2022-06-16T11:47:37-05:00 2021-12-31 410746749 CLIFTONLARSONALLEN LLP 4 BATTERYMARCH PARK SUITE 100 QUINCY MA 02169 990 2021-01-01 042104039 BETHANY HEALTH CARE CENTER INC BETH 5088726750 97 BETHANY ROAD FRAMINGHAM MA 01702 SR JACQUELYN MCCARTHY CEO/ADMINISTRATOR 5088726750 2022-06-14 1 SR JACQUELYN MCCARTHY 999009999 DANIELLE NIHILL P01350943 7819821001 2022-06-06 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z SR JACQUELYN MCCARTHY 97 BETHANY ROAD FRAMINGHAM MA 01702 19772090 0 0928 X WWW.BETHANYHEALTHCARE.ORG X 1982 MA PROVIDE QUALITY CARE FOR OUR RESIDENTS TO HELP THEM TO BE CONNECTED WITH GOD AND OTHER PEOPLE. 13 13 224 37 37260 0 2589816 7013341 12015028 12583002 14829 30258 174116 128653 14793789 19755254 0 0 0 0 11377158 11428064 0 0 268634 4776499 5031060 16153657 16459124 -1359868 3296130 8590803 9650240 7847826 5563698 742977 4086542 X THE MISSION OF BETHANY HEALTH CARE CENTER IS TO PROVIDE QUALITY CARE FOR OUR RESIDENTS IN A MANNER WHICH HELPS THEM TO BE CONNECTED WITH GOD, WITH OTHER PEOPLE, AND WITH THE WORLD IN WHICH THEY LIVE. IN THE SPIRIT OF THE SISTERS OF ST. JOSEPH, BETHANY BRINGS THE MISSION OF HEALTH CARE, A DESIRE TO PROMOTE UNITY AND RECONCILIATION WHEREVER THERE IS BROKENNESS, ALIENATION OR SEPARATION. OUR SPECIAL CARE UNIT PROVIDES A SAFE BRIGHT AND WELCOME SPACE FOR THOSE WHO SUFFER MEMORY DEFICIT. THE BRIGHT NEW ACTIVITY CENTER PROVIDES NOT ONLY AN INDOOR SPACE TO BE WITH GROUPS OF PEOPLE, BUT AN OUTDOOR PATIO AND WALKING SPACE RESIDENTS CAN ENJOY THE BEAUTY OF THE NEW ENGLAND SEASONS. 0 0 14625023 12691231 SKILLED NURSING FACILITY, RESIDENT CARE FACILITY, AND CLINIC SERVICES: THE MISSION OF BETHANY HEALTH CARE CENTER IS TO PROVIDE QUALITY CARE FOR OUR RESIDENTS IN A MANNER WHICH HELPS THEM TO BE CONNECTED WITH GOD, WITH OTHER PEOPLE, AND WITH THE WORLD IN WHICH THEY LIVE. THE ORGANIZATION MISSION IS CARRIED OUT THROUGH THE OPERATION OF A SKILLED NURSING AND RESIDENT CARE FACILITY AS WELL AS PROVIDING CLINIC SERVICES. 14625023 1 1 0 1 0 0 0 0 1 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 28 0 224 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X BONNIE DRYDEN 5082708673 97 BETHANY ROAD FRAMINGHAM MA 01702 MAE MONTEZA RN 40.00 X 166457 0 28215 MARIE SAINT-FLEUR RN 40.00 X 144002 0 36308 SR JACQUELYN MCCARTHY CEO/ADMINISTRATOR 38.00 2.00 X 166400 0 13862 JAMES ARGIR EXECUTIVE DIRECTOR 40.00 X 139814 0 25862 JEAN GRAVES LPN 40.00 X 139781 0 11508 MAUREEN DULKO DIRECTOR OF NURSES 40.00 X 123726 0 15265 JODIJOY O'KEEFE DEVELOPMENT DIRECTOR 40.00 X 129722 0 313 BONNIE DRYDEN CONTROLLER 38.00 2.00 X 91285 0 16913 SISTER MARIAN BATHO FIRST COUNCILOR 1.00 1.00 X 0 0 0 SISTER JUDITH COSTELLO SECOND COUNCILOR 1.00 1.00 X 0 0 0 SISTER BETSY CONWAY THIRD COUNCILOR 1.00 1.00 X 0 0 0 SISTER DENISE KELLY FOURTH COUNCILOR 1.00 1.00 X 0 0 0 SISTER PATRICIA QUINN CSJ TRUSTEE 1.00 1.00 X 0 0 0 SISTER KATHLEEN MORAN CSJ TRUSTEE 1.00 1.00 X 0 0 0 SISTER BETSY SULLIVAN SSJ TRUSTEE 1.00 1.00 X 0 0 0 MICHAEL CONKLIN TRUSTEE 1.00 1.00 X 0 0 0 LORI FERRANTE TRUSTEE 1.00 1.00 X 0 0 0 MARY KILCOMMONS TRUSTEE 1.00 1.00 X 0 0 0 SISTER LEE HOGAN PRESIDENT 1.00 1.00 X X 0 0 0 SISTER BARBARA LOUD TREASURER 1.00 1.00 X X 0 0 0 SISTER CATHERINE CLIFFORD ASSISTANT PRESIDENT 1.00 1.00 X X 0 0 0 1101187 0 148246 16 0 1 0 OMNI HEALTHCARE STAFFING INC 30 MAIN STREET SUITE 734 WORCESTER MA 01608 CONTRACT NURSING SERVICES 562847 PNPS HOMECARE 85 MAIN STREET HOPKINTON MA 01748 CONTRACT NURSING SERVICES 207186 ALL AMERICAN HEALTH CARE 494 BROAD ST NEWARK NJ 07102 CONTRACT NURSING SERVICES 206064 DISCIULLO CONSTRUCTION INC 119 CONCORD STREET HOLLISTON MA 01746 CONTRACTOR FOR RENOVATION 168261 ALLIANCE HEALTH MANAGEMENT 144 TURNPIKE ROAD SUITE 220 SOUTHBOROUGH MA 01772 THERAPY SERVICES 151764 5 150196 3177500 3086313 599332 7013341 NET PATIENT SERVICE REVENUES 623000 12081134 12081134 FONTBONNE CONVENT FOOD PROGRAM 624200 265883 265883 ST JOSEPH HALL MEAL PROGRAM 624200 235985 235985 12583002 5151 5151 25107 0 25107 25107 25107 0 150196 16836 -16836 -16836 DIETARY SERVICES 812900 28345 28345 SPECTRA-AMERICAN TOWER EASEMENT 531190 8915 8915 108229 108229 145489 19755254 12691231 37260 13422 454136 84333 344507 25296 8360172 7636111 558777 165284 367905 325224 38413 4268 1639328 1451486 169182 18660 606523 520533 77967 8023 1552 1552 63223 63223 4396 4396 68548 19417 49131 112406 23395 89011 432070 396254 34555 1261 3412 712 2700 1454 1454 77583 72644 4765 174 510270 467971 40809 1490 129303 118584 10342 377 PATIENT CARE EXPENSES 2277077 2277077 USER FEES 694212 694212 REPAIR & MAINTENANCE 312758 285268 26582 908 HOUSEKEEPING 135538 124302 10840 396 207258 126046 38715 42497 16459124 14625023 1565467 268634 1299310 1751042 298532 279258 299338 337212 61248 96506 21302536 16720794 4161433 4581742 478620 556313 1992322 2048167 8590803 9650240 1845995 1769286 660418 449127 5325285 3332005 16128 13280 7847826 5563698 X 105645 3383576 637332 702966 742977 4086542 8590803 9650240 3296130 47435 0 X 0 1 X 1 0 X 2975726 2232301 2275951 2589816 7013341 17087135 12329467 12066281 12739800 12175685 12700146 62011379 48404 48404 15305193 14298582 15064155 14765501 19713487 79146918 430000 325000 210000 205000 1170000 0 430000 325000 210000 205000 1170000 77976918 23950 7741 7229 5000 5151 49071 23950 7741 7229 5000 5151 49071 128367 93338 122091 30350 28345 402491 15457510 14399661 15193475 14800851 19746983 79598480 0.97960 0.97220 0.00060 0.00080 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1672 1672 0 PART II-B, LINE 1: PART OF MEMBERSHIP DUES PAID TO STATE HEALTHCARE ORGANIZATIONS ARE RELATED TO INDIRECT LOBBYING EXPENDITURES. 1 62419 98937 112825 48531 0 16051041 12273271 3777770 5180810 4421821 758989 70685 25702 44983 4581742 INV HELD BY CONG-DONAT-B 556313 F 556313 OTHER CURRENT ASSETS 225179 DUE FROM BETHANY HOME CARE 1822988 2048167 DUE TO RESIDENT COUNCIL 13280 13280 X 19629639 47435 81691 10295 139421 19490218 265036 265036 19755254 16275779 81691 81691 16194088 265036 265036 16459124 PART IV, LINE 1B: PNA ACCOUNTS FOR SEVERAL RESIDENTS PART IV, LINE 2B: RESIDENT MONIES RELATED TO THE PATIENT NEEDS ACCOUNT ARE DEPOSITED INTO A SEPARATE BANK ACCOUNT AND HELD FOR USE BY THE RESIDENT. PART X, LINE 2: BETHANY AND THE HOME ARE BOTH NONPROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND ARE EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE IRC. BETHANY FOLLOWS THE POLICY FOR UNCERTAINTY IN INCOME TAXES TO BE RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THE POLICY PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PRINCIPLES FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. NO UNCERTAIN INCOME TAX POSITIONS WERE IDENTIFIED FOR THE YEARS ENDED DECEMBER 31, 2021 AND 2020. PART XI, LINE 2D - OTHER ADJUSTMENTS: NET ASSETS RELEASED FROM RESTRICTIONS USED FOR OPERATIONS 10,295. PART XI, LINE 4B - OTHER ADJUSTMENTS: DEVELOPMENT EXPENSE 281,872. SPECIAL EVENT EXPENSE -16,836. PART XII, LINE 4B - OTHER ADJUSTMENTS: DEVELOPMENT EXPENSE 281,872. SPECIAL EVENT EXPENSE -16,836. BETHANY'S GOT TALENT 150196 150196 1612 15224 150196 150196 1612 15224 16836 -16836 X X 0 0 0 0 0 0 0 0 0 MAE MONTEZA RN 160707 0 5750 0 0 0 8723 0 19492 0 194672 0 0 0 MARIE SAINT-FLEUR RN 138802 0 5200 0 0 0 7554 0 28754 0 180310 0 0 0 SR JACQUELYN MCCARTHY CEO/ADMINISTRATOR 166400 0 0 0 0 0 5175 0 8687 0 180262 0 0 0 JAMES ARGIR EXECUTIVE DIRECTOR 138814 0 1000 0 0 0 8920 0 16942 0 165676 0 0 0 JEAN GRAVES LPN 135481 0 4300 0 0 0 0 0 11508 0 151289 0 0 0 FORM 990, PART VI, SECTION A, LINE 1A THE FINANCE COMMITTEE HAS AUTHORITY TO ACT ON BEHALF OF THE BOARD FOR WHICH THERE ARE MINUTES INCLUDING DOCUMENTATION OF MEETINGS AND WRITTEN ACTIONS. FORM 990, PART VI, SECTION A, LINE 6 THE MEMBERS OF BETHANY HEALTH CARE CENTER, INC. ARE THE SISTERS OF THE CONGREGATION. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS ELECT MEMBERS OF THE GOVERNING BOARD. FORM 990, PART VI, SECTION A, LINE 7B THE DECISIONS OF THE GOVERNING BOARD ARE SUBJECT TO APPROVAL BY THE MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B A COMPLETE COPY OF THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S TOP MANAGEMENT AND FINANCE COMMITTEE MEMBERS PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C A MEETING WITH THE BOARD OF DIRECTORS AND ALL COMMITTEES WITH BOARD-DELEGATED POWERS IS HELD AT LEAST ANNUALLY TO REVIEW POTENTIAL AND REPORTED CONFLICTS. THIS COMMITTEE VOTES ON WHETHER A CONFLICT EXISTS BASED ON WHO IS INVOLVED, THE NATURE OF THE FINANCIAL INTEREST, AND ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT. TRUSTEES, OFFICERS AND MEMBERS OF THE COMMITTEE ARE COVERED UNDER THE CONFLICT OF INTEREST POLICY. THESE MEMBERS MUST ANNUALLY SIGN A STATEMENT TO AFFIRM THEY COMPLY WITHIN THE GUIDELINES. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER (CEO)/ADMINISTRATOR BEGINS WITH AN ANALYSIS PERFORMED BY THE DIRECTOR OF HUMAN RESOURCES BY COMPARING COMPENSATION TO SIMILAR POSITIONS LOCATED IN SIMILAR ORGANIZATIONS. THE ANALYSIS IS THEN PRESENTED TO THE BOARD FOR REVIEW AND APPROVAL. ALL DECISIONS REGARDING COMPENSATION ARRANGEMENTS ARE DOCUMENTED IN THE CORPORATE MINUTES. COMPENSATION FOR EXECUTIVE DIRECTOR, OTHER OFFICERS OR KEY EMPLOYEES BEGINS WITH AN ANALYSIS PERFORMED BY THE DIRECTOR OF HUMAN RESOURCES, COMPARING COMPENSATION TO SIMILAR POSITIONS LOCATED IN SIMILAR ORGANIZATIONS, WHICH IS PRESENTED TO THE CEO FOR REVIEW AND APPROVAL. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. BETHANY HOME CARE INC 97 BETHANY ROAD FRAMINGHAM MA 01702 471278853 HOME CARE SERVICES MA 501(C)(3) LINE 10 BETHANY HEALTH CARE CENTER INC 1 THE CONGREGATION OF THE SISTERS OF SAINT JOSEPH OF BOSTON 637 CAMBRIDGE STREET BOSTON MA 02135 RELIGIOUS ORGANIZATION MA 501(C)(3) LINE 1 N/A 0 1 0 1 1 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 BETHANY HOME CARE INC A 106811 FMV THE CONGREGATION OF THE SISTERS OF SAINT JOSEPH OF BOSTON INC C 3177500 FMV BETHANY HOME CARE INC D 1822988 FMV BETHANY HOME CARE INC O 288460 FMV BETHANY HOME CARE INC P 543915 FMV