2021-10-28T09:43:17-05:00 2020-12-31 410746749 CLIFTONLARSONALLEN LLP 801 CHERRY ST SUITE 1400 FORT WORTH TX 76102 990 2020-01-01 042104039 BETHANY HEALTH CARE CENTER INC BETH 5088726750 97 BETHANY ROAD FRAMINGHAM MA 01702 SR JACQUELYN MCCARTHY CEO/ADMINISTRATOR 5088726750 2021-10-28 1 SR JACQUELYN MCCARTHY 999009999 MICHAELA J CROMAR CPA P00895728 8178775000 2021-10-27 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z SR JACQUELYN MCCARTHY 97 BETHANY ROAD FRAMINGHAM MA 01702 14810680 0 0928 X WWW.BETHANYHEALTHCARE.ORG X 1982 MA PROVIDE QUALITY CARE FOR OUR RESIDENTS TO HELP THEM TO BE CONNECTED WITH GOD AND OTHER PEOPLE. 13 13 244 37 37432 0 2275951 2589816 12198232 12015028 33155 14829 636107 174116 15143445 14793789 0 0 0 0 10396729 11377158 0 0 249914 4968713 4776499 15365442 16153657 -221997 -1359868 7684746 8590803 5627110 7847826 2057636 742977 X THE MISSION OF BETHANY HEALTH CARE CENTER IS TO PROVIDE QUALITY CARE FOR OUR RESIDENTS IN A MANNER WHICH HELPS THEM TO BE CONNECTED WITH GOD, WITH OTHER PEOPLE, AND WITH THE WORLD IN WHICH THEY LIVE. IN THE SPIRIT OF THE SISTERS OF ST. JOSEPH, BETHANY BRINGS THE MISSION OF HEALTH CARE, A DESIRE TO PROMOTE UNITY AND RECONCILIATION WHEREVER THERE IS BROKENNESS, ALIENATION OR SEPARATION. OUR SPECIAL CARE UNIT PROVIDES A SAFE BRIGHT AND WELCOME SPACE FOR THOSE WHO SUFFER MEMORY DEFICIT. THE BRIGHT NEW ACTIVITY CENTER PROVIDES NOT ONLY AN INDOOR SPACE TO BE WITH GROUPS OF PEOPLE, BUT AN OUTDOOR PATIO AND WALKING SPACE RESIDENTS CAN ENJOY THE BEAUTY OF THE NEW ENGLAND SEASONS. 0 0 14380245 12168603 SKILLED NURSING FACILITY, RESIDENT CARE FACILITY, AND CLINIC SERVICES: THE MISSION OF BETHANY HEALTH CARE CENTER IS TO PROVIDE QUALITY CARE FOR OUR RESIDENTS IN A MANNER WHICH HELPS THEM TO BE CONNECTED WITH GOD, WITH OTHER PEOPLE, AND WITH THE WORLD IN WHICH THEY LIVE. THE ORGANIZATION MISSION IS CARRIED OUT THROUGH THE OPERATION OF A SKILLED NURSING AND RESIDENT CARE FACILITY AS WELL AS PROVIDING CLINIC SERVICES. 14380245 1 1 0 1 0 0 0 0 1 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 28 0 244 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 1 1 1 1 1 0 0 0 1 1 0 1 1 1 1 0 X BONNIE DRYDEN 5082708673 97 BETHANY ROAD FRAMINGHAM MA 01702 MAE MONTEZA RN 40.00 X 172342 0 28200 SR JACQUELYN MCCARTHY CEO/ADMINISTRATOR 38.00 2.00 X 167864 0 13351 JAMES ARGIR EXECUTIVE DIRECTOR 40.00 X 150516 0 23901 MARIE SAINT-FLEUR RN 40.00 X 139953 0 20601 MAUREEN DULKO DIRECTOR OF NURSES 40.00 X 131658 0 8383 JODIJOY O'KEEFE DEVELOPMENT DIRECTOR 40.00 X 130953 0 326 MARGARET COBB RN 40.00 X 122048 0 16846 BONNIE DRYDEN CONTROLLER 38.00 2.00 X 94665 0 15690 SISTER JUDITH COSTELLO SECOND COUNCILOR 1.00 X 0 0 0 SISTER BETSY CONWAY THIRD COUNCILOR 1.00 X 0 0 0 SISTER DENISE KELLY FOURTH COUNCILOR 1.00 X 0 0 0 SISTER PATRICIA QUINN CSJ TRUSTEE 1.00 X 0 0 0 SISTER KATHLEEN MORAN CSJ TRUSTEE 1.00 X 0 0 0 MICHAEL CONKLIN TRUSTEE 1.00 X 0 0 0 LORI FERRANTE TRUSTEE 1.00 X 0 0 0 THOMAS E GUNNOUD TRUSTEE 1.00 X 0 0 0 MARY KILCOMMONS TRUSTEE 1.00 X 0 0 0 SISTER LEE HOGAN PRESIDENT & BOARD CHAIR 1.00 1.00 X X 0 0 0 SISTER BARBARA LOUD TREASURER 1.00 X X 0 0 0 SISTER CATHERINE CLIFFORD ASSISTANT PRESIDENT 1.00 X X 0 0 0 SISTER MARIAN BATHO CLERK 1.00 X X 0 0 0 1109999 0 127298 10 0 1 0 OMNI HEALTHCARE STAFFING INC 390 MAIN STREET WORCESTER MA 01608 STAFFING AGENCY 487867 PNPS HOME CARE 85 MAIN STREET HOPKINTON MA 01748 STAFFING AGENCY 326713 ALLIANCE HEALTH MANAGEMENT SERVICES 144 TURNPIKE ROAD SUITE 220 SOUTHBOROUGH MA 01772 THERAPY SERVICES 207013 SODEXO INC & AFFILIATES PO BOX 360170 PITTSBURGH PA 152516170 DIETARY & HOUSEKEEPING MANAGEMENT 195781 DISCIULLO CONSTRUCTION INC 119 CONCORD STREET HOLLISTON MA 01746 GENERAL CONTRACTOR - RENOVATIONS 137488 5 65562 846020 1144219 534015 87408 2589816 NET PATIENT SERVICE REVENUES 623000 11531262 11531262 FONTBONNE CONVENT FOOD PROGRAM 624200 274177 274177 ST JOSEPH HALL MEAL PROGRAM 624200 209589 209589 12015028 5000 5000 9829 0 9829 9829 9829 0 65562 16891 -16891 -16891 DIETARY SERVICES 812900 30350 30350 SPECTRA-AMERICAN TOWER EASEMENT 531190 7082 7082 153575 153575 191007 14793789 12168603 37432 -2062 465986 86533 353497 25956 8593456 7799645 629448 164363 369961 326325 39299 4337 1323887 1297745 9814 16328 623868 535419 80197 8252 2559 2559 60998 60998 6262 6262 79152 21761 57391 109011 23395 85616 410191 376189 32805 1197 3784 197 3388 199 620 620 136846 126994 9505 347 540195 495416 43202 1577 115316 105757 9222 337 PATIENT CARE EXPENSES 1945085 1945085 USER FEES 641354 641354 REPAIR & MAINTENANCE 305510 280741 23875 894 HOUSEKEEPING 166077 152310 13282 485 253539 164759 63138 25642 16153657 14380245 1523498 249914 679008 1299310 110202 298532 403986 299338 370384 61248 20371960 16210527 4152207 4161433 418581 478620 1550378 1992322 7684746 8590803 2203167 1845995 150590 660418 3256826 5325285 16527 16128 5627110 7847826 X 1601264 105645 456372 637332 2057636 742977 7684746 8590803 -1359868 45209 0 X 0 1 X 1 0 X 199569 2975726 2232301 2275951 2589816 10273363 12253909 12329467 12066281 12739800 12175685 61565142 48404 48404 12453478 15305193 14298582 15064155 14765501 71886909 175000 430000 325000 210000 1140000 0 175000 430000 325000 210000 1140000 70746909 11167 23950 7741 7229 5000 55087 11167 23950 7741 7229 5000 55087 452145 128367 93338 122091 30350 826291 12916790 15457510 14399661 15193475 14800851 72768287 0.97220 0.95870 0.00080 0.00130 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1643 1643 0 PART II-B, LINE 1: PART OF MEMBERSHIP DUES PAID TO STATE HEALTHCARE ORGANIZATIONS ARE RELATED TO INDIRECT LOBBYING EXPENDITURES. 1 49892 101096 88569 62419 0 15497534 11922435 3575099 4803742 4276528 527214 70684 11564 59120 4161433 INV HELD BY CONG-DONAT-B 478620 F 478620 CONSTRUCTION IN PROGRESS 224870 OTHER CURRENT ASSETS 222171 DUE FROM BETHANY HOME CARE 1545281 1992322 DUE TO RESIDENT COUNCIL 16128 16128 X 14672283 45209 85478 130687 14541596 252193 252193 14793789 15986942 85478 85478 15901464 252193 252193 16153657 PART IV, LINE 1B: PNA ACCOUNTS FOR SEVERAL RESIDENTS PART IV, LINE 2B: RESIDENT MONIES RELATED TO THE PATIENT NEEDS ACCOUNT ARE DEPOSITED INTO A SEPARATE BANK ACCOUNT AND HELD FOR USE BY THE RESIDENT. PART X, LINE 2: BETHANY AND THE HOME ARE BOTH NONPROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND ARE EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE IRC. BETHANY FOLLOWS THE POLICY FOR UNCERTAINTY IN INCOME TAXES TO BE RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THE POLICY PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PRINCIPLES FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. NO UNCERTAIN INCOME TAX POSITIONS WERE IDENTIFIED FOR THE YEARS ENDED DECEMBER 31, 2020 AND 2019. PART XI, LINE 4B - OTHER ADJUSTMENTS: DEVELOPMENT EXPENSE 269,084. SPECIAL EVENT EXPENSE -16,891. PART XII, LINE 4B - OTHER ADJUSTMENTS: DEVELOPMENT EXPENSE 269,084. SPECIAL EVENT EXPENSE -16,891. BETHANY'S GOT TALENT 65562 65562 16891 65562 65562 16891 16891 -16891 X X 0 0 0 0 0 0 0 0 0 MAE MONTEZA RN 165454 0 6888 0 0 0 9024 0 19176 0 200542 0 0 0 SR JACQUELYN MCCARTHY CEO/ADMINISTRATOR 167864 0 0 0 0 0 5177 0 8174 0 181215 0 0 0 JAMES ARGIR EXECUTIVE DIRECTOR 140336 0 10180 0 0 0 7932 0 15969 0 174417 0 0 0 MARIE SAINT-FLEUR RN 134851 0 5102 0 0 0 7284 0 13317 0 160554 0 0 0 X ELECTRICAL FIXTURE UPGRADE 1 87408 FAIR MARKET VALUE 0 0 0 SCH. M PART 1 LINE 25 ELECTRICAL FIXTURE UPGRADE FORM 990, PART VI, SECTION A, LINE 1 THE FINANCE COMMITTEE HAS AUTHORITY TO ACT ON BEHALF OF THE BOARD FOR WHICH THERE ARE MINUTES INCLUDING DOCUMENTATION OF MEETINGS AND WRITTEN ACTIONS. FORM 990, PART VI, SECTION A, LINE 6 THE MEMBERS OF BETHANY HEALTH CARE CENTER, INC. ARE THE SISTERS OF THE CONGREGATION. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS ELECT MEMBERS OF THE GOVERNING BOARD. FORM 990, PART VI, SECTION A, LINE 7B THE DECISIONS OF THE GOVERNING BOARD ARE SUBJECT TO APPROVAL BY THE MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B A COMPLETE COPY OF THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S TOP MANAGEMENT AND FINANCE COMMITTEE MEMBERS PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER (CEO)/ADMINISTRATOR BEGINS WITH AN ANALYSIS PERFORMED BY THE DIRECTOR OF HUMAN RESOURCES BY COMPARING COMPENSATION TO SIMILAR POSITIONS LOCATED IN SIMILAR ORGANIZATIONS. THE ANALYSIS IS THEN PRESENTED TO THE BOARD FOR REVIEW AND APPROVAL. ALL DECISIONS REGARDING COMPENSATION ARRANGEMENTS ARE DOCUMENTED IN THE CORPORATE MINUTES. COMPENSATION FOR EXECUTIVE DIRECTOR, OTHER OFFICERS OR KEY EMPLOYEES BEGINS WITH AN ANALYSIS PERFORMED BY THE DIRECTOR OF HUMAN RESOURCES, COMPARING COMPENSATION TO SIMILAR POSITIONS LOCATED IN SIMILAR ORGANIZATIONS, WHICH IS PRESENTED TO THE CEO FOR REVIEW AND APPROVAL. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. BETHANY HOME CARE INC 97 BETHANY ROAD FRAMINGHAM MA 01702 471278853 HOME CARE SERVICES MA 501(C)(3) LINE 10 BETHANY HEALTH CARE CENTER INC 1 THE CONGREGATION OF THE SISTERS OF SAINT JOSEPH OF BOSTON 637 CAMBRIDGE STREET BOSTON MA 02135 RELIGIOUS ORGANIZATION MA 501(C)(3) LINE 1 N/A 0 0 0 1 1 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 THE CONGREGATION OF THE SISTERS OF SAINT JOSEPH OF BOSTON C 846020 FMV BETHANY HOME CARE INC D 1545281 FMV