2018-11-15T14:06:45-06:00 2017-12-31 410746749 CLIFTONLARSONALLEN LLP 300 CROWN COLONY DRIVE SUITE 310 QUINCY MA 02169 990 2017-01-01 042105741 THE SOMERVILLE HOME INC SOME 6177760260 117 SUMMER STREET SOMERVILLE MA 02143 EDWIN J SMITH PRESIDENT 6176256094 2018-11-14 1 DAVID TRIMNER P00444822 6179848100 67.137.57.251 2018-11-14 14:21:53 ES P BE9A5386F0E0E3B4CADA17EFD89B09732DDF69A5 1A53DBAE8AE3BFC29E9AECF52760C2CD4F90396B 2017 2019-02-21 02:37:17Z EDWIN J SMITH 117 SUMMER STREET SOMERVILLE MA 02143 2156596 0 X WWW.SOMERVILLEHOME.ORG X 1898 MA PROVIDING QUALITY RESIDENTIAL CARE TO THE ELDERLY FROM SOMERVILLE AND SURROUNDING COMMUNITIES. 16 16 30 30 0 0 7656 6773 1839504 1847333 24424 84074 0 41604 1871584 1979784 0 0 0 0 932304 1092985 0 0 0 1217040 1270258 2149344 2363243 -277760 -383459 3041175 2829011 1054011 1163615 1987164 1665396 X SINCE 1898, THE SOMERVILLE HOME, A PRIVATE NONPROFIT ORGANIZATION, HAS PROVIDED LONG-TERM RESIDENTIAL CARE TO ELDERLY MEN AND WOMEN FROM SOMERVILLE AND SURROUNDING COMMUNITIES. WE ARE COMMITTED TO OFFERING SENIOR CITIZENS A REASONABLY PRICED OPTION FOR QUALITY RESIDENTIAL SERVICES. WE BELIEVE THAT OUR RESIDENTS SHOULD BE ENCOURAGED TO UTILIZE THEIR BODIES, MINDS AND SPIRITS TO THE MAXIMUM WITHIN THE LIMITS OF THEIR POTENTIAL. 0 0 1923446 1847333 REST HOME - OPERATION OF A 59-BED REST HOME LOCATED IN SOMERVILLE, MASSACHUSETTS LOCATED AT 117 SUMMER STREET. THE REST HOME'S CHARACTER AND CHARM HAS RESPONDED TO THE DOMESTIC NEEDS OF RETIRED PERSONS FOR THE PAST 72 YEARS AND INTENDS TO DO SO FOR MANY MORE YEARS. THE ORGANIZATION'S LONG-TERM PLAN IS TO PROVIDE A SAFE AND SECURE HOMELIKE ENVIRONMENT WHILE ASSURING DIGNITY TO AND PROMOTING THE INDIVIDUAL WORTH OF ALL RESIDENTS. 1923446 1 1 0 0 0 1 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 13 0 30 1 0 0 0 0 0 0 0 0 0 0 X 16 16 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X KELLEY SFERRAZZA 6177760260 117 SUMMER STREET SOMERVILLE MA 02143 EDWIN J SMITH PRESIDENT 5.00 X X 0 0 0 ROD LAURENZ VICE PRESIDENT 5.00 X X 0 0 0 ROBERT H COSTELLO JR TREASURER 5.00 X X 0 0 0 BRIAN BRADY CLERK 5.00 X X 0 0 0 SALVATORE BERTOLAMI TRUSTEE 5.00 X 0 0 0 JOSEPH CIAMPA TRUSTEE 5.00 X 0 0 0 JOHN M CONNOLLY TRUSTEE 5.00 X 0 0 0 ARNOLD KNOX JR TRUSTEE 5.00 X 0 0 0 GEORGE MCLEAN TRUSTEE 5.00 X 0 0 0 DAVID F O'BRIEN TRUSTEE 5.00 X 0 0 0 JOSEPH J SULLIVAN TRUSTEE 5.00 X 0 0 0 KAREN CLEARY TRUSTEE 5.00 X 0 0 0 JEANNETTE AMAZEEN THOMAS TRUSTEE 5.00 X 0 0 0 PETER MAJANE TRUSTEE 5.00 X 0 0 0 JESSICA BRAYDEN ASSISTANT CLERK 5.00 X X 0 0 0 SANDRA MCGOLDRICK TRUSTEE 5.00 X 0 0 0 FRANCES GAYRON TRUSTEE 5.00 X 0 0 0 LINDA COSTELLO TRUSTEE 5.00 X 0 0 0 KELLY SFERRAZZA EXECUTIVE DIRECTOR 40.00 X 94280 0 5253 WILLIAM NORRIS DIRECTOR OF FINANCE 40.00 X 23085 0 238 117365 0 5491 0 0 0 0 GLENDALE SENIOR DINING INC 749 E INDUSTRIAL PARK DRIVE MANCHESTER NH 03109 DIETARY SERVICES 396646 1 6773 6773 NET PATIENT SERVICE REVENUE 623000 1837935 1837935 OTHER OPERATING INCOME 623000 9398 9398 1847333 28688 28688 210057 154671 55386 55386 55386 63745 22141 41604 41604 1979784 1847333 0 125678 X 122856 70435 52421 801944 644241 157703 22305 16658 5647 64918 50686 14232 80962 62562 18400 43450 43450 578637 574914 3723 7629 7629 45320 43968 1352 6981 6981 119818 119818 4473 4473 39363 39363 208612 208612 17970 17970 BAD DEBT 140057 0 140057 SUPPLIES 31928 31928 MAINTENANCE 19174 19174 FOOD 3474 3474 3372 560 2812 2363243 1923446 439797 0 196 40682 29557 107178 131248 36474 33551 5338916 3784219 1717753 1554697 1138892 1079958 3041175 2829011 140203 223317 907895 926859 5913 13439 1054011 1163615 X 1415023 1082946 402377 412686 169764 169764 1987164 1665396 3041175 2829011 -383459 51086 10605 0 X 0 1 X 1 0 X 61345 53061 65036 7656 6773 193871 1650792 1940338 1872273 1839504 1847333 9150240 1712137 1993399 1937309 1847160 1854106 9344111 0 617845 737247 706908 774415 731182 3567597 617845 737247 706908 774415 731182 3567597 5776514 38621 45739 38864 21418 28688 173330 38621 45739 38864 21418 28688 173330 41604 41604 1750758 2039138 1976173 1868578 1924398 9559045 0.60430 0.62560 0.01810 0.01930 X 0 400 0 0 572141 80309 70000 582450 621868 8273 58000 572141 686192 -30324 34000 621868 678013 48825 40646 686192 638378 86733 47098 678013 0.29150 0.70850 0 0 30460 30460 250789 250789 0 4538830 3149229 1389601 443845 329925 113920 74992 54276 20716 1554697 DUE TO THIRD-PARTY PAYERS 13439 13439 X 2030869 51086 51086 1979783 0 1979783 2363243 0 2363243 0 2363243 PART V, LINE 4: THE INCOME EARNED ON THE PERMANENTLY RESTRICTED NET ASSETS IS INTENDED TO BE USED TO IMPROVE THE QUALITY OF CARE AND QUALITY OF LIFE OF THE RESIDENTS. THE CORPUS IS INVESTED IN PERPETUITY. PART X, LINE 2: THE HOME EVALUATES THEIR UNCERTAIN TAX POSITIONS, IF ANY, ON A CONTINUAL BASIS THROUGH REVIEW OF THE POLICIES AND PROCEDURES, REVIEW OF THEIR REGULAR TAX FILINGS, AND DISCUSSIONS WITH OUTSIDE EXPERTS. AS OF DECEMBER 31, 2017 AND 2016, THE HOME DID NOT HAVE ANY UNCERTAIN TAX POSITIONS. THE HOME'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE HOME IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS TASTE OF SOMERVILLE 63745 0 63745 10014 630 630 10867 63745 63745 10014 630 630 10867 22141 41604 FORM 990, PART VI, SECTION A, LINE 1 THE ORGANIZATION DELEGATES BROAD AUTHORITY OF DISCRETIONARY VOTING OVER FINANCIAL AND FIDUCIARY MATTERS TO AN EXECUTIVE COMMITTEE (COMPOSED OF BOARD MEMBERS INCLUDING FOUR OFFICERS AND FOUR VOTING MEMBERS). FORM 990, PART VI, SECTION A, LINE 2 ROBERT COSTELLO AND LINDA COSTELLO HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD IS PROVIDED A COMPLETE COPY OF FORM 990. THE FORM 990 IS THEN DISCUSSED AT THE NEXT BOARD MEETING WHERE THE IT IS SIGNED BY THE TREASURER AFTER IT HAS BEEN VOTED FOR APPROVAL. THE APPROVAL IS THEN RECORDED IN MINUTES OF THE MEETING. FORM 990, PART VI, SECTION B, LINE 12C ANY INSTANCES OF A CONFLICT OF INTEREST WOULD GO THROUGH AN INVESTIGATION OF THE EXECUTIVE COMMITTEE AND THEN PRESENTED TO THE FULL BOARD. IF NEEDED THE BOARD MEMBER COULD BE REMOVED BY VOTE AND LEGAL ACTION TAKEN IF NEEDED. ROD LAURENZ, VICE PRESIDENT, MUST LEAVE ROOM DURING ANY DISCUSSION AND ABSTAIN FROM ANY VOTE CONCERNING INVESTMENT PORTFOLIO. FORM 990, PART VI, SECTION B, LINE 15 THE INDEPENDENT BOARD REVIEWS COMPARABLE COMPENSATION DATA TO DETERMINE AN APPROPRIATE SALARY. A VOTE IS CAST BY THE BOARD TO APPROVE OR DENY THE SALARY AND THE OUTCOME IS RECORDED IN THE MINUTES OF THE MEETING. 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 IX, LINE 11G OTHER PROFESSIONAL FEES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 3,723. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,723. LANDSCAPING: PROGRAM SERVICE EXPENSES 19,922. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,922. PEST CONTROL: PROGRAM SERVICE EXPENSES 3,144. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,144. MAINTENANCE: PROGRAM SERVICE EXPENSES 43,660. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 43,660. CATERING: PROGRAM SERVICE EXPENSES 428,642. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 428,642. TEMPORARY STAFFING: PROGRAM SERVICE EXPENSES 79,546. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 79,546.