2011-04-12T10:25:25-05:00 2010-09-30 CCR LLP 124 HEBRON AVENUE 2nd Floor GLASTONBURY CT 06033 990 2009-10-01 061241982 SAINT JOSEPH'S LIVING CENTER INC SAIN 8604561107 14 CLUB ROAD WINDHAM CT 06280 geralyn hines-iverson 8604561107 2011-04-12 1 8607816700 2011-04-12 2009 2016-02-24 21:20:13Z geralyn hines-iverson 14 Club Road Windham CT 06280 11611703 0 0928 X N/A X 1987 CT Long-term skilled nursing care and rehabilitation services. 15 12 292 90 0 0 31772 31530 11154657 11490202 28236 18263 46179 65136 11260844 11605131 0 0 7667670 7712999 0 0 3173014 3338147 10840684 11051146 420160 553985 12248640 12096697 9367968 8662040 2880672 3434657 SAINT JOSEPH'S LIVING CENTER WAS ORGANIZED FOR THE PURPOSE OF PROVIDING LONG-TERM SKILLED NURSING CARE AND REHABILITATION SERVICES TO ITS RESIDENTS AND PATIENTS. 0 0 9633748 11490202 THE ORGANIZATION PROVIDED LONG-TERM SKILLED NURSING CARE AND REHABILITATION SERVICES TO 333 RESIDENTS AND PATIENTS DURING THE YEAR ENDED SEPTEMBER 30, 2010. 9633748 1 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 20 0 292 1 0 0 0 0 0 0 0 0 0 0 0 0 15 12 1 0 0 0 1 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X JOY GILL 8604561107 14 CLUB ROAD wINDHAM CT 06280 Rev Laurence AM LaPointe 3.00 X X 0 0 0 JOSEPH GANGITANO 0.00 X X 0 0 0 Theodore Hintz Sr 2.00 X X 0 0 0 Anita Satriano 2.00 X X 0 0 0 James Duffy 0.50 X 0 0 0 Sister M Jacinta Anderson RN 0.50 X 0 0 0 Rev Msgr Thomas Bride PA VG 0.50 X 0 0 0 Mark Doyle 0.50 X 0 0 0 dennis flanagan 0.50 X 0 0 0 noreen gravel 0.50 X 0 0 0 claire shea 0.50 X 0 0 0 anne tucker 0.50 X 0 0 0 marie twomey 0.50 X 0 0 0 timothy killeen 2.00 X 0 0 0 donald dubiel 2.00 X 0 0 0 Geralyn Hines-Iverson 40.00 X 131397 0 18395 Joy m gill 40.00 X 106617 0 5033 PAULA M HANEY 40.00 X 115560 0 12374 PATRICIA DUFFY 40.00 X 121176 0 21900 474750 0 57702 4 0 0 0 0 31530 31530 Medicare/Medicaid Paym 623000 8252193 8252193 PATIENT SERVICE FEES 623000 3238009 3238009 11490202 18263 18263 13562 6572 6990 6990 MISCELLANEOUS 900099 44469 44469 bad debt recovery 900099 13677 13677 58146 11605131 11490202 0 83399 542360 500214 42146 5675021 5234023 440998 161808 149234 12574 836487 771485 65002 497323 458677 38646 20527 20527 37100 37100 44376 44376 24332 24332 595203 529666 65537 97388 89820 7568 12575 12575 378670 347202 31468 528983 487876 41107 180003 180003 Contracted Services 537497 537497 Bad Debts 296213 296213 fOOD 293255 293255 Equipment Rental and Ma 254582 234799 19783 Storage Rental 11724 11724 25719 25719 11051146 9633748 1417398 0 40666 39989 1345253 1879180 1372938 962447 82676 73987 122005 104468 12775116 7604942 5474351 5170174 3548864 3629834 261887 236618 12248640 12096697 1414486 1359557 102931 7838 7850551 7294645 9367968 8662040 X 2849272 3392745 31400 41912 2880672 3434657 12248640 12096697 X 0 1 1 X 0 X 31400 18795 8283 41912 19251 32753 20604 31400 1.00000 0 0 1220000 1220000 9596800 6107149 3489651 1958316 1497793 460523 5170174 11605131 11051146 553985 0 553985 11611703 0 11611703 -6572 -6572 11605131 11057718 6572 6572 11051146 0 11051146 Part X: Description of Uncertain Tax Positions Under FIN 48: THE ORGANIZATION HAS NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. Part XII, Line 4B and part XIII, Line 2D: Special Events Expenses Netted with Special Events Revenues. Patricia Duffy Spouse of Board Member 143076 Wages and fringe benefits received 0 Form 990, Part VI, Section A, line 2 Director of Nursing and Board Director have a family relationship. Two Board Directors have a family relationship. Form 990, Part VI, Section A, line 6 Saint Joseph's Living Center, Inc. is a not for profit Corporation with members who are appointed by the Bishop of Norwich. There are rights and powers reserved to the Bishop of Norwich. Members of the Corporation consist of the Bishop of Norwich, and three other members appointed by him. The responsibilities of the Members of the Corporation are outlined in the By Laws. The Members of the Corporation appoint a Board of Directors, whose responsibility it is to manage the activities, property and affairs of the Corporation. Form 990, Part VI, Section B, line 11 Form 990 is reviewed by the Administrator and Chief Financial Officer prior to review by the governing body. Form 990, Part VI, Section B, line 12c Annual Conflicts of Interest Statements are reviewed by the Administrative Assistant and the Administrator. Noncompliance issues are referred to the Chairman of the Board by the Administrator. Form 990, Part VI, Section B, line 15 An annual evaluation of the Administrator is conducted by the executive committee. Comparable compensation data is utilized from the Canpfa Annual Salary Survey. Compensation decisions are made based on the outcome of this process; As well as facility financial performance. The key employees have annual evaluations conducted by the Administrator. Comparable compensation data is utilized from the Canpfa annual salary survey. Compensation decisions are made based on the outcome of this process; as well as facility financial performance. Form 990, Part VI, Section C, line 19 Any inquiries regarding governing documents will be referred to the Administrator and made available upon request. Norwich Roman Catholic Diocesan Corporation 213 Broadway Norwich CT 06360 Church Services CT 501(c)3 1 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 NORWICH ROMAN CATHOLIC DIOCESAN CORPORATION O 680318