2018-08-15T14:55:33-05:00 2017-12-31 410746749 CLIFTONLARSONALLEN LLP 300 CROWN COLONY DRIVE SUITE 310 QUINCY MA 02169 990 2017-01-01 042066524 SANCTA MARIA HOSPITAL INC SANC 6178682200 799 CONCORD AVENUE CAMBRIDGE MA 02138 ROBERT KELLEY DIRECTOR OF FINANCE 6178682200 2018-08-15 1 KAREN GRIES P00078514 6179848100 2018-08-15 2017 2022-09-23 18:48:47Z SANCTA MARIA NURSING FACILITY NICHOLAS H GILBERT 799 CONCORD AVENUE CAMBRIDGE MA 02138 15430806 0 X HTTP://SANCTAMARIA.ORG X 1948 MA THE PROVISION OF INPATIENT SKILLED NURSING SERVICES TO INDIVIDUALS REQUIRING SUCH CARE DUE TO PHYSICAL CONDITION OR INFIRMITY. 9 6 244 15 -65396 -65396 29859 574771 11628803 11707405 80515 343294 558702 1433361 12297879 14058831 0 0 0 0 8918054 9083903 0 0 0 4285012 4494270 13203066 13578173 -905187 480658 9001468 9428897 3545333 3388025 5456135 6040872 X FAITHFUL TO THE SPIRIT OF THE CONGREGATION OF THE DAUGHTERS OF MARY, SANCTA MARIA NURSING FACILITY'S MISSION IS TO WITNESS CHRIST'S COMPASSION, CARING AND LOVE, REFLECTING THE CATHOLIC CHURCH'S ROLE IN THE CONTINUATION OF CHRIST'S HEALING MINISTRY. COMMITTED TO THE VALUES OF DIGNITY AND RESPECT, LIFE, SERVICE AND SOCIAL JUSTICE, SANCTA MARIA STRIVES TO PROVIDE QUALITY HEALTH CARE TO ALL OF ITS PATIENTS/RESIDENTS. 0 0 12241552 11749177 PROVISION OF CHARITABLE HEALTH CARE SERVICES TO THE SURROUNDING COMMUNITY SUFFERING FROM ILLNESS OR DISABILITIES REQUIRING NURSING HOME CARE THROUGH A CATHOLIC, NON-PROFIT FACILITY COMMITTED TO THE HIGHEST STANDARDS OF MEDICAL CARE AND PRACTICE. THE FACILITY IS LICENSED FOR 141 BEDS OF WHICH, 135 BEDS WERE IN SERVICE AT YEAR-END RESULTING IN AN OCCUPANCY OF 91%. 12241552 1 1 0 0 0 0 0 0 0 1 1 0 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 1 0 0 0 0 0 0 0 0 0 1 12 0 1 244 1 1 1 0 0 0 0 0 0 0 0 0 X 9 6 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 0 1 1 0 MA X X ROBERT J KELLEY 6178682200 799 CONCORD AVENUE CAMBRIDGE MA 02138 JOHN O'NEILL CHAIRMAN 1.00 X X 0 0 0 NORMAN MCIVER VICE CHAIRMAN 1.00 X X 0 0 0 JOSEPH BARRELL JR DIRECTOR 1.00 X 0 0 0 SISTER MARY LUCILLE BANACH DM DIRECTOR 30.00 X X 48340 0 2013 SHEILA HICKEY CLERK 1.00 X X 0 0 0 JOSEPH CONNARTON DIRECTOR 1.00 X 0 0 0 JAMES F FERREIRA DIRECTOR 1.00 X 0 0 0 SISTER MARY THERESA TINANA DM DIRECTOR 32.00 X X 58946 0 1867 MICHAEL GULESERIAN DIRECTOR 30.00 X 0 0 0 MARY JANE NOTTONSON ADMINISTRATOR 40.00 X 88138 0 13053 NICHOLAS H GILBERT ADMINISTRATOR 40.00 X 76388 0 7493 ROBERT J KELLEY CFO 40.00 X 101832 0 22806 MARILOU LAGMAN DIRECTOR OF NURSING 40.00 X 146521 0 28218 JEAN CITARELLA DIRECTOR OF HR 40.00 X 115240 0 25418 635405 0 100868 3 0 1 0 COMMONWEALTH OF MASSACHUSETTS 100 HANCOCK STREET 6TH FLOOR QUINCY MA 02171 USER FEE 894019 FALLON HEALTHCARE 10 CHESTNUT STREET WORCESTER MA 01608 HEALTH INSURANCE 722191 PARAGON REHABILITATION 745 TRUMAN PARKWAY HYDE PARK MA 02136 REHAB SERVICES 545880 US FOODSERVICE INC 100 LEDGE ROAD SEABROOK NH 03874 FOOD PRODUCTS 367887 LIMBACH COMPANY 46 JONSPIN ROAD WILMINGTON MA 01887 HVAC EQUIP/SERVICE 325823 16 574771 574771 NET PATIENT SERVICE REVENUE 623000 11707405 11707405 11707405 57935 57935 935024 343435 591589 591589 -65396 656985 1313899 1028540 285359 285359 285359 FORGIVENESS OF DEBT 900000 800000 800000 OTHER INCOME 623000 41772 41772 841772 14058831 11749177 -65396 1800279 420876 420876 7163191 6788723 374468 892186 772675 119511 607650 607650 19814 19814 47800 47800 24892 24892 132976 131976 1000 13414 205 13209 64590 1240 63350 84947 84947 613907 613907 2019 829 1190 38217 38217 453378 453378 87331 87331 PROGRAM EXPENSES 1512765 1512765 USER FEE 867870 867870 BAD DEBT EXPENSES 172973 172973 SUPPLIES AND EXPENSES 149289 149289 208088 129855 78233 13578173 12241552 1336621 0 1685579 915970 42456 68373 1445842 1842891 21000 7323 23818 128529 21351320 17858313 3226495 3493007 2556278 2972804 9001468 9428897 1645789 1322003 1899544 2066022 3545333 3388025 X 5400247 5986482 32418 30920 23470 23470 5456135 6040872 9001468 9428897 X 480658 105577 -1499 X 0 1 X 1 0 X 12883 1119777 22670 29859 574771 1759960 13571275 12188962 11088472 11645161 11749177 60243047 13584158 13308739 11111142 11675020 12323948 62003007 0 0 0 62003007 700327 879415 881291 990766 992959 4444758 700327 879415 881291 990766 992959 4444758 0 0 0 0 0 14284485 14188154 11992433 12665786 13316907 66447765 0.93310 0.94180 0.06690 0.06150 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 55888 4361 5860 54389 35592 25279 4983 55888 35081 511 35592 35081 35081 35081 35081 0.00000 0.43150 0.56850 0 0 322500 322500 10101177 9065294 1035883 10061872 8241504 1820368 865771 551515 314256 3493007 DUE TO/FROM THIRD-PARTY 531223 SECURITY DEPOSITS RECEIVED 6450 ASSETS RETIREMENT AGREEMENT 551324 DUE TO RELATED PARTY 977025 2066022 X 13037501 0 13037501 1021331 1021331 14058832 13921608 343435 343435 13578173 0 13578173 PART V, LINE 4: THE ORGANIZATION'S ENDOWMENT FUNDS ARE TO BE USED FOR EDUCATIONAL PURPOSES, THE ORGANIZATION'S CHAPEL EXPENSES, AND FURTHERING THE ORGANIZATION'S MISSION. PART X, LINE 2: THE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE ORGANIZATION FOLLOWS THE POLICY FOR UNCERTAINTY IN INCOME TAXES TO BE RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THE POLICY PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PRINCIPLES FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. NO UNCERTAIN INCOME TAX POSITIONS WERE IDENTIFIED FOR THE YEARS ENDED DECEMBER 31, 2017 AND 2016. PART XI, LINE 4B - OTHER ADJUSTMENTS: RELCASS OF RENTAL EXPENSES -343,435. FORGIVENESS OF DEBT 800,000. TRANSFER FROM AFFILIATE 564,766. PART XII, LINE 2D - OTHER ADJUSTMENTS: RECLASS OF RENTAL EXPENSES 343,435. X X 0 0 0 0 0 0 0 0 0 MARILOU LAGMAN DIRECTOR OF NURSING 146521 0 0 0 0 0 0 0 28218 0 174739 0 0 0 JOSEPH BARRELL JR DIRECTOR & PRESIDENT OF ARRELL CORPORATION 29463 THE ORGANIZATION PURCHASED SERVICES FROM THE ARRELL CORPORATION FOR THE YEAR ENDED DECEMBER 31, 2016. 0 FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS CONSISTS OF THE CHAIRPERSON OF THE BOARD AND THE PRESIDENT, WHO SHALL BE AN EX OFFICIO MEMBER OF THE COMMITTEE, AND FROM TWO TO FOUR ADDITIONAL DIRECTORS APPOINTED BY THE BOARD OF DIRECTORS UPON THE RECOMMENDATION OF THE CHAIRPERSON OF THE COMMITTEE. FORM 990, PART VI, SECTION A, LINE 6 AS DEFINED IN THE BY-LAWS, THE ORGANIZATION THE HAS MEMBERS OF THE ORGANIZATION REFERRED TO AS SUPERIOR GENERAL AND MEMEBERS OF THE GENERAL COUNCIL. THESE INDIVIDUALS MENTIONED ABOVE SHALL REMAIN A MEMBER OF THE ORGANIZATION AS LONG AS SHE SERVES AS THE SUPERIOR GENERAL OR A MEMEBER OF THE GENERAL COUNCIL OF THE CONGREGATION OF SANCTA MARIA. FORM 990, PART VI, SECTION A, LINE 7A AS DEFINED IN THE BY-LAWS, THE SUPERIOR GENERAL OF THE CONGREGATIONS SHALL SERVE AS AS THE CHAIR OF THE MEMBERS AND HAS THE AUTHORITY TO APPOINT A SECRETARY OF THE MEMEBERS FROM AMONG THE MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B BOARD MEMBERS EACH HAS SAME VOTING RIGHTS AND REQUIRE VOTING APPROVAL OF ALL FORMAL BOARD DECISIONS FORM 990, PART VI, SECTION A, LINE 7B THE MEMBERS OF THE ORGANIZATION HAVE THE POWERS AND RIGHTS TO APPROVE OR CHANGE (1) THE PHILOSOPHY, MISSION AND OBJECTIVES, (2) APPOINT OR REMOVE DIRECTORS, (3) APPOINT THE PRESIDENT, (4) AMEND BY-LAWS, (5) APPROVE MERGERS, REORGANIZATION, AND CONSOLIDATIONS, (6) APPROVE ACQUISITION, SALE, LEASE, AND TRANSFERS, AND (7) APPROVE ANY INCREMENT OR ADDITIONS IN CAPITAL DEBT FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION PROVIDES A COPY OF THE COMPLETE FORM 990 TO THE BOARD MEMBERS AND REVIEWS THE FORM 990 IN AN OFFICIAL MEETING WITH ITS FINANCE COMMITTEE BEFORE SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C IF AN INDIVIDUAL ON THE BOARD HAS A CONFLICT OF INTEREST, THAT INDIVIDUAL MUST ABSTAIN FROM VOTING ON ANY MATTERS RELATED TO THAT CONFLICT. IN ANY MATTER THAT WOULD RESULT IN A CONFLICT OF INTEREST, SUCH INDIVIDUALS ARE NOT PERMITTED TO FACTOR IN THE DECISION-MAKING PROCESS. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD CHAIRMAN ANNUALLY REVIEWS THE COMPENSATION OF THE ADMINISTRATOR BASED ON HIS/HER PERFORMANCE AND THROUGH THE USE OF A COMPENSATION SURVEY. THE MEMBERS OF THE BOARD REVIEW, DOCUMENT, AND APPROVE THE ANNUAL BUDGET. FORM 990, PART VI, SECTION C, LINE 19 AN INTERESTED PARTY CAN MAKE A DIRECT REQUEST TO SEE THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS OF THE ORGANIZATION. THE FORM 990 CAN ALSO BE FOUND ON THE MASSACHUSETTS ATTORNEY GENERAL'S PUBLIC CHARITIES WEBSITE. PART VI, LINE 15B THE BOARD CHAIRMAN ANNUALLY REVIEWS THE COMPENSATION OF THE ADMINISTRATOR BASED ON HIS/HER PERFORMANCE AND THROUGH THE USE OF A COMPENSATION SURVEY. THE MEMBERS OF THE BOARD REVIEW, DOCUMENT, AND APPROVE THE ANNUAL BUDGET. FORM 990, PART XI, LINE 9: TEMPORARILY RESTRICTED NET ASSSETS DECREASE -1,499.