2023-11-14T11:29:35-06:00 2022-12-31 042536173 LIVINGSTON & HAYNES PC 40 GROVE STREET WELLESLEY MA 024827711 990 2022-01-01 042596550 MADONNA MANOR INC MADO 5086798154 85 NORTH WASHINGTON STREET NORTH ATTLEBORO MA 02760 JOANNE ROQUE DIRECTOR 5086751311 2023-11-02 1 JOANNE ROQUE 999009999 0 MARIA BUNKER P00652618 7812373339 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z EDGAR M DA CUNHA 394 HIGHLAND AVENUE FALL RIVER MA 02720 9100166 0 X WWW.DHFO.ORG X 1966 MA PROVIDES SKILLED NURSING & REHABILITATIVE CARE FOR THE FRAIL AND THE ELDERLY. 8 1 146 2 0 0 1584042 9757 7000040 8315046 2736 966 600181 769665 9186999 9095434 0 0 0 0 6703135 6308645 0 0 0 3184170 3787377 9887305 10096022 -700306 -1000588 3390766 2234600 2929210 2773632 461556 -539032 TO PROVIDE EXTENDED CARE TO THE CHRONICALLY ILL AND DISABLED, WITH SPECIAL EMPHASIS ON THE CARE OF THE FRAIL ELDERLY. 0 0 9258765 8315046 TO PROVIDE NURSING AND/OR REHABILITATION SERVICES TO THE AGED AND INFIRM FOR 27,381 PATIENT DAYS. 9258765 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 12 0 1 146 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 8 1 1 1 0 0 1 1 0 0 0 0 0 1 1 1 1 1 1 1 1 0 MA X LAURA MITCHELL 5086798154 368 NORTH MAIN STREET FALL RIVER MA 02720 X VERY REVEREND GREGORY A MATHIAS M + VICE PRESIDENT 1.00 0.00 X X 0 0 0 REVEREND DAVID A PIGNATO M + SECRETARY 1.00 0.00 X X 0 0 0 REVEREND DAVID COSTA M + DIRECTOR 1.00 0.00 X 0 0 0 REVEREND THOMAS L RITA M + DIRECTOR (UNTIL 11/10/22) 1.00 0.00 X 0 0 0 REVEREND MARC P TREMBLAY M + DIRECTOR (UNTIL 11/10/22) 1.00 0.00 X 0 0 0 MOST REVEREND EDGAR M DA CUNHA M + PRESIDENT & TREASURER 1.00 0.00 X X 0 0 0 KEVIN KILEY DIRECTOR 1.00 0.00 X 0 0 0 ELIZABETH POIRIER DIRECTOR (UNTIL 11/10/22) 1.00 0.00 X 0 0 0 JOANNE ROQUE DIRECTOR 1.00 0.00 X 0 0 0 LAURA MITCHELL DIRECTOR 1.00 0.00 X 0 0 0 DAVID GAY DIRECTOR 1.00 0.00 X 0 0 0 DENISE WAINWRIGHT LPN CHARGE 40.00 0.00 X 172388 0 13738 KURT WHEATON ADMINISTRATOR 40.00 0.00 X 130138 0 34578 RAYNOR SPENCER L.P.N. CHARGE 40.00 0.00 X 125957 0 12325 MARY LOUNSBURY NURSE MANAGER, RN 40.00 0.00 X 117271 0 5669 CENDI ALVARADO NURSING SUPERVISOR 40.00 0.00 X 104633 0 5058 650387 0 71368 7 0 1 0 SYMBRIA REHABINC 28100 TORCH PARKWAY WARRENVILLE IL 60555 THERAPY SERVICES 522568 DIOCESAN HEALTH FACILITIES 368 NORTH MAIN STREET FALL RIVER MA 02720 MANAGEMENT SERVICES 248086 HEALTHCARE SERVICES GROUP 3220 TILLMAN DRIVE SUITE 300 BENSALEM PA 19020 LAUNDRY/HOUSEKEEPING SERVICES 215474 INTELYCARE INC 1250 HANCOCK ST 501N QUINCY MA 02169 NURSING SERVICES 140209 4 9757 9757 MEDICARE/MEDICAID 623000 5582753 5582753 ROOM & BOARD FEES 623000 2732293 2732293 8315046 966 966 10031 4732 5299 5299 OTHER REVENUE 900099 764366 764366 764366 9095434 8315046 0 770631 X 5286952 5029782 257170 182657 173771 8886 453996 431913 22083 385040 366110 18930 248086 248086 5127 5127 26500 26500 1413360 1401142 12218 9933 9933 160665 160665 255312 223473 31839 3211 3211 1549 1549 17039 17039 136405 120736 15669 90998 83148 7850 USER FEE 589658 589658 SUPPLIES 343562 343562 FOOD 259327 259327 COVID-19 TESTING 128938 128938 97707 88617 9090 10096022 9258765 837257 0 1900 2308 1013200 119568 686735 810512 40554 39923 54771 57230 5421468 4404379 1089392 1017089 504214 187970 3390766 2234600 1292772 1077539 1636438 1696093 2929210 2773632 X 461556 -539032 461556 -539032 3390766 2234600 -1000588 0 X X 0 1 X 1 0 X 17887 5845 8214 24912 9757 66615 11150140 10704854 8725903 7000040 8315046 45895983 11168027 10710699 8734117 7024952 8324803 45962598 0 0 0 45962598 5476 1049 3398 2736 966 13625 5476 1049 3398 2736 966 13625 102196 293040 2089726 600181 774397 3859540 11275699 11004788 10827241 7627869 9100166 49835763 0.92230 0.93870 0.00030 0.00040 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2018 AMOUNT: $ 82,821. 2019 AMOUNT: $ 266,857. 2020 AMOUNT: $ 2,089,726. 2021 AMOUNT: $ 600,181. 2022 AMOUNT: $ 764,366. FUNDRAISING INCOME - 2018 AMOUNT: $ 19,375. 2019 AMOUNT: $ 26,183. 2022 AMOUNT: $ 10,031. 0 0 0 0 0 0 0 0 1 40 40 0 PART II-B, LINE 1: A PORTION OF MEMBERSHIP DUES PAID TO STATE TRADE ASSOCIATION ORGANIZATION. 37500 37500 3735463 2930940 804523 1624486 1450143 174343 24019 23296 723 1017089 DUE FROM AFFILIATES 187970 187970 DUE TO AFFILIATES 1025052 UNSECURED LOAN PAYABLE TO RELATED THIRD PARTY 671041 1696093 X 9100166 4732 4732 9095434 0 9095434 10100754 4732 4732 10096022 0 10096022 PART X, LINE 2: THE HOME RECOGNIZES THE TAX BENEFIT FROM ANY UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE TAX POSITION. ANY TAX BENEFITS RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE RESOLUTION. MANAGEMENT HAS ANALYZED THE HOME'S TAX POSITIONS, AND HAS CONCLUDED THAT NO LIABILITY FOR UNRECOGNIZED TAX BENEFITS SHOULD BE RECORDED RELATED TO UNCERTAIN TAX POSITIONS TAKEN ON RETURNS FILED FOR OPEN YEARS (2019-2021) OR EXPECTED TO BE TAKEN IN THE HOME'S 2022 TAX RETURNS. THE HOME IDENTIFIES ITS MAJOR TAX JURISDICTIONS AS U.S. FEDERAL AND THE COMMONWEALTH OF MASSACHUSETTS; HOWEVER, THE HOME IS NOT AWARE OF ANY TAX POSITIONS FOR WHICH IT IS REASONABLY POSSIBLE THAT THE TOTAL AMOUNTS OF UNRECOGNIZED TAX BENEFITS WILL CHANGE MATERIALLY IN THE NEXT TWELVE MONTHS. THE HOME ALSO FOLLOWS THE POLICY TO RECOGNIZE INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS (IF ANY) IN INCOME TAX EXPENSE. NO SUCH INTEREST AND PENALTIES HAVE BEEN RECORDED AS OF DECEMBER 31, 2022 AND 2021. PART XI, LINE 2D - OTHER ADJUSTMENTS: DIRECT FUNDRAISING EXPENSES PART XII, LINE 2D - OTHER ADJUSTMENTS: DIRECT FUNDRAISING EXPENSES X X 0 0 0 0 0 0 0 0 0 DENISE WAINWRIGHT LPN CHARGE 172388 0 0 0 0 0 0 0 13738 0 186126 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 MOST REVEREND EDGAR DA CUNHA, REVEREND DAVID A. PIGNATO, VERY REVEREND MONSIGNOR GREGORY A. MATHIAS, REVEREND MARC P. TREMBLAY, REVEREND DAVID COSTA, REVEREND THOMAS L. RITA, JOANNE ROQUE, LAURA MITCHELL, AND KEVIN KILEY HAVE BUSINESS RELATIONSHIPS WITH EACH OTHER. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION DELEGATED MANAGEMENT DUTIES TO THE DIOCESAN HEALTH FACILITIES OFFICE. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS ELECT THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 8A THERE WERE NO BOARD MEETINGS HELD BY THE GOVERNING BODY DURING 2022. FORM 990, PART VI, SECTION A, LINE 8B THERE WERE NO COMMITTEE MEETINGS WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY HELD DURING 2022. FORM 990, PART VI, SECTION B, LINE 11B THE CFO OF THE MANAGEMENT COMPANY REVIEWS AND APPROVES THE 990. THEN THE PRESIDENT OF THE BOARD OF DIRECTORS REVIEWS AND SIGNS THE 990. FORM 990, PART VI, SECTION B, LINE 12C EMPLOYEES AND BOARD MEMBERS ARE REQUIRED TO DISCLOSE ALL CONFLICTS OF INTEREST ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS FOR DETERMINING THE COMPENSATION OF THE ADMINISTRATOR OF THE HOME AND ANY KEY EMPLOYEES INVOLVES EXAMINING SIMILAR SALARIES OF OTHER EMPLOYEES IN SIMILAR POSITIONS IN OTHER NURSING HOME FACILITIES. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST FORM 990, PART IX, LINE 11G COMPUTER SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 12,218. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,218. MEDICAL DIRECTOR: PROGRAM SERVICE EXPENSES 21,600. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,600. ALL INCLUSIVE: PROGRAM SERVICE EXPENSES 33,684. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,684. DIETICIAN CONSULTANTS: PROGRAM SERVICE EXPENSES 32,874. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,874. THERAPISTS: PROGRAM SERVICE EXPENSES 494,485. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 494,485. LAB FEES: PROGRAM SERVICE EXPENSES 3,984. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,984. MANAGEMENT CONSULTANTS: PROGRAM SERVICE EXPENSES 12,584. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,584. AMBULANCE: PROGRAM SERVICE EXPENSES 6,105. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,105. RADIOLOGY: PROGRAM SERVICE EXPENSES 3,084. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,084. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 716,702. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 716,702. RELATED PARTY LABOR: PROGRAM SERVICE EXPENSES 76,040. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 76,040. PART XI, LINE 26 THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT CATHOLIC MEMORIAL HOME INC 2446 HIGHLAND AVENUE FALL RIVER MA 02720 042106393 SKILLED NURSING FACILITY MA 501(C)(3) 9 N/A 0 MARIAN MANOR INC 33 SUMMER STREET TAUNTON MA 02780 042277710 SKILLED NURSING FACILITY MA 501(C)(3) 9 N/A 0 OUR LADY'S HAVEN OF FAIRHAVEN INC 71 CENTER STREET FAIRHAVEN MA 02719 042106632 SKILLED NURSING FACILITY MA 501(C)(3) 9 N/A 0 SACRED HEART HOME INC 359 SUMMER STREET NEW BEDFORD MA 02740 042140119 SKILLED NURSING FACILITY MA 501(C)(3) 9 N/A 0 ROMAN CATHOLIC BISHOP OF FALL RIVER 450 HIGHLAND AVENUE FALL RIVER MA 02720 043000709 RELIGIOUS ORGANIZATION MA 501(C)(3) 1 N/A 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 CATHOLIC MEMORIAL HOME INC M 29735 COST OF SERVICES PURCHASED CATHOLIC MEMORIAL HOME INC O 29735 COST OF SERVICES PURCHASED MARIAN MANOR INC P 51497 BASED ON ACTUAL AMOUNTS PAID DIOCESAN HEALTH FACILITIES OFFICE P 9723 BASED ON ACTUAL AMOUNTS PAID DIOCESAN HEALTH FACILITIES OFFICE Q 136769 BASED ON ACTUAL AMOUNTS RECEIVED SACRED HEART HOME INC P 2179 BASED ON ACTUAL AMOUNTS PAID OUR LADY'S HAVEN INC Q 309512 BASED ON ACTUAL AMOUNTS RECEIVED CATHOLIC MEMORIAL HOME INC P 31100 BASED ON ACTUAL AMOUNTS PAID CATHOLIC MEMORIAL HOME INC Q 35254 BASED ON ACTUAL AMOUNTS RECEIVED DIOCESAN HEALTH FACILITIES OFFICE S 120000 REPAYMENT OF LOAN OUR LADY'S HAVEN INC P 106894 BASED ON ACTUAL AMOUNTS PAID SACRED HEART HOME INC Q 2179 BASED ON ACTUAL AMOUNTS RECEIVED MARIAN MANOR INC Q 50378 BASED ON ACTUAL AMOUNTS RECEIVED OUR LADY'S HAVEN INC S 196157 REPAYMENT OF LOAN ROMAN CATHOLIC BISHOP OF FALL RIVER M 182657 COST OF SERVICES PURCHASED ROMAN CATHOLIC BISHOP OF FALL RIVER M 478745 COST OF SERVICES PURCHASED MARIAN MANOR INC O 77618 COST OF SERVICES PROVIDED/PURCHAS ROMAN CATHOLIC BISHOP OF FALL RIVER R 23205 REPAYMENT OF LOAN ROMAN CATHOLIC BISHOP OF FALL RIVER R 17039 INTEREST PAYMENTS ON LOAN DIOCESAN HEALTH FACILITIES OFFICE M 248086 COST OF SERVICES PURCHASED MARIAN MANOR INC L 69732 COST OF SERVICES PROVIDED SACRED HEART HOME INC O 2179 COST OF SERVICES PROVIDED OUR LADY'S HAVEN INC O 124 COST OF SERVICES PURCHASED MARIAN MANOR INC M 7885 COST OF SERVICES PURCHASED SACRED HEART HOME INC L 2179 COST OF SERVICES PROVIDED DIOCESAN HEALTH FACILITIES OFFICE M 6248 COST OF SERVICES PURCHASED DIOCESAN HEALTH FACILITIES OFFICE O 6248 COST OF SERVICES PURCHASED OUR LADY'S HAVEN INC M 124 COST OF SERVICES PURCHASED