2021-11-10T14:19:23-06:00 2020-12-31 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2020-01-01 800687948 SOUTH COVE MANOR AT QUINCY POINT REHABILITATION CENTER INC SOUT 6174230590 288 WASHINGTON STREET QUINCY MA 02169 WILLIAM GRAVES PRESIDENT & CEO 6174230590 2021-11-09 1 WILLIAM GRAVES 999009999 JOHN NORMAN P01506766 7049985200 2021-11-09 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z WILLIAM GRAVES 288 WASHINGTON STREET QUINCY MA 02169 17497174 0 X WWW.SOUTHCOVEMANOR.COM X 2011 MA TO PROVIDE INDIVIDUALIZED REHABILITATION AND NURSING CARE THAT REFLECTS ASIAN CULTURAL VALUES. 19 19 242 19 0 0 38024 3658316 15279074 13802856 386612 31592 18419 4410 15722129 17497174 0 0 0 0 9370669 10772618 0 0 169 5908674 5383854 15279343 16156472 442786 1340702 32742399 33957860 22809222 22640659 9933177 11317201 X THE ORGANIZATION'S MISSION IS TO PROVIDE INDIVIDUALIZED REHABILITATION AND NURSING CARE THAT REFLECTS ASIAN CULTURAL VALUES. THE ORGANIZATION'S CORE VALUES INCLUDE: 1.RESPECTING THE PEOPLE WE SERVE, THEIR TRADITIONS, AND THEIR PREFERENCES, 2.PROVIDING EXCELLENT, LEADING EDGE CARE AND SERVICES, 3.INVESTING IN OUR EMPLOYEES, AND 4.SERVING OUR COMMUNITY. 0 0 14218074 13807266 NURSING & REHABILITATION SERVICES - THE ORGANIZATION'S MISSION IS TO PROVIDE INDIVIDUALIZED NURSING AND REHABILITATION CARE THAT REFLECTS ASIAN CULTURAL VALUES THROUGH THE OPERATION OF A 141-BED LONG-TERM CARE FACILITY IN QUINCY, MASSACHUSETTS. 14218074 1 1 0 0 0 0 0 0 1 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 8 0 242 1 0 0 0 0 0 0 0 0 0 0 0 0 X 19 19 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X SCOTT HANSON DIRECTOR OF FINANCE 6174230590 288 WASHINGTON STREET QUINCY MA 02169 RICHARD LUI CHAIRMAN OF THE BOARD 1.00 2.00 X X 0 0 0 MAY CHIN VICE PRESIDENT 1.00 2.00 X X 0 0 0 JASON QU TREASURER 1.00 2.00 X X 0 0 0 HEMMIE CHANG CLERK 1.00 2.00 X X 0 0 0 ALICE ROSE DIRECTOR 1.00 2.00 X 0 0 0 DAVID TING DIRECTOR 1.00 2.00 X 0 0 0 EDWARD CHENG DIRECTOR 1.00 2.00 X 0 0 0 HELEN CHIN SCHLICHTE DIRECTOR 1.00 2.00 X 0 0 0 HON HOI YEE DIRECTOR 1.00 2.00 X 0 0 0 LISA MUI DIRECTOR 1.00 2.00 X 0 0 0 LEONARD LAI DIRECTOR 1.00 2.00 X 0 0 0 MARIANNE BOWLER DIRECTOR 1.00 2.00 X 0 0 0 STANLEY ELKERTON DIRECTOR 1.00 2.00 X 0 0 0 SUSAN LUO DIRECTOR 1.00 2.00 X 0 0 0 THOMAS CHIN DIRECTOR 1.00 2.00 X 0 0 0 HEATHER O'SULLIVAN DIRECTOR 1.00 2.00 X 0 0 0 CINDY LAW DIRECTOR 1.00 2.00 X 0 0 0 ERIC SCHLICHTE DIRECTOR 1.00 2.00 X 0 0 0 JIM HSU DIRECTOR 1.00 2.00 X 0 0 0 SCOTT HANSON DIRECTOR OF FINANCE 40.00 2.00 X 146475 0 14537 WILLIAM GRAVES PRESIDENT/CEO 40.00 2.00 X 268832 0 10737 LI CHEN ADMINISTRATOR 40.00 2.00 X 169114 0 18883 MARY LOUISE BUTLER DIRECTOR OF NURSING 40.00 2.00 X 140167 0 12341 SHINJIA CHOI RN 40.00 2.00 X 149605 0 16689 874193 0 73187 10 0 1 0 PARAGON REHABILITATION 303 N HURSTBOURNE PKWY LOUISVILLE KY 40222 THERAPY SERVICES 368334 PRO EMS SOLUTIONS INC 31 SMITH PLACE CAMBRIDGE MA 02138 COVID TESTING 288900 US FOODS PO BOX 3155 BOSTON MA 02241 FOOD SERVICES 286065 GERIATRIC MEDICAL PO BOX 2503 WOBURN MA 01888 MEDICAL PRODUCT SUPPLIER 184840 SIMPLEX JANITORIAL SUPPLIES 6 COMMERCIAL STREET SHARON MA 02067 JANITORIAL SUPPLIES 129339 5 3645769 12547 3658316 NET PATIENT SERVICE REVENUE 623000 13802856 13802856 13802856 31592 31592 OTHER REVENUE 623000 4410 4410 4410 17497174 13807266 0 31592 440581 440581 8760310 7893902 866408 150602 129552 21050 709406 610251 99155 711719 612241 99478 21881 21881 47005 47005 571830 560061 11769 14017 14017 69901 69901 499257 476907 22350 48 48 20281 20031 250 581663 555624 26039 901621 861258 40363 142779 88333 54446 USER FEE 988232 988232 MEDICAL SUPPLIES AND EX 750930 750930 DIETARY 468513 468513 PROVISION FOR BAD DEBTS 108000 108000 197896 132338 65389 169 16156472 14218074 1938229 169 1678226 1247923 763480 2811651 1627723 2050365 167843 162421 33784877 6219622 28416175 27565255 88952 120245 32742399 33957860 1153337 1151931 95918 443902 17016239 16526454 4543728 4518372 22809222 22640659 X 9933177 11317201 9933177 11317201 32742399 33957860 X 1340702 43322 X X 0 1 X 1 0 X 32365 120819 124202 38024 3658316 3973726 14513017 14602746 15036223 15279074 13802856 73233916 14545382 14723565 15160425 15317098 17461172 77207642 0 0 0 77207642 465113 465159 463020 386612 31592 1811496 465113 465159 463020 386612 31592 1811496 10844 11094 18419 4410 44767 15010495 15199568 15634539 15722129 17497174 79063905 0.97650 0.96910 0.02290 0.02920 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 41862 298922 293299 47485 0 130942 11750 6508 22575 126625 179306 7261 41103 130942 146584 67500 4475 39253 179306 166440 17500 3648 41004 146584 40518 266113 1683 141874 166440 0.23692 0.76308 0 1 1 2437032 2437032 28742107 4776106 23966001 522381 68124 454257 2054160 1375392 678768 29197 29197 27565255 DUE TO RELATED PARTIES 4450837 OTHER LIABILITIES 67535 4518372 X PART IV, LINE 1B: THE ORGANIZATION HAS FIDUCIARY CONTROL OF THE PERSONAL NEEDS ACCOUNT HELD FOR THE BENEFIT OF THE RESIDENTS. PART V, LINE 4: THE ORGANIZATION'S ENDOWMENT IS HELD BY A RELATED ORGANIZATION, SOUTH COVE NURSING FACILITIES FOUNDATION, INC. IN ACCORDANCE WITH THE DONOR REQUIREMENTS, THE ENDOWMENT FUNDS ARE HELD IN PERPETUITY. ENDOWMENT RETURNS MAY BE USED FOR THE APPRECIATION EVENTS FOR THE EMPLOYEES OF THE NURSING HOME OPERATOR. 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 CODE. THE ORGANIZATION FOLLOWS THE GUIDANCE OF ACCOUNTING STANDARDS CODIFICATION (ASC) 740, ACCOUNTING FOR INCOME TAXES, RELATED TO THE UNCERTAINTIES IN INCOME TAXES, WHICH PRESCRIBES A THRESHOLD OF MORE LIKELY THAN NOT FOR RECOGNITION AND DERECOGNITION OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. MANAGEMENT HAS EVALUATED THE TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN, IF ANY, ON ITS EXEMPT ORGANIZATION FILINGS, AND THE LIKELIHOOD THAT UPON EXAMINATION THOSE POSITIONS WOULD BE SUSTAINED. BASED ON THE RESULTS OF THIS EVALUATION, MANAGEMENT DETERMINED THERE ARE NO POSITIONS THAT NECESSITATE DISCLOSURES AND/OR ADJUSTMENTS. X X X 0 0 0 0 0 0 0 0 0 WILLIAM GRAVES PRESIDENT/CEO 213832 0 55000 0 0 0 0 0 10737 0 279569 0 0 0 LI CHEN ADMINISTRATOR 148014 0 21100 0 0 0 8179 0 10704 0 187997 0 0 0 SHINJIA CHOI RN 149605 0 0 0 0 0 3959 0 12730 0 166294 0 0 0 SCOTT HANSON DIRECTOR OF FINANCE 130975 0 15500 0 0 0 3841 0 10696 0 161012 0 0 0 MARY LOUISE BUTLER DIRECTOR OF NURSING 121872 0 18295 0 0 0 0 0 12341 0 152508 0 0 0 A MASSACHUSETTS DEVELOPMENT FINANCE AGENCY 043431814 2012-10-30 19000000 LAND ACQUISITION AND FACILITY CONSTRUCTION AND FURNISHING 0 0 0 A 2392184 19000000 252483 100640 18646877 2015 0 0 1 1 A 0 0 0 0 0 0 1 A 0 0 1 0 1 0 0 0 1 A 1 FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE CONSISTS OF ALL VOTING DIRECTORS WHO ARE ALSO OFFICERS OR COMMITTEE CHAIRS. THE EXECUTIVE COMMITTEE HAS FULL AUTHORITY BETWEEN BOARD SESSIONS, IF NEEDED. FORM 990, PART VI, SECTION A, LINE 2 A FAMILY RELATIONSHIP EXISTS BETWEEN MAY CHIN, VICE PRESIDENT; THOMAS CHIN, DIRECTOR; AND HELEN CHIN SCHLICHTE, DIRECTOR. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S AUDIT COMMITTEE REVIEWS AND APPROVES THE DRAFT FORM 990. THE COMPLETE FORM 990 IS PRESENTED TO THE BOARD OF DIRECTORS BEFORE FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS PART OF THE ORGANIZATION'S BY-LAWS AND IS DISCUSSED BY THE BOARD OF DIRECTORS AND TOP MANAGEMENT PERSONNEL AT THE FIRST BOARD MEETING EACH YEAR REGARDING ANY/ALL SIGNIFICANT TRANSACTIONS. THE CONFLICT OF INTEREST POLICY COVERS DIRECTORS, OFFICERS, AND EMPLOYEES. ANY CONFLICTS OF INTEREST ARE DISCLOSED TO THE BOARD PRIOR TO APPROVAL OR RATIFICATION OF THE CONTRACT OR TRANSACTION BY MAJORITY VOTE OF THE DISINTERESTED PERSONS. THE CEO, ADMINISTRATOR AND FINANCE DIRECTOR ARE TASKED WITH OVERSEEING THE DISBURSEMENTS AND CONTRACT MANAGEMENT FUNCTIONS AND MONITORING FOR ANY CONFLICTING RELATIONSHIP WITH THE ORGANIZATION. ALL BOARD MEMBERS ARE AWARE OF THE NEED TO NOTIFY THE BOARD AND MANAGEMENT TEAM OF ANY CONFLICTS. THE BOARD IS NOTIFIED WHEN A CONFLICT OF INTEREST MIGHT OCCUR. SHOULD AN ACTUAL OR PERCEIVED CONFLICT OF INTEREST PRESENT ITSELF, THE MANAGEMENT TEAM IS FULLY PREPARED TO ASK THE BOARD TO CONSIDER APPROPRIATE ACTION. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS FOR DETERMINING THE COMPENSATION OF THE CEO AND TOP MANAGEMENT INCLUDES A COMPARABILITY STUDY, APPROVAL BY THE COMPENSATION COMMITTEE, AND DOCUMENTATION OF THE DELIBERATION OF THE DECISION DONE IN EXECUTIVE SESSION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: EQUITY TRANSFER 43,322. FORM 990, PART XII, LINE 2C PROCESS IS UNCHANGED FROM PRIOR YEAR. 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