2014-08-13T06:19:24-05:00 2013-09-30 061009205 BLUM SHAPIRO & COMPANY PC CPA'S 29 S MAIN STREET PO BOX 272000 WEST HARTFORD CT 061272000 990 2012-10-01 061241982 SAINT JOSEPH'S LIVING CENTER INC SAIN 8604561107 14 CLUB ROAD WINDHAM CT 06280 GERALYN HINES-IVERSON 8604561107 2014-08-12 1 ELIZABETH SOLECKI P00235171 8605614000 2012 2015-11-30 17:44:51Z GERALYN HINES-IVERSON 14 CLUB ROAD WINDHAM CT 06280 12057045 0 X N/A X 1987 CT LONG-TERM SKILLED NURSING CARE AND REHABILITATION SERVICES. 13 12 259 85 0 0 24964 20228 11483987 12027034 5474 4869 5178 4502 11519603 12056633 0 0 0 0 8378604 8464800 0 0 0 3020699 3785005 11399303 12249805 120300 -193172 11857620 10180293 7583170 6949035 4274450 3231258 SAINT JOSEPH'S LIVING CENTER WAS ORGANIZED FOR THE PURPOSE OF PROVIDING LONG-TERM SKILLED NURSING CARE AND REHABILITATION SERVICES TO ITS RESIDENTS AND PATIENTS. 0 0 10208929 12027034 THE ORGANIZATION PROVIDED LONG-TERM SKILLED NURSING CARE AND REHABILITATION SERVICE TO 337 RESIDENTS AND PATIENTS DURING THE YEAR ENDED SEPTEMBER 30, 2013. 10208929 1 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 28 0 1 259 1 0 0 0 0 0 0 0 0 0 0 X 13 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X JOY GILL 8604561107 14 CLUB ROAD WINDHAM CT 06280 REV LAURENCE AM LAPOINTE 3.00 0.00 X X 0 0 0 SR M JACINTA ANDERSON RN 0.50 0.00 X 0 0 0 BRUCE DOUGHERTY DDS 0.50 0.00 X 0 0 0 MR MARK DOYLE 0.50 0.00 X 0 0 0 MR DONALD DUBIEL 2.00 0.00 X X 0 0 0 MR JAMES DUFFY 0.50 0.00 X 0 0 0 MS LORRAINE BROWN GALLUP 0.50 0.00 X 0 0 0 MR THEODORE HINTZ SR 2.00 0.00 X X 0 0 0 MS SUSAN LESTER HUMES 0.50 0.00 X 0 0 0 MR TIMOTHY KILLEEN 2.00 0.00 X X 0 0 0 DR EDWARD SAWICKI 0.50 0.00 X 0 0 0 MRS CLAIRE SHEA 0.50 0.00 X 0 0 0 MRS ANNE TUCKER 0.50 0.00 X 0 0 0 GERALYN HINES-IVERSON 40.00 0.00 X 144063 0 15425 JOY M GILL 40.00 0.00 X 127521 0 4910 PATRICIA DUFFY 40.00 0.00 X 108921 0 29099 PAULA M HANEY 40.00 0.00 X 116471 0 14622 496976 0 64056 4 0 1 0 0 20228 20228 MEDICARE/MEDICAID PAYMENTS 623000 9079191 9079191 PATIENT SERVICE FEES 623000 2947843 2947843 12027034 4869 4869 1871 412 1459 1459 MISCELLANEOUS REVENUE 900099 3043 3043 3043 12056633 12027034 0 9371 290927 289253 1674 140812 138416 2396 6006995 5480891 526104 144470 132574 11896 1380840 1267139 113701 500756 459523 41233 11759 11759 37425 37425 45244 45244 22157 22157 696252 587838 108414 98422 90318 8104 10660 10660 298153 273603 24550 518840 476118 42722 184218 184218 PROVIDER TAX 684510 684510 CONTRACTED SERVICES 487678 487678 FOOD 325929 325929 EQUIPMENT RENTAL & MAIN 217563 199649 17914 146195 146195 12249805 10208929 2040876 0 1532674 3076846 235347 213897 1222962 1145120 68937 68877 67569 68520 13219010 8963282 4643293 4255728 3900758 1131064 186080 220241 11857620 10180293 1382727 1784345 35227 23933 6102837 5000000 62379 140757 7583170 6949035 X 4222647 3171771 51803 59487 4274450 3231258 11857620 10180293 X -193172 -90535 -525238 -234247 X 0 1 X 1 0 X 31772 31530 24458 24964 20228 132952 11154657 11490202 11718897 11483987 12027034 57874777 11186429 11521732 11743355 11508951 12047262 58007729 0 0 0 58007729 28236 18263 7739 5474 4869 64581 28236 18263 7739 5474 4869 64581 46179 65136 102868 5178 4502 223863 11260844 11605131 11853962 11519603 12056633 58296173 0.99510 0.99240 0.00110 0.00320 X 51803 16585 8901 59487 45663 19622 13482 51803 41912 17911 14160 45663 31400 18795 8283 41912 19251 32753 20604 31400 0.00000 0.00000 1.00000 0 0 1220000 1220000 9760763 7213693 2547070 2238247 1749589 488658 4255728 CAPITAL LEASE PAYABLE 50222 INTEREST RATE SWAP OBLIGATION 90535 140757 11597380 -459665 -459665 12057045 -412 -412 12056633 12115334 412 412 12114922 134883 134883 12249805 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE TERM ENDOWMENT FUNDS ARE COMPRISED OF DONATIONS THAT HAVE DONOR IMPOSED DESIGNATIONS ON THEIR INTENDED USE FROM THE DONOR. THESE DESIGNATIONS ARE COMPRISED OF HOSPICE SUITE DONATIONS, CHAPEL SERVICES, RECREATIONAL PROGRAMS AND COURTYARD UPKEEP. PART XI, LINE 2D - OTHER ADJUSTMENTS: LOSS ON DEBT REFINANCING -234,247. BAD DEBT RECOVERY -134,883. LOSS ON INTEREST RATE SWAP -90,535. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE -412. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE 412. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT RECOVERY 134,883. X X 0 0 0 0 0 0 0 0 0 GERALYN HINES-IVERSON 144063 0 0 0 0 0 4892 0 10533 0 159488 0 0 0 A CONNECTICUT HEALTH AND EDUCATIONAL FACILITIES AUTHORITY 060806186 2013-09-20 5000000 REFINANCE 1994 BONDS AND CAPITAL IMPROVEMENTS 0 0 0 A 5000000 3768936 100000 1131064 1 0 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 0 1 1 1 FIRST NIAGARA BANK 10.000000000000 1 0 0 0 0 A 0 SCHEDULE K PART IV, ARBITRAGE, LINE 2C DATE REBATE COMPUTATION PERFORMED ISSUER NAME: CONNECTICUT HEALTH AND EDUCATIONAL FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 05/30/2014 PART III LINE 9, PART IV LINE 7 & PART V: WRITTEN PROCEDURES - THE ORGANIZATION IS CURRENTLY IN THE PROCESS OF ESTABLISHING WRITTEN PROCEDURES REGARDING POST-ISSUANCE COMPLIANCE OF THE TAX-EXEMPT BONDS. IT IS EXPECTED THAT THE WRITTEN PROCEDURES WILL BE IN PLACE BY SEPTEMBER 1, 2014. PATRICIA DUFFY SPOUSE OF BOARD MEMBER 108921 EMPLOYMENT 0 FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE ADMINISTRATOR AND THE CHIEF FINANCIAL OFFICER PRIOR TO REVIEW BY THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 12C ANNUAL CONFLICTS OF INTEREST STATEMENTS ARE REVIEWED BY THE ADMINISTRATIVE ASSISTANT AND THE ADMINISTRATOR. NONCOMPLIANCE ISSUES ARE REFERRED TO THE CHAIRMAN OF THE BOARD BY THE ADMINISTRATOR. FORM 990, PART VI, SECTION B, LINE 15A AN EVALUATION OF THE ADMINISTRATOR IS CONDUCTED BY THE EXECUTIVE COMMITTEE, WHICH IS COMPRISED OF MEMBERS INDEPENDENT OF THE ORGANIZATION. COMPARABLE COMPENSATION DATA IS UTILIZED FROM THE LEADING AGE ANNUAL SALARY SURVEY. COMPENSATION DECISIONS VOTED ON BY THE EXECUTIVE COMMITTEE ARE MADE BASED ON THE OUTCOME OF THIS PROCESS, AS WELL AS FACILITY FINANCIAL PERFORMANCE. THE DELIBERATION AND DECISION PROCESS IS DOCUMENTED. FORM 990, PART VI, SECTION C, LINE 19 ANY INQUIRIES REGARDING GOVERNING DOCUMENTS WILL BE REFERRED TO THE ADMINISTRATOR AND MADE AVAILABLE UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: LOSS ON DEBT REFINANCING -234,247. NORWICH ROMAN CATHOLIC DIOCESAN CORP 213 BROADWAY NORWICH CT 06360 CHURCH SVCS CT 501(C)3 1 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0