2015-05-14T14:58:27-05:00 2014-06-30 010523282 Berry Dunn McNeil & Parker LLC PO Box 1100 Portland ME 041041100 990 2013-07-01 010339489 St Joseph's Rehabilitation & Residence STJO 2077970600 1133 Washington Avenue Portland ME 04103 Peggy Farrington Administrator 2077970600 2015-05-14 1 Barbara J McGuan CPA P00219457 2077752387 2015-05-14 2013 2016-02-25 16:41:14Z Peggy Farrington 1133 Washington Avenue Portland ME 04103 9694901 0 0928 X www.saintjosephsmanor.org X 1972 ME 121 bed nursing facility & 44 bed residential care home for the elderly. 9 8 266 16 0 0 1205 19179 11277705 9662306 1340 -1089 -11071 -12214 11269179 9668182 0 0 0 0 6501637 5641900 0 0 0 5865825 5106975 12367462 10748875 -1098283 -1080693 5610139 4609007 3891900 3954576 1718239 654431 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 9071380 9662306 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. 9071380 1 1 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 9 8 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 Chair 0.50 X X 0 0 0 David Twomey Treasurer 0.50 X X 0 0 0 Joseph Wood Director 0.50 X 0 0 0 Marc Bolduc Director 0.50 X 0 0 0 Bob Danielson Director 0.50 X 0 0 0 Susan Bowden Past Director 0.50 X 0 0 0 Helen McGuiness Director 0.50 X 0 0 0 Alyssa Hemingway Past Fiscal Services Manager 40.00 X 118817 0 2514 Gail Winchell Administrator 40.00 X 63427 0 10995 182244 0 13509 1 0 0 1 Rehabcare Group Inc 7733 Forsyth Blvd Suite 1700 St Louis MO 63105 Therapy Services 528929 AMN Healthcare Inc 2735 Collection Ctr Drive Chicago IL 60693 Staffing Services 315865 Diversified Staffing PO Box 784 Barre Rouge MA 01005 Staffing Services 266992 Catholic Health East 3805 West Chester Pike Suite 100 Newton Square PA 19073 Management Services 207474 MAS Medical Staffing 156 Harey Road Loundenderry NH 03053 Staffing Services 119473 5 19179 19179 Routine Services 623000 12488700 12488700 Ancillary Services 623000 1812550 1812550 Miscellaneous Income 623000 3561 3561 Contractual Adjustment 623000 -4642505 -4642505 9662306 1391 1391 12025 24239 -12214 -12214 -12214 2480 -2480 -2480 -2480 9668182 9662306 0 -13303 X 195753 195753 4494983 4464577 30406 522806 490254 32552 428358 391569 36789 87449 87449 36666 36666 56000 56000 1653910 1653910 23221 23221 582566 152904 429662 342289 342289 10453 5222 5231 68177 68177 238934 238934 141772 141772 Medical Supplies 1098551 1098551 Provider Tax 570050 570050 Bad Debt Expense 185449 185449 Miscellaneous Expense 11488 11488 10748875 9071380 1677495 0 662510 417119 1691914 1340090 1250538 915814 38585 6445 74743 57231 10428775 8987379 1544043 1441396 66118 82426 18322 16032 263366 332454 5610139 4609007 1768272 1573728 66867 37201 1209566 1166450 288296 847195 888901 3891900 3954576 X 1577900 494909 40339 59522 100000 100000 1718239 654431 5610139 4609007 -1080693 16885 0 X 0 1 X 1 0 X 1398 4079 1991 1205 19179 27852 16540197 12455836 11490837 11277705 9662306 61426881 16541595 12459915 11492828 11278910 9681485 61454733 0 0 0 61454733 51986 26573 29154 17840 13416 138969 51986 26573 29154 17840 13416 138969 16593581 12486488 11521982 11296750 9694901 61593702 0.99770 0.99710 0.00230 0.00290 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 3674 3674 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 4159247 3689590 469657 4905233 4564196 341037 857690 733593 124097 1441396 Resident Deposits 37201 Estimated Third Party Payor Settlements 295253 332454 Due to State of Maine 888901 888901 9709306 16885 24239 41124 9668182 0 9668182 10773114 24239 24239 10748875 0 10748875 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 24,239. Part XII, Line 2d - Other Adjustments: Rental Expenses 24,239. X X X 0 0 0 0 0 0 0 0 0 Schedule J - Compensation Arrangement Alyssa Hemingway & Gail Winchell, the Past Fiscal Services Manager & Administrator of the Organization respectively, were paid for services rendered to the Organization by Catholic Health East, an unrelated organization. The Organization paid Catholic Health East for the services rendered through an administrative fee. Alyssa Hemingway was also employed by the Organization for part of the year. Compensation paid to Alyssa Hemingway & Gail Winchell by Catholic Health East were as follows: Alyssa Hemingway: Compensation: $24,687 Benefits: $1,964 Gail Winchell: Compensation: $63,427 Benefits: $10,995 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 1,653,910. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,653,910. 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