2019-11-14T19:01:09-06:00 2018-12-31 410746749 CLIFTONLARSONALLEN LLP 300 CROWN COLONY DRIVE SUITE 310 QUINCY MA 02169 990 2018-01-01 042105741 THE SOMERVILLE HOME INC SOME 7813205330 117 SUMMER STREET SOMERVILLE MA 02143 SCOTT M BOCK CEO 6176256094 2019-11-14 1 JOHN NORMAN P01506766 6179848100 67.137.57.251 2019-11-14 14:54:08 ES P 40B1045984B6BD7CE0CB919AAE2F7A412AF27D98 2214F49F236FFDE6FF72B8558D9366204581BA9A 2018 2020-03-31 21:24:44Z X SCOTT M BOCK 117 SUMMER STREET SOMERVILLE MA 02143 1343182 0 X WWW.SOMERVILLEHOME.ORG X 1898 MA PROVIDED QUALITY RESIDENTIAL CARE TO THE ELDERLY FROM SOMERVILLE AND SURROUNDING COMMUNITIES. X 18 18 28 30 0 0 6773 1982 1847333 1335235 84074 5965 41604 0 1979784 1343182 0 0 0 0 1092985 1217485 0 0 740 1270258 1073458 2363243 2290943 -383459 -947761 2829011 0 1163615 0 1665396 0 X SINCE 1898, THE SOMERVILLE HOME, A PRIVATE NONPROFIT ORGANIZATION, PROVIDED LONG-TERM RESIDENTIAL CARE TO ELDERLY MEN AND WOMEN FROM SOMERVILLE AND SURROUNDING COMMUNITIES. SOMERVILLE WAS COMMITTED TO OFFERING SENIOR CITIZENS A REASONABLY PRICED OPTION FOR QUALITY RESIDENTIAL SERVICES, AND BELIEVED THAT OUR RESIDENTS SHOULD BE ENCOURAGED TO UTILIZE THEIR BODIES, MINDS AND SPIRITS TO THE MAXIMUM WITHIN THE LIMITS OF THEIR POTENTIAL.IN NOVEMBER, 2018, SOMERVILLE MERGED WITH RIVERSIDE COMMUNITY CARE, INC. 0 1 2014417 1335235 THROUGH NOVEMBER 30, 2018, SOMERVILLE FOCUSED ON THE OPERATION OF A 59-BED REST HOME LOCATED IN SOMERVILLE, MASSACHUSETTS LOCATED AT 117 SUMMER STREET. ON NOVEMBER 30, 2018, THE ORGANIZATION MERGED WITH RIVERSIDE COMMUNITY CARE, INC. RIVERSIDE HAS CLOSED THE FACILITY FOR RENOVATIONS AND PLANS TO REOPEN THEM IN 2020, OFFERING A VARIETY OF SOCIAL SERVICES TO RESIDENTS OF MASSACHUSETTS. 2014417 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 2 0 28 1 0 0 0 0 0 0 0 0 0 0 0 0 X 18 18 1 0 1 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 MA X SCOTT M BOCK CEO 7813205330 117 SUMMER STREET SOMERVILLE MA 02143 BRIAN BRADY CLERK 1.00 X X 0 0 0 EDWIN J SMITH PRESIDENT 1.00 X X 0 0 0 JESSICA BRAYDEN DIRECTOR 1.00 X 0 0 0 JOHN M CONNOLLY DIRECTOR 1.00 X 0 0 0 ROD LAURENZ DIRECTOR 1.00 X 0 0 0 DARCIE DELUCA TREASURER 1.00 X X 0 0 0 KELLY SFERRAZZA EXECUTIVE DIRECTOR 40.00 X 125044 0 3869 WILLIAM NORRIS DIRECTOR OF FINANCE 40.00 X 77989 0 7650 203033 0 11519 1 0 0 0 GLENDALE SENIOR DINING INC 749 E INDUSTRIAL PARK DRIVE MANCHESTER NH 03109 DINING SERVICES 446626 KROKIDAS AND BLUESTEIN 600 ATLANTIC AVE BOSTON MA 02210 LEGAL SERVICES 118765 2 1982 1982 NET PATIENT SERVICE REVENUE 623000 1330459 1330459 OTHER OPERATING INCOME 623000 4776 4776 1335235 5965 5965 1343182 1335235 0 5965 X 203033 116402 86631 813445 712462 100983 21727 21727 74778 74778 104502 104502 118765 118765 40542 40542 378315 373650 4665 509 509 83932 82217 975 740 17539 17539 104328 104328 4654 4654 47019 47019 188634 188634 22687 22687 BAD DEBT 41990 41990 SUPPLIES 14642 14642 MAINTENANCE 7328 7328 FOOD 2118 2118 456 456 2290943 2014417 275786 740 0 29557 0 0 131248 0 0 0 0 0 33551 0 0 0 1554697 0 1079958 0 0 0 0 0 2829011 0 223317 0 926859 0 13439 0 1163615 0 X 1082946 0 412686 0 169764 0 1665396 0 2829011 0 X -947761 -717635 X 0 0 0 X 53061 65036 7656 6773 1982 134508 1940338 1872273 1839504 1847333 1335235 8834683 1993399 1937309 1847160 1854106 1337217 8969191 0 737247 706908 774415 731182 2949752 737247 706908 774415 731182 2949752 6019439 45739 38864 21418 28688 5965 140674 45739 38864 21418 28688 5965 140674 41604 41604 2039138 1976173 1868578 1924398 1343182 9151469 0.65780 0.60430 0.01540 0.01810 X 0 0 0 0 0 0 582450 582450 572141 80309 70000 582450 621868 8273 58000 572141 686192 -30324 34000 621868 678013 48825 40646 686192 1.00000 0 0 0 PART V, LINE 4: THE INCOME EARNED ON THE PERMANENTLY RESTRICTED NET ASSETS WAS INTENDED TO BE USED TO IMPROVE THE QUALITY OF CARE AND QUALITY OF LIFE OF THE COMMUNITY SERVED BY THE ORGANIZATION. THE CORPUS WAS INVESTED IN PERPETUITY. ON NOVEMBER 30, 2018, THE ASSETS WERE TRANSFERRED TO RIVERSIDE COMMUNITY, A NONPROFIT ORGANIZATION, AS PART OF A PLAN OF MERGER. THE ASSETS REMAIN PERMANENTLY RESTRICTED. CASH AND CASH EQUIVALENTS 2018-12-31 39295 APPRAISAL 043097170 RIVERSIDE COMMUNITY CARE INC 270 BRIDGE ST STE 301 DEDHAM MA 02026 501(C)(3) PROPERTY AND EQUIPMENT, NET 2018-12-31 6500000 APPRAISAL 043097170 RIVERSIDE COMMUNITY CARE INC 270 BRIDGE ST STE 301 DEDHAM MA 02026 501(C)(3) INVESTMENTS 2018-12-31 169695 APPRAISAL 043097170 RIVERSIDE COMMUNITY CARE INC 270 BRIDGE ST STE 301 DEDHAM MA 02026 501(C)(3) ACCOUNTS PAYABLE AND ACCRUED EXPENSES 2018-12-31 -964159 APPRAISAL 043097170 RIVERSIDE COMMUNITY CARE INC 270 BRIDGE ST STE 301 DEDHAM MA 02026 501(C)(3) 0 0 0 0 1 1 1 1 0 FORM 990, PART III, LINE 3 THE ORGANIZATION MERGED INTO RIVERSIDE COMMUNITY CARE, INC. FORM 990, PART VI, SECTION A, LINE 1 THE ORGANIZATION DELEGATED 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 HAD A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 4 ORGANIZATION WAS MERGED INTO RIVERSIDE COMMUNITY CARE, INC., A 501(C)(3) ORGANIZATION (EIN: 04-2105741), ON NOVEMBER 30, 2018. ALL ACTIVITY OF THE ACQUIRING ORGANIZATION WILL BE REPORTED ON A CONSOLIDATED BASIS IN FUTURE YEARS. FORM 990, PART VI, SECTION B, LINE 11B IN NOVEMBER, 2018, SOMERVILLE MERGED WITH RIVERSIDE COMMUNITY CARE, INC. AT THAT POINT THE BOARD WAS DISSOLVED. THEREFORE, A COPY OF FORM 990 WAS NOT PROVIDED TO THE BOARD. FORM 990, PART VI, SECTION B, LINE 12C ANY INSTANCES OF A CONFLICT OF INTEREST WENT THROUGH AN INVESTIGATION OF THE EXECUTIVE COMMITTEE AND WERE THEN PRESENTED TO THE FULL BOARD. IF NEEDED, THE BOARD MEMBER WAS REMOVED BY VOTE AND LEGAL ACTION WAS TAKEN IF NEEDED. ROD LAURENZ, VICE PRESIDENT, WAS REQUIRED TO LEAVE THE ROOM DURING DISCUSSION AND ABSTAINED FROM ANY VOTE CONCERNING INVESTMENT PORTFOLIO. FORM 990, PART VI, SECTION B, LINE 15 THE INDEPENDENT BOARD REVIEWED COMPARABLE COMPENSATION DATA TO DETERMINE AN APPROPRIATE SALARY. A VOTE WAS CAST BY THE BOARD TO APPROVE OR DENY THE SALARY AND THE OUTCOME WAS RECORDED IN THE MINUTES OF THE MEETING. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MADE 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 373,650. MANAGEMENT AND GENERAL EXPENSES 4,665. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 378,315. FORM 990, PART XI, LINE 9: TRANSFER OF ASSETS AND LIABILITIES RELATED TO MERGER -717,635.