MONSIGNOR BOJNOWSKI MANOR: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: MONSIGNOR BOJNOWSKI MANOR (EIN 06-0907212)
Tax period: 2011-10-01 to 2012-09-30
Filed: 2013-03-06
IRS object ID: 201340659349300524
Schema version: 2011v1.5
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
Form 990
Schedule A
Schedule D
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-03-06T14:35:30-06:00	Timestamp
Tax Period End Date	2012-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	061533253	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SASLOW LUFKIN & BUGGY LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	TEN TOWER LANE	AddressLine1
City	AVON	City
State	CT	State
ZIP Code	06001	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	060907212	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MONSIGNOR BOJNOWSKI MANOR INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	MONS	NameControl
Phone	8602290336	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	50 PULASKI STREET	AddressLine1
City	NEW BRITAIN	City
State	CT	State
ZIP Code	06053	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	CAROL ANNE SALVIETTI	Name
Title	ADMINISTRATOR	Title
Phone	8602290336	Phone
Date Signed	2013-03-06	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	BETH THURZ	Name
PTIN	P00346435	PTIN
Phone	8606789200	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	CAROL ANNE SALVIETTI	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	50 PULASKI STREET	AddressLine1
City	NEW BRITAIN	City
State	CT	State
ZIP Code	06053	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	6197515	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	N/A	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1975	YearFormation
State Legal Domicile	CT	StateLegalDomicile
Activity Or Mission Description	A SKILLED NURSING FACILITY WHICH PROVIDES ROOM, BOARD, AND CARE FOR ALL RESIDENTS OF THE MANOR.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	11	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	116	TotalNbrEmployees
Total Nbr Volunteers	65	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	11841	ContributionsGrantsPriorYear
Contributions Grants Current Year	13450	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	6558627	ProgramServiceRevenuePriorYear
Program Service Revenue CY	6175656	ProgramServiceRevenueCY
Investment Income Prior Year	2067	InvestmentIncomePriorYear
Investment Income Current Year	514	InvestmentIncomeCurrentYear
Other Revenue Prior Year	4888	OtherRevenuePriorYear
Other Revenue Current Year	5514	OtherRevenueCurrentYear
Total Revenue Prior Year	6577423	TotalRevenuePriorYear
Total Revenue Current Year	6195134	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	4005197	SalariesEtcPriorYear
Salaries Etc Current Year	4052981	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	2251276	OtherExpensePriorYear
Other Expenses Current Year	2230726	OtherExpensesCurrentYear
Total Expenses Prior Year	6256473	TotalExpensesPriorYear
Total Expenses Current Year	6283707	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	320950	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-88573	RevenuesLessExpensesCY
Total Assets BOY	2941371	TotalAssetsBOY
Total Assets EOY	2722028	TotalAssetsEOY
Total Liabilities BOY	2977446	TotalLiabilitiesBOY
Total Liabilities EOY	2846676	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	-36075	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	-124648	NetAssetsOrFundBalancesEOY
Mission Description	THE PROVIDING OF ROOM, BOARD AND CARE FOR ALL RESIDENTS OF THE FACILITY WHICH CARES FOR THE GENERAL PUBLIC IN CONNECTION WITH THE MISSION OF THE DAUGHTERS OF THE IMMACULATE CONCEPTION AND THE ROMAN CATHOLIC CHURCH.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	5864475	Expense
Revenue	6175656	Revenue
Description	SIXTY BED SKILLED NURSING FACILITY FOR THE AGED. PROVIDED 19,975 DAYS OF CARE TO THE GENERAL PUBLIC FURTHERING THE MISSION OF THE DAUGHTERS OF MARY OF THE IMMACULATE CONCEPTION AND THE ROMAN CATHOLIC CHURCH.	Description
Total Program Service Expense	5864475	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	0	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	0	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	6	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	116	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	11	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	0	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	0	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	CAROL ANNE SALVIETTI	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	8602290336	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	50 PULASKI STREET	AddressLine1
City	NEW BRITAIN	City
State	CT	State
ZIP Code	06053	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation
CAROL ANNE SALVIETTI
ADMINISTRATOR	40.00	X	X	98290	0	0
CHRISTOPHER LASARACINA
DIRECTOR	0.50	X		0	0	0
CLAIRE PIETRAS
DIRECTOR	0.50	X		0	0	0
MARK PIZZOTTI
DIRECTOR	0.50	X		0	0	0
MSGR DANIEL PLOCHARCZYK
CHAPLAIN EMERITUS	0.50	X		0	0	0
LEONARD GIZA
CHAIRPERSON	0.50	X	X	0	0	0
SR CATHERINE SIRONTAK
SECRETARY/TREASURER	40.00	X	X	63335	0	1161
ROBERT STORY
DIRECTOR	0.50	X		0	0	0
MATTHEW RICH
DIRECTOR	0.50	X		0	0	0
DORIS RUDNICKI
DIRECTOR	0.50	X		0	0	0
STEPHEN ZEBROWSKI MD
MEDICAL DIRECTOR	0.50	X		0	0	0
STAN JANKOWSKI
DIRECTOR	0.50	X		0	0	0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	161625	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1161	TotalOtherCompensation
Number Individuals GT100 K	0	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	0	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	GENESIS HEALTH VENTURES	BusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	PO BOX 7247-6524	AddressLine1
City	PHILADELPHIA	City
State	PA	State
ZIP Code	191706524	ZIPCode

Field	Value	IRS element (for citing)
Description Of Services	THERAPY	DescriptionOfServices
Compensation	419909	Compensation

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	1	NumberOfContractorsGT100K
All Other Contributions	13450	AllOtherContributions
Total Contributions	13450	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE/MEDICAID PAYM	623110	4631177	4631177
PATIENT REVENUE	623110	1544479	1544479

Field	Value	IRS element (for citing)
Total Program Service Revenue	6175656	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	514	TotalRevenueColumn
Exclusion	$514	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	7895	GrossIncomeFundraisingEvents
Fundraising Direct Expenses	2381	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	5514	TotalRevenueColumn
Exclusion	$5,514	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	6195134	TotalRevenueColumn
Related Or Exempt Function Income	6175656	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$6,028	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	162786	Total
Management And General	162786	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	3061538	Total
Program Services	2981426	ProgramServices
Management And General	80112	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	10826	Total
Program Services	10014	ProgramServices
Management And General	812	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	587574	Total
Program Services	544580	ProgramServices
Management And General	42994	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	230257	Total
Program Services	212988	ProgramServices
Management And General	17269	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	8333	Total
Management And General	8333	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	26250	Total
Management And General	26250	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	16964	Total
Management And General	16964	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	23116	Total
Management And General	23116	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	233971	Total
Program Services	210574	ProgramServices
Management And General	23397	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	4878	Total
Management And General	4878	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	152353	Total
Program Services	152353	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	169529	Total
Program Services	169529	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	50541	Total
Program Services	50541	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
NURSING AND OTHER MEDIC	683328	683328
PROVIDER TAX	351017	351017
BAD DEBT EXPENSE	216386	216386
DIETARY LAUNDRY HOUSEKE	170849	170849

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	123211	Total
Program Services	110890	ProgramServices
Management And General	12321	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	6283707	Total
Program Services	5864475	ProgramServices
Management And General	419232	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	1082277	BOY
EOY	1069560	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	44340	BOY
EOY	44340	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	776148	BOY
EOY	632693	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	14299	BOY
EOY	39256	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	10842	BOY
EOY	9988	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	5372244	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	4464341	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	984710	BOY
EOY	907903	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	28755	BOY
EOY	18288	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	2941371	BOY
EOY	2722028	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	352405	BOY
EOY	378112	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	44970	BOY
EOY	19000	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	2580071	BOY
EOY	2449564	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	2977446	BOY
EOY	2846676	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	-36075	BOY
EOY	-124648	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	-36075	BOY
EOY	-124648	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2941371	BOY
EOY	2722028	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	-88573	ReconcilationRevenueExpenses
Reconcilation Other Changes	0	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	4445	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	8623	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	12012	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	11841	CurrentTaxYearMinus1Year
Current Tax Year	13450	CurrentTaxYear
Total	50371	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	5725010	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	5933322	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	5937500	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	6558627	CurrentTaxYearMinus1Year
Current Tax Year	6175656	CurrentTaxYear
Total	30330115	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	5729455	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	5941945	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	5949512	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	6570468	CurrentTaxYearMinus1Year
Current Tax Year	6189106	CurrentTaxYear
Total	30380486	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Amts From Subst Contributors AmtsFromSubstContributors

Field	Value	IRS element (for citing)
Total	0	Total

Support From DQ Ps Etc SupportFromDQPsEtc

Field	Value	IRS element (for citing)
Total	0	Total

Field	Value	IRS element (for citing)
Public Support Total509	30380486	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	17285	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	4166	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	5051	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2067	CurrentTaxYearMinus1Year
Current Tax Year	514	CurrentTaxYear
Total	29083	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	17285	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	4166	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	5051	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2067	CurrentTaxYearMinus1Year
Current Tax Year	514	CurrentTaxYear
Total	29083	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	5746740	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	5946111	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	5954563	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	6572535	CurrentTaxYearMinus1Year
Current Tax Year	6189620	CurrentTaxYear
Total	30409569	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.99900	PublicSupportPercentage509
Prior Year Support Percentage	0.99860	PriorYearSupportPercentage
Investment Income Percentage	0.00100	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.00140	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2856932	OtherCostOrOtherBasis
Depreciation	2533354	Depreciation
Book Value	323578	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1345167	OtherCostOrOtherBasis
Depreciation	928095	Depreciation
Book Value	417072	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1070573	OtherCostOrOtherBasis
Depreciation	903320	Depreciation
Book Value	167253	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	99572	OtherCostOrOtherBasis
Depreciation	99572	Depreciation
Book Value	0	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	907903	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
LOAN DUE TO THE DAUGHTERS OF MARY OF THE IMMACULATE CONCEPTION	$82,462
NOTES PAYABLE DUE TO THE DAUGHTERS OF MARY OF THE IMMACULATE CONCEPTION	$2,350,509
RESIDENT FUNDS	$16,593

Field	Value	IRS element (for citing)
Total Of Amounts	2449564	TotalOfAmounts
Total Revenue	6195134	TotalRevenue
Total Expenses	6283707	TotalExpenses
Excess Or Deficit For Year	-88573	ExcessOrDeficitForYear
Excess Or Deficit Per FS	-88573	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	6195134	TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F990	0	RevenueNotRptdF990
Revenue Subtotal	6195134	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	6195134	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	6283707	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	6283707	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	6283707	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	Identifier
Return Reference	PART X:	ReturnReference
Explanation	THE MANOR ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH CERTAIN PROVISIONS OF FASB ASC 740, "INCOME TAXES", WHICH PROVIDE A FRAMEWORK FOR HOW COMPANIES SHOULD RECOGNIZE, MEASURE, PRESENT AND DISCLOSE UNCERTAIN TAX POSITIONS IN THEIR FINANCIAL STATEMENTS. UNDER FASB ASC 740, THE MANOR MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THEN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE MANOR HAS NO UNRECOGNIZED TAX BENEFITS AS OF SEPTEMBER 30, 2012 AND 2011 AND DOES NOT BELIEVE IT IS REASONABLY POSSIBLE THAT ITS UNRECOGNIZED TAX BENEFITS WILL MATERIALLY CHANGE IN THE NEXT TWELVE MONTHS. AS OF SEPTEMBER 30, 2012 AND 2011, THE MANOR DID NOT RECORD ANY PENALTIES OR INTEREST ASSOCIATED WITH UNRECOGNIZED TAX BENEFITS. ALL TAX YEARS FROM 2008 FORWARD ARE OPEN AND SUBJECT TO EXAMINATION.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReference	ExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11	THE ADMINSTRATOR OF THE MANOR WILL REVIEW THE 990 AND APPROVE THE FORM TO BE FILED.
FORM 990, PART VI, SECTION B, LINE 12C	THE BOARD OF DIRECTORS MONITORS AND REVIEWS RELATIONSHIPS ANNUALLY AND ANY CONFLICTS ARE BROUGHT TO THE ATTENTION OF THE BOARD. THE BOARD WILL REVIEW THE CONFLICTS TO DETERMINE THEIR AFFECTS ON THE MANOR.
FORM 990, PART VI, SECTION B, LINE 15A	COMPENSATION FOR THE ADMINISTRATOR WILL BE BASED ON A FAIR MARKET RATE. THIS WILL BE ACCOMPLISHED BY COMPARING COMPENSATION PACKAGES OF SIMILAR SIZE HEALTH CARE FACILITIES BY GATHERING COMPENSATION DATA FROM ONLINE RESOURCES AND TRADE ASSOCIATIONS. ADDITIONALLY, THE EXPERIENCE OF THE CANDIDATE IS CONSIDERED AS PART OF THE COMPENSATION DETERMINATION. THE COMPENSATION PACKAGE WILL BE REVIEWED BY THE BOARD OF DIRECTORS AND APPROVED BY THE PRESIDENT OF THE DAUGHTERS OF MARY OF THE IMMACULATE CONCEPTION INC.
FORM 990, PART VI, SECTION C, LINE 19	DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST.
FORM 990, PART XII, LINE 2C	THERE IS NO CHANGE FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	THE DAUGHTERS OF MARY OF THE IMMACULATE CONCEPTION	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	314 OSGOOD AVENUE	AddressLine1
City	NEW BRITAIN	City
State	CT	State
ZIP Code	06053	ZIPCode

Field	Value	IRS element (for citing)
EIN	060995128	EIN
Primary Activities	CHURCH	PrimaryActivities
Legal Domicile State	CT	LegalDomicileState
Exempt Code Section	501(C)(3)	ExemptCodeSection
Public Charity Status	LINE 1	PublicCharityStatus
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Controlled Org	0	ControlledOrg

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg