2021-10-05T18:37:46-05:00 2020-12-31 410746749 CLIFTONLARSONALLEN LLP 20 EAST THOMAS ROAD SUITE 2300 PHOENIX AZ 85012 990 2020-01-01 020502466 METRO HEALTH FOUNDATION OF NEW HAMPSHIRE INC METR 6032798111 19 NH ROUTE 104 MEREDITH NH 03253 JEANNE SANDERS CEO 6032798111 2021-10-04 1 JEANNE SANDERS 999009999 MELISSA HANGSLEBEN P02087031 6022662248 2021-10-04 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z GOLDEN VIEW HEALTH CENTER JEANNE SANDERS 19 NH ROUTE 104 MEREDITH NH 03253 15821171 0 X WWW.GOLDENVIEW.ORG X 1998 NH TO BE THE PREFERRED CHOICE IN THE COMMUNITY FOR HEALTHCARE AND HOSPITALITY SERVICES. 6 5 278 5 0 0 2520 2879211 13387608 12878172 30977 28848 47402 34940 13468507 15821171 0 0 0 0 7308393 7201592 0 0 0 6095774 6870984 13404167 14072576 64340 1748595 22836227 25396067 13569528 14380773 9266699 11015294 THE ORGANIZATION'S MISSION IS TO BE THE PREFERRED CHOICE IN COMMUNITY LIVING FOR HEALTH CARE AND HOSPITALITY SERVICES BENEFITING OUR COMMUNITY-AT-LARGE THROUGH ACCESS TO OUR EDUCATIONAL/HEALTHCARE RESOURCES AND EXPERTISE. 0 0 11361017 12913112 ELDERLY SKILLED NURSING & RESIDENTIAL CARE FACILITY - TO PROVIDE LONG-TERM CARE TO OUR COMMUNITY AND SURROUNDING AREAS THROUGH SKILLED NURSING CARE, REHABILITATION SERVICES, AND RESIDENTIAL CARE. 11361017 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 21 0 278 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 5 0 1 0 0 1 1 0 1 0 0 0 1 1 1 1 1 1 1 1 0 NH X ROSEMARY SIMINO GOLDEN VIEW HEALTH CARE 6032798111 19 NH ROUTE 104 MEREDITH NH 03253 MARY FLYNN PRESIDENT 1.00 X X 0 0 0 MARY JOHNSON SECRETARY & TREASURER 1.00 X X 0 0 0 L GEORGE RIEGER DIRECTOR 1.00 X 0 0 0 SHIRLEY GANEM DIRECTOR - (EMERITUS MEMBER) 1.00 X 0 0 0 DONNA DYNAN DIRECTOR 1.00 X 0 0 0 JEANNE SANDERS CEO 40.00 X X 169424 0 17699 ROSEMARY SIMINO ADMINISTRATOR 40.00 X 160723 0 17699 KAREN MORIARTY THERAPY MANAGER 40.00 X 115493 0 17699 BERNADETTE ARCENO REGISTERED NURSE 60.00 X 110978 0 0 556618 0 53097 4 0 1 0 SANDERS MGMT CONSULTING GROUP INC 17 LOON SONG LANE MOULTONBOROUGH NH 03254 FINANCIAL MANAGEMENT 857822 PRIME TIME HEALTHCARE PO BOX 3544 OMAHA NE 68103 AGENCY STAFFING 153315 MAS MEDICAL STAFFING 165 HARVEY ROAD LONDONDERRY NH 03053 AGENCY STAFFING 146451 3 2845846 33365 2879211 PATIENT SERVICE REVENUE 623000 12878172 12878172 12878172 28848 28848 OTHER REVENUE 623000 34940 34940 34940 15821171 12913112 0 28848 187123 187123 5700952 5036196 664756 1236 1058 178 814985 712679 102306 497296 425626 71670 926392 926392 12651 12651 54003 54003 866514 866514 21796 21796 67888 67888 375268 357071 18197 2620 2096 524 585000 555750 29250 634755 603017 31738 251346 238779 12567 COVID-19 EXPENSES 1477717 1477717 MEDICAID QUALITY ASSESS 491425 491425 PROGRAM RELATED- SUPPLI 348870 348870 ANCILLARIES 292625 292625 462114 353335 108779 14072576 11361017 2711559 0 5299336 8252926 1801668 1742844 64709 98725 16263966 6136857 10578925 10127109 4968776 4968776 122813 205687 22836227 25396067 1113580 1230326 417508 861276 12012315 11440362 26125 848809 13569528 14380773 X 9265163 10983786 1536 31508 9266699 11015294 22836227 25396067 1748595 0 X 0 1 X 1 0 X 3835 2395 3945 2520 2879211 2891906 12986483 13174677 13403407 13387608 12878172 65830347 12990318 13177072 13407352 13390128 15757383 68722253 31000 31000 0 31000 31000 68691253 26563 15600 16710 30977 28848 118698 26563 15600 16710 30977 28848 118698 59786 86109 103885 47402 34940 332122 13076667 13278781 13527947 13468507 15821171 69173073 0.99300 0.99260 0.00170 0.00180 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2016 AMOUNT: $ 59,786. 2017 AMOUNT: $ 86,109. 2018 AMOUNT: $ 103,885. 2019 AMOUNT: $ 47,402. 2020 AMOUNT: $ 34,940. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1536 1536 1573 37 1536 1330 623 380 1573 188 2025 833 1380 421 751 984 188 0.00000 0.00000 0.00000 210000 210000 10145193 3573239 6571954 3468012 1434891 2033121 2389862 1077828 1312034 50899 50899 0 10127109 ASSET RETIREMENT OBLIGATION 26920 DUE TO THIRD-PARTY PAYORS 821889 848809 X 15821171 0 15821171 0 15821171 14072576 0 14072576 0 14072576 PART V, LINE 4: DURING 2020, IT WAS DETERMINED THAT THE AMOUNTS REPORTED IN PRIOR YEARS CONSIST OF DONOR RESTRICTED FUNDS AND DO NOT REPRESENT EITHER TERM OR PERMANENT ENDOWMENTS. THEREFORE, THESE FUNDS ARE NOT REQUIRED TO BE REPORTED IN SCHEDULE D, PART V AND THE BALANCE AS OF DECEMBER 31, 2020 WAS REDUCED TO ZERO. PART X, LINE 2: THE GOLDEN VIEW 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 IRC. THE FINANCIAL STATEMENTS DO NOT INCLUDE A PROVISION FOR INCOME TAXES BECAUSE GOLDEN VIEW IS A TAX-EXEMPT ORGANIZATION. GOLDEN VIEW 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. GOLDEN VIEW HAS NOT BEEN EXAMINED FOR ANY OPEN YEARS. X X 0 0 0 0 0 0 0 0 0 JEANNE SANDERS CEO 169424 0 0 0 0 0 0 0 17699 0 187123 0 0 0 ROSEMARY SIMINO ADMINISTRATOR 160723 0 0 0 0 0 0 0 17699 0 178422 0 0 0 SANDERS MANAGEMENT CONSULTING GROUP INC OWNER IS FAMILY MEMBER OF AN OFFICER 857822 MANAGEMENT SERVICES 1 FRANK VIGNAND FAMILY MEMBER OF OFFICER 93857 SALARY, BONUS & BENEFITS 0 HEIDI MURRAY FAMILY MEMBER OF OFFICER 84420 SALARY, BONUS & BENEFITS 0 FORM 990, PART VI, SECTION A, LINE 3 A CONTRACT IS IN PLACE WITH SANDERS MANAGEMENT TO PROVIDE MANAGEMENT SERVICES TO THE ORGANIZATION. SANDERS MANAGEMENT WORKS IN CONJUNCTION WITH PERSONNEL PREPARING BUDGETS, MONTHLY FINANCIAL STATEMENTS, COMPLIANCE WITH DEBT COVENANTS, STATE FILINGS, REIMBURSEMENT, CORPORATE COMPLIANCE, SUPERVISING AND STREAMLINING OPERATIONS PERTAINING TO FINANCIAL MATTERS. FORM 990, PART VI, SECTION A, LINE 6 THE DIRECTORS OF THE CORPORATION SHALL BE THE MEMBERS OF THE CORPORATION. THE POWERS OF THE MEMBERS SHALL BE THE SAME AS, AND SHALL BE EXERCISED BY AND THROUGH, THE DIRECTORS OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE DIRECTORS SHALL BE ELECTED BY THE BOARD OF DIRECTORS AT THE ANNUAL MEETING OF THE BOARD OF DIRECTORS THROUGH A SELF-DETERMINED NOMINATION PROCESS. FORM 990, PART VI, SECTION A, LINE 8B THERE WERE NO COMMITTEE MEETINGS HELD OR COMMITTEES ACTING ON BEHALF OF THE GOVERNING BODY DURING THE TAX YEAR. FORM 990, PART VI, SECTION B, LINE 11B THE COMPLETE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY COVERS ANY DIRECTOR OF A COMMITTEE WITH BOARD-DELEGATED POWERS, OFFICER, DIRECTOR, ADMINISTRATOR, DEPARTMENT HEAD, MEDICAL DIRECTOR, CERTAIN OTHER PHYSICIANS, AND ANY PERSON WHO IS IN A POSITION TO COMMIT METRO HEALTH RESOURCES TO ACQUIRE GOODS OR SERVICES. REQUIRED DISCLOSURES, PROCEDURES, AND HOW VIOLATIONS ARE ADDRESSED ARE FOUND IN THE WRITTEN CONFLICT OF INTEREST POLICY. IF A CONFLICT OF INTEREST IS DETERMINED TO EXIST UNDER THE PROCEDURES WITH RESPECT TO ANY TRANSACTION OR ARRANGEMENT INVOLVING A BOARD MEMBER, THE FOLLOWING GENERAL PROCEDURES SHALL, UNDER THE DIRECTION OF THE METRO HEALTH FOUNDATION OF NH COMPLIANCE COMMITTEE, BE FOLLOWED IN ADDRESSING THE CONFLICT OF INTEREST AND IN SECURING INDEPENDENT BOARD APPROVAL FOR THE TRANSACTION: 1) THE BOARD MEMBER SHALL REMOVE HIMSELF OR HERSELF FROM ANY DECISION MAKING WITH RESPECT TO WHETHER THE TRANSACTION OR OTHER ARRANGEMENT FROM WHICH THE CONFLICT OF INTEREST ARISES. 2) THE CHAIRPERSON OF THE BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT AN INDEPENDENT PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION. 3) AFTER EXERCISING DUE DILIGENCE, THE BOARD WILL DETERMINE IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT CAN BE OBTAINED WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. 4) IF A MORE ADVANTAGEOUS TRANSACTION IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THE GOVERNING BOARD SHALL DETERMINE BY A MAJORITY VOTE OF THE INDEPENDENT DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE BEST INTEREST OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 15 THE MANAGEMENT COMPANY, SANDERS MANAGEMENT, PROVIDES COMPARABLE DATA TO ESTABLISH FAIR MARKET COMPENSATION TO THE BOARD. COMPENSATION IS APPROVED BY THE BOARD FOR ANY SIGNIFICANT INCREASE AND DOCUMENTED IN THE BOARD MINUTES. THE ORGANIZATION'S CEO DETERMINES THE COMPENSATION OF TOP MANAGEMENT USING COMPARABLE DATA AND DOCUMENTS DECISIONS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.