2020-06-22T15:12:59-05:00 2019-06-30 410746749 CLIFTONLARSONALLEN LLP 300 CROWN COLONY DRIVE SUITE 310 QUINCY MA 02169 990 2018-07-01 200216017 LUTHER RIDGE AT MIDDLETOWN INC LUTH 7819970900 14 EAST WORCESTER STREET NO 300 WORCESTER MA 01604 ANGELA BOVILL PRESIDENT & CEO 7819970900 2020-05-26 1 LAUREN BALLARD CPA P01451787 6179848100 2020-05-21 67.137.57.251 2020-05-26 15:42:59 ED P 9A5FD5A28186C0237ADF311F402C5D3C3A194CA8 3EEEC8B090C07D7EECF61F1A8A191FC1967D2E7A 2018 2021-01-29 14:40:06Z ANGELA BOVILL 14 EAST WORCESTER STREET NO 300 WORCESTER MA 01604 913910 0 6011 X WWW.ASCENTRIA.ORG X 2003 CT WE ARE CALLED TO STRENGTHEN COMMUNITIES BY EMPOWERING PEOPLE TO RESPOND TO LIFE'S CHALLENGES. 11 10 48 15 0 0 0 0 923134 897804 0 0 43468 16106 966602 913910 0 0 0 0 747772 745648 0 0 0 478263 410428 1226035 1156076 -259433 -242166 738541 715253 544362 725670 194179 -10417 WE ARE CALLED TO STRENGTHEN COMMUNITIES BY EMPOWERING PEOPLE TO RESPOND TO LIFE'S CHALLENGES. 0 0 984033 897804 LUTHER RIDGE AT MIDDLETOWN, INC. IS DEDICATED TO PROVIDING SERVICES THAT CONTRIBUTE A LIFESTYLE WHICH ENABLES SENIOR ADULTS TO LIVE WITH INDEPENDENCE, SECURITY AND DIGNITY BY PROVIDING ASSISTED LIVING SERVICES TO THE ELDERLY. 984033 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 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 9 0 48 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 CT X ANGELA BOVILL 7742433900 14 EAST WORCESTER STREET SUITE 300 WORCESTER MA 01604 WILLIAM MAYO CHAIR 0.30 4.20 X X 0 0 0 MICHAEL BALINKSKAS VICE CHAIR 0.30 4.20 X X 0 0 0 KAREN GAYLIN SECRETARY 0.30 4.20 X X 0 0 0 GARTH GREIMANN FINANCIAL SECRETARY 0.30 4.20 X X 0 0 0 THE REV ROSS GOODMAN DIRECTOR 0.30 4.20 X 0 0 0 BARBARA RUHE DIRECTOR 0.30 4.20 X 0 0 0 THE REV LAURA EVERETT DIRECTOR 0.30 4.20 X 0 0 0 SCOTT HAMILTON DIRECTOR 0.30 4.20 X 0 0 0 PETER SCHMIDT DIRECTOR 0.30 4.20 X 0 0 0 KIM SALMON DIRECTOR 0.30 4.20 X 0 0 0 JEFF KINNEY DIRECTOR UNTIL 7/14/2019 0.30 4.20 X 0 0 0 ANGELA BOVILL PRESIDENT/CEO 2.40 37.60 X X 0 276027 38751 JAMES COYLE EXECUTIVE VP/CFO 2.40 37.60 X 0 195982 17537 JEANETTE WADE EXECUTIVE VP/CFO 2.40 37.60 X 0 0 0 TIM JOHNSTONE EXECUTIVE VP/COO 2.40 37.60 X 0 179582 18311 TARA BROWNE CLERK/EXECUTIVE ASSISTANT 2.40 37.60 X 0 21752 4182 ELENA GARCIAS-KETNOUVONG CLERK/EXECUTIVE ASSISTANT 2.40 37.60 X 0 42145 9753 DANA RAMISH EXECUTIVE VP, RESIDENTIAL SERVICES 2.40 37.60 X 0 184465 22732 NICK RUSSO TREASURER 2.40 37.60 X 0 127895 5450 MICHAEL ALDEN VP AND GENERAL MANAGER OF SOCIAL ENTERPRISE 2.40 37.60 X 0 112371 35384 ANN DANCY VP FOR NH OPERATIONS 2.40 37.60 X 0 105837 24685 JODIE JUSTOFIN VP FOR STRATEGIC MARKETING & 2.40 37.60 X 0 148457 4813 NANCY MEEGAN VP OF HUMAN RESOURCES 2.40 37.60 X 0 154011 11365 PATRICK WILLIAMS VP OF QUALITY AND COMPLIANCE 2.40 37.60 X 0 130221 16301 0 1678745 209264 0 0 1 0 0 ASSISTED LIVING 623000 732398 732398 CORE SERVICES 623000 133646 133646 MEAL SERVICES 623000 16218 16218 RENTAL INCOME 623000 15542 15542 897804 BAD DEBT RECOVERY 900099 9980 9980 LAUNDRY & VENDING 623000 6126 6126 16106 913910 897804 0 16106 601386 601386 93394 93394 50868 50868 155721 155721 2172 2172 14150 14150 468 468 7531 7531 501 501 10680 10680 2298 2298 190 190 660 660 20844 20844 BAD DEBT EXPENSE 158000 158000 MEALS COST 19405 19405 RESIDENT CARE COSTS 14768 14768 3040 3040 1156076 984033 172043 0 36229 66742 85924 345924 99075 244519 246849 391051 382480 738541 715253 159093 144793 385269 392056 0 188821 544362 725670 X -157718 -392897 351897 382480 194179 -10417 738541 715253 X -242166 37570 X 0 1 X 1 0 X 1153291 1169238 983859 923134 897804 5127326 1153291 1169238 983859 923134 897804 5127326 0 0 0 5127326 38055 58248 50974 43468 16107 206852 1191346 1227486 1034833 966602 913911 5334178 0.96120 0.94650 0.00000 0.00000 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2014 AMOUNT: $ 38,055. 2015 AMOUNT: $ 58,248. 2016 AMOUNT: $ 50,974. 2017 AMOUNT: $ 43,468. LAUNDRY VENDING - 2018 AMOUNT: $ 6,127. BAD DEBT RECOVERY - 2018 AMOUNT: $ 9,980. 351897 37570 6987 382480 316462 35435 351897 304737 15550 3825 316462 478168 72444 245875 304737 450278 40556 12666 478168 0.00000 0.00000 1.00000 0 1 0 244158 244158 66766 64075 2691 35000 35000 0 246849 BENEFICIAL INTEREST IN NET ASSETS OF RELATED PARTY 382480 382480 DUE TO RELATED PARTIES 188821 188821 913910 0 913910 0 913910 1156076 0 1156076 0 1156076 PART V, LINE 4: THE ORGANIZATION'S ENDOWMENT FUNDS ARE USED TO SUPPORT THE ORGANIZATION'S MISSION OF PROVIDING SERVICES THAT CONTRIBUTE A LIFESTYLE WHICH ENABLES SENIOR ADULTS TO LIVE WITH INDEPENDENCE, SECURITY AND DIGNITY BY PROVIDING ASSISTED LIVING SERVICES TO THE ELDERLY. 0 0 0 0 0 0 0 0 0 ANGELA BOVILL PRESIDENT/CEO 0 276027 0 0 0 0 0 12661 0 26090 0 314778 0 0 JAMES COYLE EXECUTIVE VP/CFO 0 161367 0 0 0 34615 0 15192 0 2345 0 213519 0 0 TIM JOHNSTONE EXECUTIVE VP/COO 0 179582 0 0 0 0 0 0 0 18311 0 197893 0 0 DANA RAMISH EXECUTIVE VP, RESIDENTIAL SERVICES 0 184465 0 0 0 0 0 16900 0 5832 0 207197 0 0 JODIE JUSTOFIN VP FOR STRATEGIC MARKETING & 0 148457 0 0 0 0 0 0 0 4813 0 153270 0 0 NANCY MEEGAN VP OF HUMAN RESOURCES 0 154011 0 0 0 0 0 0 0 11365 0 165376 0 0 PART I, LINE 3 ASCENTRIA CARE ALLIANCE, INC. (ACA) IS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION. THE COMPENSATION OF THE ORGANIZATION'S CEO IS DETERMINED AND PAID BY ACA. THE CEO OF ACA IS THE PRINCIPAL REPRESENTATIVE OF ASCENTRIA CARE ALLIANCE, INCLUDING ITS AFFILIATES AND SUBSIDIARIES, AND IS THE PERSON RESPONSIBLE FOR THE EFFICIENT OPERATION OF THE ACA, ITS AFFILIATES, AND ITS SUBSIDIARIES. THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS OF ACA ANNUALLY EVALUATES THE CEO ON HIS/HER PERFORMANCE. THE CHAIR OF ACA'S BOARD OF DIRECTORS, AN UNCOMPENSATED VOLUNTEER, IS THE CHAIR OF THE EXECUTIVE COMMITTEE AND IS INDEPENDENT WITHOUT UNDUE INFLUENCE FROM THE CEO. THE EXECUTIVE COMMITTEE WILL OBTAIN RESEARCH TO MAKE A RECOMMENDATION FOR THE COMPENSATION OF THE CEO. A REVIEW OF COMPARABILITY DATA MAY INCLUDE THE FOLLOWING: COMPENSATION STUDIES BY INDEPENDENT SOURCES, WRITTEN JOB OFFERS FOR POSITIONS AT SIMILAR ORGANIZATIONS, DOCUMENTED PHONE CALLS ABOUT SIMILAR CEO POSITIONS, AND INFORMATION OBTAINED FROM THE IRS FORM 990 FILINGS OF SIMILAR ORGANIZATIONS. THE EXECUTIVE COMMITTEE WILL DOCUMENT ITS DECISIONS IN THE MINUTES OF THE MEETING. THE DOCUMENTATION OF THE CEO'S COMPENSATION INCLUDES: A DISCUSSION OF THE CEO'S RESPONSIBILITIES; ANNUAL PERFORMANCE REVIEW; DESCRIPTION OF THE COMPENSATION, BENEFITS, AND APPROVAL DATE; LIST OF COMMITTEE MEMBERS PRESENT DURING THE DISCUSSION; ACTIONS TAKEN WITH RESPECT TO ANY CONFLICTS OF INTEREST BY ANY MEMBER WITH RESPECT TO THE DECISION ON THE COMPENSATION; AND A RECORD OF THE RESULT OF THE COMPENSATION VOTE. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE CORPORATE MEMBER OF THE ORGANIZATION IS ASCENTRIA CARE ALLIANCE, INC. (FKA LUTHERAN SOCIAL SERVICES OF NEW ENGLAND, INC.). FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS OF ASCENTRIA CARE ALLIANCE, INC.'S GOVERNING BOARD ELECT ALL THE MEMBERS OF THIS ORGANIZATION'S GOVERNING BOARD. FORM 990, PART VI, SECTION A, LINE 7B THE TRANSACTIONS SUBJECT TO MEMBER APPROVAL ARE ACQUISITIONS OF DEBT, SALE OF ASSETS, ANNUAL BUDGET, MERGERS AND BYLAW REVISIONS. FORM 990, PART VI, SECTION B, LINE 11B FINANCIAL MANAGEMENT WILL REVIEW THE FORM 990 WHEN IT IS COMPLETED. ASCENTRIA CARE ALLIANCE, INC.'S (ACA) AUDIT COMMITTEE PROVIDES SECONDARY REVIEW AND APPROVAL PRIOR TO SUBMISSION TO THE IRS. THE COMPLETE FORM 990 IS POSTED TO THE BOARD INTRANET FOR REVIEW BY THE ACA FINANCE COMMITTEE AS WELL AS ALL BOARD MEMBERS PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ANY DIRECTOR, OFFICER, EMPLOYEE, COMMITTEE MEMBER, OR VOLUNTEER OF LSSNE OR ITS SUBSIDIARIES, WHETHER BECAUSE OF HIS/HER EMPLOYMENT, BUSINESS INTERESTS, INVESTMENTS, OR OTHERWISE, WHO HAS INTERESTS THAT DO OR MAY, DIRECTLY OR INDIRECTLY, COMPETE WITH OR BE IN CONFLICT WITH THE INTERESTS OF LSSNE SHALL PROMPTLY DISCLOSE ALL MATERIAL FACTS OF SUCH CONFLICT OF INTEREST IN WRITING TO THE CHAIRPERSON OF THE BOARD OF DIRECTORS AND/OR TO THE PRESIDENT OF LSSNE. SUCH PERSON SHALL ALSO ANNOUNCE THE SAME AT ANY MEETING OR DISCUSSION IN WHICH HE/SHE IS A PARTICIPANT AND AT WHICH SUCH CONFLICT ARISES AND SHALL REFRAIN FROM ACTING THEREON. AFTER DISCLOSURE OF A FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE GOVERNING BOARD OR COMMITTEE MEETING WHILE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE GOVERNING BOARD OR COMMITTEE MEETING, BUT AFTER THE PRESENTATION HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT OF INTEREST. THE CHAIRPERSON OF THE GOVERNING BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER EXERCISING DUE DILIGENCE, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE WHETHER LSSNE 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 A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN LSSNE'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE. IN CONFORMITY WITH THE ABOVE DETERMINATION IT SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF RELATED PARTY 37,570. RELATED ORGANIZATIONS FILE UNDER GROUP EXEMPTION 6011 - DISCLOSURE NOT REQ CT 0 0 0 0 1 1 0 0 0 0 0 1 0 1 1 1 1 1 0 0