2021-11-15T13:35:47-06:00 2020-12-31 410746749 CLIFTONLARSONALLEN LLP 4 BATTERYMARCH PARK SUITE 100 QUINCY MA 02169 990 2020-01-01 042142337 ARMENIAN NURSING AND REHABILITATION CENTER INC ARME 6175222600 431 POND STREET JAMAICA PLAIN MA 021303494 MARTHA MENSOIAN PRESIDENT 6175222600 2021-11-15 1 MARTHA MENSOIAN 999009999 JONATHAN LANGFIELD P00562148 7819821001 2021-11-15 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z MARTHA MENSOIAN 431 POND STREET JAMAICA PLAIN MA 021303494 8140007 0 X WWW.AWWA.US X 1934 MA TO OPERATE A NON-PROFIT LONG-TERM CARE AND SHORT-TERM REHABILITATION FACILITY. 9 9 151 14 0 0 9308 1124190 9148420 6986271 21233 2676 -548 26870 9178413 8140007 0 0 0 0 5744152 5395501 0 0 0 3100064 2991060 8844216 8386561 334197 -246554 6699719 6031326 1069886 866856 5629833 5164470 THE ORGANIZATION'S MISSION IS TO CARE FOR THE PHYSICAL AND SOCIAL WELL-BEING OF ELDERLY ARMENIAN-AMERICANS AND MEMBERS OF OTHER ETHNICITIES BY PROVIDING HIGH QUALITY SKILLED NURSING SERVICES AND SHORT-TERM REHAB SERVICES IN AN 83-BED FACILITY. 0 0 6296951 6986271 THE ARMENIAN NURSING AND REHABILITATION CENTER (ANRC) IS AN 83-BED, NON-PROFIT SKILLED NURSING AND REHABILITATION CENTER LOCATED IN THE JAMAICA PLAIN NEIGHBORHOOD OF BOSTON, MASSACHUSETTS. SPONSORED BY THE ARMENIAN WOMEN'S WELFARE ASSOCIATION INC. (AWWA), THE CENTER SERVES ELDERLY ARMENIANS AND NON-ARMENIANS ALIKE BY PROVIDING THE HIGHEST QUALITY LONG-TERM CARE AS WELL AS OUTSTANDING SHORT-TERM CARE FOR RESIDENTS REQUIRING POST-RECOVERY REHABILITATION. IT HAS ACHIEVED AN OVERALL 5-STAR QUALITY RATING FROM THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) FOR MANY YEARS. 6296951 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 1 1 1 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 10 0 1 151 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X SCOTT ARIEL 6175222600 431 POND STREET JAMAICA PLAIN MA 02130 STEWART GOFF UNTIL 111320 CEO 43.00 3.00 X 192930 0 10628 ACELA HERMIDA BUSINESS OFFICE MANAGER 43.00 X 166533 0 500 MARIELLE DESIR LPN 66.00 X 160781 0 7380 JOSEPH DEVEAU EXECUTIVE DIRECTOR 43.00 X 145297 0 110 NANCY GINGRAS MDS COORDINATOR 43.00 X 134543 0 19648 VANESSA DESESA DIRECTOR OF NURSING 43.00 X 137649 0 13788 SCOTT ARIEL AS OF 120720 CEO 43.00 3.00 X 11538 0 0 MARTHA MENSOIAN PRESIDENT 10.00 20.00 X X 0 0 0 SETA NERSESSIAN VICE PRESIDENT 3.00 3.00 X X 0 0 0 LYNNE JANJIGIAN NEE TREASURER 15.00 5.00 X X 0 0 0 ANDREA BURNS CLERK 2.00 2.00 X X 0 0 0 SUSAN DERANIAN DIRECTOR 5.00 10.00 X 0 0 0 JOANN JANJIGIAN DIRECTOR 3.00 12.00 X 0 0 0 NANCY KASARJIAN DIRECTOR 2.00 2.00 X 0 0 0 LALIG MUSSERIAN DIRECTOR 1.00 1.00 X 0 0 0 TALENE J TARVEZIAN-CHOLY DIRECTOR 3.00 10.00 X 0 0 0 949271 0 52054 6 1 1 0 AEGIS THERAPIES INC PO BOX 8103 FORS SMITH AZ 72902 REHABILITATION SERVICES 291732 FAVORITE HEALTHCARE STAFFING INC PO BOX 26225 OVERLAND PARK KS 66225 REHABILITATION SERVICES 123401 CLIFTONLARSONALLEN LLP BATTERYMARCH PARK SUITE 100 QUINCY MA 02169 ACCOUNTING SERVICES 107081 LEONARDO D ESPINOSA 166 ALLEN ST RANDOLPH MA 02368 SNOW REMOVAL/LANDSCAPING 107070 4 1009191 114999 1124190 PUBLICLY-AIDED PATIENTS 623000 3783127 3783127 PRIVATE PATIENTS 623000 1516171 1516171 MEDICARE PATIENTS 623000 938887 938887 MANAGED CARE PATIENTS 623000 547262 547262 ANCILLARY REVENUE 623000 200824 200824 6986271 2676 2676 MISCELLANEOUS REVENUE 900099 26870 26870 26870 8140007 6986271 0 29546 253720 253720 4417129 3823455 593674 26953 22114 4839 372864 314671 58193 324835 266512 58323 33440 33440 112511 112511 488912 178269 310643 49954 49954 75434 75434 50608 50608 158393 128549 29844 5420 5420 595 518 77 355934 309969 45965 84626 84626 OPERATING SUPPLIES 703640 703640 ANCILLARIES 402533 402533 USER FEES ASSESSMENT 387699 119853 267846 MISCELLANEOUS 39972 39972 41389 26868 14521 8386561 6296951 2089610 0 1998487 1721841 561146 358448 118098 57517 10628221 7053836 3890006 3574385 131982 319135 6699719 6031326 1026866 848660 6866 18196 36154 0 1069886 866856 X 5629833 5164470 5629833 5164470 6699719 6031326 X -246554 -218809 X X 0 1 X 1 0 X 97093 99107 108831 9308 1124190 1438529 8667297 9061529 9147992 9148420 6986271 43011509 8764390 9160636 9256823 9157728 8110461 44450038 0 0 0 44450038 394 114 4558 6357 2676 14099 394 114 4558 6357 2676 14099 3932 1406 14328 26870 46536 8764784 9164682 9262787 9178413 8140007 44510673 0.99860 0.99890 0.00030 0.00070 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 42885 42885 8442102 5286212 3155890 2118140 1742530 375610 25094 25094 0 3574385 OTHER RECEIVABLES 319135 319135 X 8101633 0 8101633 38374 38374 8140007 8348187 0 8348187 38374 38374 8386561 PART X, LINE 2: THE ORGANIZATION IS A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. THE FINANCIAL STATEMENTS DO NOT INCLUDE A PROVISION FOR INCOME TAXES BECAUSE THE ORGANIZATION IS A TAX EXEMPT ORGANIZATION. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS OR AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE AND LOCAL AUTHORITIES IN ACCORDANCE WITH PRESCRIBED STATUTES. THE ORGANIZATION HAS NOT BEEN EXAMINED FOR ANY OPEN YEARS. PART XI, LINE 4B - OTHER ADJUSTMENTS: ABANDONMENT LOSS 38,374. PART XII, LINE 4B - OTHER ADJUSTMENTS: ABANDONMENT LOSS 38,374. X X 0 0 0 0 0 0 0 0 0 STEWART GOFF UNTIL 111320 CEO 188194 0 0 0 4736 0 268 0 10360 0 203558 0 0 0 ACELA HERMIDA BUSINESS OFFICE MANAGER 162314 0 0 0 4219 0 500 0 0 0 167033 0 0 0 MARIELLE DESIR LPN 156675 0 0 0 4106 0 500 0 6880 0 168161 0 0 0 NANCY GINGRAS MDS COORDINATOR 130976 0 0 0 3567 0 500 0 19148 0 154191 0 0 0 VANESSA DESESA DIRECTOR OF NURSING 134010 0 0 0 3639 0 496 0 13292 0 151437 0 0 0 PART I, LINE 3 THE COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL AT THE ORGANIZATION IS DETERMINED BY THE BOARD IN CONSULTATION WITH THE PROFESSIONAL SEARCH FIRM THAT IS INVOLVED IN RECRUITING AND HIRING FOR THE POSITION. FORM 990, PART VI, SECTION A, LINE 6 ARMENIAN WOMEN'S WELFARE ASSOCIATION IS THE SOLE CORPORATE MEMBER OF ARMENIAN NURSING AND REHABILITATION CENTER. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS SHALL ELECT DIRECTORS TO THREE-YEAR TERMS THAT SHALL BE STAGGERED SUCH THAT NO MORE THAN ONE-HALF OF THE BOARD OF DIRECTORS IS ELIGIBLE FOR ELECTION OR RE-ELECTION IN ANY YEAR. EACH DIRECTOR SHALL HOLD OFFICE UNTIL HIS OR HER SUCCESSOR IS DULY ELECTED AND QUALIFIED, OR UNTIL HE OR SHE SOONER RESIGNS, IS REMOVED, BECOMES DISQUALIFIED, OR DIES. ANY DIRECTOR MAY SERVE UP TO TWO CONSECUTIVE THREE-YEAR TERMS AND MAY THEN BE RE-ELECTED TO THE BOARD AFTER AN ABSENCE OF ONE YEAR. THE DIRECTORS MAY ELECT NEW DIRECTORS TO FILL ANY VACANCY AND SERVE THE UNEXPIRED TERM, INCLUDING A VACANCY CAUSED BY INCREASING THE NUMBER OF DIRECTORS SERVING ON THE BOARD. DIRECTORS SO ELECTED TO FILL A VACANCY ARE ELIGIBLE FOR ELECTION TO TWO SUBSEQUENT THREE-YEAR TERMS IN ACCORDANCE WITH THIS SECTION. FORM 990, PART VI, SECTION B, LINE 11B A MEETING OF THE EXECUTIVE COMMITTEE OF THE BOARD AND THE TOP MANAGEMENT OFFICIAL AT THE ORGANIZATION IS HELD TO REVIEW QUESTIONS AND ANSWERS ON THE FORM 990. PRIOR TO FILING WITH THE IRS, A COMPLETE COPY OF THE FINAL FORM 990 IS PROVIDED TO EACH MEMBER OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION ANNUALLY EVALUATES THE STATUS OF ALL INDIVIDUALS ASSOCIATED WITH THE ENTITY FOR ANY CONFLICTS OF INTEREST. EACH DIRECTOR, OFFICER, AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD-DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, READ AND UNDERSTANDS THE POLICY, AND HAS AGREED TO COMPLY WITH IT. IF THERE IS A DISCLOSURE OF A FINANCIAL INTEREST, THE GOVERNING BOARD SHALL ACCUMULATE ALL MATERIAL FACTS, ASK THE INTERESTED PERSON TO LEAVE THE MEETING AND THE REMAINING GOVERNING BOARD SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. IF A CONFLICT OF INTEREST EXISTS, THE GOVERNING BOARD OR COMMITTEE, AFTER EXERCISING DUE DILIGENCE, SHALL DETERMINE WHETHER THE ORGANIZATION CAN OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF THE GOVERNING BOARD OR COMMITTEE DETERMINES A MEMBER HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL AT THE ORGANIZATION IS DETERMINED BY THE BOARD IN CONSULTATION WITH THE PROFESSIONAL SEARCH FIRM THAT IS INVOLVED IN RECRUITING AND HIRING FOR THE POSITION. ONCE HIRED, THE BOARD EVALUATES SUCH PERSON'S COMPENSATION ON AN ANNUAL BASIS IN CONJUNCTION WITH THEIR ANNUAL PERFORMANCE REVIEW. THE COMPENSATION FOR OTHER KEY EMPLOYEES OF THE ORGANIZATION IS DETERMINED BY THE TOP MANAGEMENT OFFICIAL AT THE ORGANIZATION AND REVIEWED ON A PERIODIC BASIS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: EQUITY TRANSFER TO PARENT -218,809. FORM 990, PART XII, LINE 2C PROCESS HAS NOT CHANGED FROM PRIOR YEAR. ARMENIAN WOMEN'S WELFARE ASSOCIATION INC 431 POND STREET JAMAICA PLAIN MA 02130 300425435 PROVIDE FUNDING & MANAGEMENT OVERSIGHT TO THE ARMENIAN NURSING & REHAB. CTR. MA 501(C)(3) LINE 12B, II N/A 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0 ARMENIAN WOMEN'S WELFARE ASSOCIATION INC D 319135 COST ARMENIAN WOMEN'S WELFARE ASSOCIATION INC R 218809 COST