2022-08-01T13:17:09-05:00 2021-09-30 111986323 MARCUM LLP 555 LONG WHARF DRIVE NEW HAVEN CT 06511 990 2020-10-01 060983700 MATULAITIS NURSING HOME INC MATU 8609287976 10 THURBER ROAD PUTNAM CT 06260 LISA RYAN ADMINISTRATOR 8609287976 2022-07-28 1 LISA RYAN 999009999 CATHIANN BELLARD P01314856 2037819600 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z LISA RYAN 10 THURBER ROAD PUTNAM CT 06260 12802420 0 X WWW.MATULAITISNH.ORG X 1978 CT 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. 10 10 199 15 0 0 32008 2056144 11357940 10740021 5473 6255 518070 0 11913491 12802420 0 0 0 0 7878753 7712343 0 0 0 3701289 3662982 11580042 11375325 333449 1427095 6999468 6828225 2781007 1182669 4218461 5645556 X 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. 0 0 9696561 10740021 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. 9696561 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 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 0 0 0 0 0 0 1 6 0 1 199 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X LISA RYAN 8609287976 10 THURBER ROAD PUTNAM CT 06260 GINTARAS CEPAS VICE-PRESIDENT 1.00 X X 0 0 0 ROBERT FOURNIER SECRETARY 1.00 X X 0 0 0 EDWIN C HIGGINS III DIRECTOR 1.00 X 0 0 0 SISTER EUGENIA LUKOSHIUS DIRECTOR 1.00 X 0 0 0 VITA E MATUSAITIS DIRECTOR 1.00 X 0 0 0 SISTER M BERNADETTE MATUKAS DIRECTOR 1.00 X 0 0 0 RAMONA SAVOLIS PRESIDENT 1.00 X X 0 0 0 PAUL A BEAUDOIN TREASURER 1.00 X X 0 0 0 MARY BETH MURPHY DIRECTOR JANUARY 2020 1.00 X 0 0 0 LINDA KAPLAN DIRECTOR 1.00 X 0 0 0 LISA RYAN ADMINISTRATOR 40.00 X 135308 0 2000 JOHN IOVIENO CFO 24.00 X 101131 0 2000 CHRISTIANA DENNIS-FALLAH DNS 40.00 X 133175 0 2000 369614 0 6000 3 0 0 0 FUSION THERAPY 2389 MAIN STREET GLASTONBURY CT 06033 THERAPY 425364 OMNICARE INC 900 OMNICARE CENTER 201 EAST 4TH ST CINCINNATI OH 45202 PHARMACY 206432 SYSCO FOOD SERVICE 1390 ENCLAVE PARKWAY HOUSTON TX 77077 FOOD 197113 3 2045280 10864 2056144 PATIENT SERVICE REVENUE 623000 10726165 10726165 VACCINE REVENUE 623000 13856 13856 10740021 6255 6255 12802420 10740021 0 6255 138750 138750 6524399 5961199 563200 29299 26212 3087 538447 481723 56724 481448 430728 50720 36520 36520 29280 29280 281059 250073 30986 422900 15110 407790 502633 417264 85369 205 205 253495 240790 12705 125619 20785 104834 CT USER FEE 588518 588518 OTHER PATIENT CARE EXP 556434 556434 PHYSICAL THERAPY 414102 414102 DIETARY FOOD & SUPPLIES 293623 293623 158594 158594 11375325 9696561 1678764 0 1718730 1276746 1447381 1976397 1674515 1392911 30000 30000 16702 53149 6637202 4538180 2112140 2099022 6999468 6828225 1053399 1074669 504608 1223000 108000 2781007 1182669 X 4218461 5645556 4218461 5645556 6999468 6828225 1427095 0 X 1 X 0 0 0 X 18706 32008 10864 61578 11291599 11361329 11747345 11357940 10740021 56498234 11291599 11361329 11766051 11389948 10750885 56559812 0 0 0 56559812 7 11 31 5473 6255 11777 7 11 31 5473 6255 11777 518070 518070 11291606 11361340 11766082 11913491 10757140 57089659 0.99070 0.99100 0.00020 0.00010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4075978 2638600 1437378 2532607 1875766 656841 28617 23814 4803 2099022 REFUNDABLE ADVANCES 108000 108000 X 12802420 0 12802420 0 12802420 11375325 0 11375325 0 11375325 PART X, LINE 2: 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. SISTER M BERNADETTE MATUKAS ET AL DIRECTOR 224400 RENT PAID - LAND LEASE TO ORDER OF SISTERHOOD 0 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