2019-07-23T16:08:44-05:00 2018-12-31 410746749 CLIFTONLARSONALLEN LLP 300 CROWN COLONY DRIVE SUITE 310 QUINCY MA 02169 990 2018-01-01 042066524 SANCTA MARIA HOSPITAL INC SANC 6178682200 799 CONCORD AVENUE CAMBRIDGE MA 02138 THOMAS GOMES ADMINISTRATOR 6178682200 2019-07-11 1 JUDY DALEY P01294075 6179848100 2019-07-02 67.137.57.251 2019-07-11 11:57:12 ED P 40B1045984B6BD7CE0CB919AAE2F7A412AF27D98 2D2ADA08DFBCD9CE63D4D49722A5A80C8B448248 2018 2019-02-21 02:37:17Z SANCTA MARIA NURSING FACILITY MOTHER MARY JENNIFER DM 799 CONCORD AVENUE CAMBRIDGE MA 02138 15263073 0 X HTTP://SANCTAMARIA.ORG X 1948 MA THE PROVISION OF INPATIENT SKILLED NURSING SERVICES TO INDIVIDUALS REQUIRING SUCH CARE DUE TO PHYSICAL CONDITION OR INFIRMITY. 10 7 250 16 0 0 574771 12868 11707405 12427554 343294 479600 1433361 599081 14058831 13519103 0 0 0 0 9083903 9429851 0 0 76463 4494270 5635921 13578173 15065772 480658 -1546669 9428897 9338347 3388025 5277177 6040872 4061170 X FAITHFUL TO THE SPIRIT OF THE CONGREGATION OF THE DAUGHTERS OF MARY, SANCTA MARIA NURSING FACILITY'S MISSION IS TO WITNESS CHRIST'S COMPASSION, CARING AND LOVE, REFLECTING THE CATHOLIC CHURCH'S ROLE IN THE CONTINUATION OF CHRIST'S HEALING MINISTRY. COMMITTED TO THE VALUES OF DIGNITY AND RESPECT, LIFE, SERVICE AND SOCIAL JUSTICE, SANCTA MARIA STRIVES TO PROVIDE QUALITY HEALTH CARE TO ALL OF ITS PATIENTS/RESIDENTS. 0 0 13380511 12479542 PROVISION OF CHARITABLE HEALTH CARE SERVICES TO THE SURROUNDING COMMUNITY SUFFERING FROM ILLNESS OR DISABILITIES REQUIRING NURSING HOME CARE THROUGH A CATHOLIC, NON-PROFIT FACILITY COMMITTED TO THE HIGHEST STANDARDS OF MEDICAL CARE AND PRACTICE. THE FACILITY IS LICENSED FOR 141 BEDS OF WHICH, 135 BEDS WERE IN SERVICE AT YEAR-END RESULTING IN AN OCCUPANCY OF 91%. 13380511 1 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 13 0 250 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 10 7 0 1 0 0 1 1 1 1 1 0 0 0 1 1 1 1 0 1 1 0 MA X THOMAS GOMES 6178682200 799 CONCORD AVENUE CAMBRIDGE MA 02138 JOSEPH BARRELL JR CHAIR 1.00 X X 0 0 0 NORMAN MCIVER VICE CHAIR 1.00 X X 0 0 0 MOTHER MARY JENNIFER DM PRESIDENT 30.00 X X 0 0 0 SISTER MARY LUCILLE BANACH DM VICE PRESIDENT & TREASURER 30.00 X X 41372 0 435 SHEILA HICKEY CLERK 1.00 X X 0 0 0 JOSEPH CONNARTON DIRECTOR 1.00 X 0 0 0 JAMES F FERREIRA DIRECTOR 1.00 X 0 0 0 SISTER MARY THERESA TINANA DM DIRECTOR 32.00 X 60549 0 435 MICHAEL GULESERIAN DIRECTOR 1.00 X 0 0 0 JOSEPH R NOLAN JR DIRECTOR 1.00 X 0 0 0 ROBERT J KELLEY CFO (UNTIL 08/2018) 40.00 X 186463 0 15828 THOMAS GOMES ADMINISTRATOR (AS OF 10/2018) 40.00 X 30199 0 0 NICHOLAS H GILBERT ADMINISTRATOR (UNTIL 10/2018) 40.00 X 154396 0 53 JEAN CITARELLA DIRECTOR OF HR 40.00 X 120805 0 17082 593784 0 33833 6 0 1 0 NEW ENGLAND WINDOW PO BOX 205 SOUTH BOSTON MA 02127 WINDOW REPLACEMENT 442342 PARAGON REHABILITATION 745 TRUMAN PARKWAY HYDE PARK MA 02136 REHAB SERVICES 435516 US FOODSERVICE INC 100 LEDGE ROAD SEABROOK MA 03874 FOOD PRODUCTS 323703 EMCOR SERVICES PO BOX 845286 BOSTON MA 02284 HVAC SYSTEMS 305505 PHARMERICA PO BOX 409251 ATLANTA MA 30384 PHARMACY 235189 5 12868 12868 NET PATIENT SERVICE REVENUE 623000 12427554 12427554 12427554 50535 50535 1013421 466328 547093 547093 547093 1706707 1277642 429065 429065 429065 OTHER INCOME 623000 51988 51988 51988 13519103 12479542 0 1026693 386939 386939 7256924 6786263 417019 53642 1207799 1069736 129623 8440 578189 513797 60288 4104 59092 59092 33400 33400 22774 22774 547904 547904 9201 9201 118755 118755 115882 115882 585313 585313 1117 1117 75877 75877 460657 438287 22370 87807 87807 PROGRAM EXPENSES 1539652 1539652 BAD DEBT EXPENSES 823913 823913 USER FEE 796148 796148 REPAIR AND MAINTENANCE 123664 123664 234765 79957 144531 10277 15065772 13380511 1608798 76463 915970 685593 68373 82663 1842891 2351019 7323 7323 128529 107530 15970166 11813783 3493007 4156383 2972804 1947836 9428897 9338347 1322003 1848406 2066022 3428771 3388025 5277177 X 5986482 4013475 30920 24225 23470 23470 6040872 4061170 9428897 9338347 -1546669 -433033 0 X X 0 1 X 1 0 X 1119777 22670 29859 574771 12868 1759945 12188962 11088472 11645161 11749177 12479542 59151314 13308739 11111142 11675020 12323948 12492410 60911259 0 0 0 60911259 879415 881291 990766 992959 1063956 4808387 879415 881291 990766 992959 1063956 4808387 14188154 11992433 12665786 13316907 13556366 65719646 0.92680 0.93310 0.07320 0.06690 X 54389 5262 11956 47695 55888 4361 5860 54389 35592 25279 4983 55888 35081 511 35592 35081 35081 0.00000 0.49210 0.50790 0 0 322500 322500 9569556 8006285 1563271 5652752 3513315 2139437 425358 294183 131175 4156383 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 332631 SECURITY DEPOSIT LIABILITY 9500 ASSETS RETIREMENT AGREEMENT 584403 DUE TO RELATED PARTY 2502237 3428771 X 13552398 -433033 -433033 13985431 -466328 -466328 13519103 15532100 466328 466328 15065772 0 15065772 PART V, LINE 4: THE ORGANIZATION'S ENDOWMENT FUNDS ARE TO BE USED FOR EDUCATIONAL PURPOSES, THE ORGANIZATION'S CHAPEL EXPENSES, AND FURTHERING THE ORGANIZATION'S MISSION. PART X, LINE 2: THE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE ORGANIZATION FOLLOWS THE POLICY FOR UNCERTAINTY IN INCOME TAXES TO BE RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THE POLICY PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PRINCIPLES FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. NO UNCERTAIN INCOME TAX POSITIONS WERE IDENTIFIED FOR THE YEARS ENDED DECEMBER 31, 2018 AND 2017. PART XI, LINE 4B - OTHER ADJUSTMENTS: RELCASS OF RENTAL EXPENSES -466,328. PART XII, LINE 2D - OTHER ADJUSTMENTS: RECLASS OF RENTAL EXPENSES 466,328. X X 1 0 0 0 0 0 0 0 0 ROBERT J KELLEY CFO (UNTIL 08/2018) 148386 0 0 0 38077 0 0 0 15828 0 202291 0 0 0 NICHOLAS H GILBERT ADMINISTRATOR (UNTIL 10/2018) 130073 0 0 0 24323 0 0 0 53 0 154449 0 0 0 PART I, LINE 4A ROBERT J. KELLEY HELD THE POSITION OF CFO THROUGH AUGUST 2018. MR. KELLEY RECEIVED A SEVERANCE PAYMENT OF $38,077 IN 2018 FOR HIS SERVICE AS CFO WITH THE ORGANIZATION. NICHOLAS H. GILBERT HELD THE POSITION OF ADMINISTRATOR THROUGH OCTOBER 2018. MR. GILBERT RECEIVED A SEVERANCE PAYMENT OF $24,323 IN 2018 FOR HIS SERVICE AS ADMINISTRATOR WITH THE ORGANIZATION. JOSEPH BARRELL JR DIRECTOR & PRESIDENT OF ARRELL CORPORATION 37095 THE ORGANIZATION PURCHASED SERVICES FROM THE ARRELL CORPORATION FOR THE YEAR ENDED DECEMBER 31, 2018. 0 FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS CONSISTS OF THE CHAIRPERSON OF THE BOARD AND THE PRESIDENT, WHO SHALL BE AN EX OFFICIO MEMBER OF THE COMMITTEE, AND FROM TWO TO FOUR ADDITIONAL DIRECTORS APPOINTED BY THE BOARD OF DIRECTORS UPON THE RECOMMENDATION OF THE CHAIRPERSON OF THE COMMITTEE. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION DELEGATED CONTROL OVER MANAGEMENT DUTIES TO A THIRD-PARTY, ADVOCATE HEALTHCARE MANAGEMENT. FORM 990, PART VI, SECTION A, LINE 6 AS DEFINED IN THE BY-LAWS, THE ORGANIZATION HAS MEMBERS OF THE ORGANIZATION REFERRED TO AS SUPERIOR GENERAL AND MEMBERS OF THE GENERAL COUNCIL. THESE INDIVIDUALS MENTIONED ABOVE SHALL REMAIN A MEMBER OF THE ORGANIZATION AS LONG AS SHE SERVES AS THE SUPERIOR GENERAL OR A MEMBER OF THE GENERAL COUNCIL OF THE CONGREGATION OF SANCTA MARIA. FORM 990, PART VI, SECTION A, LINE 7A AS DEFINED IN THE BY-LAWS, THE SUPERIOR GENERAL OF THE CONGREGATIONS SHALL SERVE AS A THE CHAIR OF THE MEMBERS AND HAS THE AUTHORITY TO APPOINT A SECRETARY OF THE MEMBERS FROM AMONG THE MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B BOARD MEMBERS EACH HAS SAME VOTING RIGHTS AND REQUIRE VOTING APPROVAL OF ALL FORMAL BOARD DECISIONS. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBERS OF THE ORGANIZATION HAVE THE POWERS AND RIGHTS TO APPROVE OR CHANGE (1) THE PHILOSOPHY, MISSION AND OBJECTIVES, (2) APPOINT OR REMOVE DIRECTORS, (3) APPOINT THE PRESIDENT, (4) AMEND BY-LAWS, (5) APPROVE MERGERS, REORGANIZATION, AND CONSOLIDATIONS, (6) APPROVE ACQUISITION, SALE, LEASE, AND TRANSFERS, AND (7) APPROVE ANY INCREMENT OR ADDITIONS IN CAPITAL DEBT FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION PROVIDES A COPY OF THE COMPLETE FORM 990 TO THE BOARD MEMBERS AND REVIEWS THE FORM 990 IN AN OFFICIAL MEETING WITH ITS FINANCE COMMITTEE BEFORE SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C IF AN INDIVIDUAL ON THE BOARD HAS A CONFLICT OF INTEREST, THAT INDIVIDUAL MUST ABSTAIN FROM VOTING ON ANY MATTERS RELATED TO THAT CONFLICT. IN ANY MATTER THAT WOULD RESULT IN A CONFLICT OF INTEREST, SUCH INDIVIDUALS ARE NOT PERMITTED TO FACTOR IN THE DECISION-MAKING PROCESS. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD CHAIRMAN ANNUALLY REVIEWS THE COMPENSATION OF THE ADMINISTRATOR BASED ON HIS/HER PERFORMANCE AND THROUGH THE USE OF A COMPENSATION SURVEY. THE MEMBERS OF THE BOARD REVIEW, DOCUMENT, AND APPROVE THE ANNUAL BUDGET. FORM 990, PART VI, SECTION C, LINE 19 AN INTERESTED PARTY CAN MAKE A DIRECT REQUEST TO SEE THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS OF THE ORGANIZATION. THE FORM 990 CAN ALSO BE FOUND ON THE MASSACHUSETTS ATTORNEY GENERAL'S PUBLIC CHARITIES WEBSITE.