2012-06-15T14:28:09-05:00 2011-12-31 410746749 CLIFTONLARSONALLEN LLP 300 CROWN COLONY DRIVE SUITE 310 QUINCY MA 02169 990 2011-01-01 042104039 BETHANY HEALTH CARE CENTER INC BETH 5082708673 97 BETHANY ROAD FRAMINGHAM MA 01702 SR JACQUELYN MCCARTHY 5082708673 2012-06-06 1 BARBARA J MORRISON P00173340 6179848100 2012-06-06 2011 2016-02-24 21:20:13Z SR JACQUELYN MCCARTHY 97 BETHANY ROAD FRAMINGHAM MA 01702 11433758 0 0928 X WWW.BETHANYHEALTHCARE.ORG X 1982 MA OPERATION OF A SKILLED NURSING FACILITY, RESIDENT CARE FACILITY, AND CLINIC SERVICES 16 16 251 40 0 0 600108 651077 10557028 10639344 4932 20998 21589 10599 11183657 11322018 0 0 0 0 8099483 8101231 0 0 135185 4044117 4231259 12143600 12332490 -959943 -1010472 7982227 7668872 6983901 6445293 998326 1223579 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 11325272 10639344 SKILLED NURSING FACILITY, RESIDENT CARE FACILITY, AND CLINIC SERVICES 11325272 1 1 0 1 0 0 0 0 0 0 1 1 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 13 0 1 251 1 0 0 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 1 1 1 1 0 0 1 1 1 0 1 1 1 1 0 MA X FINANCE OFFICE 5088726750 97 BETHANY ROAD FRAMINGHAM MA 01702 SR MARYLOU CASSIDY 1.00 X 0 0 0 MARY KILCOMMONS 1.00 X 0 0 0 SR ROSEMARY BRENNAN 1.00 X 0 0 0 SR BRENDA FORRY 1.00 X 0 0 0 SR MARILYN MCGOLDRICK 1.00 X 0 0 0 SR ELLEN POWERS 1.00 X 0 0 0 SR HELEN SULLIVAN 1.00 X 0 0 0 CHRISTINE ALESSANDRO 1.00 X 0 0 0 THOMAS E GUNNOUD 1.00 X 0 0 0 LORI FERRANTE 1.00 X 0 0 0 MICHAEL CONKLIN 1.00 X 0 0 0 WILLIAM MCGINLEY 1.00 X 0 0 0 SR LEE HOGAN 1.00 X 0 0 0 SR MARY MURPHY 1.00 X 0 0 0 SR JACQUELYN MCCARTHY 40.00 X 122908 0 0 122908 0 0 1 0 0 0 SODEXO PO BOX 81049 WOBURN MA 01913 DIETARY, HOUSEKEEPING, & LAUNDRY 703178 QUALITY REHABILITATION SERVICES 42 LANDAU ROAD PLAINVILLE MA 01746 REHABILITATION SERVICES 235002 LARSONALLEN LLP 300 CROWN COLONY DRIVE SUITE 310 QUINCY MA 02169 ACCOUNTING SERVICES 113500 3 183198 467879 651077 NET PATIENT SERVICE RE 623000 10639344 10639344 10639344 16269 16269 4729 4729 4729 4729 122339 183198 111740 10599 10599 11322018 10639344 0 31597 6488262 5768730 591324 128208 245386 223022 22364 918048 834379 83669 449535 408566 40969 365 365 107752 107752 356998 356998 12671 12671 64247 61378 2869 17463 17463 411380 411380 9343 9068 275 10497 8416 2081 218991 218991 696679 696679 29995 29995 PATIENT CARE EXPENSES 1239270 1239270 USER FEES 595839 595839 REPAIR & MAINTENNANCE 299043 299043 HOUSEKEEPING 53586 53586 107140 79798 25590 1752 12332490 11325272 872033 135185 274815 273091 1121397 306257 10000 593566 705631 68832 64710 14047667 8389425 5738107 5658242 110155 612417 75355 38524 7982227 7668872 1846956 1833834 196292 206275 4925495 4398278 15158 6906 6983901 6445293 X 973326 1223579 25000 0 998326 1223579 7982227 7668872 X -1010472 1235725 X 0 1 1 X 0 X 1719064 776850 2058316 600108 340222 5494560 9706153 10810532 10376513 10557028 10604941 52055167 11425217 11587382 12434829 11157136 10945163 57549727 1447542 247889 590000 492004 446436 3223871 0 1447542 247889 590000 492004 446436 3223871 54325856 13849 11107 4174 4932 16269 50331 13849 11107 4174 4932 16269 50331 6295 49451 35796 21589 60169 173300 11445361 11647940 12474799 11183657 11021601 57773358 0.94030 0.99540 0.00090 0.00130 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 722 722 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: PART OF MEMBERSHIP DUES PAID TO STATE HEALTHCARE ORGANIZATIONS 10735498 6074507 4660991 3312169 2314918 997251 5658242 INV HELD BY CONG-DONAT-B 603136 C INV HELD BY CONG-DONATIO 9281 C 612417 OTHER LIABILITIES 6906 6906 11322018 12332490 -1010472 -24276 1260001 1235725 225253 12750085 -24276 80603 1371740 1428067 11322018 0 11322018 12524832 80603 111740 192343 12332489 1 1 12332490 PART XI, LINE 8 - OTHER ADJUSTMENTS: EQUITY TRANSFER 1,260,000. ROUNDING 1. TOTAL TO SCHEDULE D, PART XI, LINE 8: 1,260,001. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSE NETTED AGAINST REVENUES 111,740. EQUITY TRANSFER INCLUDED IN REVENUE 1,260,000. PART XIII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSE NETTED AGAINST REVENUES 111,740. PART XIII, LINE 4B - OTHER ADJUSTMENTS: ROUNDING 1. GOLF TOURNAMENT 78420 15735 62685 0 9579 8550 11444 0 16566 50TH ANNIVERSARY 177547 117893 59654 0 18745 6549 16881 0 2110 3 49570 49570 21316 305537 183198 122339 49640 15099 28325 18676 111740 10599 X CHAPEL RENOVATIONS 1 294604 COST OF RENOVATIONS 0 0 0 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 MERIT RAISE REVIEW IS PERFORMED BY THE BOARD OF DIRECTORS FOR THE CEO. FOR OFFICERS AND KEY EMPLOYEES A MERIT BASED RAISE REVIEW IS PERFORMED BY THE CEO/ADMINISTRATOR. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -24,276. EQUITY TRANSFER 1,260,000. ROUNDING 1. TOTAL TO FORM 990, PART XI, LINE 5: 1,235,725. THE RELATED ORGANIZATION IS RELIGIOUS BASED AND HAVE NO FILING REQUIREMENT 999999999 MA 0 1 0 1 0 1 0 0 0 0 0 1 1 1 1 1 1 0 1 THE RELATED ORGANIZATION IS RELIGIOUS BASED AND HAVE NO FILING REQUIREMENT C