2020-11-12T10:59:28-06:00 2019-12-31 042536173 LIVINGSTON & HAYNES PC 40 GROVE STREET WELLESLEY MA 024827711 990 2019-01-01 042596550 MADONNA MANOR INC MADO 5086798154 85 NORTH WASHINGTON STREET NORTH ATTLEBORO MA 02760 EDGAR M DA CUNHA PRESIDENT AND TREASURER 5086751311 2020-11-05 1 MARIA BUNKER P00652618 7812373339 2020-11-05 98.118.55.124 2020-11-05 07:08:06 ES P A4683B369060611D3A6B9BEB45145DBFDDFA969A 47B0E6242F60B25BEC8E613D90EDDF09E5B6CF72 2019 2021-01-29 14:40:06Z EDGAR M DA CUNHA 394 HIGHLAND AVENUE FALL RIVER MA 02720 11004788 0 X WWW.DHFO.ORG X 1966 MA PROVIDES SKILLED NURSING & REHABILITATIVE CARE FOR THE FRAIL AND THE ELDERLY. 10 3 267 26 0 0 17887 6025 11150140 10704854 5476 1049 97122 287283 11270625 10999211 0 0 0 0 8221671 8345099 0 0 0 3633952 3279075 11855623 11624174 -584998 -624963 3460665 3960898 2393390 3518586 1067275 442312 TO PROVIDE EXTENDED CARE TO THE CHRONICALLY ILL AND DISABLED, WITH SPECIAL EMPHASIS ON THE CARE OF THE FRAIL ELDERLY. 0 0 10683038 10704854 TO PROVIDE NURSING AND/OR REHABILITATION SERVICES TO THE AGED AND INFIRM FOR 43,329 PATIENT DAYS. 10683038 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 18 0 1 267 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 10 3 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 MOST REVEREND EDGAR M DA CUNHA M + PRESIDENT & TREASURER 1.00 X X 0 0 0 REVEREND JOHN M MURRAY M + SECRETARY 1.00 X X 0 0 0 VERY REVEREND GREGORY A MATHIAS M + VICE PRESIDENT 1.00 X X 0 0 0 REVEREND DAVID COSTA M + DIRECTOR 1.00 X 0 0 0 REV MARK P TREMBLAY M + DIRECTOR 1.00 X 0 0 0 REV THOMAS L RITA M + DIRECTOR 1.00 X 0 0 0 ELIZABETH POIRIER DIRECTOR 1.00 X 0 0 0 PAUL ROCHE DIRECTOR 1.00 X 0 0 0 DAVID MCINTYRE DIRECTOR 1.00 X 0 0 0 KEVIN KILEY DIRECTOR 1.00 X 0 0 0 DENISE WAINWRIGHT LPN CHARGE 40.00 X 113011 0 12415 113011 0 12415 1 0 0 0 SYMBRIA REHABINC 28100 TORCH PARKWAY WARRENVILLE IL 60555 THERAPY SERVICES 632704 DIOCESAN HEALTH FACILITIES 368 NORTH MAIN STREET FALL RIVER MA 02720 MANAGEMENT SERVICES 472277 2 180 5845 6025 MEDICARE/MEDICAID 623000 8383877 8383877 ROOM & BOARD FEES 623000 2320977 2320977 10704854 1049 1049 26003 180 5577 20426 20426 OTHER REVENUE 900099 266857 266857 266857 10999211 10704854 0 288332 X 7025432 6731558 293874 175146 167820 7326 613934 588253 25681 530587 508393 22194 222105 222105 4194 4194 20395 20395 1087536 1068804 18732 18294 18294 102653 102653 240455 152312 88143 3583 3583 170859 73540 97319 124542 116729 7813 SUPPLIES 521255 521255 FOOD 395467 395467 USER FEE 318024 318024 OTHER 33049 24219 8830 16664 16664 11624174 10683038 941136 0 1854 1854 197305 488435 1047260 1316302 46455 36822 56087 55766 5185601 3961253 1316607 1224348 965 795097 836406 3460665 3960898 1614079 2531598 779311 986988 2393390 3518586 X 1067275 442312 1067275 442312 3460665 3960898 -624963 0 X X 0 1 X 1 0 X 10082 8734 13091 17887 5845 55639 11393082 11615016 11079038 11150140 10704854 55942130 11403164 11623750 11092129 11168027 10710699 55997769 0 0 0 55997769 8713 9858 9625 5476 1049 34721 8713 9858 9625 5476 1049 34721 247336 74678 72447 102196 293040 789697 11659213 11708286 11174201 11275699 11004788 56822187 0.98550 0.98940 0.00060 0.00090 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2015 AMOUNT: $ 230,884. 2016 AMOUNT: $ 57,537. 2017 AMOUNT: $ 56,843. 2018 AMOUNT: $ 82,821. 2019 AMOUNT: $ 266,857. FUNDRAISING INCOME - 2015 AMOUNT: $ 16,452. 2016 AMOUNT: $ 17,141. 2017 AMOUNT: $ 15,604. 2018 AMOUNT: $ 19,375. 2019 AMOUNT: $ 26,183. 37500 37500 3565204 2685233 879971 1558153 1252995 305158 24744 23025 1719 1224348 DUE FROM AFFILIATES 811312 DON 25094 836406 DUE TO AFFILIATES 986988 986988 X 11004788 5577 5577 10999211 0 10999211 11629751 5577 5577 11624174 0 11624174 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 (2016-2018) OR EXPECTED TO BE TAKEN IN THE HOME'S 2019 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, 2019 AND 2018. PART XI, LINE 2D - OTHER ADJUSTMENTS: DIRECT FUNDRAISING EXPENSES PART XII, LINE 2D - OTHER ADJUSTMENTS: DIRECT FUNDRAISING EXPENSES GOLF TOURNAMENT 14920 180 14740 220 213 1566 1434 1234 BAZAAR 10447 10447 910 1 816 816 26183 180 26003 220 213 1566 1434 2144 5577 20426 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 2019. 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 2019. 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 11G COMPUTER SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 18,732. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,732. MEDICAL DIRECTOR: PROGRAM SERVICE EXPENSES 19,800. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,800. ALL INCLUSIVE: PROGRAM SERVICE EXPENSES 106,044. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 106,044. DIETICIAN CONSULTANTS: PROGRAM SERVICE EXPENSES 27,330. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 27,330. THERAPISTS: PROGRAM SERVICE EXPENSES 621,635. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 621,635. LAB FEES: PROGRAM SERVICE EXPENSES 11,246. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,246. MANAGEMENT CONSULTANTS: PROGRAM SERVICE EXPENSES 18,669. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,669. AMBULANCE: PROGRAM SERVICE EXPENSES 6,920. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,920. RADIOLOGY: PROGRAM SERVICE EXPENSES 4,022. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,022. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 191,911. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 191,911. RELATED PARTY LABOR: PROGRAM SERVICE EXPENSES 61,227. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 61,227. FORM 990, PART IX, LINE 24E BAD DEBTS: PROGRAM SERVICE EXPENSES 16,664. TOTAL EXPENSES 16,664. 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 0 1 1 0 0 0 0 0 0 0 1 0 1 1 1 1 1 CATHOLIC MEMORIAL HOME INC M 10013 COST OF SERVICES PROVIDED CATHOLIC MEMORIAL HOME INC O 10013 COST OF SERVICES PROVIDED MARIAN MANOR INC P 2183 BASED ON ACTUAL AMOUNTS PAID DIOCESAN HEALTH FACILITIES OFFICE P 17164 BASED ON ACTUAL AMOUNTS PAID DIOCESAN HEALTH FACILITIES OFFICE Q 99016 COST OF SERVICES PROVIDED ROMAN CATHOLIC BISHOP OF FALL RIVER P 48073 BASED ON ACTUAL AMOUNTS PAID ROMAN CATHOLIC BISHOP OF FALL RIVER Q 47000 BASED ON ACTUAL AMOUNTS RECEIVED SACRED HEART HOME INC P 50038 BASED ON ACTUAL AMOUNTS PAID ROMAN CATHOLIC BISHOP OF FALL RIVER M 175146 COST OF SERVICES PROVIDED MARIAN MANOR INC M 3805 COST OF SERVICES PROVIDED MARIAN MANOR INC O 3805 COST OF SERVICES PROVIDED OUR LADY'S HAVEN INC Q 44721 BASED ON ACTUAL AMOUNTS RECEIVED ROMAN CATHOLIC BISHOP OF FALL RIVER M 577355 COST OF SERVICES PROVIDED CATHOLIC MEMORIAL HOME INC P 71415 BASED ON ACTUAL AMOUNTS PAID CATHOLIC MEMORIAL HOME INC Q 438050 BASED ON ACTUAL AMOUNTS RECEIVED CATHOLIC MEMORIAL HOME INC E 436000 AMOUNT LOANED DIOCESAN HEALTH FACILITIES OFFICE S 70000 REPAYMENT OF LOAN OUR LADY'S HAVEN INC P 2070 BASED ON ACTUAL AMOUNTS PAID SACRED HEART HOME INC Q 127959 BASED ON ACTUAL AMOUNTS RECEIVED SACRED HEART HOME INC D 50000 AMOUNT LOANED MARIAN MANOR INC Q 4929 BASED ON ACTUAL AMOUNTS RECEIVED ROMAN CATHOLIC BISHOP OF FALL RIVER R 96000 REPAYMENT OF LOAN ROMAN CATHOLIC BISHOP OF FALL RIVER R 70000 REPAYMENT OF LOAN CATHOLIC MEMORIAL HOME INC R 66000 REPAYMENT OF LOAN SACRED HEART HOME INC S 116000 REPAYMENT OF LOAN OUR LADY'S HAVEN INC D 1500 AMOUNT LOANED OUR LADY'S HAVEN INC S 40000 REPAYMENT OF LOAN ROMAN CATHOLIC BISHOP OF FALL RIVER P 20000 BASED ON ACTUAL AMOUNTS PAID ROMAN CATHOLIC BISHOP OF FALL RIVER Q 20000 BASED ON ACTUAL AMOUNTS RECEIVED ROMAN CATHOLIC BISHOP OF FALL RIVER M 1717 COST OF SERVICES PROVIDED ROMAN CATHOLIC BISHOP OF FALL RIVER M 56470 COST OF SERVICES PROVIDED DIOCESAN HEALTH FACILITIES OFFICE M 222105 COST OF SERVICES PROVIDED