2012-07-26T15:25:33-05:00 2011-12-31 410746749 CLIFTONLARSONALLEN LLP 300 CROWN COLONY DRIVE SUITE 310 QUINCY MA 02169 990 2011-01-01 042105741 THE SOMERVILLE HOME INC SOME 6177760260 117 SUMMER STREET SOMERVILLE MA 02143 EDWIN SMITH 6176256094 2012-07-19 1 BARBARA J MORRISON P00173340 6179848100 2012-07-19 2011 2016-02-24 21:20:13Z EDWIN SMITH 117 SUMMER STREET SOMERVILLE MA 02143 1949077 0 X WWW.SOMERVILLEHOME.ORG X 1898 MA PROVIDING QUALITY RESIDENTIAL CARE TO THE ELDERLY FROM SOMERVILLE AND SURROUNDING COMMUNITIES. 16 16 61 40 0 0 49174 11775 1830691 1752920 45413 52968 -429 5171 1924849 1822834 0 0 0 0 1005469 1090796 0 0 0 890297 877572 1895766 1968368 29083 -145534 4143432 3892048 1217186 1191354 2926246 2700694 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 1629517 1752920 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 HOMELIKE ENVIRONMENT WHILE ASSURING DIGNITY TO AND PROMOTING THE INDIVIDUAL WORTH OF ALL RESIDENTS. 1629517 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 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 0 0 0 0 0 0 1 17 0 61 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 0 0 MA X X KELLEY SFERRAZZA ADMINISTRATOR 6177760260 117 SUMMER STREET SOMERVILLE MA 02143 X ARNOLD KNOX 5.00 X 0 0 0 HELEN S CORRIGAN 5.00 X 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 ROBERT PUBLICOVER 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 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 0 11775 11775 PATIENT SERVICES REVEN 623000 1752920 1752920 1752920 32939 32939 141529 121500 20029 20029 20029 9914 4743 5171 5171 1822834 1752920 0 58139 922721 668664 254057 19894 14417 5477 75248 54530 20718 72933 52852 20081 27225 27225 190 190 195523 186588 8935 4153 4153 45676 43508 2168 194541 194541 11645 11645 198571 198571 32581 32581 FOOD 93394 93394 SUPPLIES 30201 30201 MAINTENANCE 27720 27720 BAD DEBT 14662 14662 1490 1490 1968368 1629517 338851 0 364657 316118 36028 11755 86379 72263 41558 57537 4897344 2530252 2493624 2367092 1115481 1061817 5705 5466 4143432 3892048 102856 129308 1114330 1062046 1217186 1191354 X 2250016 2100688 506466 430242 169764 169764 2926246 2700694 4143432 3892048 X -145534 -80018 X 0 1 1 X 0 X 16094 108829 120644 41136 11775 298478 1874971 1844035 1792315 1830691 1752920 9094932 1891065 1952864 1912959 1871827 1764695 9393410 0 741510 672512 647886 710098 694857 3466863 741510 672512 647886 710098 694857 3466863 5926547 30056 32769 26752 27485 32939 150001 30056 32769 26752 27485 32939 150001 1921121 1985633 1939711 1899312 1797634 9543411 0.62100 0.62140 0.01570 0.01530 X 676230 -41014 35210 641020 635575 72655 32000 676230 541978 133888 40291 635575 541978 541978 0.27000 0.73000 0 0 30460 30460 250789 250789 0 4277804 2015266 2262538 298473 224379 74094 39818 39818 0 2367092 1822834 1968368 -145534 -80018 -80018 -225552 1744157 -80018 1531 -78487 1822644 190 190 1822834 1969710 1531 1531 1968179 190 190 1968369 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. FORM 990, PART VI, SECTION A, LINE 1 DISCRETIONARY VOTING OVER FINANCIAL AND FIDUCIARY (4 OFFICERS, 4 VOTING MEMBERS ALL ARE BOARD OF TRUSTEE MEMBERS) 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. THE ASSISTANT TREASURER, IN CHARGE OF INVESTMENTS, MUST LEAVE ROOM DURING ANY DISCUSSION AND OBSTAIN FROM ANY VOTE CONCERNING INVESTMENT PORTFOLIO. FORM 990, PART VI, SECTION B, LINE 15A THE INDEPENDENT BOARD OF DIRECTORS 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -80,018.