2016-08-22T14:37:13-05:00 2015-12-31 410746749 CLIFTONLARSONALLEN LLP 300 CROWN COLONY DRIVE SUITE 310 QUINCY MA 02169 990 2015-01-01 042066524 SANCTA MARIA HOSPITAL INC SANC 6178682200 799 CONCORD AVENUE CAMBRIDGE MA 02138 MARY JANE NOTTONSON ADMINISTRATOR 6178682200 2016-08-11 1 JUDY DALEY P01294075 6179848100 2016-08-04 2015 2016-12-15 16:53:06Z SANCTA MARIA NURSING FACILITY MARY JANE NOTTONSON 799 CONCORD AVENUE CAMBRIDGE MA 02138 13010926 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 9 245 9 -108500 -108500 1119777 22670 12178281 10791334 151687 127403 421327 790436 13871072 11731843 0 0 0 0 8748049 8571040 0 0 0 4376331 4795496 13124380 13366536 746692 -1634693 10069594 8403630 2120028 2074149 7949566 6329481 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 11302841 11088472 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 HAD 40,361 PATIENT/RESIDENT DAYS OF CARE PROVIDED FOR THE YEAR ENDED DECEMBER 31, 2015. 11302841 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 15 0 1 245 1 1 1 0 0 0 0 0 0 0 0 0 X 10 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 1 1 0 MA X MARY JANE NOTTONSON 6178682200 799 CONCORD AVENUE CAMBRIDGE MA 02138 JOHN O'NEILL CHAIRMAN 1.00 0.00 X 0 0 0 NORMAN MCIVER VICE CHAIRMAN 1.00 0.00 X 0 0 0 ROY PUBLICOVER PAST CHAIR 1.00 0.00 X 0 0 0 SHEILA HICKEY CLERK 1.00 0.00 X 0 0 0 JAMES HAWKINS DIRECTOR 1.00 0.00 X 0 0 0 JOSEPH BARRELL DIRECTOR 1.00 0.00 X 0 0 0 JOSEPH CONNARTON DIRECTOR 1.00 0.00 X 0 0 0 MICHAEL GULESERIAN DIRECTOR 1.00 0.00 X 0 0 0 JAMES F FERREIRA DIRECTOR 1.00 0.00 X 0 0 0 SISTER LUCILLE BANACH DIRECTOR 30.00 0.00 X X 58288 0 0 MARY JANE NOTTONSON ADMINISTRATOR 40.00 0.00 X X 138670 0 11757 MARILOU LAGMAN DIRECTOR OF NURSING 40.00 0.00 X X 127458 0 11757 324416 0 23514 2 0 1 0 PARAGON REHABILITATION 485 FRANKLIN STREET FRAMINGHAM MA 01702 RESTORATIVE THERAPY SERVICE 582845 US FOOD SERVICES PO BOX 3155 BOSTON MA 02241 FOOD SUPPLIER FOR NURSING HOME DIETARY S 320896 PHARMERICA PO BOX 409251 ATLANTA GA 30384 PHARMACY SERVICES 284795 MCKESSON MEDICAL SUPPLY PO BOX 630693 CINCINNATI OH 45263 CENTRAL SUPPLIES FOR NURSING HOME 277477 BELMONT LANDSCAPING 540 HILLSIDE AVENUE NEEDHAM MA 02494 SNOW PLOWING AND LANDSCAPING SERVICES 100747 5 22670 22670 NET PATIENT SERVICE REVENUE 623000 10791334 10791334 10791334 71425 71425 881291 387993 493298 493298 -108500 601798 947068 891090 55978 55978 55978 THIRD PARTY SETTLEMENT REVENUE 623000 279650 279650 OTHER INCOME 623000 17488 17488 297138 11731843 11088472 -108500 729201 347930 347930 6619115 6256054 363061 1060781 990055 70726 543214 543214 47054 47054 160175 160175 30000 30000 96812 96812 8294 8294 66166 200 65966 100895 636 100259 619864 619864 5680 3579 2101 27774 27774 736300 736300 79894 79894 PROGRAM EXPENSES 1600318 1600318 USER FEE 662594 662594 BAD DEBT EXPENSES 189083 189083 SUPPLIES AND EXPENSES 144858 144858 219735 94094 125641 13366536 11302841 2063695 0 1321862 883201 24631 53503 1475839 1389208 2975 31421 19180 111241 29448 20013730 16930120 3716660 3083610 3384965 2945480 10069594 8403630 1038587 1096968 1081441 977181 2120028 2074149 X 7890555 6293889 35541 12122 23470 23470 7949566 6329481 10069594 8403630 -1634693 14608 0 X 0 1 X 1 0 X 6405 10085 12883 1119777 22670 1171820 15194362 14234443 13571275 12188962 11088472 66277514 15200767 14244528 13584158 13308739 11111142 67449334 0 0 0 67449334 734823 725116 700327 879415 881291 3920972 734823 725116 700327 879415 881291 3920972 -108500 -108500 15935590 14969644 14284485 14188154 11883933 71261806 0.94650 0.05500 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 35081 511 35592 35081 35081 35081 35081 35047 34 35081 35014 33 35047 0.00000 0.65940 0.34060 0 0 322500 322500 9899912 8791897 1108015 9192883 7647278 1545605 598435 490945 107490 3083610 ESTIMATED THIRD PARTY PAYER SETTLEMENTS 480055 SECURITY DEPOSIT LIABILITY 6450 ASSET RETIREMENT OBLIGATION 490676 977181 X 12119836 0 12119836 -387993 -387993 11731843 13754529 387993 387993 13366536 0 13366536 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 FINANCIAL STATEMENTS DO NOT INCLUDE A PROVISION FOR INCOME TAXES BECAUSE THE PROJECT HAS BEEN GRANTED EXEMPT STATUS RELATIVE TO FEDERAL AND STATE CORPORATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND APPLICABLE STATE CODES. THE PROJECT'S 2012 THROUGH 2015 TAX YEARS ARE OPEN FOR EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES. PART XI, LINE 4B - OTHER ADJUSTMENTS: RECLASS OF THE RENTAL EXPENSES -387,993. PART XII, LINE 2D - OTHER ADJUSTMENTS: RECLASS OF THE RENTAL EXPENSES 387,993. X 0 0 0 0 0 0 0 0 0 MARY JANE NOTTONSON ADMINISTRATOR 138670 0 0 0 0 0 0 0 11757 0 150427 0 0 0 PART I, LINE 3 THE BOARD CHAIRMAN ANNUALLY REVIEWS THE COMPENSATION OF THE ADMINISTRATOR BASED ON PERFORMANCE. THE MEMBERS OF THE BOARD REVIEW AND APPROVE THE ANNUAL BUDGET WHICH INCLUDES THE ADMINISTRATOR'S COMPENSATION. JOSEPH BARRELL JR BOARD MEMBER & PRESIDENT OF ARRELL CORPORATION 13517 THE ORGANIZATION PURCHASED SERVICES FROM THE ARRELL CORPORATION FOR THE YEAR ENDED DECEMBER 31, 2015. 0 FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION PROVIDES A COPY OF THE 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 HER PERFORMANCE, AND THE MEMBERS OF THE BOARD REVIEW 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.