY TO THE DYING. MATULAITIS NURSING HOME PROVIDES DIFFERENT LEVELS OF CARE INCLUDING: REHABILITATION & POST-ACUTE CARE, LONG TERM SKILLED CARE, RESPITE CARE AND PALLIATIVE/END OF LIFE/HOSPICE CARE. DURING THE YEAR ENDED SEPTEMBER 30, 2021, THE SKILLED NURSING HOME FACILITY HAD TOTAL PATIENTS DAYS OF 32,985. THE TOTAL NUMBER OF RESIDENTS AS OF SEPTEMBER 30, 2021 WAS 89. | Desc |
| Total Program Service Expenses | $9,696,561 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (1) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 6 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 199 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LISA RYAN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8609287976 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 THURBER ROAD | AddressLine1Txt |
| City | PUTNAM | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06260 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| GINTARAS CEPAS | |||||||
| VICE-PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ROBERT FOURNIER | |||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| EDWIN C HIGGINS III | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| SISTER EUGENIA LUKOSHIUS | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| VITA E MATUSAITIS | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| SISTER M BERNADETTE MATUKAS | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| RAMONA SAVOLIS | |||||||
| PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| PAUL A BEAUDOIN | |||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MARY BETH MURPHY | |||||||
| DIRECTOR JANUARY 2020 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LINDA KAPLAN | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LISA RYAN | |||||||
| ADMINISTRATOR | 40.00 | Yes (X) | $135,308 | $0 | $2,000 | ||
| JOHN IOVIENO | |||||||
| CFO | 24.00 | Yes (X) | $101,131 | $0 | $2,000 | ||
| CHRISTIANA DENNIS-FALLAH | |||||||
| DNS | 40.00 | $133,175 | $0 | $2,000 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $369,614 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $6,000 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 3 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| FUSION THERAPY | |||||
| 2389 MAIN STREET | GLASTONBURY | CT | 06033 | THERAPY | $425,364 |
| OMNICARE INC | |||||
| 900 OMNICARE CENTER 201 EAST 4TH ST | CINCINNATI | OH | 45202 | PHARMACY | $206,432 |
| SYSCO FOOD SERVICE | |||||
| 1390 ENCLAVE PARKWAY | HOUSTON | TX | 77077 | FOOD | $197,113 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $2,045,280 | GovernmentGrantsAmt |
| All Other Contributions | $10,864 | AllOtherContributionsAmt |
| Total Contributions | $2,056,144 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 623000 | $10,726,165 | $10,726,165 |
| VACCINE REVENUE | 623000 | $13,856 | $13,856 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $10,740,021 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,255 | TotalRevenueColumnAmt |
| Exclusion | $6,255 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,802,420 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,740,021 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $6,255 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $138,750 | TotalAmt |
| Management And General | $138,750 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,524,399 | TotalAmt |
| Program Services | $5,961,199 | ProgramServicesAmt |
| Management And General | $563,200 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,299 | TotalAmt |
| Program Services | $26,212 | ProgramServicesAmt |
| Management And General | $3,087 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $538,447 | TotalAmt |
| Program Services | $481,723 | ProgramServicesAmt |
| Management And General | $56,724 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $481,448 | TotalAmt |
| Program Services | $430,728 | ProgramServicesAmt |
| Management And General | $50,720 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,520 | TotalAmt |
| Management And General | $36,520 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,280 | TotalAmt |
| Management And General | $29,280 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $281,059 | TotalAmt |
| Program Services | $250,073 | ProgramServicesAmt |
| Management And General | $30,986 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $422,900 | TotalAmt |
| Program Services | $15,110 | ProgramServicesAmt |
| Management And General | $407,790 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $502,633 | TotalAmt |
| Program Services | $417,264 | ProgramServicesAmt |
| Management And General | $85,369 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $205 | TotalAmt |
| Management And General | $205 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $253,495 | TotalAmt |
| Program Services | $240,790 | ProgramServicesAmt |
| Management And General | $12,705 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $125,619 | TotalAmt |
| Program Services | $20,785 | ProgramServicesAmt |
| Management And General | $104,834 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| CT USER FEE | $588,518 | $588,518 |
| OTHER PATIENT CARE EXP | $556,434 | $556,434 |
| PHYSICAL THERAPY | $414,102 | $414,102 |
| DIETARY FOOD & SUPPLIES | $293,623 | $293,623 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $158,594 | TotalAmt |
| Management And General | $158,594 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,375,325 | TotalAmt |
| Program Services | $9,696,561 | ProgramServicesAmt |
| Management And General | $1,678,764 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,718,730 | BOYAmt |
| EOY | $1,276,746 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,447,381 | BOYAmt |
| EOY | $1,976,397 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,674,515 | BOYAmt |
| EOY | $1,392,911 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,000 | BOYAmt |
| EOY | $30,000 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,702 | BOYAmt |
| EOY | $53,149 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $6,637,202 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,538,180 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,112,140 | BOYAmt |
| EOY | $2,099,022 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,999,468 | BOYAmt |
| EOY | $6,828,225 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,053,399 | BOYAmt |
| EOY | $1,074,669 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $504,608 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,223,000 | BOYAmt |
| EOY | $108,000 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,781,007 | BOYAmt |
| EOY | $1,182,669 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,218,461 | BOYAmt |
| EOY | $5,645,556 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,218,461 | BOYAmt |
| EOY | $5,645,556 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,999,468 | BOYAmt |
| EOY | $6,828,225 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,427,095 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | Yes (1) | AccountantCompileOrReviewInd |
Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FS Audited | 0 | FSAuditedInd |
| Audit Committee | 0 | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $18,706 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $32,008 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,864 | CurrentTaxYearAmt |
| Total | $61,578 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,291,599 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,361,329 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,747,345 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,357,940 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,740,021 | CurrentTaxYearAmt |
| Total | $56,498,234 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,291,599 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,361,329 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,766,051 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,389,948 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,750,885 | CurrentTaxYearAmt |
| Total | $56,559,812 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $56,559,812 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $31 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,473 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,255 | CurrentTaxYearAmt |
| Total | $11,777 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $31 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,473 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,255 | CurrentTaxYearAmt |
| Total | $11,777 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $518,070 | CurrentTaxYearMinus1YearAmt |
| Total | $518,070 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,291,606 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,361,340 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,766,082 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,913,491 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,757,140 | CurrentTaxYearAmt |
| Total | $57,089,659 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99070 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99100 | PublicSupportPY509Pct |
| Investment Income CY | 0.00020 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00010 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,075,978 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,638,600 | DepreciationAmt |
| Book Value | $1,437,378 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,532,607 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,875,766 | DepreciationAmt |
| Book Value | $656,841 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $28,617 | OtherCostOrOtherBasisAmt |
| Depreciation | $23,814 | DepreciationAmt |
| Book Value | $4,803 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,099,022 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | REFUNDABLE ADVANCES | Desc |
| Amt | $108,000 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $108,000 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $12,802,420 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $12,802,420 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $12,802,420 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $11,375,325 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $11,375,325 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $11,375,325 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS A NOT-FOR-PROFIT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, AND ACCORDINGLY, IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2020, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS PENDING OR IN PROGRESS. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SISTER M BERNADETTE MATUKAS ET AL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | DIRECTOR | RelationshipDescriptionTxt |
| Transaction | $224,400 | TransactionAmt |
| Transaction | RENT PAID - LAND LEASE TO ORDER OF SISTERHOOD | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE MEMBERS OF THE CORPORATION ARE THE SUPERIOR ("SUPERIOR") AND MEMBERS OF THE COUNCIL ("COUNCIL") OF THE SISTERS OF THE IMMACULATE CONCEPTION OF THE BLESS VIRGIN MARY IN THE STATE OF CONNECTICUT AND ALL SUCCESSORS TO SUCH PERSONS HOLDING SUCH OFFICES. THESE INDIVIDUALS SHALL SERVE AS MEMBERS OF THE CORPORATION DURING THEIR TERM IN OFFICE AS SUPERIOR OR AS MEMBERS OF THE COUNCIL. EACH MEMBER SHALL BE ENTITIES TO ONE VOTE UPON EACH MATTER SUBMITTED TO A VOTE AT A MEETING OF THE MEMBERS. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MEMBERS HAVE THE POWER TO APPOINT THE BOARD OF DIRECTORS OF THE CORPORATION AFTER RECEIVING NOMINATIONS FROM THE BOARD, AND TO REMOVE DIRECTORS WHENEVER IN THE JUDGMENT OF THE MEMBERS THE BEST INTERESTS OF THE CORPORATION WOULD BE SERVED. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE MEMBERS OF THE CORPORATION HAVE THE POWER TO PERFORM THE FOLLOWING ACTIONS: -TO SET AND CHANGE THE PHILOSOPHY, OBJECTIVES AND PURPOSES FOR WHICH THE CORPORATION IS FORMED AND EXISTS; - TO APPROVE THE APPOINTMENT OF THE ADMINISTRATOR OF MATULATITIS NURSING HOME; -TO APPOINT THE PRESIDENT OF THE CORPORATION; - TO APPROVE THE AMENDMENT, ALTERNATION, MODIFICATION OR REPEAL OF THE CERTIFICATE OF INCORPORATION OF THE CORPORATION AND TO AMEND OR REPEAL THESE BYLAWS; -TO DISSOLVE THE CORPORATION OR TO MERGE, CONSOLIDATE OR AFFILIATE THE CORPORATION WITH ANOTHER CORPORATION OR ORGANIZATION; -TO ACQUIRE, SELL, ELSE, TRANSFER OR ENCUMBER, CONSTRUCT OR UNDERTAKE THE DESTRUCTION OF LAND AND/OR BUILDINGS OWNED BY THE CORPORATION OR IN WHICH THE CORPORATION HAS OR WILL HAVE EQUITABLE OR LEGAL TITLES EXCEPT WHERE AUTHORIZATION OF THE BOARD OF DIRECTORS IS REQUIRED BY STATUES; -TO INCREASE, RE-NEGOTIATE, MODIFY OR OTHERWISE CHANGE THE EXISTING DEBT FOR BORROWED MONEY; -TO APPROVE THE LONG-RANGE OR STRATEGIC PLAN OF THE CORPORATION; AND - TO APPROVE THE OPERATING AND CAPITAL BUDGETS OF THE CORPORATION AND DEVIATIONS THERETO. |
| FORM 990, PART VI, SECTION B, LINE 11B | A COPY OF THE 990 WAS MADE AVAILABLE TO THE MEMBERS OF THE BOARD PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION REQUIRES ALL OFFICERS, DIRECTORS, AND KEY EMPLOYEES TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. THE COMPLETED FORMS ARE REVIEWED BY THE HUMAN RESOURCES DEPARTMENT TO IDENTIFY ANY POTENTIAL CONFLICTS OF INTEREST. ANY POTENTIAL CONFLICTS ARE FURTHER EVALUATED BY THE ADMINISTRATOR, AND IF WARRANTED, ARE BROUGHT TO THE ATTENTION OF THE BOARD OF DIRECTORS FOR DISCUSSION AND RESOLUTION. SIMILARLY, ANY POTENTIAL CONFLICTS OF INTEREST THAT ARE BROUGHT TO THE ATTENTION OF THE ORGANIZATION BY THE OUTSIDE ACCOUNTANTS OR BY AN EMPLOYEE OR OTHER PERSON, ARE INVESTIGATED AND RESOLVED IN ACCORDANCE WITH THE PROCEDURES OUTLINED ABOVE. |
| FORM 990, PART VI, SECTION C, LINE 19 | AVAILABLE UPON REQUEST |
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