MONSIGNOR BOJNOWSKI MANOR: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: MONSIGNOR BOJNOWSKI MANOR (EIN 06-0907212)
Tax period: 2010-10-01 to 2011-09-30
Filed: 2012-03-22
IRS object ID: 201200829349300125
Schema version: 2010v3.4
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	2012-03-22T12:40:01-05:00	Timestamp
Tax Period End Date	2011-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

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	2010-10-01	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	2012-03-22	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

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

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	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	6580047	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	12	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	114	TotalNbrEmployees
Total Nbr Volunteers	62	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	12012	ContributionsGrantsPriorYear
Contributions Grants Current Year	11841	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	5937500	ProgramServiceRevenuePriorYear
Program Service Revenue CY	6558627	ProgramServiceRevenueCY
Investment Income Prior Year	5051	InvestmentIncomePriorYear
Investment Income Current Year	2067	InvestmentIncomeCurrentYear
Other Revenue Prior Year	5721	OtherRevenuePriorYear
Other Revenue Current Year	4888	OtherRevenueCurrentYear
Total Revenue Prior Year	5960284	TotalRevenuePriorYear
Total Revenue Current Year	6577423	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	3926019	SalariesEtcPriorYear
Salaries Etc Current Year	4005197	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	2013147	OtherExpensePriorYear
Other Expenses Current Year	2251276	OtherExpensesCurrentYear
Total Expenses Prior Year	5939166	TotalExpensesPriorYear
Total Expenses Current Year	6256473	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	21118	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	320950	RevenuesLessExpensesCY
Total Assets BOY	2780015	TotalAssetsBOY
Total Assets EOY	2941371	TotalAssetsEOY
Total Liabilities BOY	3137040	TotalLiabilitiesBOY
Total Liabilities EOY	2977446	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	-357025	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	-36075	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	5799566	Expense
Revenue	6558627	Revenue
Description	SIXTY BED SKILLED NURSING FACILITY FOR THE AGED. PROVIDED APPROXIMATELY 22,000 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	5799566	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	0	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
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	114	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	12	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	93627	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	61474	0	5532
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	155101	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	5532	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 REHAB SERVICES	BusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	101 EAST STATE STREET	AddressLine1
City	KENNETT SQUARE	City
State	PA	State
ZIP Code	19348	ZIPCode

Field	Value	IRS element (for citing)
Description Of Services	THERAPY	DescriptionOfServices
Compensation	509780	Compensation

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	1	NumberOfContractorsGT100K
All Other Contributions	11841	AllOtherContributions
Total Contributions	11841	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE/MEDICAID PAYM	623110	5107997	5107997
PATIENT REVENUE	623110	1450630	1450630

Field	Value	IRS element (for citing)
Total Program Service Revenue	6558627	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	2067	TotalRevenueColumn
Exclusion	$2,067	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	7512	GrossIncomeFundraisingEvents
Fundraising Direct Expenses	2624	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	4888	TotalRevenueColumn
Exclusion	$4,888	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	6577423	TotalRevenueColumn
Related Or Exempt Function Income	6558627	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$6,955	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	160633	Total
Program Services	160633	ProgramServices

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	3048472	Total
Program Services	2819919	ProgramServices
Management And General	228553	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	8802	Total
Program Services	8177	ProgramServices
Management And General	625	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	567187	Total
Program Services	475770	ProgramServices
Management And General	91417	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	220103	Total
Program Services	204476	ProgramServices
Management And General	15627	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	3037	Total
Management And General	3037	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	25938	Total
Management And General	25938	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	14471	Total
Management And General	14471	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	34398	Total
Management And General	34398	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	257336	Total
Program Services	231602	ProgramServices
Management And General	25734	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	4595	Total
Management And General	4595	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	157966	Total
Program Services	157966	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	167965	Total
Program Services	167965	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	42811	Total
Program Services	42811	ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
NURSING AND OTHER MEDIC	810673	810673
PROVIDER TAX	269283	269283
BAD DEBT EXPENSE	171067	171067
DIETARY LAUNDRY HOUSEKE	166618	166618
EQUIPMENT RENTL & MAINT	73089	65780	7309

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	52029	Total
Program Services	46826	ProgramServices
Management And General	5203	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	6256473	Total
Program Services	5799566	ProgramServices
Management And General	456907	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	733282	BOY
EOY	1082277	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	843380	BOY
EOY	776148	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	27863	BOY
EOY	14299	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	13808	BOY
EOY	10842	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	5289989	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	4305279	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	1078120	BOY
EOY	984710	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	39222	BOY
EOY	28755	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	2780015	BOY
EOY	2941371	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	317949	BOY
EOY	352405	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	28596	BOY
EOY	44970	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	2790495	BOY
EOY	2580071	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	3137040	BOY
EOY	2977446	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	-357025	BOY
EOY	-36075	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	-357025	BOY
EOY	-36075	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2780015	BOY
EOY	2941371	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	320950	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	37494	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	4445	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	8623	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	12012	CurrentTaxYearMinus1Year
Current Tax Year	11841	CurrentTaxYear
Total	74415	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	5340648	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	5725010	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	5933322	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	5937500	CurrentTaxYearMinus1Year
Current Tax Year	6558627	CurrentTaxYear
Total	29495107	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	5378142	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	5729455	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	5941945	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	5949512	CurrentTaxYearMinus1Year
Current Tax Year	6570468	CurrentTaxYear
Total	29569522	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	29569522	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	11738	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	17285	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	4166	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	5051	CurrentTaxYearMinus1Year
Current Tax Year	2067	CurrentTaxYear
Total	40307	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	11738	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	17285	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	4166	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	5051	CurrentTaxYearMinus1Year
Current Tax Year	2067	CurrentTaxYear
Total	40307	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	5389880	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	5746740	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	5946111	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	5954563	CurrentTaxYearMinus1Year
Current Tax Year	6572535	CurrentTaxYear
Total	29609829	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.99860	PublicSupportPercentage509
Prior Year Support Percentage	0.99750	PriorYearSupportPercentage
Investment Income Percentage	0.00140	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.00180	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	2461846	Depreciation
Book Value	395086	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1314365	OtherCostOrOtherBasis
Depreciation	881757	Depreciation
Book Value	432608	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1019120	OtherCostOrOtherBasis
Depreciation	862104	Depreciation
Book Value	157016	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	984710	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 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	$2,414,962
ESTIMATED THIRD PARTY SETTLEMENT	$59,696
RESIDENT FUNDS	$22,951

Field	Value	IRS element (for citing)
Total Of Amounts	2580071	TotalOfAmounts
Total Revenue	6577423	TotalRevenue
Total Expenses	6256473	TotalExpenses
Excess Or Deficit For Year	320950	ExcessOrDeficitForYear
Total Adjustments	0	TotalAdjustments
Excess Or Deficit Per FS	320950	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	6577423	TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F990	0	RevenueNotRptdF990
Revenue Subtotal	6577423	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	6577423	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	6256473	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	6256473	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	6256473	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, 2011 AND 2010 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, 2011 AND 2010, 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)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11	THE ADMINSTRATOR OF THE MANOR WILL REVIEW THE 990 AND APPROVE THE FORM TO BE FILED.
	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 12C
	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 B, LINE 15A
	DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST.	FORM 990, PART VI, SECTION C, LINE 19
	THERE IS NO CHANGE FROM THE PRIOR YEAR.	FORM 990, PART XII, LINE 2C

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	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