2014-08-11T12:02:41-05:00 2013-12-31 020383073 WILLIAM STEELE & ASSOCIATES PC 40 STARK STREET MANCHESTER NH 03101 990 2013-01-01 042565937 ST JOSEPH MANOR HEALTH CARE INC STJO 5085835834 215 THATCHER STREET BROCKTON MA 023023949 CHRISTOPHER KENNEY CEO 5085835834 2014-08-06 1 WILLIAM G STEELE JR CPA P00233103 6036228881 2013 2015-11-30 17:44:51Z CHRISTOPHER KENNEY 215 THATCHER STREET BROCKTON MA 023023949 12054682 0 X SJMBROCKTON.ORG X 1975 MA OUR CATHOLIC MINISTRY OF COMPASSIONATE OF HEALTH CARE PROVIDES PERSON-CENTERED SERVICES OF ALL FAITHS IN OUR HOME AND WITHIN OUR COMMUNITY. 12 12 292 16 0 0 30365 65614 11577159 11935056 37355 24966 3382 19761 11648261 12045397 0 0 0 0 7064100 7129920 0 0 0 4308575 4675898 11372675 11805818 275586 239579 5113658 7846954 955346 3289774 4158312 4557180 OUR CATHOLIC MINISTRY OF COMPASSIONATE HEALTH CARE PROVIDES PERSON-CENTERED SERVICES TO PEOPLE OF ALL FAITHS IN OUR HOME AND WITHIN OUR COMMUNITY. 0 0 11624150 11964102 ST. JOSEPH MANOR PROVIDED 38,724 DAYS OF SKILLED NURSING CARE TO PATIENTS FROM ALL ECONOMIC, RELIGIOUS AND ETHNIC GROUPS DURING 2013. OF THESE, A TOTAL OF 28,198 DAYS WERE PROVIDED TO MEDICAID RECIPIENTS. 11624150 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 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 21 0 1 292 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X X CHRISTOPHER J KENNEY 5085835834 215 THATCHER STREET BROCKTON MA 02302 SR MARY VALLIERE TRUSTEE - CLASS A MEMBER 1.00 X 0 0 0 DAVID KELLIHER CHAIR 1.00 X X 0 0 0 SR RUTH DAUGINIKAS TRUSTEE - CLASS A MEMBER 1.00 X 0 0 0 PAUL ARENBURG TRUSTEE 1.00 X 0 0 0 ANNA WILLIAMS COTE TRUSTEE 1.00 X 0 0 0 JOHN DRUSINSKAS TRUSTEE 1.00 X 0 0 0 PEG FEODOROFF TRUSTEE 1.00 X 0 0 0 AISHA BONNY VICE CHAIR PERSON 1.00 X X 0 0 0 VANESSA TIERNEY TRUSTEE 1.00 X 0 0 0 CHARLES ALTIERI TREASURER 1.00 X X 0 0 0 CLAIRE WHEELER TRUSTEE 1.00 X 0 0 0 REV RICHARD CROWLEY TRUSTEE 1.00 X 0 0 0 CHRISTOPHER KENNEY CEO/ADMINISTRATOR 40.00 X 124587 0 20129 124587 0 20129 1 0 0 0 REHABCARE GROUP INC 7733 FORSYTH BOULEVARD ST LOUIS MO 63105 REHAB SERVICES 817520 COVENANT HEALTH SYSTEMS 100 AMES POND DRIVE TEWKSBURY MA 01876 MANAGEMENT/CONSULT 350184 2 23500 42114 65614 PROGRAM SERVICE REVENU 623000 11935056 11935056 11935056 24966 24966 0 23500 9285 -9285 -9285 MISCELLANEOUS INCOME 623000 29046 29046 29046 12045397 11964102 0 15681 114406 114406 5929635 5929635 21046 21046 611870 611870 452963 452963 136608 136608 9763 9763 33297 33297 2000 2000 22233 22233 81712 81712 147190 147190 451107 451107 6904 6904 8887 8887 20875 20875 345902 345902 177484 177484 PURCHASED SERVICES 1427717 1427717 SUPPLIES AND MATERIALS 1120358 1120358 MEDICAID USER FEE 612869 612869 BAD DEBTS 70992 70992 11805818 11624150 181668 0 814413 340400 1032251 1421218 10650 0 30943 57787 8205163 3712859 1887227 4492304 1302508 1510045 35666 25200 5113658 7846954 930212 811602 2434265 25134 43907 955346 3289774 X 4113223 4541180 45089 16000 4158312 4557180 5113658 7846954 X 239579 188378 -29089 X 0 1 X 1 0 X 8963 13963 8349 16970 42114 90359 10283451 11232303 10822275 11590554 11958556 55887139 10292414 11246266 10830624 11607524 12000670 55977498 0 0 0 55977498 37355 24966 62321 37355 24966 62321 3382 29046 32428 10292414 11246266 10830624 11648261 12054682 56072247 0.99830 0.99930 0.00110 0.00070 X 45089 30935 60024 16000 19848 27418 2177 45089 16912 5617 2681 19848 11919 15600 10607 16912 1.00000 0 0 259590 259590 2661085 1828440 832645 5284488 1884419 3400069 4492304 RESIDENT FUNDS LIABILITY 13453 ALL OTHER LIABILITIES 3475 PROFESSIONAL LOSS RESERVES 26979 43907 X PART X, LINE 2: INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS IS THE FOLLOWING "TAX EXEMPT ORGANIZATIONS COULD BE REQUIRED TO RECORD AN OBLIGATION FOR INCOME TAXES AS THE RESULT OF A TAX POSITION THEY HAVE HISTORICALLY TAKEN ON VARIOUS TAX EXPOSURE ITEMS INCLUDING UNRELATED BUSINESS INCOME OR TAX STATUS. THE SYSTEM HAS EVALUATED THE POSITIONS TAKEN ON ITS FILED TAX RETURNS, AND HAS CONCLUDED NO UNCERTAIN INCOME TAX POSITIONS EXIST AT DECEMBER 31, 2013." BOWL-A-THON 4500 4500 1329 GOLF OUTING 19000 19000 1800 6156 23500 23500 1800 7485 9285 -9285 FORM 990, PART VI, SECTION A, LINE 6 ST. JOSEPH MANOR IS RELATED TO THE POOR SISTERS OF JESUS CRUCIFIED AND THE SORROWFUL MOTHER, INC. WHO IS A CLASS A MEMBER. FORM 990, PART VI, SECTION A, LINE 7A ST. JOSEPH MANOR IS RELATED TO THE POOR SISTERS OF JESUS CRUCIFIED AND THE SORROWFUL MOTHER, INC. WHO IS A CLASS A MEMBER. FORM 990, PART VI, SECTION A, LINE 7B ST. JOSEPH MANOR IS RELATED TO THE POOR SISTERS OF JESUS CRUCIFIED AND THE SORROWFUL MOTHER, INC. WHO IS A CLASS A MEMBER. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED IN DETAIL BY THE GOVERNING BODY PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A FULL-TIME DESIGNATED ORGANIZATIONAL INTEGRITY OFFICER THAT MONITORS OPERATIONS TO DETECT AND/OR RESOLVE CONFLICT OF INTEREST ISSUES. FORM 990, PART VI, SECTION B, LINE 15 EVERY TWO TO THREE YEARS THE COMPENSATION COMMITTEE OF THE COVENANT HEALTH SYSTEMS BOARD OF DIRECTORS ENGAGES AN EXTERNAL CONSULTANT TO PROVIDE COMPETITIVE MARKET DATA FROM VARIOUS SURVEY SOURCES, WHICH IS USED TO DEVELOP RECOMMENDATIONS FOR CHANGES TO THE COMPENSATION PROGRAM. SINCE 2003 THE COMPENSATION COMMITTEE HAS ENGAGED MERCER HUMAN RESOURCES CONSULTING TO CONDUCT THIS ANALYSIS. THE SPECIFIC OBJECTIVES OF THE ANALYSIS ARE TO ASSESS THE COMPETITIVENESS OF THE CURRENT TOTAL CASH COMPENSATION LEVELS FOR THE SENIOR LEADERSHIP TEAM; DEVELOP MARKET COMPETITIVE SALARY RANGES FOR ALL EXECUTIVE POSITIONS AND ENSURE THAT THE ANNUAL INCENTIVE OPPORTUNITIES, IF ANY, ARE COMPETITIVE AND REASONABLE. FORM 990, PART VI, SECTION C, LINE 18 THE FORM 990 IS POSTED ON COVENANT HEALTH SYSTEMS'WEBSITE. IT IS ALSO AVAILABLE AT THE FACILITY UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 ST. JOSEPH MANOR MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: DECREASE IN TEMPORARILY RESTRICTED NET ASSETS -29,089. COVENANT HEALTH SYSTEMS 100 AMES POND DRIVE TEWKSBURY MA 01876 222484505 MANAGEMENT MA 501 (C) 509 (A) 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 0 0 COVENANT HEALTH SYSTEMS M 190808 COST