ST JOSEPH MANOR HEALTH CARE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ST JOSEPH MANOR HEALTH CARE INC (EIN 04-2565937)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-08-14
IRS object ID
201342269349300819
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)
Timestamp2013-08-14T08:17:53-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN020383073EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WILLIAM STEELE & ASSOCIATES PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line140 STARK STREETAddressLine1
CityMANCHESTERCity
StateNHState
ZIP Code03101ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN042565937EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST JOSEPH MANOR HEALTH CARE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTJONameControl
Phone5085835834Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1215 THATCHER STREETAddressLine1
CityBROCKTONCity
StateMAState
ZIP Code023023949ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCHRISTOPHER KENNEYName
TitleCEOTitle
Phone5085835834Phone
Date Signed2013-08-06DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameWILLIAM G STEELE JR CPAName
PTINP00233103PTIN
Phone6036228881Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonCHRISTOPHER KENNEYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1215 THATCHER STREETAddressLine1
CityBROCKTONCity
StateMAState
ZIP Code023023949ZIPCode
FieldValueIRS element (for citing)
Gross Receipts11663767GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteSJMBROCKTON.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1975YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionOUR CATHOLIC MINISTRY OF COMPASSIONATE OF HEALTH CARE PROVIDES PERSON-CENTERED SERVICES OF ALL FAITHS IN OUR HOME AND WITHIN OUR COMMUNITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees274TotalNbrEmployees
Total Nbr Volunteers25TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year13966ContributionsGrantsPriorYear
Contributions Grants Current Year30365ContributionsGrantsCurrentYear
Program Service Revenue Prior Year10754322ProgramServiceRevenuePriorYear
Program Service Revenue CY11577159ProgramServiceRevenueCY
Investment Income Prior Year44280InvestmentIncomePriorYear
Investment Income Current Year37355InvestmentIncomeCurrentYear
Other Revenue Prior Year6500OtherRevenuePriorYear
Other Revenue Current Year3382OtherRevenueCurrentYear
Total Revenue Prior Year10819068TotalRevenuePriorYear
Total Revenue Current Year11648261TotalRevenueCurrentYear
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 Year6739744SalariesEtcPriorYear
Salaries Etc Current Year7064100SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4643863OtherExpensePriorYear
Other Expenses Current Year4308575OtherExpensesCurrentYear
Total Expenses Prior Year11383607TotalExpensesPriorYear
Total Expenses Current Year11372675TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-564539RevenuesLessExpensesPriorYear
Revenues Less Expenses CY275586RevenuesLessExpensesCY
Total Assets BOY4707548TotalAssetsBOY
Total Assets EOY5113658TotalAssetsEOY
Total Liabilities BOY911471TotalLiabilitiesBOY
Total Liabilities EOY955346TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3796077NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4158312NetAssetsOrFundBalancesEOY
Mission DescriptionOUR CATHOLIC MINISTRY OF COMPASSIONATE HEALTH CARE PROVIDES PERSON-CENTERED SERVICES TO PEOPLE OF ALL FAITHS IN OUR HOME AND WITHIN OUR COMMUNITY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense11213164Expense
Revenue11580541Revenue
DescriptionST. JOSEPH MANOR PROVIDED 39,077 DAYS OF SKILLED NURSING CARE TO PATIENTS FROM ALL ECONOMIC, RELIGIOUS AND ETHNIC GROUPS DURING 2012. OF THESE, A TOTAL OF 15,775 DAYS WERE PROVIDED TO MEDICAID RECIPIENTS.Description
Total Program Service Expense11213164TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
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 Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
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 With109617NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees274NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CHRISTOPHER J KENNEYBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5085835834TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1215 THATCHER STREETAddressLine1
CityBROCKTONCity
StateMAState
ZIP Code02302ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
SR MARY VALLIERE
PRESIDENT - CLASS A MEMBER1.00XX000
DAVID KELLIHER
CHAIR1.00XX000
SR RUTH DAUGINIKAS
TRUSTEE - CLASS A MEMBER1.00XX000
PAUL ARENBURG
TRUSTEE1.00X000
ANNA WILLIAMS COTE
TRUSTEE1.00X000
JOHN DRUSINSKAS
TRUSTEE1.00X000
PEG FEODOROFF
TRUSTEE1.00X000
KENNETH OLIVIERI
TRUSTEE1.00X000
AISHA BONNY
VICE CHAIR PERSON1.00XX000
VANESSA TIERNEY
TREASURER1.00XX000
CHARLES ALTIERI
TRUSTEE1.00X000
CLAIRE WHEELER
TRUSTEE1.00X000
PATRICIA SHAHEEN
TRUSTEE THRU 11/1/121.00X000
CHRISTOPHER KENNEY
CEO/ADMINISTRATOR40.00X110638015305
FieldValueIRS element (for citing)
Total Reportable Comp From Org110638TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation15305TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
REHABCARE GROUP INC
7733 FORSYTH BOULEVARDST LOUISMO63105REHAB SERVICES288110
PEOPLEFIRST REHAB SERVICE
680 SOUTH STREETLOUISVILLEKY40202REHAB SERVICES274752
COVENANT HEALTH SYSTEMS
100 AMES POND DRIVETEWKSBURYMA01876MANAGEMENT/CONSULT190560
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Fundraising Events13395FundraisingEvents
All Other Contributions16970AllOtherContributions
Total Contributions30365TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPROGRAM SERVICE REVENUDescription
Business Code623000BusinessCode
Total Revenue Column11577159TotalRevenueColumn
Related Or Exempt Function Income11577159RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue11577159TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column37355TotalRevenueColumn
Exclusion$37,355ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events15506GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events13395CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses15506FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS INCOMEDescription
Business Code623000BusinessCode
Total Revenue Column3382TotalRevenueColumn
Related Or Exempt Function Income3382RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue3382TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column11648261TotalRevenueColumn
Related Or Exempt Function Income11580541RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$37,355ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total102440Total
Program Services102440ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5800231Total
Program Services5800231ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total715379Total
Program Services715379ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total446050Total
Program Services446050ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total130836Total
Management And General130836ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total3241Total
Management And General3241ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total25434Total
Management And General25434ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total18378Total
Program Services18378ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total75914Total
Program Services75914ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total133630Total
Program Services133630ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total556726Total
Program Services556726ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total14418Total
Program Services14418ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1927Total
Program Services1927ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total2723Total
Program Services2723ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total267654Total
Program Services267654ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total70686Total
Program Services70686ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
PURCHASED SERVICES12370261237026
SUPPLIES AND MATERIALS10966071096607
MEDICAID USER FEE614379614379
BAD DEBTS4900049000

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total9996Total
Program Services9996ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total11372675Total
Program Services11213164ProgramServices
Management And General159511ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY440669BOY
EOY814413EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1093054BOY
EOY1032251EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY9550BOY
EOY10650EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY50011BOY
EOY30943EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis5254184LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3366957LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1889845BOY
EOY1887227EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1208955BOY
EOY1302508EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY15464BOY
EOY35666EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4707548BOY
EOY5113658EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY892440BOY
EOY930212EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY19031BOY
EOY25134EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY911471BOY
EOY955346EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3776229BOY
EOY4113223EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY19848BOY
EOY45089EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3796077BOY
EOY4158312EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4707548BOY
EOY5113658EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses275586ReconcilationRevenueExpenses
Reconciliation Unrealized Invest61408ReconciliationUnrealizedInvest
Reconcilation Other Changes25241ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 Years30405CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8963CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13963CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8349CurrentTaxYearMinus1Year
Current Tax Year16970CurrentTaxYear
Total78650Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10660763CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10283451CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11232303CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10822275CurrentTaxYearMinus1Year
Current Tax Year11590554CurrentTaxYear
Total54589346Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10691168CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10292414CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11246266CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10830624CurrentTaxYearMinus1Year
Current Tax Year11607524CurrentTaxYear
Total54667996Total

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 Total50954667996PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year37355CurrentTaxYear
Total37355Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year37355CurrentTaxYear
Total37355Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year3382CurrentTaxYear
Total3382Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10691168CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10292414CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11246266CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10830624CurrentTaxYearMinus1Year
Current Tax Year11648261CurrentTaxYear
Total54708733Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99930PublicSupportPercentage509
Prior Year Support Percentage1.00000PriorYearSupportPercentage
Investment Income Percentage0.00070InvestmentIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance19848BeginningOfYearBalance
Contributions27418Contributions
Other Expenditures2177OtherExpenditures
End Of Year Balance45089EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance16912BeginningOfYearBalance
Contributions5617Contributions
Other Expenditures2681OtherExpenditures
End Of Year Balance19848EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance11919BeginningOfYearBalance
Contributions15600Contributions
Other Expenditures10607OtherExpenditures
End Of Year Balance16912EndOfYearBalance
FieldValueIRS element (for citing)
Term Endowment EOY Balance1.00000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis3000284OtherCostOrOtherBasis
Depreciation1634743Depreciation
Book Value1365541BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2187365OtherCostOrOtherBasis
Depreciation1732214Depreciation
Book Value455151BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis66535OtherCostOrOtherBasis
Book Value66535BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1887227TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
RESIDENT FUNDS LIABILITY$21,230
ALL OTHER LIABILITIES$3,904
FieldValueIRS element (for citing)
Total Of Amounts25134TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationINCLUDED 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, 2012."Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1MOBFELLAS DINNER THEATERNameOfEvent1
Gross Receipts Event18421GrossReceiptsEvent1
Charitable Contributions Event12612CharitableContributionsEvent1
Gross Revenue Event15809GrossRevenueEvent1
Other Direct Expenses Event15809OtherDirectExpensesEvent1
Name Of Event2GOLF OUTINGNameOfEvent2
Gross Receipts Event220480GrossReceiptsEvent2
Charitable Contributions Event210783CharitableContributionsEvent2
Gross Revenue Event29697GrossRevenueEvent2
Other Direct Expenses Event29697OtherDirectExpensesEvent2
Gross Receipts Total28901GrossReceiptsTotal
Charitable Contributions Total13395CharitableContributionsTotal
Gross Revenue Total Events15506GrossRevenueTotalEvents
Other Direct Expenses Total Events15506OtherDirectExpensesTotalEvents
Direct Expense Summary Events15506DirectExpenseSummaryEvents
Net Income Summary0NetIncomeSummary

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6ST. 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 7AST. 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 7BST. 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 11THE FORM 990 IS REVIEWED IN DETAIL BY THE GOVERNING BODY PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE 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 15EVERY 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 18THE 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 19ST. 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:INCREASE IN TEMPORARILY RESTRICTED NET ASSETS 25,241.CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusControlled OrgControlledOrg
COVENANT HEALTH SYSTEMS
100 AMES POND DRIVETEWKSBURYMA01876222484505MANAGEMENTMA501 (C)509 (A)0
POOR SISTERS OF JESUS CRUCIFIED AND THE SORROWFUL MOTHER
261 THATCHER STREETBROCKTONMA02302LESSOR OF FACILITYMAEXEMPT RELIGIOUS0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
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 Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
COVENANT HEALTH SYSTEMS
M190600COST
SISTERS OF JESUS CRUCIFIED AND THE SORROWFUL MOTHER
K258122COST
SISTERS OF JESUS CRUCIFIED AND THE SORROWFUL MOTHER
Q6500COST

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