2019-10-28T10:00:36-05:00 2018-12-31 042536173 LIVINGSTON & HAYNES PC 40 GROVE STREET WELLESLEY MA 024827711 990 2018-01-01 042277710 MARIAN MANOR INC MARI 5086798154 33 SUMMER STREET TAUNTON MA 02780 EDGAR M DA CUNHA PRESIDENT AND TREASURER 5086751311 2019-10-22 1 MARIA BUNKER P00652618 7812373339 2019-10-17 50.79.169.35 2019-10-22 08:10:29 ED P ADCF79DF7667FFBAD69541E8EA17975E12DD771E ADCF79DF7667FFBAD69541E8EA17975E12DD771E 2018 2020-03-31 21:24:44Z EDGAR M DA CUNHA 394 HIGHLAND AVENUE FALL RIVER MA 02720 9580051 0 X WWW.DHFO.ORG X 1963 MA PROVIDES SKILLED NURSING AND REHABILITATIVE CARE FOR THE FRAIL AND ELDERLY. 6 0 181 5 0 0 5715 7128 9770677 9336108 10057 7017 64723 224364 9851172 9574617 0 0 0 0 6307107 5921157 0 0 0 4450144 4961197 10757251 10882354 -906079 -1307737 2928253 2676608 3220860 4276952 -292607 -1600344 TO PROVIDE EXTENDED CARE TO THE CHRONICALLY ILL AND DISABLED, WITH SPECIAL EMPHASIS ON THE CARE OF THE FRAIL ELDERLY. 0 0 9349403 8796303 TO PROVIDE NURSING AND/OR REHABILITATION SERVICES TO THE AGED AND INFIRMED FOR 37,712 PATIENT DAYS. 599500 539805 TO PROVIDE ADULT DAY CARE SERVICES TO THE AGED AND INFIRMED FOR 5,983 PATIENT DAYS. 9948903 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 16 0 1 181 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 6 0 1 1 0 0 1 1 0 0 0 0 1 1 1 1 0 1 0 1 0 1 0 MA X MICHAEL FITZPATRICK 5086798154 368 N MAIN STREET FALL RIVER MA 02720 X EDGAR M DA CUNHA M + PRESIDENT & TREASURER 1.00 X X 0 0 0 JOHN M MURRAY M + SECRETARY 1.00 X X 0 0 0 TIMOTHY REIS M + DIRECTOR 1.00 X 0 0 0 WILLIAM M RODRIGUES M + DIRECTOR 1.00 X 0 0 0 KEVIN KILEY DIRECTOR 1.00 X 0 0 0 GREGORY A MATHIAS M + VICE PRESIDENT 1.00 X X 0 0 0 0 0 0 0 0 0 0 SYMBRIA REHAB INC 28100 TORCH PARKWAY WARRENVILLE IL 60555 THERAPY SERVICES 632256 NORTON AND ASSOCIATES INC 34 ELM STREET COHASSET MA 02025 NURSING SERVICES 624181 INTELYCARE INC 1515 HANCOCK ST QUINCY MA 02169 NURSING SERVICES 288825 BILL'S TAXI SERVICE INC 1001 BEDFORD STREET BRIDGEWATER MA 02324 TRANSPORTATION SERVICES 120902 4 7128 7128 MEDICARE/MEDICAID 623000 7523576 7523576 ROOM AND BOARD 623000 1272727 1272727 ADULT DAY CARE 623000 539805 539805 9336108 7017 7017 19735 5434 14301 14301 OTHER REVENUE 900099 210063 210063 210063 9574617 9336108 0 231381 X 4933266 4676887 256379 129380 122250 7130 466947 443022 23925 391564 371098 20466 261241 15000 246241 21210 21210 10639 10639 2667602 2653609 13993 34047 2976 31071 91924 91924 294685 189398 105287 138278 133383 4895 162756 75423 87333 97776 91396 6380 SUPPLIES 533463 533463 FOOD 354824 354824 USER FEE 244339 244339 OTHER 33263 26685 6578 15150 15150 10882354 9948903 933451 0 600 600 341026 236151 1052047 1054491 24814 17411 21345 45903 5177757 3856386 1308530 1321371 179891 681 2928253 2676608 1576079 1753074 1644781 2523878 3220860 4276952 X -292607 -1600344 -292607 -1600344 2928253 2676608 -1307737 0 X X 0 1 X 1 0 X 10714 8356 5067 5715 7128 36980 9717858 9460962 9888420 9770677 9336108 48174025 9728572 9469318 9893487 9776392 9343236 48211005 0 0 0 48211005 10504 9772 8766 9057 7017 45116 10504 9772 8766 9057 7017 45116 111582 277206 62683 69310 229798 750579 9850658 9756296 9964936 9854759 9580051 49006700 0.98380 0.98680 0.00090 0.00100 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2014 AMOUNT: $ 96,046. 2015 AMOUNT: $ 260,754. 2016 AMOUNT: $ 45,542. 2017 AMOUNT: $ 53,706. 2018 AMOUNT: $ 210,063. FUNDRAISING INCOME - 2014 AMOUNT: $ 15,536. 2015 AMOUNT: $ 16,452. 2016 AMOUNT: $ 17,141. 2017 AMOUNT: $ 15,604. 2018 AMOUNT: $ 19,735. 26000 26000 3831757 2893046 938711 1267681 916178 351503 52319 47162 5157 1321371 DUE TO AFFILIATES 2523878 2523878 X 9564901 5434 5434 9559467 15150 15150 9574617 10872638 5434 5434 10867204 15150 15150 10882354 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 (2015-2017) OR EXPECTED TO BE TAKEN IN THE HOME'S 2018 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, 2018 AND 2017. PART XI, LINE 2D - OTHER ADJUSTMENTS: DIRECT FUNDRAISING EXPENSES PART XI, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS PART XII, LINE 2D - OTHER ADJUSTMENTS: DIRECT FUNDRAISING EXPENSES PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS GOLF TOURNAMENT 19735 19735 370 281 1932 1741 1110 19735 19735 370 281 1932 1741 1110 5434 14301 FORM 990, PART VI, SECTION A, LINE 2 MOST REVEREND EDGAR DA CUNHA, REVEREND JOHN M. MURRAY, VERY REVEREND GREGORY A. MATHIAS, REVEREND TIMOTHY REIS, REVEREND WILLIAM M. RODRIGUES 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 2018. 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 2018. FORM 990, PART VI, SECTION B, LINE 11B THE CFO OF THE MANAGEMENT COMPANY REVIEWS AND APPROVES THE 990. THEN THE PRESIDENT ON THE BOARD OF DIRECTORS REVIEWS AND SIGNS THE 990. FORM 990, PART VI, SECTION B, LINE 12C EMPLOYEES ARE REQUIRED TO DISCLOSE ALL CONFLICTS OF INTEREST ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15B THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS NOT COMPENSATED BY THE ORGANIZATION. THE PROCESS FOR DETERMINING THE COMPENSATION OF ANY KEY EMPLOYEE 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 1,598. MANAGEMENT AND GENERAL EXPENSES 13,993. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,591. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,739,070. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,739,070. MEDICAL DIRECTOR: PROGRAM SERVICE EXPENSES 19,200. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,200. MANAGEMENT CONSULTANTS: PROGRAM SERVICE EXPENSES 16,965. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,965. THERAPISTS: PROGRAM SERVICE EXPENSES 672,881. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 672,881. ALL INCLUSIVE: PROGRAM SERVICE EXPENSES 57,144. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 57,144. LAB FEES: PROGRAM SERVICE EXPENSES 7,631. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,631. AMBULANCE: PROGRAM SERVICE EXPENSES 3,712. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,712. RADIOLOGY: PROGRAM SERVICE EXPENSES 3,990. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,990. DIETICIAN CONSULTANTS: PROGRAM SERVICE EXPENSES 22,129. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,129. RELATED PARTY LABOR: PROGRAM SERVICE EXPENSES 109,289. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 109,289. 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 MADONNA MANOR INC 85 NORTH WASHINGTON STREET NORTH ATTLEBORO MA 02760 042596550 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 1 0 1 0 1 0 0 0 0 0 0 1 1 0 1 1 1 1 1 ROMAN CATHOLIC BISHOP OF FALL RIVER A 5443 ACTUAL INTEREST EARNED MADONNA MANOR INC O 1439 COST OF SERVICES PROVIDED SACRED HEART HOME INC O 56503 COST OF SERVICES PROVIDED CATHOLIC MEMORIAL HOME INC O 5081 COST OF SERVICES PURCHASED SACRED HEART HOME INC M 55739 COST OF SERVICES PURCHASED CATHOLIC MEMORIAL HOME INC M 5081 COST OF SERVICES PURCHASED DIOCESAN HEALTH FACILITIES OFFICE M 261200 COST OF SERVICES PROVIDED ROMAN CATHOLIC BISHOP OF FALL RIVER M 459500 COST OF SERVICES PROVIDED ROMAN CATHOLIC BISHOP OF FALL RIVER M 40400 COST OF SERVICES PROVIDED CATHOLIC MEMORIAL HOME INC P 9181 ACTUAL AMOUNT PAID SACRED HEART HOME INC P 6003 ACTUAL AMOUNT PAID DIOCESAN HEALTH FACILITIES OFFICE P 28490 ACTUAL AMOUNT PAID MADONNA MANOR INC L 1264 COST OF SERVICES PROVIDED OUR LADY'S HAVEN L 1737 COST OF SERVICES PROVIDED OUR LADY'S HAVEN O 1737 COST OF SERVICES PROVIDED SACRED HEART HOME INC L 764 COST OF SERVICES PROVIDED MADONNA MANOR INC Q 9426 ACTUAL AMOUNT RECEIVED ROMAN CATHOLIC BISHOP OF FALL RIVER M 1199 COST OF SERVICES PROVIDED CATHOLIC MEMORIAL HOME INC Q 586345 ACTUAL AMOUNT RECEIVED OUR LADY'S HAVEN Q 84078 ACTUAL AMOUNT RECEIVED CATHOLIC MEMORIAL HOME INC E 568000 ACTUAL AMOUNT LOANED SACRED HEART HOME INC E 155000 ACTUAL AMOUNT LOANED SACRED HEART HOME INC Q 165674 ACTUAL AMOUNT RECEIVED DIOCESAN HEALTH FACILITIES OFFICE Q 42031 ACTUAL AMOUNT RECEIVED OUR LADY'S HAVEN P 14547 ACTUAL AMOUNT PAID MADONNA MANOR INC M 174 COST OF SERVICES PURCHASED OUR LADY'S HAVEN E 30000 ACTUAL AMOUNT LOANED DIOCESAN HEALTH FACILITIES OFFICE R 41000 ACTUAL AMOUNT REPAID OUR LADY'S HAVEN S 45000 ACTUAL AMOUNT REPAID ROMAN CATHOLIC BISHOP OF FALL RIVER M 129380 COST OF SERVICES PURCHASED MADONNA MANOR INC P 8252 ACTUAL AMOUNT PAID