2016-05-16T09:28:54-05:00 2015-06-30 010523282 Berry Dunn McNeil & Parker LLC PO Box 1100 Portland ME 041041100 990 2014-07-01 010339489 St Joseph's Rehabilitation & Residence STJO 2077970600 1133 Washington Avenue Portland ME 04103 Peggy Farrington Administrator 2077970600 2016-05-13 1 Barbara J McGuan CPA P00219457 2077752387 2016-05-13 2014 2016-08-17 19:52:53Z Peggy Farrington 1133 Washington Avenue Portland ME 04103 9712397 0 0928 X www.saintjosephsmanor.org X 1972 ME 121 bed nursing facility & 44 bed residential care home for the elderly. 8 7 266 23 0 0 19179 4866 9662306 9688276 -1089 -14748 -12214 -12495 9668182 9665899 0 0 0 0 5641900 5156112 0 0 0 5106975 5815477 10748875 10971589 -1080693 -1305690 4609007 3371966 3954576 4024483 654431 -652517 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 8516431 9688276 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. 8516431 1 0 0 1 0 0 0 0 1 0 1 0 0 1 1 0 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 28 0 1 266 1 0 0 0 0 0 0 0 0 0 0 X 8 7 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 Daniel Barrett Past Chair 0.50 X X 0 0 0 David Twomey Vice Chair 0.50 X X 0 0 0 Joseph Wood Director 0.50 X 0 0 0 Marc Bolduc Past 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 Gail Winchell Past Administrator 40.00 X 163070 0 28156 Peggy Farrington Administrator 40.00 X 0 0 0 Maureen Carland Past Interim Administrator 40.00 X 10792 0 2266 173862 0 30422 1 0 1 0 Rehabcare Group Inc 7733 Forsyth Blvd Suite 1700 St Louis MO 63105 Therapy Services 743855 Expert Staffing of Maine 1485 Lisbon Street Suite 5 Lewiston ME 04240 Staffing Agency 374578 Allmed Staffing of New England 733 Roosevelt Trail Windham ME 04062 Staffing Agency 369130 Pharmerica PO Box 409251 Atlanta GA 303849251 Pharmacy Services 322806 Sysco of Northern New England PO Box 4657 Portland ME 04112 Food Services 252101 9 4866 4866 Routine Services 623000 11351403 11351403 Ancillary Services 623000 1240408 1240408 Contractual Adjustment 623000 -2903535 -2903535 9688276 2935 2935 16320 28815 -12495 -12495 -12495 17683 -17683 -17683 -17683 9665899 9688276 0 -27243 X 204284 204284 4067652 4044614 23038 548633 544021 4612 335543 319424 16119 179960 179960 21872 21872 74227 74227 1802783 1794154 8629 5817 5817 657809 189024 468785 338381 338381 12095 6789 5306 69901 65269 4632 207490 207490 155506 155506 Bad Debt Expense 891786 891786 Medical Supplies 845942 845942 Provider Tax 530453 530453 Miscellaneous Expense 21455 21455 10971589 8516431 2455158 0 X 417119 82416 1340090 547341 915814 1206642 6445 6445 57231 4554 10269366 9012537 1441396 1256829 82426 79679 16032 13742 332454 174318 4609007 3371966 1573728 1781692 37201 42194 1166450 1121188 288296 204315 888901 875094 3954576 4024483 X 494909 -806968 59522 54451 100000 100000 654431 -652517 4609007 3371966 -1305690 -1258 0 X 0 1 X 1 0 X 4079 1991 1205 19179 4866 31320 12455836 11490837 11277705 9662306 9688276 54574960 12459915 11492828 11278910 9681485 9693142 54606280 0 0 0 54606280 26573 29154 17840 13416 19255 106238 26573 29154 17840 13416 19255 106238 12486488 11521982 11296750 9694901 9712397 54712518 0.99810 0.99770 0.00190 0.00230 X 0 0 0 0 0 0 0 0 1 3091 3091 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 506605 506605 4144075 3788537 355538 4799812 4511769 288043 818874 712231 106643 1256829 Resident Deposits 42194 Estimated Third Party Payor Settlements 132124 174318 Due to State of Maine 875094 875094 9693456 -1258 28815 27557 9665899 0 9665899 11000404 28815 28815 10971589 0 10971589 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 28,815. Part XII, Line 2d - Other Adjustments: Rental Expenses 28,815. X X X 0 0 0 0 0 0 0 0 0 Gail Winchell Past Administrator 161625 0 0 0 1445 0 7210 0 20946 0 191226 0 0 0 Schedule J - Compensation Arrangement Maureen Carland & Gail Winchell, both Past Administrators of the Organization, were paid for services rendered to the Organization by Convenant Health Systems & Catholic Health East, respectively, both unrelated organizations. The Organization paid Covenenant Health Systems & Catholic Health East for the services rendered through an administrative fee. Compensation paid to Maureen Carland & Gail Winchell by Conveant Health Systems & Catholic Health East were as follows: Maureen Carland: Compensation: $10,792 Benefits: $2,266 Gail Winchell: Compensation: $163,070 Benefits: $28,156 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 1,794,154. Management and general expenses 8,629. Fundraising expenses 0. Total expenses 1,802,783. 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