2016-11-15T08:42:03-06:00 2015-12-31 410746749 CLIFTONLARSONALLEN LLP 300 CROWN COLONY DRIVE SUITE 310 QUINCY MA 02169 990 2015-01-01 042105741 THE SOMERVILLE HOME INC SOME 6177760260 117 SUMMER STREET SOMERVILLE MA 02143 EDWIN J SMITH PRESIDENT 6176256094 2016-11-11 1 JUDY DALEY P01294075 6179848100 2016-11-11 2015 2017-02-10 21:41:12Z EDWIN J SMITH 117 SUMMER STREET SOMERVILLE MA 02143 2074329 0 X WWW.SOMERVILLEHOME.ORG X 1898 MA PROVIDING QUALITY RESIDENTIAL CARE TO THE ELDERLY FROM SOMERVILLE AND SURROUNDING COMMUNITIES. 16 16 22 12 0 0 53061 65036 1891059 1803665 107693 37886 22425 50834 2074238 1957421 0 0 0 0 845815 738274 0 0 0 1200678 1540690 2046493 2278964 27745 -321543 3753860 3370116 1095969 1116656 2657891 2253460 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 2047772 1816121 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 71 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. 2047772 1 1 0 0 0 0 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 20 0 1 22 1 0 0 0 0 0 0 0 0 0 0 X 16 16 0 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 X 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 SANDRA L MCGOLDRICK 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 FRANCES GAYRON 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 LINDA COSTELLO TRUSTEE 5.00 X 0 0 0 0 0 0 0 0 0 0 GLENDALE SENIOR DINING INC 749 E INDUSTRIAL PARK DRIVE MANCHESTER NH 03109 FOOD SERVICE 435833 NORTHEAST MEDICAL STAFFING 221 CHELMSFORD STREET CHELMSFORD MA 01824 TEMP NURSING, C.N.A 330818 CLIFTONLARSONALLEN LLP 300 CROWN COLONY DRIVE QUINCY MA 02169 CONSULTING 121489 3 65036 65036 NET PATIENT SERVICE REVENUE 623000 1803665 1803665 1803665 38864 38864 98156 99134 -978 -978 -978 56152 17774 38378 38378 OTHER INCOME 623000 12456 12456 12456 1957421 1816121 0 76264 X 613818 451438 162380 18238 13413 4825 59834 44005 15829 46384 34114 12270 1308 1308 24325 24325 4500 4500 867578 863192 4386 2100 2100 62345 60976 1369 123067 123067 111062 111062 3910 3910 43145 43145 216188 216188 13158 13158 SUPPLIES 29077 29077 BAD DEBTS 20140 20140 MAINTENANCE 7970 7970 MISCELLANEOUS EXPENSE 5715 5715 5102 5102 2278964 2047772 231192 0 36134 543 106000 896 72609 103415 63452 34773 5273728 3368282 2077816 1905446 1392375 1320533 5474 4510 3753860 3370116 175327 185783 918076 928412 2566 2461 1095969 1116656 X 1971699 1631592 516428 452104 169764 169764 2657891 2253460 3753860 3370116 -321543 -82888 0 X 0 1 X 1 0 X 11775 31028 61345 53061 65036 222245 1752920 1664657 1650792 1940338 1872273 8880980 1764695 1695685 1712137 1993399 1937309 9103225 0 692316 635281 599665 687968 629025 3244255 692316 635281 599665 687968 629025 3244255 5858970 32939 36131 38621 45739 38864 192294 32939 36131 38621 45739 38864 192294 1797634 1731816 1750758 2039138 1976173 9295519 0.63030 0.61340 0.02070 0.01970 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 686192 -30324 34000 621868 678013 48825 40646 686192 638378 86733 47098 678013 600006 77823 39451 638378 676230 -41014 35210 600006 0.00000 0.27300 0.72700 0 0 30460 30460 250789 250789 0 4509853 2779710 1730143 442808 297965 144843 39818 39818 0 1905446 DUE TO THIRD-PARTY PAYERS 2461 2461 X 1874533 -82888 -82888 1957421 0 1957421 2274464 0 2274464 4500 4500 2278964 PART V, LINE 4: TEMPORARILY RESTRICTED NET ASSETS ARE INTENDED TO BE USED FOR PERMANENTLY RESTRICTED NET ASSET APPRECIATION LIMITED AS TO EXPENDITURE BY STATE LAW, THE LUXURY FUND AND VARIOUS OTHER USES. 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 ORGANIZATION IS A NOT-FOR-PROFIT 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 FILES AS A TAX-EXEMPT ORGANIZATION. THE ENTITY'S 2012 THROUGH 2015 TAX YEARS ARE OPEN FOR EXAMINATION BY FEDERAL AND STATE AUTHORITIES. TASTE OF SOMERVILLE 56152 56152 11705 415 5654 56152 56152 11705 415 5654 17774 38378 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 B, LINE 11 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 863,192. MANAGEMENT AND GENERAL EXPENSES 4,386. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 867,578.