2020-11-13T10:58:36-06:00 2019-12-31 410746749 CLIFTONLARSONALLEN LLP 300 CROWN COLONY DRIVE SUITE 310 QUINCY MA 02169 990 2019-01-01 042142337 ARMENIAN NURSING AND REHABILITATION CENTER INC ARME 6175222600 431 POND STREET JAMAICA PLAIN MA 021303494 MARTHA MENSOIAN PRESIDENT 6175222600 2020-11-12 1 JONATHAN LANGFIELD P00562148 6179848100 2020-11-11 108.20.24.183 2020-11-12 15:03:59 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 8691CE57B3CA54F67807ABE18706F5E1A699ECB4 2019 2021-01-29 14:40:06Z MARTHA MENSOIAN 431 POND STREET JAMAICA PLAIN MA 021303494 9204538 0 X WWW.AWWA.US X 1934 MA TO OPERATE A LONG-TERM CARE FACILITY FOR THE ELDERLY/INFIRMED. 8 8 165 14 0 0 108831 9308 9147992 9148420 4558 21233 1405 -548 9262786 9178413 0 0 0 0 5739419 5744152 0 0 0 3025499 3100064 8764918 8844216 497868 334197 7371330 6699719 1204285 1069886 6167045 5629833 THE ORGANIZATION'S MISSION IS TO CARE FOR THE PHYSICAL AND SOCIAL WELL-BEING OF ELDERLY/INFIRMED ARMENIAN-AMERICANS AND MEMBERS OF OTHER ETHNICITIES THROUGH PROVIDING HIGH QUALITY SKILLED NURSING FACILITY SERVICES IN AN 83-BED FACILITY IN JAMAICA PLAIN, MASSACHUSETTS. 0 0 6851903 9148420 SKILLED NURSING FACILITY - AN 83-BED SKILLED NURSING FACILITY IN JAMAICA PLAIN, MASSACHUSETTS. IN 2019, THE ORGANIZATION MAINTAINED A 93% OCCUPANCY RATE. 67% OF THE PATIENT DAYS WERE FUNDED BY MASSHEALTH. IN 2019, THE ARMENIAN CENTER ACHIEVED AN OVERALL 5-STAR QUALITY RATING FROM THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS). 6851903 1 0 0 0 0 0 0 0 0 0 1 0 0 0 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 0 165 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 0 1 1 1 0 MA X STEWART GOFF 6175222600 431 POND STREET JAMAICA PLAIN MA 02130 SUSAN DERANIAN PRESIDENT 10.00 2.00 X X 0 0 0 MARTHA MENSOIAN VICE PRESIDENT 3.00 3.00 X X 0 0 0 LYNNE JANJIGIAN NEE TREASURER 1.00 3.00 X X 0 0 0 ANDREA BURNS INTERIM CLERK 2.00 2.00 X X 0 0 0 JOANN JANJIGIAN DIRECTOR 2.00 5.00 X 0 0 0 NANCY KASARJIAN DIRECTOR 1.00 5.00 X 0 0 0 LALIG MUSSERIAN DIRECTOR 3.00 3.00 X 0 0 0 TALENE J TARVEZIAN-CHOLY DIRECTOR 1.00 2.00 X 0 0 0 RUTH KANE DIRECTOR OF NURSING 47.00 X 160365 0 13647 STEWART GOFF CEO 43.00 3.00 X 128476 0 14369 MARIELLE DESIR LPN 66.00 X 146757 0 5529 ACELA HERMIDA BUSINESS OFFICE MANAGER 43.00 X 150314 0 500 NANCY GRINGAS MDS COORDINATOR 43.00 X 125980 0 23826 711892 0 57871 8 0 1 0 AEGIS THERAPIES INC PO BOX 8103 FORS SMITH AZ 72902 REHABILITATION SERVICES 379767 FAVORITE HEALTHCARE STAFFING INC PO BOX 26225 OVERLAND PARK KS 66225 REHABILITATION SERVICES 132328 LEONARDO D ESPINOSA 166 ALLEN ST RANDOLPH MA 02368 SNOW REMOVAL/LANDSCAPING 109160 3 9308 9308 NET PATIENT REVENUE 623000 9148420 9148420 9148420 6358 6358 41000 26125 14875 14875 14875 -548 -548 -548 9178413 9148420 0 20685 316856 316856 4564459 4182507 381952 30859 26560 4299 447818 385297 62521 384160 330643 53517 30054 30054 59399 59399 531284 216830 314454 16065 16065 81629 27236 54393 144931 144931 3004 3004 6940 6044 896 375568 327067 48501 78815 78815 OPERATING SUPPLIES 629152 629152 USER FEES ASSESSMENT 544858 544858 ANCILLARIES 509877 509877 BAD DEBTS 49078 49078 39410 13677 25733 8844216 6851903 1992313 0 2667436 1998487 377631 561146 107361 118098 10587907 6697901 4218738 3890006 164 131982 7371330 6699719 1062156 1026866 10992 6866 131137 36154 1204285 1069886 X 6167045 5629833 6167045 5629833 7371330 6699719 X 334197 -871409 X X 0 1 X 1 0 X 8905 97093 99107 108831 9308 323244 8760426 8667297 9061529 9147992 9148420 44785664 8769331 8764390 9160636 9256823 9157728 45108908 0 0 0 45108908 18222 394 114 4558 6357 29645 18222 394 114 4558 6357 29645 3932 1406 14328 19666 8787553 8764784 9164682 9262787 9178413 45158219 0.99890 0.99900 0.00070 0.00090 X 42885 42885 8432537 5016395 3416142 2087391 1656412 430979 25094 25094 0 3890006 X 9178413 0 9178413 0 9178413 8844216 0 8844216 0 8844216 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. X X 0 0 0 0 0 0 0 0 0 RUTH KANE DIRECTOR OF NURSING 154835 0 0 0 5530 0 419 0 13228 0 174012 0 0 0 MARIELLE DESIR LPN 141313 0 0 0 5444 0 500 0 5029 0 152286 0 0 0 ACELA HERMIDA BUSINESS OFFICE MANAGER 144072 0 0 0 6242 0 500 0 0 0 150814 0 0 0 PART I, LINE 3 THE ORGANIZATION'S CEO'S COMPENSATION IS EVALUATED BY THE BOARD ON AN ANNUAL BASIS IN CONJUNCTION WITH THEIR PERFORMANCE REVIEW. 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 THE CEO AND EXECUTIVE DIRECTOR OF ARMENIAN NURSING AND REHABILITATION CENTER, INC. REVIEW THE DRAFT FORM 990. PRIOR TO FILING WITH THE IRS, A COMPLETE COPY OF THE FINAL FORM 990 IS PROVIDED TO EACH BOARD MEMBER VIA ELECTRONIC COMMUNICATION. 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 ORGANIZATION'S CEO'S COMPENSATION IS EVALUATION BY THE BOARD ON AN ANNUAL BASIS IN CONJUNCTION WITH THEIR PERFORMANCE REVIEW. 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 -871,409. FORM 990 PART XII, LINE 2C PROCESS HAS NOT CHANGED FROM PRIOR YEAR. ARMENIAN WOMEN'S WELFARE ASSOCIATION INC 435 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 1 0 0 0 0 0 0 0 1 1 1 1 0 0 1