2018-10-23T12:49:06-05:00 2017-12-31 042536173 LIVINGSTON & HAYNES PC 40 GROVE STREET WELLESLEY MA 024827711 990 2017-01-01 042596550 MADONNA MANOR INC MADO 5086798154 85 NORTH WASHINGTON STREET NORTH ATTLEBORO MA 02760 EDGAR M DA CUNHA PRESIDENT AND TREASURER 5086751311 2018-10-18 1 MARIA BUNKER P00652618 7812373339 2018-10-16 50.79.169.35 2018-10-18 13:30:31 ED P 7F16AE3848D24A80665A21B3CBA4FEDD97464161 21BBCB74849E0A9209597F3313AC3B9A0A808E08 2017 2018-06-14 16:35:46Z EDGAR M DA CUNHA 394 HIGHLAND AVENUE FALL RIVER MA 02720 11174201 0 X WWW.DHFO.ORG X 1966 MA PROVIDES SKILLED NURSING & REHABILITATIVE CARE FOR THE FRAIL AND THE ELDERLY. 10 3 288 35 0 0 8734 13091 11615016 11079038 9858 9625 69546 67846 11703154 11169600 0 0 0 0 8188684 8437277 0 0 0 3650573 3729811 11839257 12167088 -136103 -997488 4048433 3791255 1398672 2138982 2649761 1652273 TO PROVIDE EXTENDED CARE TO THE CHRONICALLY ILL AND DISABLED, WITH SPECIAL EMPHASIS ON THE CARE OF THE FRAIL ELDERLY. 0 0 11133508 11079038 TO PROVIDE NURSING AND/OR REHABILITATION SERVICES TO THE AGED AND INFIRM FOR 43,827 PATIENT DAYS. 11133508 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 22 0 1 288 1 0 0 0 0 0 1 1 0 0 0 0 X 10 3 1 1 0 0 1 1 0 0 0 0 0 1 1 0 1 0 1 0 1 0 MA X MICHAEL FITZPATRICK 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 + CLERK 1.00 X X 0 0 0 VERY REVEREND GREGORY A MATHIAS M + DIRECTOR 1.00 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 CHANCELLOR 1.00 X 0 0 0 MARY-ELLEN MURPHY ADMINISTRATOR 40.00 X 100580 0 13460 DENISE WAINWRIGHT LPN CHARGE 40.00 X 119586 0 16003 MELANDIE KAROL DON 40.00 X 101410 0 13570 321576 0 43033 3 0 0 0 THERAPY RESOURCES MANAGEMENT ONE FATHER DEVALLES BLVD STE 401 FALL RIVER MA 02723 THERAPY SERVICES 525089 SYMBRIA REHABINC 28100 TORCH PARKWAY WARRENVILLE IL 60555 THERAPY SERVICES 273861 2 13091 13091 MEDICARE/MEDICAID 623000 8438233 8438233 ROOM & BOARD FEES 623000 2640805 2640805 11079038 9625 9625 15604 4601 11003 11003 OTHER REVENUE 900099 56843 56843 56843 11169600 11079038 0 77471 7163696 6795948 367748 768404 723101 45303 505177 478984 26193 297696 297696 40662 40662 16867 16867 162448 140206 22242 19600 19600 782196 640583 141613 253731 253731 3134 3134 4510 4510 178670 178670 212055 198791 13264 THERAPISTS 813217 813217 FOOD 449839 449839 USER FEE 311626 311626 OTHER 65117 25859 39258 118443 118443 12167088 11133508 1033580 0 1854 1854 447219 166105 894688 1125738 48867 47379 74710 26070 4947918 3615424 1229654 1332494 1351441 1091615 4048433 3791255 1231515 1573627 167157 565355 1398672 2138982 X 2649761 1652273 2649761 1652273 4048433 3791255 -997488 0 X X 0 1 X 1 0 X 9934 4002 10082 8734 13091 45843 10436354 10416343 11393082 11615016 11079038 54939833 10446288 10420345 11403164 11623750 11092129 54985676 0 0 0 54985676 16326 15513 8713 9858 9625 60035 16326 15513 8713 9858 9625 60035 55977 50597 247336 74678 72447 501035 10518591 10486455 11659213 11708286 11174201 55546746 0.98990 0.99000 0.00110 0.00130 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2013 AMOUNT: $ 40,116. 2014 AMOUNT: $ 35,061. 2015 AMOUNT: $ 230,884. 2016 AMOUNT: $ 57,537. 2017 AMOUNT: $ 56,843. FUNDRAISING INCOME - 2013 AMOUNT: $ 15,861. 2014 AMOUNT: $ 15,536. 2015 AMOUNT: $ 16,452. 2016 AMOUNT: $ 17,141. 2017 AMOUNT: $ 15,604. 37500 37500 3408587 2520471 888116 1474915 1072109 402806 26916 22844 4072 1332494 ACCRUED INTEREST RECEIVABLE 4424 OTHER A/R 52440 DUE FROM AFFILIATES 1009657 DON 25094 1091615 DUE TO AFFILIATES 565355 565355 X 11131081 4601 4601 11126480 43120 43120 11169600 12128569 4601 4601 12123968 43120 43120 12167088 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 (2014-2016) OR EXPECTED TO BE TAKEN IN THE HOME'S 2017 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, 2017 AND 2016. PART XI, LINE 2D - OTHER ADJUSTMENTS: DIRECT FUNDRAISING EXPENSES PART XI, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS PART XII, LINE 2D - OTHER ADJUSTMENTS: DIRECT FUNDRAISING EXPENSES PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS GOLF TOURNAMENT 15604 15604 200 570 1860 1294 677 0 15604 15604 200 570 1860 1294 677 4601 11003 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 2017. 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 2017. 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 ARE REQUIRED TO DISCLOSE ALL CONFLICTS OF INTEREST ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15B THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS NOT COMPENSATED BY THE ORGANIZATION. THE PROCESS FOR DETERMINING THE COMPENSATION OF ANY KEY EMPLOYEE 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 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 DIOCESAN FACILITIES SELF-INSURED GROUP 55 WALKERS BROOK DRIVE SUITE 402 READING MA 01867 043212416 SELF-INSURED INSURANCE GROUP MA 501(C)(3) 1 N/A 0 1 0 1 0 1 0 0 0 0 0 0 0 1 0 1 1 1 0 1 ROMAN CATHOLIC BISHOP OF FALL RIVER A 9206 ACTUAL INTEREST EARNED CATHOLIC MEMORIAL HOME INC M 18895 COST OF SERVICES PROVIDED CATHOLIC MEMORIAL HOME INC O 18895 COST OF SERVICES PROVIDED MARIAN MANOR INC P 3531 BASED ON ACTUAL AMOUNTS PAID DIOCESAN HEALTH FACILITIES OFFICE P 16637 BASED ON ACTUAL AMOUNTS PAID DIOCESAN HEALTH FACILITIES OFFICE M 297700 COST OF SERVICES PROVIDED ROMAN CATHOLIC BISHOP OF FALL RIVER M 727400 COST OF SERVICES PROVIDED DIOCESAN FACILITIES SELF-INSURANCE GROUP M 204200 COST OF SERVICES PROVIDED SACRED HEART HOME INC P 5051 BASED ON ACTUAL AMOUNTS PAID ROMAN CATHOLIC BISHOP OF FALL RIVER M 1745 COST OF SERVICES PROVIDED MARIAN MANOR INC M 3504 COST OF SERVICES PROVIDED MARIAN MANOR INC O 3504 COST OF SERVICES PROVIDED OUR LADY'S HAVEN INC S 36000 REPAYMENT OF LOAN ROMAN CATHOLIC BISHOP OF FALL RIVER M 58264 COST OF SERVICES PROVIDED CATHOLIC MEMORIAL HOME INC P 36833 BASED ON ACTUAL AMOUNTS PAID ROMAN CATHOLIC BISHOP OF FALL RIVER Q 6 BASED ON ACTUAL AMOUNTS RECEIVED CATHOLIC MEMORIAL HOME INC E 95000 AMOUNT LOANED SACRED HEART HOME INC M 5319 COST OF SERVICES PROVIDED SACRED HEART HOME INC O 5319 COST OF SERVICES PROVIDED SACRED HEART HOME INC S 51000 AMOUNT LOANED OUR LADY'S HAVEN INC P 19120 BASED ON ACTUAL AMOUNTS PAID SACRED HEART HOME INC Q 1425 BASED ON ACTUAL AMOUNTS RECEIVED DIOCESAN FACILITIES SELF-INSURANCE GROUP C 35000 LOSS CONTROL GRANT RECEIVED ROMAN CATHOLIC BISHOP OF FALL RIVER E 168000 AMOUNT LOANED ROMAN CATHOLIC BISHOP OF FALL RIVER E 100000 AMOUNT LOANED