2014-09-03T15:29:35-05:00 2013-12-31 042536173 LIVINGSTON & HAYNES PC 40 GROVE STREET WELLESLEY MA 024827711 990 2013-01-01 042596550 MADONNA MANOR INC MADO 5086798154 85 NORTH WASHINGTON STREET NORTH ATTLEBORO MA 02760 MICHAEL K MCMANUS CLERK 5086751311 2014-08-18 1 SONIA STINGO P00110563 7812373339 2014-08-18 2013 2015-11-30 17:44:51Z GEORGE W COLEMAN 394 HIGHLAND AVENUE FALL RIVER MA 02720 10518591 0 X WWW.DHFO.ORG X 1966 MA PROVIDES SKILLED NURSING & REHABILITATIVE CARE FOR THE FRAIL AND THE ELDERLY. 9 3 224 33 0 0 7825 9934 9970395 10436354 18402 16326 40851 51202 10037473 10513816 0 0 0 0 7251101 7290474 0 0 0 3026298 3175421 10277399 10465895 -239926 47921 3906105 4319602 1291820 1657396 2614285 2662206 TO PROVIDE EXTENDED CARE TO THE CHRONICALLY ILL AND DISABLED, WITH SPECIAL EMPHASIS ON THE CARE OF THE FRAIL ELDERLY. 0 0 9619221 10436354 TO PROVIDE NURSING AND/OR REHABILITATION SERVICES TO THE AGED AND INFIRM FOR 46,261 PATIENT DAYS. 9619221 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 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 18 0 1 224 1 0 0 0 0 0 1 1 0 0 0 0 X 9 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 GEORGE W COLEMAN M + PRESIDENT & TREASURER 1.00 X X 0 0 0 MICHAEL K MCMANUS M + SECRETARY 1.00 X X 0 0 0 GREGORY A MATHIAS M + DIRECTOR 1.00 X 0 0 0 MARC P TREMBLAY M + DIRECTOR 1.00 X 0 0 0 DAVID A COSTA M + DIRECTOR 1.00 X 0 0 0 DAVID MCINTYRE DIRECTOR 1.00 X 0 0 0 PAUL ROCHE DIRECTOR 1.00 X 0 0 0 ELIZABETH POIRIER DIRECTOR 1.00 X 0 0 0 THOMAS L RITA M + DIRECTOR 1.00 X 0 0 0 0 0 0 0 0 0 0 THERAPY RESOURCES MANAGEMENT ONE FATHER DEVALLES BLVD STE 401 FALL RIVER MA 02723 THERAPY SERVICES 482176 DIOCESAN HEALTH FACILITIES 368 NORTH MAIN STREET FALL RIVER MA 02720 MANAGEMENT SERVICES 258913 2 1229 8705 9934 MEDICARE/MEDICAID 623000 7786748 7786748 ROOM & BOARD FEES 623000 2649606 2649606 10436354 16326 16326 15861 1229 4775 11086 11086 OTHER REVENUE 900099 40116 40116 40116 10513816 10436354 0 67528 5976789 5669811 306978 254998 239922 15076 628130 587721 40409 430557 405101 25456 258913 258913 4878 4878 16282 16282 771814 753179 18635 29525 29525 678135 579224 98911 224306 224306 1332 1332 5677 5677 189480 189480 182832 169432 13400 FOOD 387671 387671 USER FEE 214929 214929 BAD DEBT 169537 169537 OTHER 40110 23231 16879 10465895 9619221 846674 0 1854 1854 948864 1097004 760799 886204 39049 45671 51888 42300 4102321 2891902 1230954 1210419 872697 1036150 3906105 4319602 1291820 1657396 1291820 1657396 X 2614285 2662206 2614285 2662206 3906105 4319602 47921 0 X X 0 1 X 1 0 X 8023 8834 8050 7825 9934 42666 10392004 9715563 10007858 9970395 10436354 50522174 10400027 9724397 10015908 9978220 10446288 50564840 0 0 0 50564840 47047 29270 20792 18402 16326 131837 47047 29270 20792 18402 16326 131837 39977 42794 44730 44651 55977 228129 10487051 9796461 10081430 10041273 10518591 50924806 0.99290 0.99270 0.00260 0.00320 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2009 AMOUNT: $ 25,225. 2010 AMOUNT: $ 27,703. 2011 AMOUNT: $ 26,793. 2012 AMOUNT: $ 26,867. 2013 AMOUNT: $ 40,116. FUNDRAISING INCOME - 2009 AMOUNT: $ 14,752. 2010 AMOUNT: $ 15,091. 2011 AMOUNT: $ 17,937. 2012 AMOUNT: $ 17,784. 2013 AMOUNT: $ 15,861. 37500 37500 2868145 2214467 653678 1172657 654952 517705 24019 22483 1536 1210419 ACCRUED INTEREST RECEIVABLE 7929 OTHER A/R 7196 DUE FROM AFFILIATES 993758 DON 25094 WEBSITE COSTS 2173 1036150 X 10349054 4775 4775 10344279 169537 169537 10513816 10301133 4775 4775 10296358 169537 169537 10465895 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 (2010-2012) OR EXPECTED TO BE TAKEN IN THE HOME'S 2013 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 ACCRUED AS OF DECEMBER 31, 2013 AND 2012. 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 17090 1229 15861 620 412 2536 556 651 0 17090 1229 15861 620 412 2536 556 651 4775 11086 FORM 990, PART VI, SECTION A, LINE 2 MOST REVEREND GEORGE W. COLEMAN, REVEREND MICHAEL K. MCMANUS, VERY REVEREND MONSIGNOR GREGORY A. MATHIAS, REVEREND MARC P. TREMBLAY, REVEREND DAVID A. COSTA, REVEREND THOMAS L. RITA 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 2013. 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 2013. FORM 990, PART VI, SECTION B, LINE 11 THE CONTROLLER OF THE MANAGEMENT COMPANY REVIEWS AND APPROVES THE 990. THEN THE SECRETARY ON 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 2C 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 100 QUANNAPOWITT PKWY WAKEFIELD MA 01880 043212416 SELF-INSURED INSURANCE GROUP MA 501(C)(3) 1 N/A 0 1 0 0 1 1 0 0 0 0 0 0 1 1 0 1 1 1 0 1 ROMAN CATHOLIC BISHOP OF FALL RIVER A 15800 ACTUAL INTEREST EARNED SACRED HEART HOME INC M 3356 COST OF SERVICES PROVIDED CATHOLIC MEMORIAL HOME INC M 20405 COST OF SERVICES PROVIDED CATHOLIC MEMORIAL HOME INC O 20405 COST OF SERVICES PROVIDED CATHOLIC MEMORIAL HOME INC P 31920 BASED ON ACTUAL AMOUNTS PAID MARIAN MANOR INC Q 125 BASED ON ACTUAL AMOUNTS RECEIVED OUR LADY'S HAVEN INC Q 79585 BASED ON ACTUAL AMOUNTS PAID DIOCESAN HEALTH FACILITIES OFFICE P 25858 BASED ON ACTUAL AMOUNTS PAID DIOCESAN HEALTH FACILITIES OFFICE M 258900 COST OF SERVICES PROVIDED ROMAN CATHOLIC BISHOP OF FALL RIVER M 658000 COST OF SERVICES PROVIDED DIOCESAN FACILITIES SELF-INSURANCE GROUP M 175800 COST OF SERVICES PROVIDED SACRED HEART HOME INC P 1636 BASED ON ACTUAL AMOUNTS PAID SACRED HEART HOME INC Q 2 BASED ON ACTUAL AMOUNTS RECEIVED ROMAN CATHOLIC BISHOP OF FALL RIVER M 255000 COST OF SERVICES PROVIDED SACRED HEART HOME INC O 3356 COST OF SERVICES PROVIDED ROMAN CATHOLIC BISHOP OF FALL RIVER E 197810 AMOUNT LOANED DIOCESAN HEALTH FACILITIES OFFICE O 2019 COST OF SERVICES PROVIDED DIOCESAN HEALTH FACILITIES OFFICE M 2019 COST OF SERVICES PROVIDED DIOCESAN HEALTH FACILITIES OFFICE S 25000 REPAYMENT OF LOAN MARIAN MANOR INC M 3727 COST OF SERVICES PROVIDED MARIAN MANOR INC O 3727 COST OF SERVICES PROVIDED OUR LADY'S HAVEN INC D 195000 AMOUNT LOANED SACRED HEART HOME INC D 135000 AMOUNT LOANED DIOCESAN HEALTH FACILITIES OFFICE D 118000 AMOUNT LOANED MARIAN MANOR INC P 1326 BASED ON ACTUAL AMOUNTS PAID OUR LADY'S HAVEN INC P 43000 BASED ON ACTUAL AMOUNTS PAID OUR LADY'S HAVEN INC L 63 COST OF SERVICES PROVIDED OUR LADY'S HAVEN INC O 63 COST OF SERVICES PROVIDED SACRED HEART HOME INC S 215000 REPAYMENT OF LOAN OUR LADY'S HAVEN INC S 35000 REPAYMENT OF LOAN