2014-11-07T14:46:40-06:00 2013-12-31 410746749 CLIFTONLARSONALLEN LLP 300 CROWN COLONY DRIVE SUITE 310 QUINCY MA 02169 990 2013-01-01 043108782 NOTRE DAME HEALTH CARE CENTER INC NOTR 5088523011 559 PLANTATION STREET WORCESTER MA 01605 SR EDIE DALY SND PRESIDENT 5088523011 2014-10-06 1 ROBERT DILLAN P01688008 6179848100 2014-10-06 2013 2015-11-30 17:44:51Z NOTRE DAME LONG TERM CARE CENTER NOTRE DAME DU LAC NOTRE DAME HOSPICE KATHERINE LEMAY 559 PLANTATION STREET WORCESTER MA 01605 24915502 0 X NOTREDAMELTCC.ORG X 1990 MA NOTRE DAME HEALTH CARE CENTER, ROOTED IN THE HERITAGE OF SAINT JULIE BILLIART AND SPONSORED BY THE SISTERS OF NOTRE DAME DE NAMUR, IS DEDICATED TO THE HEALING MINISTRY PROCLAIMED IN THE GOSPEL AND BY THE CATHOLIC CHURCH. -WE DEMONSTRATE CONCERN FOR THE WHOLE PERSON IN CARING FOR THE SPIRITUAL, SOCIAL, PHYSICAL AND PSYCHOLOGICAL WELL-BEING OF OUR RESIDENTS, THEIR FAMILIES AND THE COMMUNITY WE SERVE. -WE HONOR THE PERSONAL DIGNITY OF ALL INDIVIDUALS WITH COMPASSION AND WITHOUT DISTINCTION OF GENDER, AGE, ETHNICITY, SEXUAL ORIENTATION, RACE OR CREED. WE STRIVE TO CREATE A WORK ENVIRONMENT WHERE EACH PERSON IS VALUED, RESPECTED AND GIVEN AN OPPORTUNITY FOR PERSONAL, EDUCATIONAL AND PROFESSIONAL GROWTH. -WE USE OUR RESOURCES WITH A PARTICULAR CONCERN FOR THE ELDERLY, THE POOR AND THE VULNERABLE. -WE MAKE KNOWN GOD'S GOODNESS TO THE ENTIRE NDHCC COMMUNITY. 15 15 432 50 0 0 91216 150682 20294741 20831455 427974 521422 63241 30844 20877172 21534403 0 0 0 0 12532173 13237127 0 0 80986 7204753 7446629 19736926 20683756 1140246 850647 37102716 38178929 21898031 20114564 15204685 18064365 X NOTRE DAME HEALTH CARE CENTER, ROOTED IN THE HERITAGE OF SAINT JULIE BILLIART AND SPONSORED BY THE SISTERS OF NOTRE DAME DE NAMUR, IS DEDICATED TO THE HEALING MINISTRY PROCLAIMED IN THE GOSPEL AND BY THE CATHOLIC CHURCH. 1 0 18663966 20954234 PROVIDE SKILLED NURSING HOME CARE TO THE ELDERLY AND DISABLED 148649 147960 PROVIDES HOME CARE TO SICK AND DISABLED YOUNG KIDS. 18812615 1 1 0 1 0 0 1 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 19 0 432 1 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X SR ELIZABETH MCLAUGHLIN SND TREASURER 5088523011 559 PLANTATION ST WORCESTER MA 01605 SR BARBARA-JEAN KUBIK SND DIRECTOR 1.00 X 0 0 0 SR EDIE DALY SND DIRECTOR/PRESIDENT 1.00 X X 0 0 0 SR ELIZABETH MCLAUGHLIN SND DIRECTOR/TREASURER 1.00 X X 0 0 0 SR MARGARET MCCARTHY - SND DIRECTOR 1.00 X 0 0 0 MS KATHLEEN O'CONNOR DIRECTOR 1.00 X 0 0 0 MS KATHLEEN FISHER DIRECTOR 1.00 X 0 0 0 MS MARGARET COFFIN EX-OFFICIO/EXECUTIVE DIREC 40.00 X X 89203 0 11398 MS KATHERINE LEMAY EX-OFFICIO/CEO/ADMINSTRATO 40.00 X X 157779 0 11121 ROBERT LIAN DIRECTOR 1.00 X 0 0 0 SR ANDREA WALSH SND DIRECTOR/CLERK 1.00 X X 0 0 0 SR ELLEN AGRITELLEY SND DIRECTOR/CHAIRMAN 1.00 X X 0 0 0 MS KAREN COONEY DIRECTOR/DIRECTOR OF HOSPI 40.00 X 142776 0 6498 VIRGINA RYAN DIRECTOR 1.00 X 0 0 0 SR FRANCIS ELLEN ULRICH SND DIRECTOR 1.00 X 0 0 0 SUSANNE STAUFFER DIRECTOR 1.00 X 0 0 0 PATRICIA CAMPBELL DIRECTOR OF EDUCATION CENT 32.00 X 73244 0 1689 JENNIFER DAVIS CAREY DIRECTOR 1.00 X 0 0 0 PAUL GRIBBONS DIRECTOR 1.00 X 0 0 0 THOMAS LUCAS DIRECTOR 1.00 X 0 0 0 MR STEPHEN TOTINO DIRECTOR OF FINANCE 40.00 X 96183 0 11851 MS DEBRA FORSS DIRECTOR OF NURSING 40.00 X 131744 0 9827 BEVERLY AMOSAH NURSING MANAGER 40.00 X 106978 0 6554 STEVEN HALL DIRECTOR/ADMINISTRATOR 40.00 X 106568 0 8965 904475 0 67903 5 0 1 0 HEALTHPRO MANAGEMENT INC 10600 YORK ROAD SUITE 105 COCKEYSILLE MD 21030 REHAB THERAPY SERVICES 404745 RETROFIT TECHNOLOGIES INC 455 FORTUNE BOULEVARD MILFORD MA 01757 COMPUTER PURCHASES & SERVICES 282761 CARELINK SERVICES INC 7 KENDALL DRIVE NORTHBOROUGH MA 01532 NURSING AGENCY SERVICES 123363 3 50905 35078 64699 150682 NURSING HOME REVENUE 623000 13870447 13870447 ASSISTED LIVING REVENUE 623000 5585732 5585732 HOSPICE REVENUE 623000 1335811 1335811 EDUCATION CENTER 623000 39465 39465 20831455 303763 303763 3567464 3349805 217659 217659 217659 9058 50905 31294 -22236 -22236 BARBER/BEAUTY 623000 8809 8809 TRAY SERVICE 623000 7880 7880 OTHER 623000 7834 7834 28557 28557 53080 21534403 21102194 0 281527 377535 360179 17356 10725592 9927515 749663 48414 53418 53418 1260926 1220017 40909 819656 768942 47010 3704 4927 4927 65700 65700 370368 174674 195694 101922 9456 92466 348088 184016 152560 11512 1550921 1550921 65794 65794 24494 24494 1047478 1047478 360725 358484 2241 PATIENT CARE EXPENSES 2465304 2465304 USER FEE 763555 763555 BAD DEBTS 88484 88484 MANAGEMENT SERVICES 78807 78807 110062 110062 20683756 18812615 1790156 80986 4171853 3132633 988957 1438858 1631925 25505 56831 199951 196263 32647542 13420395 19443377 19227147 9984122 12260584 850093 1673546 37102716 38178929 1779084 1970441 9662 100358 16040000 15390000 4069285 2653765 21898031 20114564 X 15124774 17970238 79911 94127 15204685 18064365 37102716 38178929 X 850647 616260 1392773 X 0 1 X 1 0 X 29398 67437 60770 91216 99777 348598 18342745 19244665 20174779 20357982 20944496 99064667 18372143 19312102 20235549 20449198 21044273 99413265 35000 25000 43900 103900 0 35000 25000 43900 103900 99309365 263905 342949 344127 427974 521423 1900378 263905 342949 344127 427974 521423 1900378 18636048 19655051 20579676 20877172 21565696 101313643 0.98020 0.98170 0.01880 0.01720 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1321 1321 0 PART II-B, LINE 1: PAID MEMBERSHIP DUES TO STATE HEALTHCARE ORGANIZATION X 1 3.20 0 0 1 0 104.00 0 2625000 2625000 26274238 10725161 15549077 3615463 2578909 1036554 132841 116325 16516 19227147 UNREAL LOSS ON INTR RATE SWAP 2297615 DEPOSITS FROM TENANTS 356150 2653765 X 23305361 616260 1424066 2040326 21265035 269368 269368 21534403 20445681 31294 31294 20414387 269369 269369 20683756 PART X, LINE 2: THE COMPANY IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE COMPANY FILES AS A TAX-EXEMPT ORGANIZATION. THE ENTITY'S 2010 THROUGH 2013TAX YEARS ARE OPEN FOR EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: UNREALIZED GAIN ON INTEREST RATE SWAP 1,392,770. ROUNDING 2. FUNDRAISING EXPENSES NET AGAINST REVENUE 31,294. PART XI, LINE 4B - OTHER ADJUSTMENTS: NON OPERATING REVENUE NET AGAINST EXPENSES 269,368. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES NET AGAINST REVENUE 31,294. PART XII, LINE 4B - OTHER ADJUSTMENTS: NON OPERATING REVENUE NET AGAINST EXPENSES 269,368. ROUNDING 1. ART & GARDEN 16519 16519 200 6819 GALA REVENUE 30194 21136 9058 12451 11824 1 13250 13250 59963 50905 9058 12451 200 18643 31294 -22236 X X 0 0 0 0 0 0 0 0 0 MS KATHERINE LEMAY EX-OFFICIO/CEO/ADMINSTRATO 157779 0 0 0 0 0 3900 0 7221 0 168900 0 0 0 FORM 990, PART III, LINE 2 SEE FORM 990, PART III, LINE 4B FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION'S MEMBERS ARE ITS EX OFFICIO AND ALL THE MEMBERS OF THE ADMINISTRATIVE TEAMS OF THE BOSTON, IPSWICH AND CONNECTICUT PROVINCES OF THE CONGREGATION. FORM 990, PART VI, SECTION A, LINE 7A AT THEIR ANNUAL MEETING THE MEMBERS ELECT THE DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 WILL BE PRESENTED AT THE SCHEDULED MEETING TO THE BOARD OF DIRECTORS. THE CONTROLLER WILL SEND A DRAFT COPY OF THE TAX RETURN TO EACH BOARD MEMBER. FORM 990, PART VI, SECTION B, LINE 12C IT IS THE POLICY TO NOT ENGAGE IN TRANSACTIONS OR ARRANGEMENTS WITH DIRECTORS, OFFICERS, COMMITTEE MEMBERS OR KEY EMPLOYEES. NO TRANSACTION OR ARRANGEMENT BETWEEN THE CORPORATION AND ANY DIRECTOR, OFFICER, COMMITTEE MEMBER OR KEY EMPLOYEE, OR A MEMBER OF HIS OR HER IMMEDIATE FAMILY, OR ANY ENTITY WITH WHICH ANY SUCH PERSON HAS A PERSONAL INTEREST, WILL BE ENTERED INTO OR CONTINUED UNLESS IT HAS BEEN THOROUGHLY REVIEWED AND CONSIDERED BY THE BOARD OR THE AUDIT COMMITTEE AND HAS BEEN FOUND TO BE OF CLEAR BENEFIT TO THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS USED TO ESTABLISH THE COMPENSATION OF THE ADMINISTRATOR AND EXECUTIVE DIRECTOR INCLUDES, REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THIS IS DONE ON AN ANNUAL BASIS BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: ROUNDING 3. UNREALIZED LOSS ON INTEREST RATE SW 1,392,770.