MADONNA MANOR INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
MADONNA MANOR INC (EIN 04-2596550)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-09
IRS object ID
202203139349304880
Schema version
2021v4.2
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

FieldValueIRS element (for citing)
Return2022-11-09T15:38:00-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN042536173PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1LIVINGSTON & HAYNES PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line140 GROVE STREETAddressLine1Txt
CityWELLESLEYCityNm
State AbbreviationMAStateAbbreviationCd
ZIP024827711ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN042596550EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MADONNA MANOR INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMADOBusinessNameControlTxt
Phone5086798154PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line185 NORTH WASHINGTON STREETAddressLine1Txt
CityNORTH ATTLEBOROCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02760ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonEDGAR M DA CUNHAPersonNm
Person TitlePRESIDENT AND TREASURERPersonTitleTxt
Phone5086751311PhoneNum
Signature2022-10-31SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstEDGARPersonFirstNm
Person LastDA CUNHAPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARIA BUNKERPreparerPersonNm
PTINP00652618PTIN
Phone7812373339PhoneNum
Preparation2022-10-31PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerEDGAR M DA CUNHAPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1394 HIGHLAND AVENUEAddressLine1Txt
CityFALL RIVERCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02720ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$9,186,999GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.DHFO.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1966FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionPROVIDES SKILLED NURSING & REHABILITATIVE CARE FOR THE FRAIL AND THE ELDERLY.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent1VotingMembersIndependentCnt
Total Employee186TotalEmployeeCnt
Total Volunteers1TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,413,348PYContributionsGrantsAmt
CY Contributions Grants$1,584,042CYContributionsGrantsAmt
PY Program Service Revenue$8,725,903PYProgramServiceRevenueAmt
CY Program Service Revenue$7,000,040CYProgramServiceRevenueAmt
PY Investment Income$3,398PYInvestmentIncomeAmt
CY Investment Income$2,736CYInvestmentIncomeAmt
PY Other Revenue$2,089,726PYOtherRevenueAmt
CY Other Revenue$600,181CYOtherRevenueAmt
PY Total Revenue$12,232,375PYTotalRevenueAmt
CY Total Revenue$9,186,999CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$8,151,680PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,703,135CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,361,145PYOtherExpensesAmt
CY Other Expenses$3,184,170CYOtherExpensesAmt
PY Total Expenses$11,512,825PYTotalExpensesAmt
CY Total Expenses$9,887,305CYTotalExpensesAmt
PY Revenues Less Expenses$719,550PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$700,306CYRevenuesLessExpensesAmt
Total Assets BOY$4,573,428TotalAssetsBOYAmt
Total Assets EOY$3,390,766TotalAssetsEOYAmt
Total Liabilities BOY$3,411,566TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,929,210TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,161,862NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$461,556NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE EXTENDED CARE TO THE CHRONICALLY ILL AND DISABLED, WITH SPECIAL EMPHASIS ON THE CARE OF THE FRAIL ELDERLY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$8,983,937ExpenseAmt
Revenue$7,000,040RevenueAmt
DescTO PROVIDE NURSING AND/OR REHABILITATION SERVICES TO THE AGED AND INFIRM FOR 26,545 PATIENT DAYS.Desc
Total Program Service Expenses$8,983,937TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document8IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee186EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member1IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing Body0MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LAURA MITCHELLBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5086798154PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1368 NORTH MAIN STREETAddressLine1Txt
CityFALL RIVERCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02720ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
VERY REVEREND GREGORY A MATHIAS
M + VICE PRESIDENT1.00Yes (X)Yes (X)$0$0$0
REVEREND DAVID A PIGNATO
M + SECRETARY1.00Yes (X)Yes (X)$0$0$0
REVEREND DAVID COSTA
M + DIRECTOR1.00Yes (X)$0$0$0
REVEREND THOMAS L RITA
M + DIRECTOR1.00Yes (X)$0$0$0
REVEREND MARK P TREMBLAY
M + DIRECTOR1.00Yes (X)$0$0$0
MOST REVEREND EDGAR M DA CUNHA
M + PRESIDENT & TREASURER1.00Yes (X)Yes (X)$0$0$0
KEVIN KILEY
DIRECTOR1.00Yes (X)$0$0$0
ELIZABETH POIRIER
DIRECTOR1.00Yes (X)$0$0$0
DENISE WAINWRIGHT
LPN CHARGE40.00$126,467$0$22,437Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$126,467TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$22,437TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
SYMBRIA REHABINC
28100 TORCH PARKWAYWARRENVILLEIL60555THERAPY SERVICES$552,259
DIOCESAN HEALTH FACILITIES
368 NORTH MAIN STREETFALL RIVERMA02720MANAGEMENT SERVICES$293,192
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Government Grants$1,559,130GovernmentGrantsAmt
All Other Contributions$24,912AllOtherContributionsAmt
Total Contributions$1,584,042TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE/MEDICAID623000$4,945,250$4,945,250
ROOM & BOARD FEES623000$2,054,790$2,054,790
FieldValueIRS element (for citing)
Total Program Service Revenue$7,000,040TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,736TotalRevenueColumnAmt
Exclusion$2,736ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Business900099BusinessCd
Total Revenue Column$600,181TotalRevenueColumnAmt
Exclusion$600,181ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$600,181OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,186,999TotalRevenueColumnAmt
Related Or Exempt Func Income$7,000,040RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$602,917ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,616,830TotalAmt
Program Services$5,306,651ProgramServicesAmt
Management And General$310,179ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$176,285TotalAmt
Program Services$166,551ProgramServicesAmt
Management And General$9,734ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$497,611TotalAmt
Program Services$470,131ProgramServicesAmt
Management And General$27,480ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$412,409TotalAmt
Program Services$389,634ProgramServicesAmt
Management And General$22,775ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$270,639TotalAmt
Management And General$270,639ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$4,067TotalAmt
Management And General$4,067ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$13,250TotalAmt
Management And General$13,250ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$842,915TotalAmt
Program Services$825,573ProgramServicesAmt
Management And General$17,342ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$12,648TotalAmt
Management And General$12,648ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$161,126TotalAmt
Management And General$161,126ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$206,803TotalAmt
Program Services$181,014ProgramServicesAmt
Management And General$25,789ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,173TotalAmt
Management And General$2,173ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,685TotalAmt
Program Services$1,685ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$17,898TotalAmt
Program Services$17,898ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$154,942TotalAmt
Program Services$137,943ProgramServicesAmt
Management And General$16,999ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$110,377TotalAmt
Program Services$101,393ProgramServicesAmt
Management And General$8,984ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
SUPPLIES$393,535$393,535
COVID-19 TESTING$376,671$376,671
FOOD$233,542$233,542
USER FEE$225,703$225,703

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$156,196TotalAmt
Program Services$156,013ProgramServicesAmt
Management And General$183ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$9,887,305TotalAmt
Program Services$8,983,937ProgramServicesAmt
Management And General$903,368ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,854BOYAmt
EOY$1,900EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,842,851BOYAmt
EOY$1,013,200EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$757,196BOYAmt
EOY$686,735EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$52,238BOYAmt
EOY$40,554EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$61,540BOYAmt
EOY$54,771EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$5,357,366LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,267,974LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,110,244BOYAmt
EOY$1,089,392EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$482BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$747,023BOYAmt
EOY$504,214EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,573,428BOYAmt
EOY$3,390,766EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,681,798BOYAmt
EOY$1,292,772EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,729,768BOYAmt
EOY$1,636,438EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,411,566BOYAmt
EOY$2,929,210EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,161,862BOYAmt
EOY$461,556EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,161,862BOYAmt
EOY$461,556EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,573,428BOYAmt
EOY$3,390,766EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$700,306ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,091CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$17,887CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,845CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,214CurrentTaxYearMinus1YearAmt
Current Tax Year$24,912CurrentTaxYearAmt
Total$69,949TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,079,038CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,150,140CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,704,854CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,725,903CurrentTaxYearMinus1YearAmt
Current Tax Year$7,000,040CurrentTaxYearAmt
Total$48,659,975TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,092,129CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,168,027CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,710,699CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,734,117CurrentTaxYearMinus1YearAmt
Current Tax Year$7,024,952CurrentTaxYearAmt
Total$48,729,924TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$48,729,924PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,625CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,476CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,049CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,398CurrentTaxYearMinus1YearAmt
Current Tax Year$2,736CurrentTaxYearAmt
Total$22,284TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,625CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,476CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,049CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,398CurrentTaxYearMinus1YearAmt
Current Tax Year$2,736CurrentTaxYearAmt
Total$22,284TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$72,447CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$102,196CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$293,040CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,089,726CurrentTaxYearMinus1YearAmt
Current Tax Year$600,181CurrentTaxYearAmt
Total$3,157,590TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,174,201CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,275,699CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,004,788CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,827,241CurrentTaxYearMinus1YearAmt
Current Tax Year$7,627,869CurrentTaxYearAmt
Total$51,909,798TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.93870PublicSupportCY509Pct
Public Support PY5090.95250PublicSupportPY509Pct
Investment Income CY0.00040InvestmentIncomeCYPct
Investment Income PY0.00050InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationMISCELLANEOUS - 2017 AMOUNT: $ 56,843. 2018 AMOUNT: $ 82,821. 2019 AMOUNT: $ 266,857. 2020 AMOUNT: $ 2,089,726. 2021 AMOUNT: $ 600,181. FUNDRAISING INCOME - 2017 AMOUNT: $ 15,604. 2018 AMOUNT: $ 19,375. 2019 AMOUNT: $ 26,183. 2020 AMOUNT: $ 0. 2021 AMOUNT: $ 0.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$37,500OtherCostOrOtherBasisAmt
Book Value$37,500BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,671,361OtherCostOrOtherBasisAmt
Depreciation$2,852,516DepreciationAmt
Book Value$818,845BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,624,486OtherCostOrOtherBasisAmt
Depreciation$1,392,252DepreciationAmt
Book Value$232,234BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$24,019OtherCostOrOtherBasisAmt
Depreciation$23,206DepreciationAmt
Book Value$813BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,089,392TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescDUE FROM AFFILIATESDesc
Book Value$504,214BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$504,214TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DUE TO AFFILIATES$942,192
UNSECURED LOAN PAYABLE TO RELATED THIRD PARTY$694,246
FieldValueIRS element (for citing)
Total Liability$1,636,438TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$9,186,999TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$9,186,999RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$9,186,999TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$9,887,305TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$9,887,305ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$9,887,305TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE 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 (2018-2020) OR EXPECTED TO BE TAKEN IN THE HOME'S 2021 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, 2021 AND 2020.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2MOST REVEREND EDGAR DA CUNHA, REVEREND DAVID A. PIGNATO, VERY REVEREND MONSIGNOR GREGORY A. MATHIAS, REVEREND MARC P. TREMBLAY, REVEREND DAVID COSTA, REVEREND THOMAS L. RITA, AND KEVIN KILEY HAVE BUSINESS RELATIONSHIPS WITH EACH OTHER.
FORM 990, PART VI, SECTION A, LINE 3THE ORGANIZATION DELEGATED MANAGEMENT DUTIES TO THE DIOCESAN HEALTH FACILITIES OFFICE.
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION HAS MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7ATHE MEMBERS ELECT THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 8ATHERE WERE NO BOARD MEETINGS HELD BY THE GOVERNING BODY DURING 2021.
FORM 990, PART VI, SECTION A, LINE 8BTHERE WERE NO COMMITTEE MEETINGS WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY HELD DURING 2021.
FORM 990, PART VI, SECTION B, LINE 11BTHE 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 12CEMPLOYEES AND BOARD MEMBERS ARE REQUIRED TO DISCLOSE ALL CONFLICTS OF INTEREST ANNUALLY.
FORM 990, PART VI, SECTION B, LINE 15THE PROCESS FOR DETERMINING THE COMPENSATION OF THE ADMINISTRATOR OF THE HOME AND ANY KEY EMPLOYEES INVOLVES EXAMINING SIMILAR SALARIES OF OTHER EMPLOYEES IN SIMILAR POSITIONS IN OTHER NURSING HOME FACILITIES.
FORM 990, PART VI, SECTION C, LINE 19UPON REQUEST
PART XI, LINE 26THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
CATHOLIC MEMORIAL HOME INC
2446 HIGHLAND AVENUEFALL RIVERMA02720042106393SKILLED NURSING FACILITYMA501(C)(3)9N/A0
MARIAN MANOR INC
33 SUMMER STREETTAUNTONMA02780042277710SKILLED NURSING FACILITYMA501(C)(3)9N/A0
OUR LADY'S HAVEN OF FAIRHAVEN INC
71 CENTER STREETFAIRHAVENMA02719042106632SKILLED NURSING FACILITYMA501(C)(3)9N/A0
SACRED HEART HOME INC
359 SUMMER STREETNEW BEDFORDMA02740042140119SKILLED NURSING FACILITYMA501(C)(3)9N/A0
ROMAN CATHOLIC BISHOP OF FALL RIVER
450 HIGHLAND AVENUEFALL RIVERMA02720043000709RELIGIOUS ORGANIZATIONMA501(C)(3)1N/A0
DIOCESAN FACILITIES SELF-INSURANCE GROUP
55 WALKERS BROOK DRIVE SUITE 402READINGMA01867043212416SELF-INSURED INSURANCE GROUPMA501(C)(3)10
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationYes (1)DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (27 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
CATHOLIC MEMORIAL HOME INC
M$17,297COST OF SERVICES PURCHASED
CATHOLIC MEMORIAL HOME INC
O$42,385COST OF SERVICES PROVIDED
MARIAN MANOR INC
P$5,664BASED ON ACTUAL AMOUNTS PAID
DIOCESAN HEALTH FACILITIES OFFICE
P$11,533BASED ON ACTUAL AMOUNTS PAID
DIOCESAN HEALTH FACILITIES OFFICE
Q$125,774COST OF SERVICES PROVIDED
SACRED HEART HOME INC
P$12,702BASED ON ACTUAL AMOUNTS PAID
ROMAN CATHOLIC BISHOP OF FALL RIVER
M$24,472COST OF SERVICES PURCHASED
OUR LADY'S HAVEN INC
Q$32,403BASED ON ACTUAL AMOUNTS RECEIVED
ROMAN CATHOLIC BISHOP OF FALL RIVER
M$76,209COST OF SERVICES PURCHASED
CATHOLIC MEMORIAL HOME INC
P$53,818BASED ON ACTUAL AMOUNTS PAID
CATHOLIC MEMORIAL HOME INC
Q$18,716BASED ON ACTUAL AMOUNTS RECEIVED
DIOCESAN HEALTH FACILITIES OFFICE
S$120,000REPAYMENT OF LOAN
OUR LADY'S HAVEN INC
P$6,385BASED ON ACTUAL AMOUNTS PAID
SACRED HEART HOME INC
Q$175BASED ON ACTUAL AMOUNTS RECEIVED
MARIAN MANOR INC
Q$44,048BASED ON ACTUAL AMOUNTS RECEIVED
MARIAN MANOR INC
S$43,000REPAYMENT OF LOAN
OUR LADY'S HAVEN INC
S$24,343REPAYMENT OF LOAN
ROMAN CATHOLIC BISHOP OF FALL RIVER
M$176,285COST OF SERVICES PURCHASED
ROMAN CATHOLIC BISHOP OF FALL RIVER
M$509,392COST OF SERVICES PURCHASED
MARIAN MANOR INC
O$14,538COST OF SERVICES PROVIDED
ROMAN CATHOLIC BISHOP OF FALL RIVER
R$45,256REPAYMENT OF LOAN
ROMAN CATHOLIC BISHOP OF FALL RIVER
R$17,898INTEREST PAYMENTS ON LOAN
DIOCESAN HEALTH FACILITIES OFFICE
M$270,639COST OF SERVICES PURCHASED
CATHOLIC MEMORIAL HOME INC
R$22,948REPAYMENT OF LOAN
CATHOLIC MEMORIAL HOME INC
L$25,088COST OF SERVICES PROVIDED
MARIAN MANOR INC
L$14,538COST OF SERVICES PROVIDED
DIOCESAN FACILITIES SELF-INSURANCE GROUP
F$45,896DIVIDENDS RECEIVED

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