2013-09-03T15:07:30-05:00 2012-12-31 410746749 CLIFTONLARSONALLEN LLP 300 CROWN COLONY DRIVE SUITE 310 QUINCY MA 02169 990 2012-01-01 042105741 THE SOMERVILLE HOME INC SOME 6177760260 117 SUMMER STREET SOMERVILLE MA 02143 EDWIN SMITH 6176256094 2013-08-20 1 ROBERT DILLAN P01688008 6179848100 2013-08-20 2012 2016-02-24 21:20:13Z EDWIN J SMITH 117 SUMMER STREET SOMERVILLE MA 02143 1773193 0 X WWW.SOMERVILLEHOME.ORG X 1898 MA PROVIDING QUALITY RESIDENTIAL CARE TO THE ELDERLY FROM SOMERVILLE AND SURROUNDING COMMUNITIES. 8 8 59 40 0 0 11775 31028 1752920 1650985 52968 25940 5171 6603 1822834 1714556 0 0 0 0 1090796 1010724 0 0 0 877572 939779 1968368 1950503 -145534 -235947 3892048 3684422 1191354 1097915 2700694 2586507 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 1613663 1654516 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. 1613663 1 0 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 0 0 0 0 0 0 0 0 0 1 16 0 1 59 1 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X X ALLEN WINKLEY BUSINESS MANAGER 6177760260 117 SUMMER STREET SOMERVILLE MA 02143 X ARNOLD KNOX JR 5.00 X 0 0 0 HELEN S CORRIGAN 5.00 X 0 0 0 ROBERT H COSTELLO JR 5.00 X X 0 0 0 MAUREEN OLIVER 5.00 X X 0 0 0 SANDRA L MCGOLDRICK 5.00 X 0 0 0 GEORGE MCLEAN 5.00 X 0 0 0 EDWIN J SMITH 5.00 X X 0 0 0 JOSEPH J SULLIVAN 5.00 X 0 0 0 ROD LAURENZ 5.00 X X 0 0 0 SUZANNE MARSHALL 5.00 X 0 0 0 DAVID F O'BRIEN 5.00 X 0 0 0 SALVATORE BERTOLAMI 5.00 X 0 0 0 JOSEPH CIAMPA 5.00 X X 0 0 0 AGNES CAMERON 5.00 X 0 0 0 JOHN CONNOLLY 5.00 X 0 0 0 FRANCES GAYRON 5.00 X 0 0 0 0 0 0 0 0 0 0 UNIDINE PO BOX 60479 CHARLOTTE NC 28260 DINING SERVICE 253424 1 31028 20589 31028 PATIENT SERVICES REVEN 623000 1650985 1650985 1650985 36131 36131 41377 51568 -10191 -10191 -10191 10141 7069 3072 3072 MISCELLANEOUS INCOME 623000 3531 3531 3531 1714556 1654516 0 29012 X 860068 624578 235490 20557 14928 5629 62497 45385 17112 67602 49092 18510 9938 9938 26125 26125 10700 10700 322660 313604 9056 2505 2505 66884 62604 4280 34472 34472 167249 167249 4794 4794 199840 199840 33194 33194 SUPPLIES 26081 26081 MAINTENANCE 18832 18832 BAD DEBT 9924 9924 IN-KIND DONATIONS 3214 3214 3367 3367 1950503 1613663 336840 0 316118 51452 11755 122826 72263 76690 57537 63064 4915867 2729853 2367092 2186014 1061817 1179149 5466 5227 3892048 3684422 129308 104957 1062046 992958 1191354 1097915 X 2100688 1948129 430242 468614 169764 169764 2700694 2586507 3892048 3684422 X -235947 121761 -1 X X 0 1 X 1 0 X 108829 120644 41136 11775 27814 310198 1844035 1792315 1830691 1752920 1650985 8870946 1952864 1912959 1871827 1764695 1678799 9181144 0 672512 647886 710098 694857 624180 3349533 672512 647886 710098 694857 624180 3349533 5831611 32769 26752 27485 32939 36131 156076 32769 26752 27485 32939 36131 156076 -3588 -3588 1985633 1939711 1899312 1797634 1711342 9333632 0.62480 0.62100 0.01670 0.01570 X 600006 77823 39451 638378 676230 -41014 35210 600006 635575 72655 32000 676230 541978 133888 40291 635575 541978 541978 0.73410 0.26590 0 0 30460 30460 250789 250789 0 4285094 2202059 2083035 309706 237187 72519 39818 39818 0 2186014 X 1825617 121761 121761 1703856 10700 10700 1714556 1939806 3 3 1939803 10700 10700 1950503 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: 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. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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 ENTITYS 2009 THROUGH 2012 TAX YEARS ARE OPEN FOR EXAMINATION BY FEDERAL AND STATE AUTHORITIES. PART XII, LINE 2D - OTHER ADJUSTMENTS: ROUNDING 3. 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 THE 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. OTHER FEES FORM 990, PART IX, LINE 11G PAYROLL SERVICES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 9,056. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,056. PLANT CONTRACTED SERVICES : PROGRAM SERVICE EXPENSES 22,613. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,613. DIETARY SERVICES: PROGRAM SERVICE EXPENSES 250,419. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 250,419. NURSING PURCHASE SERVICE : PROGRAM SERVICE EXPENSES 40,198. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 40,198. MEDICAL WASTE FEES : PROGRAM SERVICE EXPENSES 374. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 374. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: ROUNDING -1. OVERSIGHT OF AUDIT AND SELECTION OF AUDITOR FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS NOT CHANGED EITHER ITS AUDIT OVERSIGHT PROCESS OR AUDITOR SELECTION PROCESS DURING THE TAX YEAR.