2017-02-15T11:38:37-06:00 2016-06-30 010523282 Berry Dunn McNeil & Parker LLC PO Box 1100 Portland ME 041041100 990 2015-07-01 010339489 St Joseph's Rehabilitation & Residence STJO 2077970600 1133 Washington Avenue Portland ME 04103 Peggy Farrington Administrator 2077970600 2017-02-14 1 Barbara J McGuan CPA P00219457 2077752387 2017-02-14 2015 2021-01-29 14:40:06Z Peggy Farrington 1133 Washington Avenue Portland ME 04103 11218945 0 0928 X www.saintjosephsmanor.org X 1972 ME 121 bed nursing facility & 44 bed residential care home for the elderly. 11 10 212 15 0 0 4866 7197 9688276 10274101 -14748 574994 -12495 -1666 9665899 10854626 0 0 0 0 5156112 5917169 0 0 0 5815477 5565394 10971589 11482563 -1305690 -627937 3371966 2946985 4024483 4227439 -652517 -1280454 X Saint Joseph's Rehabilitation & Residence provides a range of high quality residences and health care services for seniors and individuals with serious health needs. Our committment is to provide a home-like environment where both the physical and the spiritual needs are met with respect, care and compassion. 0 0 9147085 10274101 Saint Joseph's Rehabilitation & Residence operates a 121 bed nursing facility and a 44 bed residential care home. Our commitment as a Catholic-sponsored organization is to provide a home-like environment where both the physical and the spiritual needs are met with caring and compassion. In this sanctuary, everyone has the right to be treated with a respect consonant with his or her dignity as a person regardless of physical ability or financial resources. 9147085 1 0 0 1 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 8 0 1 212 1 0 0 0 0 0 0 0 0 0 0 X 11 10 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 0 1 1 0 ME X Paul Ercolini 2077970600 1133 Washington Avenue Portland ME 04103 Colette Gagnon Director 0.50 X 0 0 0 David Twomey Vice Chair 0.50 X X 0 0 0 Joseph Wood Director 0.50 X 0 0 0 Bob Danielson Chair 0.50 X X 0 0 0 Helen McGuiness Director 0.50 X 0 0 0 Frank Morrison Director 0.50 X 0 0 0 Marc Ayers Director 0.50 X 0 0 0 Sr Madeline D'Anjou Director 0.50 X 0 0 0 Abigail Isaacson Director 0.50 X 0 0 0 Gene Milliard Director 0.50 X 0 0 0 Cheryl Wells Director 0.50 X 0 0 0 Peggy Farrington Administrator 40.00 X 117016 0 6277 Bonnie Smith Director of Clinical Services 40.00 X 114929 0 21774 231945 0 28051 2 0 0 0 Expert Staffing of Maine 1485 Lisbon Street Suite 5 Lewiston ME 04240 Staffing Agency 877542 Rehabcare Group Inc 7733 Forsyth Blvd Suite 1700 St Louis MO 63105 Therapy Services 549375 MAS Medical Staffing 156 Harvey Road Londonderry NH 03053 Nursing Agency 267765 Covenant Health Systems Inc 100 Ames Pond Drive Suite 102 Tewksbury MA 01876 Management Services 195786 Allmed Staffing of New England 733 Roosevelt Trail Windham ME 04062 Nursing Agency 193480 11 7197 7197 Routine Services 623000 12464029 12464029 Ancillary Services 623000 1285726 1285726 Other Operating Revenue 623000 16072 16072 Contractual Adjustment 623000 -3491726 -3491726 10274101 7683 7683 21288 22954 -1666 -1666 -1666 908676 341365 567311 567311 567311 10854626 10274101 0 573328 X 123293 123293 4760261 4489177 271084 661126 614293 46833 372489 342847 29642 204512 204512 26493 26493 70092 70092 2030693 2024419 6274 35559 35559 673939 267114 406825 295224 295224 15471 10767 4704 61920 57877 4043 169803 169803 170125 170125 Medical Supplies 705439 705439 Provider Tax 624001 624001 Bad Debt Expense 469767 469767 Miscellaneous Expense 12356 12356 11482563 9147085 2335478 0 X 82416 326101 547341 134532 1206642 1276923 6445 10769 4554 3712 10126207 8995924 1256829 1130283 79679 0 13742 11452 174318 53213 3371966 2946985 1781692 1547435 42194 53213 1121188 1073817 204315 422620 875094 1130354 4024483 4227439 X -806968 -1414986 54451 34532 100000 100000 -652517 -1280454 3371966 2946985 -627937 0 X 0 1 X 1 0 X 1991 1205 19179 4866 7197 34438 11490837 11277705 9662306 9688276 10274101 52393225 11492828 11278910 9681485 9693142 10281298 52427663 0 0 0 52427663 29154 17840 13416 19255 28971 108636 29154 17840 13416 19255 28971 108636 11521982 11296750 9694901 9712397 10310269 52536299 0.99790 0.99810 0.00210 0.00190 X 0 0 0 0 0 0 0 0 1 4408 4408 0 Part II-B, Line 1: The Organization pays dues to various associations, a portion of which is attributable to lobbying expenses. 0 1 X 471249 471249 3958318 3686920 271398 4872043 4579229 292814 824597 729775 94822 1130283 Due to State of Maine 1095548 Estimated Third Party Payor Settlements 34806 1130354 10877580 22954 22954 10854626 0 10854626 11505517 22954 22954 11482563 0 11482563 Part IV, Line 2b: The Organization maintains custodial funds for residents and participants in the Organization's adult day care program. The funds are reported as a liability on Form 990, Part X, line 21. Part XI, Line 2d - Other Adjustments: Rental Expenses 22,954. Part XII, Line 2d - Other Adjustments: Rental Expenses 22,954. Form 990, Part VI, Section A, line 3 Management services were contracted to Catholic Health East. Form 990, Part VI, Section A, line 6 Diocesan Services, Inc. is the sole corporate member of the Organization. Form 990, Part VI, Section A, line 7a Diocesan Services, Inc. is the sole corporate member and must approve the appointment of all Directors on the Board of Directors. Form 990, Part VI, Section A, line 7b As sole corporate member, Diocesan Services, Inc. shall have rights of final approval in matters of policy, budget, finance, benefits and any changes in the charter or bylaws of the Organization. Form 990, Part VI, Section B, line 11 An extensive review of the 990 is conducted during a Finance Committee board session with a brief overview of the highlights to all of the board members at a full board meeting. Form 990, Part VI, Section B, line 12c The Organization has adopted a policy which sets forth the Organization's conflict of interest policy and processes. Annually, all those serving the Organization in a fiduciary capacity, including directors, officers and key employees receive a copy of the policy and annual disclosure statement to be completed. Disclosures of financial interest or other reportable circumstances as defined in the policy are submitted and reviewed by the Organization's CEO and board's chair. Summary information is reported to the entire board and available to the board throughout the year which may rise to the level of an actual or apparent conflict. The determination of whether a disclosed financial or other interest constitutes a conflict of interest is made by the board or an appropriate committee thereof compromised of disinterested persons and without the participation of the affected individual except to respond to questions about the disclosure. The policy further addresses the procedure for the board's further consideration of the proposed transaction/matter without the participation of the affected person and the documentation of the proceedings. Lastly, the policy addresses potential disciplinary action for the violations of the policy. Form 990, Part VI, Section B, line 15 The Organization has adopted a process for determining compensation. The board has an independent committee review and approve all elements of remuneration for all disqualified parties, as well as other key management. The board/committee has an established compensation philosophy statement which details the objectives of market positioning and pay elements. The committee engages with external consultants to provide market data comparing organization's roles to similarly sized health systems utilizing both title and job content comparisons. The committee reviews the market analysis, approves any salary adjustments for the executive population, considers both reasonableness and effectiveness of all remunerative programs and approves the detailed performance expectations which are incorporated into the at-risk plan. All of these discussions and decisions are documented through the provision of meeting minutes. Form 990, Part VI, Section C, line 19 The Organization does not make its governing documents, conflict of interest policy, and financial statements available to the public. Form 990, Part IX, line 11g Contractual Service Fees: Program service expenses 2,024,419. Management and general expenses 6,274. Fundraising expenses 0. Total expenses 2,030,693. Form 990, Part X, Line 10: Land, Buildings, and Equipment Section 1.263(a)-3(n) Election: St. Joseph's Rehabilitation & Residence 1133 Washington Avenue Portland, ME 04103 St. Joseph's Rehabilitation & Residence is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n). Diocesan Services Inc 510 Ocean Avenue Portland ME 04101 450467361 Management Services ME 501(c)(3) Line 1 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0