2019-10-01T10:50:06-05:00 2018-12-31 990 2018-01-01 042565937 St Joseph Manor Health Care Inc STJO 5085835834 215 Thatcher Street Brockton MA 023023949 JAMES KEANE CEO 5085835834 2019-10-01 155.212.6.161 2019-10-01 11:50:00 US P AEC35488C4CD91AC8DD9FF49E81978A397244AF0 A744FCA080835C7073C58A40247746B207170AF7 2018 2019-02-21 02:37:17Z JAMES KEANE 215 Thatcher Street Brockton MA 023023949 10886924 0 X sjmbrockton.com X 1975 MA OUR CATHOLIC MINISTRY OF COMPASSIONATE OF HEALTH CARE PROVIDES PERSON-CENTERED SERVICES OF ALL FAITHS IN OUR HOME AND WITHIN OUR COMMUNITY. 10 10 240 34 0 0 8448 15457 10506923 10650982 28115 184 136166 220301 10679652 10886924 0 0 0 0 6293921 6023266 0 0 0 4732112 4633726 11026033 10656992 -346381 229932 6716614 6724982 2686808 2476430 4029806 4248552 OUR CATHOLIC MINISTRY OF COMPASSIONATE HEALTH CARE PROVIDES PERSON-CENTERED SERVICES TO PEOPLE OF ALL FAITHS IN OUR HOME AND WITHIN OUR COMMUNITY. 0 0 10095539 10871283 St. Joseph Manor provided 39,379 days of skilled nursing care to patients from all economic, religious and ethnic groups during 2018. Of these, a total of 31,691 days were provided to Medicaid recipients. 10095539 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 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 1 0 0 0 1 17 0 1 240 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 1 1 0 MA X X JAMES KEANE 5085835834 215 THATCHER STREET BROCKTON MA 02302 SR MARY VALLIERE TRUSTEE - CLASS A MEMBER 1.00 X 0 0 0 SR RUTH DAUGINIKAS TRUSTEE - CLASS A MEMBER 1.00 X 0 0 0 PAUL ARENBURG CHAIR PERSON 1.00 X X 0 0 0 JOHN DRUSINSKAS CLERK 1.00 X 0 0 0 PEG FEODOROFF TRUSTEE 1.00 X 0 0 0 CLAIRE WHEELER VICE CHAIR PERSON 1.00 X X 0 0 0 REV RICHARD CROWLEY TRUSTEE 1.00 X 0 0 0 ANGELA CARDOSO-FONTES TRUSTEE 1.00 X 0 0 0 RICHARD J CHIN TRUSTEE 1.00 X 0 0 0 CAROL CORIO TRUSTEE 1.00 X 0 0 0 JAMES KEANE CEO/ADMIN 1.00 X X 135712 0 0 BRENARD ROWE Director of nursing 1.00 X 115645 0 0 251357 0 0 2 0 0 0 REHABCARE GROUP INC PO BOX 503534 ST LOUIS MO 63150 REHAB SERVICES 664663 HEALTHCARE SERVICE GROUP 3220 TILLMAN DRIVE BENSALEM PA 19020 LAUNDRY/HOUSEKEEPING 403000 2 15457 15457 PROGRAM SERVICE REVENUE 623000 10650982 10650982 10650982 184 184 Miscellaneous Income 623000 220301 220301 220301 10886924 10871283 0 184 125383 125383 5044368 5044368 19403 19403 411160 411160 422952 422952 290600 290600 34658 34658 75128 75128 15439 15439 48409 48409 161067 161067 11842 11842 5973 5973 53228 53228 341441 341441 126605 126605 PURCHASED SERVICES 1532467 1532467 SUPPLIES AND MATERIALS 899990 899990 MEDICAID USER FEE 743729 743729 UTILITIES 293150 293150 10656992 10095539 561453 0 562840 1292726 3507 3513 1592808 1206439 48257 42125 8831844 5638451 3473754 3193393 999342 948694 36106 38092 6716614 6724982 876151 864909 22215 1708478 1511656 102179 77650 2686808 2476430 X 4013944 4193229 15862 55323 4029806 4248552 6716614 6724982 X 229932 -63497 52311 X 0 1 X 0 0 X 91066 22788 16858 8448 15457 154617 11533028 11086152 10842413 10506923 10650982 54619498 11624094 11108940 10859271 10515371 10666439 54774115 0 0 0 54774115 18495 18532 9028 28115 13032 87202 18495 18532 9028 28115 13032 87202 13427 7583 86403 136166 220301 463880 11656016 11135055 10954702 10679652 10899772 55325197 0.99000 0.99340 0.00160 0.00180 X 15862 53019 13557 55323 5124 19186 8448 15862 12469 14443 21788 5124 25111 13062 25704 12469 16000 56127 47016 25111 1.00000 0 0 259590 259590 2224876 611841 1613035 3728478 2689722 1038756 2264231 2007316 256915 354669 329572 25097 3193393 RESIDENT FUNDS LIABILITIES 38019 OTHER LIABILITIES 3513 PROFESSIONAL LOSS RESERVES 36118 77650 X Part X, Line 2: Covenant and its member organizations are considered not-for-profit corporations as described in Section 501(c)(3) of the Internal Revenue Code and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code, except as noted below. Tax-exempt organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by the Financial Accounting Standards Board, assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the "more-likely-than-not" threshold, based upon the technical merits of the position. Estimated interest and penalties, if applicable, related to uncertain tax positions are included as a component of income tax expense. The System has evaluated the position taken on its filed tax returns. The System has concluded no uncertain income tax positions exist at December 31, 2018. Under Internal Revenue Service regulations, the System's tax years from 2015 through 2018 are open and subject to examination. Form 990, Part VI, Section A, line 6 ST. JOSEPH MANOR IS RELATED TO THE POOR SISTERS OF JESUS CRUCIFIED AND THE SORROWFUL MOTHER, INC. WHO IS A CLASS A MEMBER. Form 990, Part VI, Section A, line 7a ST. JOSEPH MANOR IS RELATED TO THE POOR SISTERS OF JESUS CRUCIFIED AND THE SORROWFUL MOTHER, INC. WHO IS A CLASS A MEMBER. Form 990, Part VI, Section A, line 7b ST. JOSEPH MANOR IS RELATED TO THE POOR SISTERS OF JESUS CRUCIFIED AND THE SORROWFUL MOTHER, INC. WHO IS A CLASS A MEMBER. Form 990, Part VI, Section B, line 11b THE FORM 990 IS REVIEWED IN DETAIL BY THE GOVERNING BODY PRIOR TO FILING. Form 990, Part VI, Section B, line 12c THE ORGANIZATION HAS A FULL-TIME DESIGNATED ORGANIZATIONAL INTEGRITY OFFICER THAT MONITORS OPERATIONS TO DETECT AND/OR RESOLVE CONFLICT OF INTEREST ISSUES. Form 990, Part VI, Section B, line 15 EVERY TWO TO THREE YEARS THE COMPENSATION COMMITTEE OF THE COVENANT HEALTH'S BOARD OF DIRECTORS ENGAGES AN EXTERNAL CONSULTANT TO PROVIDE COMPETITIVE MARKET DATA FROM VARIOUS SURVEY SOURCES, WHICH IS USED TO DEVELOP RECOMMENDATIONS FOR CHANGES TO THE COMPENSATION PROGRAM. SINCE 2003 THE COMPENSATION COMMITTEE HAS ENGAGED AN EXTERNAL CONSULTANT TO CONDUCT THIS ANALYSIS. THE SPECIFIC OBJECTIVES OF THE ANALYSIS ARE TO ASSESS THE COMPETITIVENESS OF THE CURRENT TOTAL CASH COMPENSATION LEVELS FOR THE SENIOR LEADERSHIP TEAM; DEVELOP MARKET COMPETITIVE SALARY RANGES FOR ALL EXECUTIVE POSITIONS AND ENSURE THAT THE ANNUAL INCENTIVE OPPORTUNITIES, IF ANY, ARE COMPETITIVE AND REASONABLE. Form 990, Part VI, Section C, line 18 THE FORM 990 IS POSTED ON THE COVENANT HEALTH WEBSITE. IT IS ALSO AVAILABLE AT THE FACILITY UPON REQUEST. Form 990, Part VI, Section C, line 19 ST. JOSEPH MANOR MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. Form 990, Part XI, line 9: ADJUSTED CHANGE IN RESTRICTED ASSETS 52311. Form 990, Part XI, Line 9, Changes in Net Assets Increase in temorarily restricted net assets $39462. Form 990, Part XI, Line 5, Net unrealized Loss on investments Net unrealized Loss on investments (63,497). COVENANT HEALTH 100 AMES POND DRIVE TEWKSBURY MA 01876 222484505 MANAGEMENT MA 501 (C) 9 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 0 0