2016-08-11T13:27:41-05:00 2015-09-30 060903326 WHITTLESEY & HADLEY PC 280 TRUMBULL ST 24TH FL HARTFORD CT 06103 990 2014-10-01 060907212 MONSIGNOR BOJNOWSKI MANOR INC MONS 8602290336 50 PULASKI STREET NEW BRITAIN CT 06053 CAROL ANNE SALVIETTI ADMINISTRATOR 8602290336 2016-07-01 1 EDWARD S JASON P00634355 8605223111 2014 2016-09-27 15:27:22Z CAROL ANNE SALVIETTI 50 PULASKI STREET NEW BRITAIN CT 06053 6778864 0 X N/A X 1975 CT THE PROVIDING OF ROOM, BOARD AND CARE FOR ALL RESIDENTS OF THE FACILITY WHICH CARES FOR THE GENERAL PUBLIC IN CONNECTION WITH THE MISSION OF THE DAUGHTERS OF THE IMMACULATE CONCEPTION AND THE ROMAN CATHOLIC CHURCH. 11 10 125 0 0 0 25347 5421 6357250 6759449 1386 1319 6623 10926 6390606 6777115 0 0 0 0 4472579 4598315 0 0 0 2135583 2210787 6608162 6809102 -217556 -31987 2147076 1987361 2753494 2625766 -606418 -638405 THE PROVIDING OF ROOM, BOARD AND CARE FOR ALL RESIDENTS OF THE FACILITY WHICH CARES FOR THE GENERAL PUBLIC IN CONNECTION WITH THE MISSION OF THE DAUGHTERS OF THE IMMACULATE CONCEPTION AND THE ROMAN CATHOLIC CHURCH. 0 0 6119228 6759449 SIXTY BED SKILLED NURSING FACILITY FOR THE AGED PROVIDED 20,115 DAYS OF CARE TO THE GENERAL PUBLIC FURTHERING THE MISSION OF THE DAUGHTERS OF MARY OF THE IMMACULATE CONCEPTION AND THE ROMAN CATHOLIC CHURCH. 6119228 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 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 4 0 1 125 1 0 0 0 0 0 0 0 0 0 0 X 11 10 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 0 0 X CAROL ANNE SALVIETTI 8602290336 50 PULASKI STREET NEW BRITAIN CT 06053 SISTER MARY MARK PIZZOTTI DM DIRECTOR 1.00 X 0 0 0 SISTER MARY CATHERINE SIROTNAK DM SECRETARY/TREASURER 40.00 X X 68149 0 9336 LEONARD GIZA CHAIRPERSON 1.00 X X 0 0 0 ROBERT STORY DIRECTOR 1.00 X 0 0 0 JADWIGA PANUS DIRECTOR 1.00 X 0 0 0 DORIS RUDNICKI DIRECTOR 1.00 X 0 0 0 STANISLAW JANKOWSKI DIRECTOR 1.00 X 0 0 0 MSGR DANIEL PLOCHARCZYK DIRECTOR 1.00 X 0 0 0 CAROL ANNE SALVIETTI ADMINISTRATOR 40.00 X X 99638 0 24680 CLAIRS PIETRAS DIRECTOR 1.00 X 0 0 0 SHIELA AMARAL DIRECTOR 1.00 X 0 0 0 167787 0 34016 0 0 0 0 GENESIS HEALTH VENTURES PO BOX 7247-6524 PHILADELPHIA PA 19170 THERAPY 479087 1 5421 5421 MEDICARE/MEDICAID PAYM 623110 5680057 5680057 PATIENT REVENUE 623110 1079392 1079392 6759449 1319 1319 12675 1749 10926 10926 6777115 6759449 0 12245 166929 166929 3158050 3074249 83801 8845 8205 640 1022141 948234 73907 242350 224827 17523 1136 1136 23000 23000 20097 20097 99371 99371 34488 34488 298216 268394 29822 8043 7239 804 7162 7162 131194 131194 121472 121472 48156 48156 THERAPY AND MEDICAL 954204 954204 PROVIDER TAX 295688 295688 FOOD 144230 144230 24330 24330 6809102 6119228 689874 0 690490 730993 44714 44714 536141 363051 16715 24774 11532 14085 5723496 4913752 847484 809744 2147076 1987361 418488 370650 3259 3259 2331747 2251857 2753494 2625766 X -606418 -638405 -606418 -638405 2147076 1987361 -31987 0 X 0 1 X 1 0 X 11841 13450 6080 25347 16347 73065 6558627 6175656 5963840 6357250 6708955 31764328 6570468 6189106 5969920 6382597 6725302 31837393 0 0 0 31837393 2067 514 1552 1386 1319 6838 2067 514 1552 1386 1319 6838 6572535 6189620 5971472 6383983 6726621 31844231 0.99980 0.99970 0.00020 0.00030 X 5723496 4913752 809744 809744 LOAN DUE TO THE DAUGHTERS OF MARY OF THE IMMACULATE CONCEPTION 82462 NOTES PAYABLE TO THE DAUGHTERS OF MARY OF THE IMMACULATE CONCEPTION 2144883 RESIDENT FUNDS 24512 2251857 6777115 0 6777115 0 6777115 6809102 0 6809102 0 6809102 FORM 990, PART VI, SECTION B, LINE 11 THE ADMININSTRATOR OF THE MANOR WILL REVIEW THE 990 AND APPROVE THE FORM TO BE FILED. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS MONITORS AND REVIEWS RELATIONSHIPS ANNUALLY AND ANY CONFLICTS ARE BROGHT TO THE ATTENTION OF THE BOARD. THE BOARD WILL REVIEW THE CONFLICTS TO DETERMINE THEIR AFFECTS ON THE MANOR. FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION FOR THE ADMINISTRATOR WILL BE BASED ON A FAIR MARKET RATE. THIS WILL BE ACCOMPLISHED BY COMPARING COMPENSATION PACKAGES OF SIMILIAR SIZE HEALTH CARE FACILITIES BY GATHERING COMPENSATION DATA FROM ONLINE RESOURCES AND TRADE ASSOCIATIONS. ADDITIONALLY, THE EXPERIENCE OF THE CANDIDATE IS CONSIDERED AS PART OF THE COMPENSATION DETERMINATION. THE COMPENSATION PACKAGE WILL BE REVIEWED BY THE BOARD OF DIRECTORS AND APPROVED BY THE PRESIDENT OF THE DAUGHTERS OF MARY OF THE IMMACULATE CONCEPTION, INC. FORM 990, PART VI, SECTION C, LINE 18 DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. THE DAUGHTERS OF MARY OF THE IMMACULATE CONCEPTION 314 OSGOOD AVE NEW BRITAIN CT 06053 060995128 CHURCH CT 501(C)(3) LINE 1 N/A 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 THE DAUGHTERS OF MARY OF THE IMMACULATE CONCEPTION E 2227345 HISTORICAL COST