2013-08-14T08:17:53-05:00 2012-12-31 020383073 WILLIAM STEELE & ASSOCIATES PC 40 STARK STREET MANCHESTER NH 03101 990 2012-01-01 042565937 ST JOSEPH MANOR HEALTH CARE INC STJO 5085835834 215 THATCHER STREET BROCKTON MA 023023949 CHRISTOPHER KENNEY 5085835834 2013-08-06 1 WILLIAM G STEELE JR CPA P00233103 6036228881 2012 2016-02-24 21:20:13Z CHRISTOPHER KENNEY 215 THATCHER STREET BROCKTON MA 023023949 11663767 0 X SJMBROCKTON.ORG X 1975 MA OUR CATHOLIC MINISTRY OF COMPASSIONATE OF HEALTH CARE PROVIDES PERSON-CENTERED SERVICES OF ALL FAITHS IN OUR HOME AND WITHIN OUR COMMUNITY. 13 13 274 25 0 0 13966 30365 10754322 11577159 44280 37355 6500 3382 10819068 11648261 0 0 0 0 6739744 7064100 0 0 0 4643863 4308575 11383607 11372675 -564539 275586 4707548 5113658 911471 955346 3796077 4158312 OUR CATHOLIC MINISTRY OF COMPASSIONATE HEALTH CARE PROVIDES PERSON-CENTERED SERVICES TO PEOPLE OF ALL FAITHS IN OUR HOME AND WITHIN OUR COMMUNITY. 0 0 11213164 11580541 ST. 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. 11213164 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 17 0 1 274 1 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X X CHRISTOPHER J KENNEY 5085835834 215 THATCHER STREET BROCKTON MA 02302 SR MARY VALLIERE 1.00 X X 0 0 0 DAVID KELLIHER 1.00 X X 0 0 0 SR RUTH DAUGINIKAS 1.00 X X 0 0 0 PAUL ARENBURG 1.00 X 0 0 0 ANNA WILLIAMS COTE 1.00 X 0 0 0 JOHN DRUSINSKAS 1.00 X 0 0 0 PEG FEODOROFF 1.00 X 0 0 0 KENNETH OLIVIERI 1.00 X 0 0 0 AISHA BONNY 1.00 X X 0 0 0 VANESSA TIERNEY 1.00 X X 0 0 0 CHARLES ALTIERI 1.00 X 0 0 0 CLAIRE WHEELER 1.00 X 0 0 0 PATRICIA SHAHEEN 1.00 X 0 0 0 CHRISTOPHER KENNEY 40.00 X 110638 0 15305 110638 0 15305 1 0 0 0 REHABCARE GROUP INC 7733 FORSYTH BOULEVARD ST LOUIS MO 63105 REHAB SERVICES 288110 PEOPLEFIRST REHAB SERVICE 680 SOUTH STREET LOUISVILLE KY 40202 REHAB SERVICES 274752 COVENANT HEALTH SYSTEMS 100 AMES POND DRIVE TEWKSBURY MA 01876 MANAGEMENT/CONSULT 190560 3 13395 16970 30365 PROGRAM SERVICE REVENU 623000 11577159 11577159 11577159 37355 37355 15506 13395 15506 0 MISCELLANEOUS INCOME 623000 3382 3382 3382 11648261 11580541 0 37355 102440 102440 5800231 5800231 715379 715379 446050 446050 130836 130836 3241 3241 25434 25434 18378 18378 75914 75914 133630 133630 556726 556726 14418 14418 1927 1927 2723 2723 267654 267654 70686 70686 PURCHASED SERVICES 1237026 1237026 SUPPLIES AND MATERIALS 1096607 1096607 MEDICAID USER FEE 614379 614379 BAD DEBTS 49000 49000 9996 9996 11372675 11213164 159511 0 440669 814413 1093054 1032251 9550 10650 50011 30943 5254184 3366957 1889845 1887227 1208955 1302508 15464 35666 4707548 5113658 892440 930212 19031 25134 911471 955346 X 3776229 4113223 19848 45089 3796077 4158312 4707548 5113658 X 275586 61408 25241 X 0 1 X 1 0 X 30405 8963 13963 8349 16970 78650 10660763 10283451 11232303 10822275 11590554 54589346 10691168 10292414 11246266 10830624 11607524 54667996 0 0 0 54667996 37355 37355 37355 37355 3382 3382 10691168 10292414 11246266 10830624 11648261 54708733 0.99930 1.00000 0.00070 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 19848 27418 2177 45089 16912 5617 2681 19848 11919 15600 10607 16912 1.00000 0 0 3000284 1634743 1365541 2187365 1732214 455151 66535 66535 1887227 RESIDENT FUNDS LIABILITY 21230 ALL OTHER LIABILITIES 3904 25134 X DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS IS THE FOLLOWING "TAX EXEMPT ORGANIZATIONS COULD BE REQUIRED TO RECORD AN OBLIGATION FOR INCOME TAXES AS THE RESULT OF A TAX POSITION THEY HAVE HISTORICALLY TAKEN ON VARIOUS TAX EXPOSURE ITEMS INCLUDING UNRELATED BUSINESS INCOME OR TAX STATUS. THE SYSTEM HAS EVALUATED THE POSITIONS TAKEN ON ITS FILED TAX RETURNS, AND HAS CONCLUDED NO UNCERTAIN INCOME TAX POSITIONS EXIST AT DECEMBER 31, 2012." MOBFELLAS DINNER THEATER 8421 2612 5809 5809 GOLF OUTING 20480 10783 9697 9697 28901 13395 15506 15506 15506 0 FORM 990, PART VI, SECTION A, LINE 6 ST. JOSEPH MANOR IS RELATED TO THE POOR SISTERS OF JESUS CRUCIFIED AND THE SORROWFUL MOTHER, INC. WHO IS A CLASS A MEMBER. FORM 990, PART VI, SECTION A, LINE 7A ST. JOSEPH MANOR IS RELATED TO THE POOR SISTERS OF JESUS CRUCIFIED AND THE SORROWFUL MOTHER, INC. WHO IS A CLASS A MEMBER. FORM 990, PART VI, SECTION A, LINE 7B ST. JOSEPH MANOR IS RELATED TO THE POOR SISTERS OF JESUS CRUCIFIED AND THE SORROWFUL MOTHER, INC. WHO IS A CLASS A MEMBER. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED IN DETAIL BY THE GOVERNING BODY PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A FULL-TIME DESIGNATED ORGANIZATIONAL INTEGRITY OFFICER THAT MONITORS OPERATIONS TO DETECT AND/OR RESOLVE CONFLICT OF INTEREST ISSUES. FORM 990, PART VI, SECTION B, LINE 15 EVERY TWO TO THREE YEARS THE COMPENSATION COMMITTEE OF THE COVENANT HEALTH SYSTEMS BOARD OF DIRECTORS ENGAGES AN EXTERNAL CONSULTANT TO PROVIDE COMPETITIVE MARKET DATA FROM VARIOUS SURVEY SOURCES, WHICH IS USED TO DEVELOP RECOMMENDATIONS FOR CHANGES TO THE COMPENSATION PROGRAM. SINCE 2003 THE COMPENSATION COMMITTEE HAS ENGAGED MERCER HUMAN RESOURCES CONSULTING TO CONDUCT THIS ANALYSIS. THE SPECIFIC OBJECTIVES OF THE ANALYSIS ARE TO ASSESS THE COMPETITIVENESS OF THE CURRENT TOTAL CASH COMPENSATION LEVELS FOR THE SENIOR LEADERSHIP TEAM; DEVELOP MARKET COMPETITIVE SALARY RANGES FOR ALL EXECUTIVE POSITIONS AND ENSURE THAT THE ANNUAL INCENTIVE OPPORTUNITIES, IF ANY, ARE COMPETITIVE AND REASONABLE. FORM 990, PART VI, SECTION C, LINE 18 THE FORM 990 IS POSTED ON COVENANT HEALTH SYSTEMS'WEBSITE. IT IS ALSO AVAILABLE AT THE FACILITY UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 ST. JOSEPH MANOR MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: INCREASE IN TEMPORARILY RESTRICTED NET ASSETS 25,241. COVENANT HEALTH SYSTEMS 100 AMES POND DRIVE TEWKSBURY MA 01876 222484505 MANAGEMENT MA 501 (C) 509 (A) 0 POOR SISTERS OF JESUS CRUCIFIED AND THE SORROWFUL MOTHER 261 THATCHER STREET BROCKTON MA 02302 LESSOR OF FACILITY MA EXEMPT RELIGIOUS 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 0 0 COVENANT HEALTH SYSTEMS M 190600 COST SISTERS OF JESUS CRUCIFIED AND THE SORROWFUL MOTHER K 258122 COST SISTERS OF JESUS CRUCIFIED AND THE SORROWFUL MOTHER Q 6500 COST