MADONNA MANOR INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MADONNA MANOR INC (EIN 04-2596550)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-05
IRS object ID
201323099349300422
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-05T10:09:26-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN042536173EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LIVINGSTON & HAYNES PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line140 GROVE STREETAddressLine1
CityWELLESLEYCity
StateMAState
ZIP Code024827711ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN042596550EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MADONNA MANOR INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMADONameControl
Phone5086798154Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line185 NORTH WASHINGTON STREETAddressLine1
CityNORTH ATTLEBOROCity
StateMAState
ZIP Code02760ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMICHAEL K MCMANUSName
TitleCLERKTitle
Phone5086751311Phone
Date Signed2013-10-28DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSONIA STINGOName
PTINP00110563PTIN
Phone7812373339Phone
Date Prepared2013-10-28DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonGEORGE W COLEMANNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1394 HIGHLAND AVENUEAddressLine1
CityFALL RIVERCity
StateMAState
ZIP Code02720ZIPCode
FieldValueIRS element (for citing)
Gross Receipts10041273GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.DHFO.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1966YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionPROVIDES SKILLED NURSING & REHABILITATIVE CARE FOR THE FRAIL AND THE ELDERLY.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members3NbrIndependentVotingMembers
Total Nbr Employees237TotalNbrEmployees
Total Nbr Volunteers38TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year8050ContributionsGrantsPriorYear
Contributions Grants Current Year7825ContributionsGrantsCurrentYear
Program Service Revenue Prior Year10007858ProgramServiceRevenuePriorYear
Program Service Revenue CY9970395ProgramServiceRevenueCY
Investment Income Prior Year20792InvestmentIncomePriorYear
Investment Income Current Year18402InvestmentIncomeCurrentYear
Other Revenue Prior Year40140OtherRevenuePriorYear
Other Revenue Current Year40851OtherRevenueCurrentYear
Total Revenue Prior Year10076840TotalRevenuePriorYear
Total Revenue Current Year10037473TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year7249500SalariesEtcPriorYear
Salaries Etc Current Year7251101SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2925896OtherExpensePriorYear
Other Expenses Current Year3026298OtherExpensesCurrentYear
Total Expenses Prior Year10175396TotalExpensesPriorYear
Total Expenses Current Year10277399TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-98556RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-239926RevenuesLessExpensesCY
Total Assets BOY4118227TotalAssetsBOY
Total Assets EOY3906105TotalAssetsEOY
Total Liabilities BOY1264016TotalLiabilitiesBOY
Total Liabilities EOY1291820TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2854211NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2614285NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE EXTENDED CARE TO THE CHRONICALLY ILL AND DISABLED, WITH SPECIAL EMPHASIS ON THE CARE OF THE FRAIL ELDERLY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense9409652Expense
Revenue9970395Revenue
DescriptionTO PROVIDE NURSING AND/OR REHABILITATION SERVICES TO THE AGED AND INFIRM FOR 44,984 PATIENT DAYS.Description
Total Program Service Expense9409652TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109624NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees237NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members3NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body0MinutesOfGoverningBody
Minutes Of Committees0MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JEANNINE DESILETSBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5086798154TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1368 NORTH MAIN STREETAddressLine1
CityFALL RIVERCity
StateMAState
ZIP Code02720ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
GEORGE W COLEMAN
M + PRESIDENT & TREASURER1.00XX000
MICHAEL K MCMANUS
M + SECRETARY1.00XX000
GREGORY A MATHIAS
M + DIRECTOR1.00X000
MARC P TREMBLAY
M + DIRECTOR1.00X000
DAVID A COSTA
M + DIRECTOR1.00X000
DAVID MCINTYRE
DIRECTOR1.00X000
PAUL ROCHE
DIRECTOR1.00X000
ELIZABETH POIRIER
DIRECTOR1.00X000
THOMAS L RITA
M + DIRECTOR1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
THERAPY RESOURCES MANAGEMENT
275 MARTINE ST SUITE 110FALL RIVERMA02723THERAPY PURCHASE SERVICE395269
DIOCESAN HEALTH FACILITIES
368 NORTH MAIN STREETFALL RIVERMA02720MANAGEMENT COMPANY239700
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
All Other Contributions7825AllOtherContributions
Total Contributions7825TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE/MEDICAID62300076880217688021
ROOM & BOARD FEES62300022823742282374
FieldValueIRS element (for citing)
Total Program Service Revenue9970395TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column18402TotalRevenueColumn
Exclusion$18,402ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events17784GrossIncomeFundraisingEvents
Fundraising Direct Expenses3800FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column13984TotalRevenueColumn
Exclusion$13,984ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column26867TotalRevenueColumn
Exclusion$26,867ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue26867TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column10037473TotalRevenueColumn
Related Or Exempt Function Income9970395RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$59,253ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5958583Total
Program Services5639705ProgramServices
Management And General318878ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total254448Total
Program Services240831ProgramServices
Management And General13617ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total604504Total
Program Services573061ProgramServices
Management And General31443ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total433566Total
Program Services410363ProgramServices
Management And General23203ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total239700Total
Management And General239700ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total9923Total
Management And General9923ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total17654Total
Management And General17654ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total709141Total
Program Services685363ProgramServices
Management And General23778ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total29356Total
Management And General29356ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total652671Total
Program Services560339ProgramServices
Management And General92332ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total223909Total
Program Services223909ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total1683Total
Management And General1683ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total7278Total
Program Services7278ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total188082Total
Program Services188082ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total180953Total
Program Services168996ProgramServices
Management And General11957ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
FOOD369281369281
USER FEE232684232684
BAD DEBT9611696116
OTHER678671364454223

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total10277399Total
Program Services9409652ProgramServices
Management And General867747ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1854BOY
EOY1854EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1522382BOY
EOY948864EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY979472BOY
EOY760799EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY41673BOY
EOY39049EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY60357BOY
EOY51888EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis6891097LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5660143LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1251445BOY
EOY1230954EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY261044BOY
EOY872697EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4118227BOY
EOY3906105EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1264016BOY
EOY1291820EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1264016BOY
EOY1291820EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2854211BOY
EOY2614285EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2854211BOY
EOY2614285EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4118227BOY
EOY3906105EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-239926ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12123CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8023CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8834CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8050CurrentTaxYearMinus1Year
Current Tax Year7825CurrentTaxYear
Total44855Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9558351CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10392004CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9715563CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10007858CurrentTaxYearMinus1Year
Current Tax Year9970395CurrentTaxYear
Total49644171Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9570474CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10400027CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9724397CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10015908CurrentTaxYearMinus1Year
Current Tax Year9978220CurrentTaxYear
Total49689026Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50949689026PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years42684CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years47047CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years29270CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year20792CurrentTaxYearMinus1Year
Current Tax Year18402CurrentTaxYear
Total158195Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years42684CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years47047CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years29270CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year20792CurrentTaxYearMinus1Year
Current Tax Year18402CurrentTaxYear
Total158195Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years35718CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years39977CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years42794CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year44730CurrentTaxYearMinus1Year
Current Tax Year44651CurrentTaxYear
Total207870Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9648876CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10487051CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9796461CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10081430CurrentTaxYearMinus1Year
Current Tax Year10041273CurrentTaxYear
Total50055091Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99270PublicSupportPercentage509
Prior Year Support Percentage0.99130PriorYearSupportPercentage
Investment Income Percentage0.00320InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00380PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2008 AMOUNT: $ 23,621. 2009 AMOUNT: $ 25,225. 2010 AMOUNT: $ 27,703. 2011 AMOUNT: $ 26,793. 2012 AMOUNT: $ 26,867. FUNDRAISING INCOME - 2008 AMOUNT: $ 12,097. 2009 AMOUNT: $ 14,752. 2010 AMOUNT: $ 15,091. 2011 AMOUNT: $ 17,937. 2012 AMOUNT: $ 17,784.GeneralExplanation

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$1,005OtherActivitiesAmount
Total Lobbying Expenditures IIB1005TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationOTHER LOBBYING EXPENSES WERE MEMBERSHIP DUES TO STATE HEALTH CARE ORGANIZATION.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis37500OtherCostOrOtherBasis
Book Value37500BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4216468OtherCostOrOtherBasis
Depreciation3539596Depreciation
Book Value676872BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2613110OtherCostOrOtherBasis
Depreciation2098246Depreciation
Book Value514864BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis24019OtherCostOrOtherBasis
Depreciation22301Depreciation
Book Value1718BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1230954TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
ACCRUED INTEREST RECEIVABLE8396
OTHER A/R16360
DUE FROM AFFILIATES819141
DON25094
WEBSITE COSTS3706
FieldValueIRS element (for citing)
Total Book Value Other Assets872697TotalBookValueOtherAssets
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt9945157TotRevenueEtcAuditedFinclStmt
Other Revenues3800OtherRevenues
Revenue Not Rptd F9903800RevenueNotRptdF990
Revenue Subtotal9941357RevenueSubtotal
Other Revenues Not Included96116OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt96116RevenueNotRptdOnFinStmt
Total Revenue Per Form99010037473TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt10185083TotExpensesEtcAuditedFinclStmt
Other Expenses Included3800OtherExpensesIncluded
Expenses Not Rptd F9903800ExpensesNotRptdF990
Expenses Subtotal10181283ExpensesSubtotal
Other Expenses Not Included96116OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt96116ExpensesNotRptdOnFinStmt
Total Expenses Per Form99010277399TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: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 (2009-2011) OR EXPECTED TO BE TAKEN IN THE HOME'S 2012 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, 2012 AND 2011.
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

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF TOURNAMENTNameOfEvent1
Gross Receipts Event117784GrossReceiptsEvent1
Gross Revenue Event117784GrossRevenueEvent1
Non Cash Prizes Event1765NonCashPrizesEvent1
Rent Facility Costs Event12474RentFacilityCostsEvent1
Food And Beverage Event141FoodAndBeverageEvent1
Other Direct Expenses Event1520OtherDirectExpensesEvent1
Total Number Of Other Events0TotalNumberOfOtherEvents
Gross Receipts Total17784GrossReceiptsTotal
Gross Revenue Total Events17784GrossRevenueTotalEvents
Non Cash Prizes Total Events765NonCashPrizesTotalEvents
Rent Facility Costs Total Events2474RentFacilityCostsTotalEvents
Food And Beverage Total Events41FoodAndBeverageTotalEvents
Other Direct Expenses Total Events520OtherDirectExpensesTotalEvents
Direct Expense Summary Events3800DirectExpenseSummaryEvents
Net Income Summary13984NetIncomeSummary

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2MOST 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 3THE ORGANIZATION DELEGATED MANAGEMENT DUTIES TO THE DIOCESAN HEALTH FACILITIES OFFICE.
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION HAS MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7ATHE MEMBERS ELECT THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 8ATHERE WERE NO BOARD MEETINGS HELD BY THE GOVERNING BODY DURING 2012.
FORM 990, PART VI, SECTION A, LINE 8BTHERE WERE NO COMMITTEE MEETINGS WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY HELD DURING 2012.
FORM 990, PART VI, SECTION B, LINE 11THE CHIEF FINANCIAL OFFICER 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 12CEMPLOYEES ARE REQUIRED TO DISCLOSE ALL CONFLICTS OF INTEREST ANNUALLY.
FORM 990, PART VI, SECTION B, LINE 15BTHE 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 19UPON REQUEST
PART XI, LINE 2CTHE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT.OVERSIGHT OF AUDIT

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
CATHOLIC MEMORIAL HOME INC
2446 HIGHLAND AVENUEFALL RIVERMA02720042106393SKILLED NURSING FACILITYMA501(C)(3)9N/A0
MARIAN MANOR INC
33 SUMMER STREETTAUNTONMA02780042277710SKILLED NURSING FACILITYMA501(C)(3)9N/A0
OUR LADY'S HAVEN OF FAIRHAVEN INC
71 CENTER STREETFAIRHAVENMA02719042106632SKILLED NURSING FACILITYMA501(C)(3)9N/A0
SACRED HEART HOME INC
359 SUMMER STREETNEW BEDFORDMA02740042140119SKILLED NURSING FACILITYMA501(C)(3)9N/A0
ROMAN CATHOLIC BISHOP OF FALL RIVER
450 HIGHLAND AVENUEFALL RIVERMA02720043000709RELIGIOUS ORGANIZATIONMA501(C)(3)1N/A0
DIOCESAN FACILITIES SELF-INSURED GROUP
100 QUANNAPOWITT PKWYWAKEFIELDMA01880043212416SELF-INSURED INSURANCE GROUPMA501(C)(3)1N/A0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (26 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
ROMAN CATHOLIC BISHOP OF FALL RIVER
A17425ACTUAL INTEREST EARNED
SACRED HEART HOME INC
M3976COST OF SERVICES PROVIDED
CATHOLIC MEMORIAL HOME INC
M21201COST OF SERVICES PROVIDED
CATHOLIC MEMORIAL HOME INC
O21201COST OF SERVICES PROVIDED
CATHOLIC MEMORIAL HOME INC
P11254BASED ON ACTUAL AMOUNTS PAID
MARIAN MANOR INC
Q2658BASED ON ACTUAL AMOUNTS RECEIVED
OUR LADY'S HAVEN INC
Q5954BASED ON ACTUAL AMOUNTS PAID
DIOCESAN HEALTH FACILITIES OFFICE
P27214BASED ON ACTUAL AMOUNTS PAID
DIOCESAN HEALTH FACILITIES OFFICE
M239700COST OF SERVICES PROVIDED
ROMAN CATHOLIC BISHOP OF FALL RIVER
M630300COST OF SERVICES PROVIDED
DIOCESAN FACILITIES SELF-INSURANCE GROUP
M164600COST OF SERVICES PROVIDED
SACRED HEART HOME INC
P1814BASED ON ACTUAL AMOUNTS PAID
SACRED HEART HOME INC
Q4243BASED ON ACTUAL AMOUNTS RECEIVED
ROMAN CATHOLIC BISHOP OF FALL RIVER
M254400COST OF SERVICES PROVIDED
ROMAN CATHOLIC BISHOP OF FALL RIVER
S100000RETURN OF FUNDS ON DEPOSIT
SACRED HEART HOME INC
O3976COST OF SERVICES PROVIDED
ROMAN CATHOLIC BISHOP OF FALL RIVER
E197810AMOUNT LOANED
CATHOLIC MEMORIAL HOME INC
Q2226BASED ON ACTUAL AMOUNTS RECEIVED
DIOCESAN HEALTH FACILITIES OFFICE
O6663COST OF SERVICES PROVIDED
DIOCESAN HEALTH FACILITIES OFFICE
M6663COST OF SERVICES PROVIDED
DIOCESAN HEALTH FACILITIES OFFICE
S207000REPAYMENT OF LOAN
MARIAN MANOR INC
M3970COST OF SERVICES PROVIDED
MARIAN MANOR INC
O3970COST OF SERVICES PROVIDED
OUR LADY'S HAVEN INC
D150000AMOUNT LOANED
SACRED HEART HOME INC
D180000AMOUNT LOANED
DIOCESAN HEALTH FACILITIES OFFICE
D492000AMOUNT LOANED

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