2018-11-14T08:57:39-06:00 2017-12-31 061009205 BLUM SHAPIRO & COMPANY PC 1 INTERNATIONAL PLACE 16TH FLOOR BOSTON MA 02110 990 2017-01-01 050500899 UNITED METHODIST HEALTH CARE CENTER UNIT 4014387210 40 IRVING AVENUE EAST PROVIDENCE RI 02914 DANIEL QUINN DIRECTOR OF FINANCE 4014387210 2018-11-13 1 LAURA J KENNEY P00202198 6172211944 2018-11-13 64.251.63.131 2018-11-13 15:34:26 ES P 65153C75F5ED3E082057A11A1962B7A77ABEA9EF AE4F84C66CF7EFD26554BEC15325CB8203138E58 2017 2019-02-21 02:37:17Z LINN HEALTH CARE CENTER DANIEL QUINN 40 IRVING AVENUE EAST PROVIDENCE RI 02914 7279281 0 X WWW.UMELDERCARERI.ORG X 1997 RI UNITED METHODIST HEALTH CARE CENTER, D/B/A LINN HEALTH CARE CENTER, OFFERS SKILLED NURSING HOME CARE, VARIOUS LEVELS OF POST HOSPITAL CARE, ON-SITE REHABILITATION AS WELL AS SHORT AND LONG TERM MEDICAL CARE IN A PRIVATE OR SEMI-PRIVATE ROOM IN AN 84 BED EXTENDED CARE FACILITY.SERVICES AT LINN HEALTH CARE CENTER DESIGNATED TO IDENTIFY AND ADDRESS CORE ISSUES SURROUNDING THE SOCIAL, PHYSICAL AND PSYCHOLOGICAL NEEDS OF AN INDIVIDUAL, ENHANCE AND MAXIMIZE INDIVIDUAL FUNCTIONING AND INDEPENDENCE, AND PROVIDE FLEXIBLE TREATMENT OPTIONS TO CATER TO INDIVIDUAL NEEDS. SERVICES INCLUDE POST-OP REHAB CARE, SKILLED NURSING CARE, HOSPICE SERVICES, SHORT AND LONG TERM CARE, RESPITE STAYS, ON-SITE REHABILITATION SERVICES INCLUDING PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY, SOCIAL SERVICE SUPPORT, TRANSPORT SERVICES AND SPIRITUAL CARE. 16 16 0 3 0 0 162201 86664 6670830 7106850 0 0 24773 85767 6857804 7279281 0 0 0 0 4628179 4755930 0 0 0 2163229 2453470 6791408 7209400 66396 69881 4600972 4812931 2489400 2631478 2111572 2181453 X UNITED METHODIST HEALTH CARE CENTER HAS BEEN ORGANIZED FOR THE PURPOSE OF PROVIDING NURSING CARE, HEALTH CARE, AND OTHER FACILITIES AND SERVICES ESPECIALLY DESIGNED TO MEET THE PHYSICAL, SOCIAL AND PSYCHOLOGICAL NEEDS OF THE AGED AND CONTRIBUTING TO THEIR HEALTH, SECURITY, HAPPINESS AND USEFULNESS IN LONGER LIVING. 0 0 6222018 7106850 OPERATION OF AN 84 BED NURSING FACILITY FOR THE ELDERLY. THERE WERE 26,606 BED DAYS PROVIDED IN 2017, OF WHICH 16,831 WERE PROVIDED TO MEDICAID PATIENTS, AND 1,718 TO MEDICARE PATIENTS. 6222018 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 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 1 1 1 0 0 1 X 3 0 1 0 0 0 0 0 0 0 0 0 0 0 X 16 16 1 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X DANIEL QUINN 4014387210 40 IRVING AVENUE EAST PROVIDENCE RI 02914 DANIEL GENANNT PRESIDENT 3.00 X X 0 0 0 JASON PRECIPHS ESQ VICE PRESIDENT 3.00 X X 0 0 0 BRUCE ANDREWS TREASURER 3.00 X X 0 0 0 HANNAH BELL-LOMBARDO SECRETARY 3.00 X X 0 0 0 ELEANOR ALMOND BOARD MEMBER 3.00 X 0 0 0 DOUGLAS BURGESS BOARD MEMBER 3.00 X 0 0 0 RACHEL FILINSON BOARD MEMBER 3.00 X 0 0 0 ROBERT GAUTHIER BOARD MEMBER 3.00 X 0 0 0 REV ALTHEA JACKSON BOARD MEMBER 3.00 X 0 0 0 KEITH JOHNSON BOARD MEMBER 3.00 X 0 0 0 REV DR JAMES MARTIN BOARD MEMBER 3.00 X 0 0 0 GALE O'NEIL BOARD MEMBER 3.00 X 0 0 0 VALERIE PERRY BOARD MEMBER 3.00 X 0 0 0 FRANCIS RICHARDS BOARD MEMBER 3.00 X 0 0 0 DONALD RIPLEY BOARD MEMBER 3.00 X 0 0 0 BISHOP SUDARSHANA DEVADHAR BOARD MEMBER 3.00 X 0 0 0 MICHAEL COLE VICE PRESIDENT (TERM 06/2017) 3.00 X X 0 0 0 CYNTHIA MAUCH BOARD MEMBER (TERM 06/2017) 3.00 X 0 0 0 KENNETH SAUNDERS BOARD MEMBER (TERM 06/2017) 3.00 X 0 0 0 SUSAN M THURSTON ESQ BOARD MEMBER (TERM 06/2017) 3.00 X 0 0 0 SANDRA CULLEN SENIOR MANAGER 1.00 39.00 X 0 99399 12762 SHIRLEE FLEET DIRECTOR OF FINANCE (TERM 11/2017) 1.00 39.00 X 0 105973 13280 RICHARD GAMACHE CHIEF EXECUTIVE OFFICER 1.00 39.00 X 0 105462 13539 0 310834 39581 0 0 0 0 0 86664 86664 DAILY SERVICE REVENUE 623000 6758814 6758814 ANCILLARY SERVICE 623000 348036 348036 7106850 OTHER INCOME 900099 85767 85767 85767 7279281 7106850 0 85767 3999167 3607362 391805 59451 53626 5825 350935 316553 34382 346377 312442 33935 219512 219512 12951 12951 42616 42616 37601 18801 18800 6315 6315 62298 62298 143152 143152 6013 6013 10266 10266 53234 53234 127242 127242 261068 195910 65158 PROGRAM SUPPLIES 446938 446938 HEALTHCARE PROVIDER TAX 379534 379534 BAD DEBT EXPENSE 232070 232070 FOOD 213366 213366 199294 121788 77506 7209400 6222018 987382 0 64038 80480 1078 1000532 1295193 101605 31435 4552838 3875241 754440 677597 2680357 2727148 4600972 4812931 1332155 1463550 751621 706847 405624 461081 2489400 2631478 X 2111572 2181453 2111572 2181453 4600972 4812931 69881 0 X X 0 1 X 1 0 X 127764 158512 180057 162201 86664 715198 127764 158512 180057 162201 86664 715198 715198 1 4 2 7 38996 23560 121413 24773 85767 294509 1009714 34299829 0.70830 0.76610 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2013 AMOUNT: $ 38,996. 2014 AMOUNT: $ 23,560. 2015 AMOUNT: $ 25,633. 2016 AMOUNT: $ 24,773. 2017 AMOUNT: $ 85,767. RETROACTIVE TAX ABATEMENT - 2015 AMOUNT: $ 95,780. 48013 48013 2219316 1925934 293382 2167185 1862484 304701 118324 86823 31501 677597 CASH ESCROW 41 DUE FROM CENTRALIZED PAYROLL 2578975 DUE FROM AFFILIATE 148132 2727148 LINE OF CREDIT 52700 OBLIGATION UNDER CAPITAL LEASE 8133 DUE TO AFFILIATE 400248 461081 X PART X, LINE 2: MANAGEMENT HAS DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSTIONS. FOLLOWING IS THE TEXT OF THE FINANCIAL STATEMENT FOOTNOTE. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND ITS SUBSIDIARIES AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATION AND ITS SUBSIDIARIES HAVE TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY INTERNAL REVENUE SERVICE. THE ORGANIZATION AND ITS SUBSIDIARIES ARE SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE ORGANIZATION AND ITS SUBSIDIARIES RECOGNIZE INTEREST AND PENALTIES, IF APPLICABLE, AS A COMPONENT OF INTEREST EXPENSE. 990, PART V, LINE 2A: SALARIES ARE PAID BY UNITED METHODIST RETIREMENT CENTER AND ALLOCATED TO RELATED PARTIES BASED UPON TIME WORKED AT RESPECTIVE RELATED PARTY. FORM 990, PART VI, SECTION A, LINE 2 OFFICERS SANDRA CULLEN, SHIRLEE FLEET, AND RICHARD GAMACHE HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER THROUGH THEIR EMPLOYMENT BY RELATED ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THIS CORPORATION IS UNITED METHODIST ELDER CARE. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF TRUSTEES SHALL BE ELECTED BY THE SOLE MEMBER OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B IT IS UNITED METHODIST HEALTH CARE CENTER'S POLICY THAT UNITED METHODIST ELDER CARE'S FINANCE COMMITTEE WILL REVIEW THE IRS FORM 990 THAT IS FILED ON THE ORGANIZATION'S BEHALF. THE FINANCE COMMITTEE WILL REPORT ITS REVIEW TO THE BOARD OF DIRECTORS. A COPY OF THE FORM 990 IS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES EACH BOARD MEMBER AND MANAGER TO PROVIDE AN INITIAL AND THEREAFTER AN ANNUAL CONFLICT OF INTEREST STATEMENT ATTESTING THAT HE OR SHE HAS READ AND IS FAMILIAR WITH THE CONFLICT OF INTEREST POLICY. IN THE CONFLICT OF INTEREST POLICY THEY ARE REQUIRED TO DISCLOSE ANY RELATIONSHIPS OR BUSINESS DEALINGS IN WHICH THERE IS THE POTENTIAL FOR A CONFLICT OF INTEREST TO EXIST. THE CHIEF EXECUTIVE OFFICER ENSURES THAT CONFLICT OF INTEREST STATEMENTS ARE SIGNED BY ALL THOSE REQUIRED. IF A CONFLICT OF INTEREST ARISES THEN IT IS REFERRED TO THE EXECUTIVE BOARD FOR RESOLUTION. FORM 990, PART VI, SECTION B, LINE 15 THE CHIEF EXECUTIVE OFFICER'S COMPENSATION IS DETERMINED BY THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS. THE COMMITTEE TAKES INTO ACCOUNT THE COMPENSATION PAID TO SIMILAR CHIEF EXECUTIVE OFFICERS AT COMPARABLE NON-PROFIT ORGANIZATIONS IN THE AREA. THE COMMITTEE ALSO CONSIDERS THE PERFORMACE OF THE ORGANIZATION DURING THE REVIEW PERIOD AND THE CHIEF EXECUTIVE OFFICER'S SUCCESS IN ACHIEVING THE ORGANIZATION'S GOALS. THE DISCUSSIONS AND DECISION OF THE CHIEF EXECUTIVE OFFICER'S COMPENSATION ARE DOCUMENTED BY THE FINANCE COMMITTEE DURING ITS MEETING. THE CHIEF EXECUTIVE OFFICER REVIEWS ALL MANAGEMENT EMPLOYEES FOR COMPENSATION DECISIONS, WHICH ARE MADE WITHIN THE PARAMETERS ESTABLISHED WITHIN THE BUDGET THAT IS APPROVED BY THE BOARD OF DIRECTORS. THE CHIEF EXECUTIVE OFFICER CONSIDERS THE PERFORMANCE OF EACH INDIVIDUAL DURING THE REVIEW PERIOD AND CONSIDERS THE EMPLOYEE'S SUCCESS IN ACHIEVING THE ORGANIZATIONAL GOALS. ALSO, THE CHIEF EXECUTIVE OFFICER COMPARES COMPENSATION OF COMPARABLE NON-PROFIT ORGANIZATIONS IN THE AREA. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC AT THE MAIN OFFICE UPON REQUEST. FORM 990, PART XII, LINE 2C: THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS IS RESPONSIBLE FOR THE OVERSIGHT OF THE ANNUAL AUDIT OF THE FINANCIAL STATEMENTS. UNITED METHODIST ELDER CARE 40 IRVING STREET EAST PROVIDENCE RI 02914 050500898 MANAGES THE OPERATIONS AND FUNDRAISING ACTIVITIES OF RELATED ORGANIZATIONS RI 501(C)(3) LINE 7 N/A 0 UNITED METHODIST ELDER CARE FOUNDATION 40 IRVING STREET EAST PROVIDENCE RI 02914 050500900 HANDLES THE INVESTMENTS AND OTHER SUPPORTING ACTIVITIES RI 501(C)(3) 12A UNITED METHODIST ELDER CARE 1 UNITED METHODIST RETIREMENT CENTER 40 IRVING STREET EAST PROVIDENCE RI 02914 050318003 OPERATES A 115 UNIT RETIREMENT AND ASSISTED LIVING CENTER RI 501(C)(3) LINE 10 UNITED METHODIST ELDER CARE 1 ARBOR HILL ASSISTED LIVING 153 DEAN STREET PROVIDENCE RI 02914 452047960 OPERATES A 53 UNIT ASSISTED LIVING CENTER RI 501(C)(3) LINE 10 UNITED METHODIST ELDER CARE 1 0 0 1 1 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0 UNITED METHODIST ELDER CARE FOUNDATION E 208920 CASH ARBOR HILL ASSISTED LIVING D 137915 CASH