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SAINT JOSEPHS MANOR: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
SAINT JOSEPHS MANOR (EIN 01-0339489)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-14
IRS object ID
201321349349303252
Schema version
2011v1.5
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-14T12:02:09-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN010523282EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Berry Dunn McNeil & Parker LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO Box 1100AddressLine1
CityPortlandCity
StateMEState
ZIP Code041041100ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN010339489EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1St Joseph's Rehabilitation & ResidenceBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTJONameControl
Phone2077970600Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11133 Washington AvenueAddressLine1
CityPortlandCity
StateMEState
ZIP Code04103ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameAlyssa HemingwayName
TitleFiscal Services ManagerTitle
Phone2077970600Phone
Date Signed2013-05-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBarbara J McGuan CPAName
PTINP00219457PTIN
Phone2077752387Phone
Date Prepared2013-05-13DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonAlyssa HemingwayNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11133 Washington AvenueAddressLine1
CityPortlandCity
StateMEState
ZIP Code04103ZIPCode
FieldValueIRS element (for citing)
Gross Receipts11521982GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web Sitewww.saintjosephsmanor.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1972YearFormation
State Legal DomicileMEStateLegalDomicile
Activity Or Mission Description121 bed nursing facility & 44 bed residential care home for the elderly.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees266TotalNbrEmployees
Total Nbr Volunteers30TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year4079ContributionsGrantsPriorYear
Contributions Grants Current Year1991ContributionsGrantsCurrentYear
Program Service Revenue Prior Year12455836ProgramServiceRevenuePriorYear
Program Service Revenue CY11490837ProgramServiceRevenueCY
Investment Income Prior Year5898InvestmentIncomePriorYear
Investment Income Current Year12654InvestmentIncomeCurrentYear
Other Revenue Prior Year-4425OtherRevenuePriorYear
Other Revenue Current Year-10293OtherRevenueCurrentYear
Total Revenue Prior Year12461388TotalRevenuePriorYear
Total Revenue Current Year11495189TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year7444014SalariesEtcPriorYear
Salaries Etc Current Year6978079SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4879372OtherExpensePriorYear
Other Expenses Current Year4737722OtherExpensesCurrentYear
Total Expenses Prior Year12323386TotalExpensesPriorYear
Total Expenses Current Year11715801TotalExpensesCurrentYear
Revenues Less Expenses Prior Year138002RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-220612RevenuesLessExpensesCY
Total Assets BOY6359627TotalAssetsBOY
Total Assets EOY6062255TotalAssetsEOY
Total Liabilities BOY3328477TotalLiabilitiesBOY
Total Liabilities EOY3251215TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3031150NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2811040NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSaint 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense9546590Expense
Revenue11490837Revenue
DescriptionSaint 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.Description
Total Program Service Expense9546590TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109636NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees266NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMEStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Alyssa HemingwayBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2077970600TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11133 Washington AvenueAddressLine1
CityPortlandCity
StateMEState
ZIP Code04103ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
Rene Daniel
Chairperson1.00XX000
Sr Madeleine D'Anjou
Secretary1.00XX000
Joseph Wood
Treasurer1.00XX000
Daniel Barrett
Vice Chair1.00XX000
David Twomey
Director1.00X000
Michael Myatt
Past Director1.00X000
Marc Bolduc
Director1.00X000
Margaret LePage
Director1.00X000
Jane McGillicuddy
Director1.00X000
Susan Bowden
Director1.00X000
Colette Gagnon
Director1.00X000
Renee Schofield
Director1.00X000
William Healy
Director1.00X000
David Hamlin
Past Administrator40.00X159779022745
Mary Cote
Past Business Office Manager40.00X8319507210
Yvette Ramirez
Fiscal Services Manager40.00X263100
Roger Ledoux
Interim Administrator40.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org245605TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation29955TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources1CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Rehabcare Group Inc
7733 Forsyth Blvd Suite 2300St LouisMO63105Therapy Services735588
Catholic Health East
3805 West Chester Pike Suite 100Newton SquarePA19073Management Services641948
Aceto Construction
1027 Narragansett TrailBuxtonME04093Parking Lot Paving103049
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
All Other Contributions1991AllOtherContributions
Total Contributions1991TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Routine Services6230001485370114853701
Ancillary Services62300015865981586598
Miscellaneous Income6230004873848738
Contractual Adjustment623000-4998200-4998200
FieldValueIRS element (for citing)
Total Program Service Revenue11490837TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column12654TotalRevenueColumn
Exclusion$12,654ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real16500Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real26793Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-10293Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-10293TotalRevenueColumn
Exclusion-$10,293ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column11495189TotalRevenueColumn
Related Or Exempt Function Income11490837RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2,361ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total275560Total
Management And General275560ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5553761Total
Program Services5476728ProgramServices
Management And General77033ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total682584Total
Program Services675629ProgramServices
Management And General6955ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total466174Total
Program Services442026ProgramServices
Management And General24148ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total621634Total
Management And General621634ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total20762Total
Management And General20762ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total48951Total
Management And General48951ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total689634Total
Program Services689634ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1557317Total
Program Services1333662ProgramServices
Management And General223655ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total420120Total
Program Services420120ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total11554Total
Program Services4542ProgramServices
Management And General7012ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total52072Total
Program Services52072ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total259874Total
Program Services259874ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total132533Total
Program Services132533ProgramServices

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
Provider Tax685531685531
Bad Debt Expense23774017797059770

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total11715801Total
Program Services9546590ProgramServices
Management And General2169211ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1070BOY
EOY1070EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2629854BOY
EOY2202631EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1839993BOY
EOY1780768EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY15922BOY
EOY38585EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4008BOY
EOY11265EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis10211226LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec8510522LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1624644BOY
EOY1700704EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY60386BOY
EOY60764EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY22902BOY
EOY20612EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY160848BOY
EOY245856EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6359627BOY
EOY6062255EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1587993BOY
EOY1020118EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY103049BOY
EOY101357EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1300000BOY
EOY1250637EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY337435BOY
EOY879103EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3328477BOY
EOY3251215EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2895109BOY
EOY2671859EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY36041BOY
EOY39181EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY100000BOY
EOY100000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3031150BOY
EOY2811040EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6359627BOY
EOY6062255EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-220612ReconcilationRevenueExpenses
Reconcilation Other Changes502ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years33192CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9314CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1398CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4079CurrentTaxYearMinus1Year
Current Tax Year1991CurrentTaxYear
Total49974Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10539017CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11050772CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16540197CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12455836CurrentTaxYearMinus1Year
Current Tax Year11490837CurrentTaxYear
Total62076659Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10572209CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11060086CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16541595CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12459915CurrentTaxYearMinus1Year
Current Tax Year11492828CurrentTaxYear
Total62126633Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50962126633PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years154905CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years54284CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years51986CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year26573CurrentTaxYearMinus1Year
Current Tax Year29154CurrentTaxYear
Total316902Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years154905CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years54284CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years51986CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year26573CurrentTaxYearMinus1Year
Current Tax Year29154CurrentTaxYear
Total316902Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10727114CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11114370CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16593581CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12486488CurrentTaxYearMinus1Year
Current Tax Year11521982CurrentTaxYear
Total62443535Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99490PublicSupportPercentage509
Prior Year Support Percentage0.99280PriorYearSupportPercentage
Investment Income Percentage0.00510InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00720PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$2,233OtherActivitiesAmount
Total Lobbying Expenditures IIB2233TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierExplanation of Lobbying Activities:Identifier
Return ReferencePart II-B, Line 1:ReturnReference
ExplanationThe Organization pays dues to various associations, a portion of which is attributable to lobbying expenses.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis506605OtherCostOrOtherBasis
Book Value506605BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4104810OtherCostOrOtherBasis
Depreciation3419054Depreciation
Book Value685756BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4721850OtherCostOrOtherBasis
Depreciation4395167Depreciation
Book Value326683BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis877961OtherCostOrOtherBasis
Depreciation696301Depreciation
Book Value181660BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1700704TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDue to State of MaineDescription
Amount$879,103Amount
FieldValueIRS element (for citing)
Total Of Amounts879103TotalOfAmounts
Total Revenue11495189TotalRevenue
Total Expenses11715801TotalExpenses
Excess Or Deficit For Year-220612ExcessOrDeficitForYear
Net Unrealized GL On Investments502NetUnrealizedGLOnInvestments
Total Adjustments502TotalAdjustments
Excess Or Deficit Per FS-220110ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt11522484TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments502NetUnrealizedGainsInvestments
Other Revenues26793OtherRevenues
Revenue Not Rptd F99027295RevenueNotRptdF990
Revenue Subtotal11495189RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99011495189TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt11742594TotExpensesEtcAuditedFinclStmt
Other Expenses Included26793OtherExpensesIncluded
Expenses Not Rptd F99026793ExpensesNotRptdF990
Expenses Subtotal11715801ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99011715801TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
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.
Rental Expenses 26,793.Part XII, Line 2d - Other Adjustments:
Rental Expenses 26,793.Part XIII, Line 2d - Other Adjustments:

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonDavid HamlinNamePerson
Base Compensation Filing Org130000BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org15145BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org14634OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org6532DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org16213NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org182524TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSupplemental InformationIdentifier
Return ReferencePart IIIReturnReference
ExplanationDavid Hamlin, Executive Director of the Organization, was 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. Compensation paid to David Hamlin was as follows: Compensation: $159,779 Benefits: $22,745Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section A, line 3Management services were contracted to Catholic Health East.
Form 990, Part VI, Section A, line 6Diocesan Services, Inc. is the sole corporate member of the Organization.
Form 990, Part VI, Section A, line 7aDiocesan 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 7bAs 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 11An 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 12cThe 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 15The 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 19The Organization does not make its governing documents, conflict of interest policy, and financial statements available to the public.
Form 990, Part XI, line 5:Net unrealized gains on investments: 502.Changes in Net Assets or Fund Balances:
Form 990, Part XI, Line 2c:The audit process has not changed from the prior year.Oversight of Audit

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1Diocesan Services IncBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1510 Ocean AvenueAddressLine1
CityPortlandCity
StateMEState
ZIP Code04101ZIPCode
FieldValueIRS element (for citing)
EIN450467361EIN
Primary ActivitiesManagement ServicesPrimaryActivities
Legal Domicile StateMELegalDomicileState
Exempt Code Section501(c)(3)ExemptCodeSection
Public Charity StatusLine 1PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg