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SAINT JOSEPHS MANOR: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
SAINT JOSEPHS MANOR (EIN 01-0339489)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-02-14
IRS object ID
201140459349300924
Schema version
2009v1.7
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)
Timestamp2011-02-14T10:53:25-06:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN010339489EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1St Joseph's ManorBusinessNameLine1
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)
NameDavid HamlinName
TitleExecutive DirectorTitle
Phone2077970600Phone
Date Signed2011-02-11DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBarbara J McGuan CPAName
Phone2077752387Phone
Date Prepared2011-02-11DatePrepared
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDavid HamlinNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11133 Washington AvenueAddressLine1
CityPortlandCity
StateMEState
ZIP Code04103ZIPCode
FieldValueIRS element (for citing)
Gross Receipts16593581GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501cXOrganization501c
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 Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees273TotalNbrEmployees
Total Nbr Volunteers37TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year9314ContributionsGrantsPriorYear
Contributions Grants Current Year1398ContributionsGrantsCurrentYear
Program Service Revenue Prior Year10949595ProgramServiceRevenuePriorYear
Program Service Revenue CY16540197ProgramServiceRevenueCY
Investment Income Prior Year54284InvestmentIncomePriorYear
Investment Income Current Year40611InvestmentIncomeCurrentYear
Other Revenue Prior Year101177OtherRevenuePriorYear
Other Revenue Current Year7124OtherRevenueCurrentYear
Total Revenue Prior Year11114370TotalRevenuePriorYear
Total Revenue Current Year16589330TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year7094406SalariesEtcPriorYear
Salaries Etc Current Year7167301SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4513742OtherExpensePriorYear
Other Expenses Current Year8957537OtherExpensesCurrentYear
Total Expenses Prior Year11608148TotalExpensesPriorYear
Total Expenses Current Year16124838TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-493778RevenuesLessExpensesPriorYear
Revenues Less Expenses CY464492RevenuesLessExpensesCY
Total Assets BOY5889418TotalAssetsBOY
Total Assets EOY6029799TotalAssetsEOY
Total Liabilities BOY3317315TotalLiabilitiesBOY
Total Liabilities EOY3147365TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2572103NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2882434NetAssetsOrFundBalancesEOY
Mission DescriptionSaint Joseph's Manor 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
Expense15497964Expense
Revenue16540197Revenue
DescriptionSaint Joseph's Manor 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 Expense15497964TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
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
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109613NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees273NumberOfEmployees
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
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
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
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Caryn CoutureBusinessNameLine1
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 (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationFormerFormer
Rene Daniel
Chairperson2.00XX000
Sr Madeleine D'Anjou
Secretary1.00XX000
Joseph Wood
Treasurer1.00XX000
Daniel Barrett
Vice Chair1.00XX000
Sr Ellen Turner
Director1.00X000
David Twomey
Director3.00X000
Michael Myatt
Director1.00X000
Marc Bolduc
Director1.00X000
Margaret LePage
Director1.00X000
Carolyn Kasabian
Past Treasurer1.00XX000
Craig Foster
Past Director1.00X000
Colleen Hilton
Past Chair1.00XX000
David Hamlin
Executive Director40.00X5974500
Bishop Richard J Malone
President1.00X000
Ronald Tardiff
Fmr. Executive Director40.0014461000X
Donald Fecteau
Fmr. Dir. of Finance40.005017400X
FieldValueIRS element (for citing)
Total Reportable Comp From Org204355TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources1CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Peoplefirst Rehabilitation
PO Box 277365AtlantaGA303847365Therapy Services633920
Catholic Health East
3805 West Chester Pike Suite 100Newtown SquarePA19073Management Fee376113
Diversified Staffing
PO Box 83238WoburnMA01813Medical Staffing124785
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
All Other Contributions1398AllOtherContributions
Total Contributions1398TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
Routine Services6230001424369214243692
Ancillary Services62300022537962253796
Miscellaneous Income6230004270934218$8,491
FieldValueIRS element (for citing)
Total Program Service Revenue16540197TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column40611TotalRevenueColumn
Exclusion$40,611ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real11375Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real4251Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real7124Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column7124TotalRevenueColumn
Exclusion$7,124ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column16589330TotalRevenueColumn
Related Or Exempt Function Income16531706RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$56,226ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total625798Total
Program Services448738ProgramServices
Management And General177060ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5338738Total
Program Services5338738ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total39658Total
Program Services39658ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total703666Total
Program Services703666ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total459441Total
Program Services459441ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total449814Total
Management And General449814ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total13642Total
Program Services13642ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total43490Total
Program Services43490ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1132111Total
Program Services1132111ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total3222Total
Program Services3222ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1269714Total
Program Services1269714ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total53841Total
Program Services53841ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total342871Total
Program Services342871ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total19463Total
Program Services19463ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total62256Total
Program Services62256ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total266151Total
Program Services266151ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total123552Total
Program Services123552ProgramServices

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
Contractual Adjustments42093874209387
Provider Tax652129652129
Bad Debt Expense315894315894

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total16124838Total
Program Services15497964ProgramServices
Management And General626874ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY9314BOY
EOY1070EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY640580BOY
EOY2566864EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1045507BOY
EOY1491863EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY19173BOY
EOY15922EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY26211BOY
EOY16610EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis9728355LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec7994861LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1710580BOY
EOY1733494EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY42203BOY
EOY49855EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY2367168BOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY28682BOY
EOY24832EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY129289EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5889418BOY
EOY6029799EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2057025BOY
EOY1427632EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY170473BOY
EOY129289EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1089817BOY
EOY1089875EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY500569EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3317315BOY
EOY3147365EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2371766BOY
EOY2678339EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY100337BOY
EOY104095EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY100000BOY
EOY100000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2572103BOY
EOY2882434EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5889418BOY
EOY6029799EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years113331CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17702CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years33192CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9314CurrentTaxYearMinus1Year
Current Tax Year1398CurrentTaxYear
Total174937Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10008675CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10236776CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10539017CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11050772CurrentTaxYearMinus1Year
Current Tax Year16540197CurrentTaxYear
Total58375437Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10122006CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10254478CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10572209CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11060086CurrentTaxYearMinus1Year
Current Tax Year16541595CurrentTaxYear
Total58550374Total

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 Total50958550374PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years94745CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years156082CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years154905CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year54284CurrentTaxYearMinus1Year
Current Tax Year51986CurrentTaxYear
Total512002Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years94745CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years156082CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years154905CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year54284CurrentTaxYearMinus1Year
Current Tax Year51986CurrentTaxYear
Total512002Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10216751CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10410560CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10727114CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11114370CurrentTaxYearMinus1Year
Current Tax Year16593581CurrentTaxYear
Total59062376Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99130PublicSupportPercentage509
Investment Income Percentage0.00870InvestmentIncomePercentage
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$3,683OtherActivitiesAmount
Total Lobbying Expenditures IIB3683TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1i:Identifier
Return ReferenceExplanation of Other Lobbying Activities:ReturnReference
ExplanationThe Organization pays dues to various associations, a portion of which are 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 Basis3971237OtherCostOrOtherBasis
Depreciation3151305Depreciation
Book Value819932BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4544968OtherCostOrOtherBasis
Depreciation4171190Depreciation
Book Value373778BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis705545OtherCostOrOtherBasis
Depreciation672366Depreciation
Book Value33179BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1733494TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Estimated Third-Party Payor Settlements$138,142
Due to State of Maine$362,427
FieldValueIRS element (for citing)
Total Of Amounts500569TotalOfAmounts
Total Revenue16589330TotalRevenue
Total Expenses16124838TotalExpenses
Excess Or Deficit For Year464492ExcessOrDeficitForYear
Net Unrealized GL On Investments16312NetUnrealizedGLOnInvestments
Prior Period Adjustments-170473PriorPeriodAdjustments
Total Adjustments-154161TotalAdjustments
Excess Or Deficit Per FS310331ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt12400506TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments16312NetUnrealizedGainsInvestments
Other Revenues4251OtherRevenues
Revenue Not Rptd F99020563RevenueNotRptdF990
Revenue Subtotal12379943RevenueSubtotal
Other Revenues Not Included4209387OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt4209387RevenueNotRptdOnFinStmt
Total Revenue Per Form99016589330TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt11919702TotExpensesEtcAuditedFinclStmt
Other Expenses Included4251OtherExpensesIncluded
Expenses Not Rptd F9904251ExpensesNotRptdF990
Expenses Subtotal11915451ExpensesSubtotal
Other Expenses Not Included4209387OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt4209387ExpensesNotRptdOnFinStmt
Total Expenses Per Form99016124838TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierExplanationExplanation
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 XII, Line 2d - Other Adjustments:Rental Expenses: 4251.
Part XII, Line 4b - Other Adjustments:Contractual Adjustments: 4209387.
Part XIII, Line 2d - Other Adjustments:Rental Expenses: 4251.
Part XIII, Line 4b - Other Adjustments:Contractual Adjustments: 4209387.

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

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Ronald TardiffBusinessNameLine1
FieldValueIRS element (for citing)
Base Compensation Filing Org144610BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org144610TotalCompensationFilingOrg
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: $59,745Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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 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 an executive 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 2c:The audit process has not changed from the prior year.Oversight of Audit
Form 990, Schedule A, Line 9: Reason for Public Charity Status The Organization has changed its public charity status from an organization described on Schedule A, Part I, Line 7 to an organization as described on Schedule A, Line 9, as this is a more accurate reflection of the Organization's activities and public charity status. As substantiation of this change, the Organization is also required to complete the support test on Schedule A, Page 3, Part III.

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
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