2021-11-10T10:09:08-06:00 2020-12-31 042536173 LIVINGSTON & HAYNES PC 40 GROVE STREET WELLESLEY MA 024827711 990 2020-01-01 042596550 MADONNA MANOR INC MADO 5086798154 85 NORTH WASHINGTON STREET NORTH ATTLEBORO MA 02760 EDGAR M DA CUNHA PRESIDENT AND TREASURER 5086751311 2021-11-10 1 EDGAR DA CUNHA 999009999 MARIA BUNKER P00652618 7812373339 2021-11-10 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z EDGAR M DA CUNHA 394 HIGHLAND AVENUE FALL RIVER MA 02720 12232375 0 X WWW.DHFO.ORG X 1966 MA PROVIDES SKILLED NURSING & REHABILITATIVE CARE FOR THE FRAIL AND THE ELDERLY. 8 1 238 0 0 0 6025 1413348 10704854 8725903 1049 3398 287283 2089726 10999211 12232375 0 0 0 0 8345099 8151680 0 0 0 3279075 3361145 11624174 11512825 -624963 719550 3960898 4573428 3518586 3411566 442312 1161862 X TO PROVIDE EXTENDED CARE TO THE CHRONICALLY ILL AND DISABLED, WITH SPECIAL EMPHASIS ON THE CARE OF THE FRAIL ELDERLY. 0 1 10498343 10579289 TO PROVIDE NURSING AND/OR REHABILITATION SERVICES TO THE AGED AND INFIRM FOR 32,861 PATIENT DAYS. 10498343 1 1 0 0 0 0 0 0 0 0 1 0 0 1 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 15 0 1 238 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 0 1 1 1 1 1 1 1 1 0 MA X LAURA MITCHELL 5086798154 368 NORTH MAIN STREET FALL RIVER MA 02720 X VERY REVEREND GREGORY A MATHIAS M + VICE PRESIDENT 1.00 X X 0 0 0 REVEREND JOHN M MURRAY M + SECRETARY 1.00 X X 0 0 0 REVEREND DAVID COSTA M + DIRECTOR 1.00 X 0 0 0 REV THOMAS L RITA M + DIRECTOR 1.00 X 0 0 0 REV MARK P TREMBLAY M + DIRECTOR 1.00 X 0 0 0 MOST REVEREND EDGAR M DA CUNHA M + PRESIDENT & TREASURER 1.00 X X 0 0 0 KEVIN KILEY DIRECTOR 1.00 X 0 0 0 ELIZABETH POIRIER DIRECTOR 1.00 X 0 0 0 DENISE WAINWRIGHT LPN CHARGE 40.00 0.00 X 124806 0 17619 MARY LOUNSBURY NURSE MANAGER, RN 40.00 0.00 X 108054 0 15253 MELANDIE J KAROL D.O.N. 40.00 0.00 X 108187 0 15272 JENNIFER DAY NURSE MANAGER, RN 40.00 0.00 X 117010 0 16518 458057 0 64662 4 0 0 0 SYMBRIA REHABINC 28100 TORCH PARKWAY WARRENVILLE IL 60555 THERAPY SERVICES 783178 DIOCESAN HEALTH FACILITIES 368 NORTH MAIN STREET FALL RIVER MA 02720 MANAGEMENT SERVICES 502743 2 1405134 8214 1413348 MEDICARE/MEDICAID 623000 6953864 6953864 ROOM & BOARD FEES 623000 1772039 1772039 8725903 3398 3398 OTHER REVENUE 900099 2089726 2089726 2089726 12232375 8725903 0 2093124 X 6833656 6477898 355758 175146 166028 9118 576728 546704 30024 566150 536676 29474 270639 270639 1312 1312 17355 17355 955630 937631 17999 12812 12812 130090 130090 218011 138095 79916 2206 2206 9300 9300 163617 119880 43737 132873 123342 9531 SUPPLIES 524873 524873 COVID-19 TESTING 281265 281265 FOOD 274285 274285 USER FEE 239034 239034 127843 123332 4511 11512825 10498343 1014482 0 1854 1854 488435 1842851 1316302 757196 36822 52238 55766 61540 5223758 4113514 1224348 1110244 965 482 836406 747023 3960898 4573428 2531598 1681798 986988 1729768 3518586 3411566 X 442312 1161862 442312 1161862 3960898 4573428 719550 0 X X 0 1 X 1 0 X 8734 13091 17887 5845 8214 53771 11615016 11079038 11150140 10704854 8725903 53274951 11623750 11092129 11168027 10710699 8734117 53328722 0 0 0 53328722 9858 9625 5476 1049 3398 29406 9858 9625 5476 1049 3398 29406 74678 72447 102196 293040 2089726 2632087 11708286 11174201 11275699 11004788 10827241 55990215 0.95250 0.98550 0.00050 0.00060 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2016 AMOUNT: $ 57,537. 2017 AMOUNT: $ 56,843. 2018 AMOUNT: $ 82,821. 2019 AMOUNT: $ 266,857. 2020 AMOUNT: $ 2,089,726. FUNDRAISING INCOME - 2016 AMOUNT: $ 17,141. 2017 AMOUNT: $ 15,604. 2018 AMOUNT: $ 19,375. 2019 AMOUNT: $ 26,183. 2020 AMOUNT: $ 0. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 37500 37500 3591367 2767016 824351 1567819 1323383 244436 27072 23115 3957 1110244 DUE FROM AFFILIATES 665007 OTHER RECEIVABLE 82016 747023 DUE TO AFFILIATES 990266 UNSECURED LOAN PAYABLE TO RELATED THIRD PARTY 739502 1729768 X 12232375 0 12232375 0 12232375 11512825 0 11512825 0 11512825 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 (2017-2019) OR EXPECTED TO BE TAKEN IN THE HOME'S 2020 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, 2020 AND 2019. FORM 990, PART III, LINE 3 THE HOME WAS SIGNIFICANTLY IMPACTED BY THE COVID-19 PANDEMIC. AS A RESULT, SIGNIFICANT CHANGES WERE MADE IN ITS OPERATIONS AND IT REDUCED THE NUMBER OF BEDS IN SERVICE. FORM 990, PART VI, SECTION A, LINE 2 MOST REVEREND EDGAR DA CUNHA, REVEREND JOHN M. MURRAY, VERY REVEREND MONSIGNOR GREGORY A. MATHIAS, REVEREND MARC P. TREMBLAY, REVEREND DAVID A. COSTA, REVEREND THOMAS L. RITA, 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 2020. 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 2020. 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 BOARD MEMBERS ARE REQUIRED TO DISCLOSE ALL CONFLICTS OF INTEREST ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 THE 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 19 UPON REQUEST FORM 990, PART IX, LINE 24E BAD DEBTS: PROGRAM SERVICE EXPENSES 65,478. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 65,478. OTHER: PROGRAM SERVICE EXPENSES 57,854. MANAGEMENT AND GENERAL EXPENSES 4,511. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 62,365. 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 MARIAN MANOR INC 33 SUMMER STREET TAUNTON MA 02780 042277710 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 1 0 1 0 0 0 0 0 0 0 1 0 1 1 1 1 1 CATHOLIC MEMORIAL HOME INC M 10413 COST OF SERVICES PURCHASED CATHOLIC MEMORIAL HOME INC O 10413 COST OF SERVICES PROVIDED MARIAN MANOR INC P 4723 BASED ON ACTUAL AMOUNTS PAID DIOCESAN HEALTH FACILITIES OFFICE P 21006 BASED ON ACTUAL AMOUNTS PAID DIOCESAN HEALTH FACILITIES OFFICE Q 105157 COST OF SERVICES PROVIDED ROMAN CATHOLIC BISHOP OF FALL RIVER P 1073 BASED ON ACTUAL AMOUNTS PAID ROMAN CATHOLIC BISHOP OF FALL RIVER Q 1073 BASED ON ACTUAL AMOUNTS RECEIVED SACRED HEART HOME INC P 5334 BASED ON ACTUAL AMOUNTS PAID ROMAN CATHOLIC BISHOP OF FALL RIVER M 57471 COST OF SERVICES PURCHASED OUR LADY'S HAVEN INC Q 172372 BASED ON ACTUAL AMOUNTS RECEIVED ROMAN CATHOLIC BISHOP OF FALL RIVER M 555868 COST OF SERVICES PURCHASED CATHOLIC MEMORIAL HOME INC P 36834 BASED ON ACTUAL AMOUNTS PAID CATHOLIC MEMORIAL HOME INC Q 35919 BASED ON ACTUAL AMOUNTS RECEIVED DIOCESAN HEALTH FACILITIES OFFICE S 75000 REPAYMENT OF LOAN OUR LADY'S HAVEN INC P 8702 BASED ON ACTUAL AMOUNTS PAID SACRED HEART HOME INC Q 149940 BASED ON ACTUAL AMOUNTS RECEIVED MARIAN MANOR INC Q 4723 BASED ON ACTUAL AMOUNTS RECEIVED SACRED HEART HOME INC S 144000 REPAYMENT OF LOAN OUR LADY'S HAVEN INC S 165000 REPAYMENT OF LOAN ROMAN CATHOLIC BISHOP OF FALL RIVER M 175146 COST OF SERVICES PURCHASED ROMAN CATHOLIC BISHOP OF FALL RIVER M 555868 COST OF SERVICES PURCHASED DIOCESAN HEALTH FACILITIES OFFICE M 15587 COST OF SERVICES PURCHASED SACRED HEART HOME INC M 852 COST OF SERVICES PURCHASED DIOCESAN HEALTH FACILITIES OFFICE O 15587 COST OF SERVICES PROVIDED SACRED HEART HOME INC O 852 COST OF SERVICES PROVIDED ROMAN CATHOLIC BISHOP OF FALL RIVER E 748533 AMOUNT LOANED ROMAN CATHOLIC BISHOP OF FALL RIVER R 9031 REPAYMENT OF LOAN ROMAN CATHOLIC BISHOP OF FALL RIVER R 9300 INTEREST PAYMENTS ON LOAN DIOCESAN HEALTH FACILITIES OFFICE M 270639 COST OF SERVICES PURCHASED