2014-11-17T15:22:12-06:00 2013-12-31 410746749 CLIFTONLARSONALLEN LLP 300 CROWN COLONY DRIVE SUITE 310 QUINCY MA 02169 990 2013-01-01 042104039 BETHANY HEALTH CARE CENTER INC BETH 5082708673 97 BETHANY ROAD FRAMINGHAM MA 01702 SR JACQUELYN MCCARTHY CHIEF EXECUTIVE OFFICER 5082708673 2014-11-14 1 ROBERT DILLAN P01688008 6179848100 2014-11-14 2013 2015-11-30 17:44:51Z SR JACQUELYN MCCARTHY 97 BETHANY ROAD FRAMINGHAM MA 01702 11818780 0 0928 X WWW.BETHANYHEALTHCARE.ORG X 1982 MA OPERATION OF A SKILLED NURSING FACILITY, RESIDENT CARE FACILITY, AND CLINIC SERVICES. 15 15 256 43 0 0 311143 674216 10991941 11004185 58058 54597 24181 16905 11385323 11749903 0 0 0 0 8240099 8321418 0 0 150438 4300607 4267801 12540706 12589219 -1155383 -839316 7537453 7793464 6085808 6109034 1451645 1684430 TO PROVIDE QUALITY HEALTHCARE IN A MANNER THAT HELPS RESIDENTS TO BE CONNECTED WITH GOD, WITH OTHER PEOPLE AND WITH THE WORLD IN WHICH THEY LIVE. 0 0 11545293 11004185 SKILLED NURSING FACILITY, RESIDENT CARE FACILITY, AND CLINIC SERVICES 11545293 1 1 0 1 0 0 0 0 0 0 1 1 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 1 0 0 0 1 13 0 256 1 0 0 0 0 0 0 0 0 0 0 X 15 15 1 0 0 0 0 1 1 1 1 0 0 1 1 1 0 1 1 1 1 0 MA X JAMES MCGOWAN 5088726750 97 BETHANY ROAD FRAMINGHAM MA 01072 SR LEE HOGAN VICE CHAIR/CLERK/SECRETARY 1.00 X X 0 0 0 MARY KILCOMMONS TRUSTEE 1.00 X 0 0 0 SR ROSEMARY BRENNAN CHAIRMAN/TRUSTEE 1.00 X X 0 0 0 CHRISTINE ALESSANDRO TRUSTEE 1.00 X 0 0 0 LORI FERRANTE TRUSTEE 1.00 X 0 0 0 MICHAEL CONKLIN TRUSTEE 1.00 X 0 0 0 WILLIAM MCGINLEY TRUSTEE 1.00 X 0 0 0 SR ROSEANN AMICO TRUSTEE 1.00 X 0 0 0 SR MAUREEN DOHERTY TRUSTEE 1.00 X 0 0 0 SR GAIL DONAHUE TRUSTEE 1.00 X X 0 0 0 SR PATRICIA MCCARTHY TRUSTEE 1.00 X 0 0 0 SR KATHLEEN MORAN TRUSTEE 1.00 X 0 0 0 SR PATRICIA QUINN TRUSTEE 1.00 X 0 0 0 SR MARGARET SULLIVAN TRUSTEE 1.00 X 0 0 0 JAIME LONG TRUSTEE 1.00 X 0 0 0 SR JACQUELYN MCCARTHY CEO/ADMINISTRATOR 40.00 X 131303 0 11925 131303 0 11925 1 0 0 0 SODEXO PO BOX 81049 WOBURN MA 01913 DIETARY, HOUSEKEEPING, & LAUNDRY 738969 QUALITY REHABILITATION SERVICES 42 LANDAU ROAD PLAINVILLE MA 01746 REHABILITATION SERVICES 251546 2 131139 543077 674216 NET PATIENT SERVICE REVENUES 623000 11004185 11004185 11004185 24206 24206 30391 0 30391 30391 30391 85782 131139 68877 16905 16905 11749903 11004185 0 71502 143228 143228 6570004 5954619 499377 116008 284245 252573 26751 4921 860583 778331 67179 15073 463358 411729 43608 8021 1151 1151 69748 69748 6043 6043 115499 111470 4029 31751 31751 362928 362928 6671 6226 445 10538 8597 1941 118857 118857 783896 783896 62317 62317 PATIENT CARE EXPENSES 1472443 1472443 USER FEES 620988 620988 REPAIR & MAINTENNANCE 306233 306233 HOUSEKEEPING 106713 106713 192025 149579 42446 12589219 11545293 893488 150438 22897 47378 558734 615652 200000 695019 876289 38129 3842 14946743 9922184 5177149 5024559 675784 745712 369741 280032 7537453 7793464 1163087 1277708 211142 273745 4127667 3971925 583912 585656 6085808 6109034 X 1113749 1258524 337896 425906 1451645 1684430 7537453 7793464 X -839316 22101 1050000 X 0 1 X 1 0 X 2058316 600108 651077 644210 674216 4627927 10376513 10557028 10639344 10991941 11004185 53569011 12434829 11157136 11290421 11636151 11678401 58196938 590000 492004 446436 120000 245000 1893440 0 590000 492004 446436 120000 245000 1893440 56303498 4174 4932 20998 27251 24206 81561 4174 4932 20998 27251 24206 81561 35796 21589 10599 28882 96866 12474799 11183657 11322018 11692284 11702607 58375365 0.96450 0.96380 0.00140 0.00120 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1270 1270 0 PART II-B, LINE 1: PART OF MEMBERSHIP DUES PAID TO STATE HEALTHCARE ORGANIZATIONS 11201864 7262222 3939642 3744879 2659962 1084917 5024559 POOLED INVESTMENTS WITH THE CONGREGATION 745712 F 745712 OTHER LIABILITIES 8686 DUE TO THIRD PARTY PAYORS 576970 585656 X 12752169 22101 80603 1118877 1221581 11530588 219315 219315 11749903 12519384 80603 68877 149480 12369904 219315 219315 12589219 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 ENTITY. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, BETHANY'S 2010 THROUGH 2013 TAX YEARS ARE OPEN FOR EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: EQUITY TRANSFER INCLUDED IN REVENUE 1,050,000. FUNDRAISING EVENT EXPENSES NETTED AGAINST REVENUES 68,877. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSES NETTED AGAINST REVENUES 219,315. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSES NETTED AGAINST REVENUES 68,877. ROUNDING PART XII, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES NETTED AGAINST REVENUES 219,315. GOLF TOURNAMENT 65471 12750 52721 3880 5438 12750 9497 DINNER 151450 118389 33061 33061 4251 216921 131139 85782 3880 5438 45811 13748 68877 16905 FORM 990, PART VI, SECTION A, LINE 2 SR. JACQUELINE MCCARTHY AND SR. PATRICIA MCCARTHY HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 7A THE TRUSTEES ELECT MEMBERS OF THE GOVERNING BOARD. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS OF THE GOVERNING BOARD ARE SUBJECT TO APPROVAL BY THE TRUSTEES. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE FORM 990 WAS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY BEFORE IT WAS FILED. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR THE CEO, OFFICERS, AND KEY EMPLOYEES BEGINS WITH AN ANALYSIS PERFORMED BY THE HR DIRECTOR, COMPARING COMPENSATION TO SIMILAR POSITIONS LOCATED IN SIMILAR ORGANIZATIONS, WHICH IS THEN PRESENTED TO THE BOARD FOR REVIEW AND APPROVAL. ALL DECISIONS REGARDING COMPENSATION ARRANGEMENTS ARE DOCUMENTED IN THE CORPORATE MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: SUBSIDY FROM CONGREGATION - EQUITY TRANSFER 1,050,000. THE RELATED ORGANIZATION IS RELIGIOUS BASED AND HAVE NO FILING REQUIREMENT 999999999 MA 0 0 0 1 0 1 0 0 0 0 0 1 1 1 1 1 1 1 0 1 THE RELATED ORGANIZATION IS RELIGIOUS BASED AND HAVE NO FILING REQUIREMENT C