2011-07-26T13:03:00-05:00 2010-12-31 LARSONALLEN LLP 300 CROWN COLONY DRIVE SUITE 310 QUINCY MA 02169 990 2010-01-01 043108782 NOTRE DAME HEALTH CARE CENTER INC NOTR 5088523011 559 PLANTATION STREET WORCESTER MA 01605 SR PATRICIA MCSHARRY SND 5088523011 2011-07-14 1 BARBARA J MORRISON 6179848100 2011-07-14 2010 2016-02-24 21:20:13Z NOTRE DAME LT CARE CENTER NOTRE DAM SR PATRICIA MCSHARRY SN 559 PLANTATION STREET WORCESTER MA 01605 21599586 0 X NOTREDAMELTCC.ORG X 1990 MA TO PROVIDE NURSING & RELATED HEALTHCARE SERVICES TO THE ELDERLY 15 15 403 40 0 0 29398 67437 18342745 19244665 231154 414501 0 0 18603297 19726603 0 0 0 0 11155620 11494184 0 0 0 6608716 7032059 17764336 18526243 838961 1200360 34495039 35537901 21493055 21623555 13001984 13914346 PROVIDE NURSING & RELATED HEALTHCARE SERVICES TO THE ELDERLY; NURSING HOME; ASSISTED LIVING AND HOSPICE SERVICES 0 0 17294168 19244665 PROVIDE SKILLED NURSING HOME CARE TO THE ELDERLY AND DISABLED 17294168 1 1 0 1 0 0 0 0 1 1 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 36 0 403 1 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X SR MAUREEN O'BRIEN SND TREASURER 5088523011 559 PLANTATION ST WORCESTER MA 01605 SR LORRAINE CONNELL SND 1.00 X 0 0 0 SR MAUREEN O'BRIEN SND 1.00 X 0 0 0 SR MARIE MCDONALD SND 1.00 X 0 0 0 LEE NORTON KELLY 1.00 X 0 0 0 SR MARGARET MCCARTHY - SND 1.00 X 0 0 0 MARGARET COFFIN 40.00 X X 80403 0 17372 KATHLEEN O'CONNOR 1.00 X 0 0 0 GARTH JOHNSON 1.00 X 0 0 0 KATHERINE LEMAY 40.00 X X 149722 0 13085 JOHN H LIND 1.00 X 0 0 0 SR PATRICIA MCSHARRY 1.00 X 0 0 0 SR ANDREA WALSH SND 1.00 X 0 0 0 MS MARY CULHANE 1.00 X 0 0 0 MS KATHLEEN FISHER 1.00 X 0 0 0 MS JACQUELYN MCCARTHY 1.00 X 0 0 0 MS MELISSA MOORE 1.00 X 0 0 0 SR ELLEN AGRITELLEY SND 1.00 X 0 0 0 BEVERLY AMOSAH 40.00 X 108112 0 4624 DEBRA FORSS 40.00 X 121608 0 702 KAREN RIZZO 40.00 X 115648 0 2563 575493 0 38346 4 0 1 0 HEALTHPRO MANAGEMENT INC 400 WEST CUMMINGS PARK WOBURN MA 01801 REHAB THERAPY SERVICES 505498 1 67437 67437 NURSING HOME REVENUE 623000 13054942 13054942 ASSISTED LIVING REVENU 623000 5062517 5062517 HOSPICE REVENUE 623000 1044053 1044053 EDUCATION CENTER 623000 83153 83153 19244665 342949 342949 1944535 1872983 71552 71552 71552 19726603 19244665 0 414501 260582 260582 9240889 8630763 610126 39240 36650 2590 1060673 990669 70004 892800 811020 81780 6811 6811 73438 73438 22859 22859 267944 209114 58830 88621 88621 226189 223826 2363 1776352 1776352 30069 30069 4897 4897 894506 894506 75862 33170 42692 PATIENT CARE EXPENSES 2048551 2048551 USER FEE 798354 798354 HOSPICE EXPENSES 388636 388636 EDUCATION CENTER 196931 196931 BAD DEBTS 65955 65955 66084 66084 18526243 17294168 1232075 0 2270568 1801405 1473321 1385470 1102975 2297984 224629 153045 30791813 10869198 20539559 19922615 7437729 8418555 1446258 1558827 34495039 35537901 1734382 1951807 94553 15077 17815000 17250000 1849120 2406671 21493055 21623555 X 12987145 13873215 14839 41131 13001984 13914346 34495039 35537901 X 1200360 -287998 X X 0 1 1 X 0 X 30211 12357 36642 29398 67437 176045 158350579 16637473 17804725 18342745 19244665 230380187 158380790 16649830 17841367 18372143 19312102 230556232 0 0 0 230556232 446222 432517 305680 263905 342949 1791273 446222 432517 305680 263905 342949 1791273 158827012 17082347 18147047 18636048 19655051 232347505 0.99230 0.99220 0.00770 0.00780 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 2800 2800 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: PAID MEMBERSHIP DUES TO STATE HEALTHCARE ORGANIZATION 14839 26292 41131 8966 9367 3494 14839 0.00000 0.00000 1.00000 0 0 2625000 2625000 24864584 8464242 16400342 2804483 2176454 628029 497746 228502 269244 19922615 EQUITIES 6458769 F FIXED INCOME SECURITIES 1842448 F GOLD - FUND 117338 F 8418555 UNREALIZED LOSS - INTEREST RATE SWAP 2406671 2406671 19726603 18526243 1200360 269553 -557551 -287998 912362 19218814 269554 -557551 -287997 19506811 22859 196933 219792 19726603 18306452 0 18306452 22859 196932 219791 18526243 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: TEMPORARILY RESTRICTED NET ASSETS ARE TO BE USED FOR CHAPEL WINDOWS. PART VI, LINE 8: UNREALIZED LOSS ON INTEREST RATE SWAP $ 557,551 ROUNDING $2 PART XII, LINE 2(D): UNREALIZED LOSS ON INTEREST RATE SWAP $ 557,551 PART XII, LINE 4(B): NON OPERATING REVENUE NET AGAINST EXPENSES $196,931 ROUNDING $2 PART XIII, 4(B): NON OPERATING REVENUE NET AGAINST EXPENSES $196,931 ROUNDING $1 X 0 0 0 0 0 0 0 0 0 KATHERINE LEMAY 149722 0 0 0 0 0 1821 0 11264 0 162807 0 0 0 GARTH JOHNSON DIRECTOR OF THIS ORGANIZATION 7000 IS EMPLOYED BY A CONTRACTOR WHICH RECEIVED FEES FROM THE ORGANIZATION. 0 DAVID PUTNAM MEMBER OF THE FINANCE COMMITTEE 22859 IS EMPLOYED BY AN INVESTMENT FIRM WHICH RECEIVED FEES FROM THE ORGANIZATION. 0 MARY CULHANE DIRECTOR OF THIS ORGANIZATION 15000 IS EMPLOYED BY A CONSULTING FIRM WHICH RECEIVED FEES FROM THE ORGANIZATION. 0 FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE FORM 990 WAS PRESENTED TO THE BOARD OF THE DIRECTORS AT THE ANNUAL MEETING AND APPROVED. FORM 990, PART VI, SECTION B, LINE 12C ALL EMPLOYEES ARE SUBJECT TO THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. DETERMINATIONS ARE MADE AT THE MANAGEMENT LEVEL AND REVIEWED WITH THE ORGANIZATIONAL INTEGRITY OFFICER. FORM 990, PART VI, SECTION B, LINE 15 PROCESS WAS USED TO ESTABLISH COMPENSATION FOR ADMIN/CEO OF NDLTCC AND EXECUTIVE DIRECTOR OF DU LAC. THIS PROCESS WAS LAST UNDERTAKEN FOR EACH SUCH PERSON IN 2010. FORM 990, PART VI, SECTION C, LINE 19 SR. MAUREEN O'BRIEN, TREASURER 559 PLANTATION STREET WORCESTER, MA 01605 CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 269,553. UNREALIZED LOSS ON INTEREST RATE SW -557,551. TOTAL TO FORM 990, PART XI, LINE 5: -287,998. FORM 990, PART XI, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.