2014-10-13T20:19:10-05:00 2013-12-31 410746749 CLIFTONLARSONALLEN LLP 300 CROWN COLONY DRIVE SUITE 310 QUINCY MA 02169 990 2013-01-01 042105741 THE SOMERVILLE HOME INC SOME 6177760260 117 SUMMER STREET SOMERVILLE MA 02143 EDWIN J SMITH PRESIDENT 6176256094 2014-10-02 1 ROBERT DILLAN P01688008 6179848100 2014-09-24 2013 2015-11-30 17:44:51Z EDWIN J SMITH 117 SUMMER STREET SOMERVILLE MA 02143 1807086 0 X WWW.SOMERVILLEHOME.ORG X 1898 MA PROVIDING QUALITY RESIDENTIAL CARE TO THE ELDERLY FROM SOMERVILLE AND SURROUNDING COMMUNITIES. 16 16 44 40 0 0 31028 61345 1650985 1627245 25940 44795 6603 14450 1714556 1747835 0 0 0 0 1010724 1031032 0 0 0 939779 959392 1950503 1990424 -235947 -242589 3684422 3709313 1097915 1150617 2586507 2558696 X SINCE 1898 THE SOMERVILLE HOME, A PRIVATE NONPROFIT ORGANIZATION, HAS PROVIDED LONG-TERM RESIDENTIAL CARE TO ELDERLY MEN AND WOMEN FROM SOMERVILLE AND SURROUNDING COMMUNITIES. WE ARE COMMITTED TO OFFERING SENIOR CITIZENS A REASONABLY PRICED OPTION FOR QUALITY RESIDENTIAL SERVICES. WE BELIEVE THAT OUR RESIDENTS SHOULD BE ENCOURAGED TO UTILIZE THEIR BODIES, MINDS AND SPIRITS TO THE MAXIMUM WITHIN THE LIMITS OF THEIR POTENTIAL. 0 0 1666615 1640169 OPERATION OF A 59-BED REST HOME LOCATED IN SOMERVILLE, MASSACHUSETTS. OUR PRESENT FACILITY AT 117 SUMMER STREET, SOMERVILLE, WITH ALL OF ITS CHARACTER AND CHARM HAS RESPONDED TO THE DOMESTIC NEEDS OF RETIRED PERSONS FOR THE PAST 70 YEARS AND INTENDS TO DO SO FOR MANY MORE YEARS. OUR LONG-TERM PLAN IS TO PROVIDE A SAFE AND SECURE HOME-LIKE ENVIRONMENT WHILE ASSURING DIGNITY TO AND PROMOTING THE INDIVIDUAL WORTH OF ALL RESIDENTS. 1666615 1 1 0 0 0 0 0 0 0 1 1 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 1 0 0 0 0 0 0 0 0 1 14 0 44 1 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X X KELLEY SFERRAZZA 6177760260 117 SUMMER STREET SOMERVILLE MA 02143 X EDWIN J SMITH PRESIDENT & TRUSTEE 5.00 X X 0 0 0 ROD LAURENZ VICE PRESIDENT & TRUSTEE 5.00 X X 0 0 0 ROBERT H COSTELLO JR TREASURER & TRUSTEE 5.00 X X 0 0 0 JOSEPH CIAMPA ASST. TREASURER & TRUSTEE 5.00 X X 0 0 0 MAUREEN OLIVER CLERK & TRUSTEE 5.00 X X 0 0 0 SALVATORE BERTOLAMI TRUSTEE 5.00 X 0 0 0 AGNES CAMERON TRUSTEE 5.00 X 0 0 0 JOHN CONNOLLY TRUSTEE 5.00 X 0 0 0 HELEN CORRIGAN TRUSTEE 5.00 X 0 0 0 FRANCES GAYRON TRUSTEE 5.00 X 0 0 0 ARNOLD KNOX TRUSTEE 5.00 X 0 0 0 SUZANNE MARSHALL TRUSTEE 5.00 X 0 0 0 SANDRA L MCGOLDRICK TRUSTEE 5.00 X 0 0 0 DAVID O'BRIEN TRUSTEE 5.00 X 0 0 0 ROBERT PUBLICOVER TRUSTEE 5.00 X 0 0 0 JOSEPH SULLIVAN TRUSTEE 5.00 X 0 0 0 0 0 0 0 0 0 0 UNIDINE PO BOX 60479 CHARLOTTE NC 28260 DINING SERVICE 239789 1 3518 57827 49864 61345 PATIENT SERVICES REVENUE 623000 1627245 1627245 1627245 38621 38621 56328 50154 6174 6174 6174 10623 3518 9097 1526 1526 MISCELLANEOUS INCOME 623000 12924 12924 12924 1747835 1640169 0 46321 X 861884 632987 228897 22565 16963 5602 84677 63655 21022 61906 46537 15369 8833 8833 26625 26625 8808 8808 367586 361595 5991 9590 9590 43257 40595 2662 18511 18511 116938 116938 3881 3881 39996 39996 206296 206296 20415 20415 SUPPLIES 38770 38770 MAINTENANCE 26471 26471 BAD DEBT 10257 10257 FOOD 6680 6680 6478 6478 1990424 1666615 323809 0 51452 22045 122826 66346 76690 63422 63064 51180 5077755 2935912 2186014 2141843 1179149 1359489 5227 4988 3684422 3709313 104957 107928 992958 1042689 1097915 1150617 X 1948129 1880683 468614 508249 169764 169764 2586507 2558696 3684422 3709313 -242589 214778 0 X 0 1 X 1 0 X 120644 41136 11775 27814 61345 262714 1792315 1830691 1752920 1650985 1627245 8654156 1912959 1871827 1764695 1678799 1688590 8916870 0 647886 710097 692316 641293 596022 3287614 647886 710097 692316 641293 596022 3287614 5629256 26752 27485 32939 36131 38621 161928 26752 27485 32939 36131 38621 161928 -3588 20624 17036 1939711 1899312 1797634 1711342 1747835 9095834 0.61890 0.62480 0.01780 0.01670 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 638378 86733 47098 678013 600006 77823 39451 638378 676230 -41014 35210 600006 635575 72655 32000 676230 541978 133888 40291 635575 0.00000 0.25040 0.74960 0 0 30460 30460 250789 250788 1 4381036 2391433 1989603 375652 253873 121779 39818 39818 0 2141843 X 1953805 214778 214778 1739027 8808 8808 1747835 1981616 0 1981616 8808 8808 1990424 PART V, LINE 4: TEMPORARILY RESTRICTED NET ASSETS ARE INTENDED TO BE USED FOR PERMANENTLY RESTRICTED NET ASSET APPRECIATION LIMITED AS TO EXPENDITURE BY STATE LAW, THE LUXURY FUND AND VARIOUS OTHER USES. THE INCOME EARNED ON THE PERMANENTLY RESTRICTED NET ASSETS IS INTENDED TO BE USED TO IMPROVE THE QUALITY OF CARE AND QUALITY OF LIFE OF THE RESIDENTS. THE CORPUS IS INVESTED IN PERPETUITY. PART X, LINE 2: THE SOMERVILLE HOME, INC. 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 SOMERVILLE HOME, INC. FILES AS A TAX-EXEMPT ORGANIZATION. THE ENTITY'S 2010 THROUGH 2013 TAX YEARS ARE OPEN FOR EXAMINATION BY FEDERAL AND STATE AUTHORITIES. X LIGHTING 1 46346 FMV X MISC. IN-KIND 1 3518 FMV 0 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE BOARD OF DIRECTORS IS PROVIDED A COMPLETE COPY OF THE FORM 990. FORM 990 IS THEN DISCUSSED AT THE NEXT BOARD OF DIRECTOR'S MEETING WHERE IT IS SIGNED BY THE TREASURER AFTER IT HAS BEEN VOTED FOR APPROVAL. THE APPROVAL IS THEN RECORDED IN MINUTES OF THE MEETING. FORM 990, PART VI, SECTION B, LINE 12C ANY INSTANCES WOULD GO THROUGH AN INVESTIGATION OF THE EXECUTIVE COMMITTEE AND THEN PRESENTED TO THE FULL BOARD. IF NEEDED THE BOARD MEMBER COULD BE REMOVED BY VOTE AND LEGAL ACTION TAKEN IF NEEDED. ROD LAURENZ MUST LEAVE ROOM DURING ANY DISCUSSION AND ABSTAIN FROM ANY VOTE CONCERNING INVESTMENT PORTFOLIO. FORM 990, PART VI, SECTION B, LINE 15 THE INDEPENDENT BOARD REVIEWS COMPARABLE COMPENSATION DATA TO DETERMINE AN APPROPRIATE SALARY. A VOTE IS CAST TO APPROVE OR DENY THE SALARY AND THE OUTCOME IS RECORDED IN THE MINUTES OF THE MEETING. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G PLANT CONTRACTED SERVICES : PROGRAM SERVICE EXPENSES 40,068. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 40,068. DIETARY SERVICES : PROGRAM SERVICE EXPENSES 234,955. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 234,955. MEDICAL WASTE FEES : PROGRAM SERVICE EXPENSES 443. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 443. NURSING PURCHASE SERVICE : PROGRAM SERVICE EXPENSES 86,129. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 86,129. PAYROLL SERVICES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 5,991. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,991.