ST JOSEPH MANOR HEALTH CARE INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ST JOSEPH MANOR HEALTH CARE INC (EIN 04-2565937)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-08-04
IRS object ID
201102169349300330
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-08-04T12:27:13-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-01-01TaxPeriodBeginDate

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)
NameJOHN CORLISSName
TitleINTERIM CEO/ADMINISTRATORTitle
Phone5085835834Phone
Date Signed2011-07-27DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMICHAEL A BARBARITAName
Phone6036228881Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOHN CORLISSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1215 THATCHER STREETAddressLine1
CityBROCKTONCity
StateMAState
ZIP Code023023949ZIPCode
FieldValueIRS element (for citing)
Gross Receipts11381775GrossReceipts
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 HEALTHCARE PROVIDES PERSON-CENTERED SERVICES TO PEOPLE OF ALL FAITHS IN OUR HOME AND WITHIN OUR COMMUNITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees281TotalNbrEmployees
Total Nbr Volunteers15TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year8963ContributionsGrantsPriorYear
Contributions Grants Current Year29563ContributionsGrantsCurrentYear
Program Service Revenue Prior Year10283451ProgramServiceRevenuePriorYear
Program Service Revenue CY11232303ProgramServiceRevenueCY
Investment Income Prior Year28403InvestmentIncomePriorYear
Investment Income Current Year50434InvestmentIncomeCurrentYear
Other Revenue Prior Year14713OtherRevenuePriorYear
Other Revenue Current Year37290OtherRevenueCurrentYear
Total Revenue Prior Year10335530TotalRevenuePriorYear
Total Revenue Current Year11349590TotalRevenueCurrentYear
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 Year6669067SalariesEtcPriorYear
Salaries Etc Current Year6506933SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3968605OtherExpensePriorYear
Other Expenses Current Year4395183OtherExpensesCurrentYear
Total Expenses Prior Year10637672TotalExpensesPriorYear
Total Expenses Current Year10902116TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-302142RevenuesLessExpensesPriorYear
Revenues Less Expenses CY447474RevenuesLessExpensesCY
Total Assets BOY4961570TotalAssetsBOY
Total Assets EOY5210806TotalAssetsEOY
Total Liabilities BOY1159901TotalLiabilitiesBOY
Total Liabilities EOY862681TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3801669NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4348125NetAssetsOrFundBalancesEOY
Mission DescriptionOUR CATHOLIC MINISTRY OF COMPASSIONATE HEALTHCARE PROVIDES PERSON-CENTERED SERVICES TO PEOPLE OF ALL FAITHS IN OUR HOME AND WITHIN OUR COMMUNITY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense10625088Expense
Revenue11244583Revenue
DescriptionST. JOSEPH MANOR PROVIDED 40,707 DAYS OF SKILLED NURSING CARE TO PATIENTS FROM ALL ECONOMIC, RELIGIOUS AND ETHNIC GROUPS DURING 2010. A TOTAL OF 29,289 DAYS WERE PROVIDED TO MEDICAID RESIDENTS.Description
Total Program Service Expense10625088TotalProgramServiceExpense
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 Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
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
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109615NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees281NumberOfEmployees
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 Members14NbrVotingGoverningBodyMembers
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 Line1JOHN CORLISS INTERIM CEOBusinessNameLine1
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 (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationFormerFormer
SR MARY VALLIERE
PRESIDENT, CLASS A MEMBER1.00XX000
PATRICIA SHAHEEN
CHAIR3.00XX000
DAVID KELLIHER
VICE-CHAIR1.00XX000
VANESSA TIERNEY
TREASURER1.00XX000
SR RUTH DAUGINIKAS
CLERK, CLASS A MEMBER1.00XX000
SR EUGENIA GLINECKIS
CLASS A MEMBER1.00X000
PAUL ARENBURG
TRUSTEE1.00X000
AISHA BONNY
TRUSTEE1.00X000
ANNA WILLIAMS COTE
TRUSTEE1.00X000
JOHN DRUSINSKAS
TRUSTEE1.00X000
PEG FEODOROFF
TRUSTEE1.00X000
JEAN MACNEILL CRRN
TRUSTEE1.00X000
KENNETH OLIVIERI
TRUSTEE1.00X000
ANNE DEMINICO
CEO/ADMINISTRATOR40.00XX105448030393
SR ELIZABETH ZEMAITIS
CLASS A MEMBER1.00000X
REV JOSEPH MCGLONE
TRUSTEE1.00000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org105448TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation30393TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
PEOPLEFIRST REHABILITATION
680 SOUTH FOURTH STLOUISVILLEKY40202PATIENT REHABILITATION THERAPY553178
PHARMERICA
1123 PEARL STREETBROCKTONMA02301PHARMACY SERVICES294847
ADVANCED LINEN SERVICE
65 MANCHESTER STLAWRENCEMA01841LAUNDRY SERVICES193867
COVENANT HEALTH SYSTEMS
100 AMES POND SUITE 102TEWKSBURYMA01876MANAGEMWNT SERVICES189511
SOUTH SHORE COMMUNITY ACTION COUNCIL
265 SO MEADOW ROADPLYMOUTHMA02360TRANSPORTATION SERVICES166605
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
All Other Contributions29563AllOtherContributions
Total Contributions29563TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE REVENUDescription
Business Code623000BusinessCode
Total Revenue Column11232303TotalRevenueColumn
Related Or Exempt Function Income11232303RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue11232303TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column50434TotalRevenueColumn
Exclusion$50,434ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events57195GrossIncomeFundraisingEvents
Fundraising Direct Expenses32185FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column25010TotalRevenueColumn
Exclusion$25,010ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
ADMINISTRATIVE FEES62300065006500
REBATES / OTHER INCOME62300057805780
FieldValueIRS element (for citing)
Total Other Revenue12280TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column11349590TotalRevenueColumn
Related Or Exempt Function Income11244583RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$75,444ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total105448Total
Management And General105448ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5493053Total
Program Services5493053ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total16594Total
Program Services16594ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total473511Total
Program Services473511ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total418327Total
Program Services410227ProgramServices
Management And General8100ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total130404Total
Management And General130404ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total7874Total
Management And General7874ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total17539Total
Management And General17539ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total7663Total
Management And General7663ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1324447Total
Program Services1324447ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total15989Total
Program Services15989ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total53614Total
Program Services53614ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total35237Total
Program Services35237ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total458013Total
Program Services458013ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total8283Total
Program Services8283ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total9894Total
Program Services9894ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total221129Total
Program Services221129ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total141322Total
Program Services141322ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
PATIENT RELATED SUPPLIE10616761061676
MEDICAID PROVIDER TAX663712663712
BAD DEBT EXPENSE216000216000
FEES1818718187
CONTRIBUTIONS42004200

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total10902116Total
Program Services10625088ProgramServices
Management And General277028ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY106982BOY
EOY255403EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1192674BOY
EOY1146730EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY7350BOY
EOY10650EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY146459BOY
EOY37903EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4822765LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2849633LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1859580BOY
EOY1973132EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1622362BOY
EOY1759101EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY26163BOY
EOY27887EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4961570BOY
EOY5210806EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY936770BOY
EOY834794EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY200000BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY23131BOY
EOY27887EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1159901BOY
EOY862681EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3789750BOY
EOY4331213EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY11919BOY
EOY16912EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3801669BOY
EOY4348125EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4961570BOY
EOY5210806EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses447474ReconcilationRevenueExpenses
Reconcilation Other Changes98982ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee0AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 Years40707CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years66873CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years30405CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8963CurrentTaxYearMinus1Year
Current Tax Year13963CurrentTaxYear
Total160911Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9498313CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10338800CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10660763CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10283451CurrentTaxYearMinus1Year
Current Tax Year11232303CurrentTaxYear
Total52013630Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9539020CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10405673CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10691168CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10292414CurrentTaxYearMinus1Year
Current Tax Year11246266CurrentTaxYear
Total52174541Total

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 Total50952174541PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years42126CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years61576CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years38669CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year46547CurrentTaxYearMinus1Year
Current Tax Year50434CurrentTaxYear
Total239352Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years42126CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years61576CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years38669CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year46547CurrentTaxYearMinus1Year
Current Tax Year50434CurrentTaxYear
Total239352Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years18220CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17296CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years65809CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year104CurrentTaxYearMinus1Year
Current Tax Year12280CurrentTaxYear
Total113709Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9599366CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10484545CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10795646CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10339065CurrentTaxYearMinus1Year
Current Tax Year11308980CurrentTaxYear
Total52527602Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99330PublicSupportPercentage509
Prior Year Support Percentage0.99410PriorYearSupportPercentage
Investment Income Percentage0.00460InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00420PriorYrInvestIncomePercentage
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 Balance11919BeginningOfYearBalance
Contributions15600Contributions
Other Expenditures10607OtherExpenditures
End Of Year Balance16912EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance1.00000BoardDesignatedEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2697671OtherCostOrOtherBasis
Depreciation1344483Depreciation
Book Value1353188BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1801101OtherCostOrOtherBasis
Depreciation1441909Depreciation
Book Value359192BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis323993OtherCostOrOtherBasis
Depreciation63241Depreciation
Book Value260752BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1973132TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionMANAGED INVESTMENTSDescription
Book Value1759101BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities1759101TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionRESIDENT FUNDSDescription
Amount$27,887Amount
FieldValueIRS element (for citing)
Total Of Amounts27887TotalOfAmounts
Total Revenue11349590TotalRevenue
Total Expenses10902116TotalExpenses
Excess Or Deficit For Year447474ExcessOrDeficitForYear
Net Unrealized GL On Investments93989NetUnrealizedGLOnInvestments
Other$4,993OtherAmount
Total Adjustments98982TotalAdjustments
Excess Or Deficit Per FS546456ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt11443579TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments93989NetUnrealizedGainsInvestments
Revenue Not Rptd F99093989RevenueNotRptdF990
Revenue Subtotal11349590RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99011349590TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt10902116TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal10902116ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99010902116TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPART XI, LINE 8 - OTHER ADJUSTMENTS:Identifier
ExplanationINCREASE IN TEMP RESTRICTED NET ASSETS 4,993.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF TOURNEMENTNameOfEvent1
Gross Receipts Event120875GrossReceiptsEvent1
Gross Revenue Event120875GrossRevenueEvent1
Other Direct Expenses Event18200OtherDirectExpensesEvent1
Name Of Event2LABOR DAY PICNICNameOfEvent2
Gross Receipts Event229406GrossReceiptsEvent2
Gross Revenue Event229406GrossRevenueEvent2
Other Direct Expenses Event218277OtherDirectExpensesEvent2
Total Number Of Other Events2TotalNumberOfOtherEvents
Gross Receipts Other Events6914GrossReceiptsOtherEvents
Gross Revenue Other Events6914GrossRevenueOtherEvents
Other Direct Expenses Other Events5707OtherDirectExpensesOtherEvents
Gross Receipts Total57195GrossReceiptsTotal
Gross Revenue Total Events57195GrossRevenueTotalEvents
Other Direct Expenses Total Events32184OtherDirectExpensesTotalEvents
Direct Expense Summary Events32184DirectExpenseSummaryEvents
Net Income Summary25011NetIncomeSummary
FieldValueIRS element (for citing)
Name Of Gaming Rec Keeper PersonBART MURPHYNameOfGamingRecKeeperPerson

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

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

Form990 Schedule G Part IV Form990ScheduleGPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF FUNDRAISING PAYMENTSIdentifier
Return ReferenceSCHEDULE G, PART I, LINE 2B, COLUMN (V)ReturnReference
ExplanationTHE ORGANIZATION DOES NOT USE A PROFESSIONAL FUNDRAISERExplanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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.
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 12C
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 B, LINE 15
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 18
ST. JOSEPH MANOR MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 93,989. INCREASE IN TEMP RESTRICTED NET ASSETS 4,993. TOTAL TO FORM 990, PART XI, LINE 5: 98,982.FORM 990, PART XI, LINE 5:

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 SUITE 102TEWKSBURYMA01876222484505MANAGEMENTMA501(C)509(A)(2)0
POOR SISTERS OF JESUS CRUCIFIED AND THE SORROWFUL MOTHER
261 THATCHER STBROCKTONMA02302LESSOR 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
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 Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
COVENANT HEALTH SYSTEMS
A189511CASH
SISTERS OF JESUS CRUCIFIED AND THE SORROWFUL MOTHER
J282004CASH

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