2011-11-04T13:48:01-05:00 2010-12-31 SULLIVAN & COMPANY CPAS LLP 50 HOLDEN STREET PROVIDENCE RI 02908 990 2010-01-01 050500899 UNITED METHODIST HEALTH CARE CENTER UNIT 4014387210 40 IRVING STREET EAST PROVIDENCE RI 02914 KAREN SMITH AMADO 4014387210 2011-10-07 1 DONALD SULLIVAN 4012725600 X 2010 2016-03-07 17:11:31Z KAREN SMITH AMADO 40 IRVING ST EAST PROVIDENCE RI 02914 6697624 0 X N/A X 1997 RI UNITED METHODIST HEALTH CARE CENTER HAS BEEN ORGANIZED FOR THE PURPOSE OF PROVIDING FOR NURSING CARE, HEALTH CARE, ASSISTED LIVING AND OTHER FACILITIES AND SERVICES ESPECIALLY DESIGNED TO MEET THE PHYSICAL, SOCIAL AND PSYCHOLOGICAL NEEDS OF THE AGED AND CONTRIBUTING TO THEIR HEALTH, SECURITY, HAPPINESS AND USEFULNESS IN LONGER LIVING. 15 15 0 25 0 0 69888 222461 6157791 6452846 11 5 22863 22312 6250553 6697624 0 0 0 0 3724344 3874620 0 0 0 2423341 2738321 6147685 6612941 102868 84683 3261327 3230569 1713201 1597760 1548126 1632809 X UNITED METHODIST HEALTH CARE CENTER HAS BEEN ORGANIZED FOR THE PURPOSE OF PROVIDING FOR NURSING CARE, HEALTH CARE, ASSISTED LIVING AND OTHER FACILITIES AND SERVICES ESPECIALLY DESIGNED TO MEET THE PHYSICAL, SOCIAL AND PSYCHOLOGICAL NEEDS OF THE AGED AND CONTRIBUTING TO THEIR HEALTH, SECURITY, HAPPINESS AND USEFULNESS IN LONGER LIVING. 0 0 5523286 6452846 OPERATION OF AN 84 BED NURSING FACILITY FOR THE ELDERLY. THERE WERE 26,442 BED DAYS PROVIDED IN 2010, OF WHICH 16,223 WERE PROVIDED TO MEDICAID PATIENTS, AND 2,275 TO MEDICARE PATIENTS. 5523286 1 1 0 0 0 0 0 0 0 1 0 0 1 1 1 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 1 0 0 0 0 1 2 0 1 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 0 0 X THE ORGANIZATION 4014387210 40 IRVING STREET EAST PROVIDENCE RI 02914 CAROL HUFF 3.00 X 0 0 0 JOANNE B DAHMER 3.00 X 0 0 0 LORI J O'BRIEN-FOERI 3.00 X 0 0 0 KEITH N JOHNSON 3.00 X X 0 0 0 PAUL J LAMARRE 3.00 X 0 0 0 ROBERT BOWER 3.00 X X 0 0 0 LISA PROCTER 3.00 X 0 0 0 BRUCE ANDREWS 3.00 X X 0 0 0 NORA ALMOND 3.00 X 0 0 0 HANNAH BELL-LOMBARDO 3.00 X 0 0 0 BARBARA CAVALLARO 3.00 X 0 0 0 ISABEL M COUTO 3.00 X 0 0 0 RACHEL FILINSON 3.00 X 0 0 0 THOMAS HEMMENDINGER ESQ 3.00 X 0 0 0 PAUL PARKS 3.00 X X 0 0 0 KAREN SMITH AMADO 40.00 X 0 126024 18312 ERIC BONSU 40.00 X 0 119646 4048 DAVID VELANDER 40.00 X 0 118897 7329 0 364567 29689 0 0 0 0 0 222461 222461 DAILY SERVICE REVENUE 623000 6346561 6346561 ANCILLARY SERVICE 623000 106285 106285 6452846 5 5 OTHER INCOME 900099 22312 22312 22312 6697624 6452846 0 22317 3232516 2875998 356518 352361 310078 42283 289743 254974 34769 196680 196680 52481 52481 10875 10875 512440 429195 83245 163957 163957 6150 6150 14026 14026 35370 35370 124388 124388 118183 72137 46046 PURCH. SRVS-ANCILLARIES 575562 575562 HEALTHCARE PROVIDER TAX 342577 342577 FOOD 196426 196426 DONATION TO U.M. RETIRE 192579 192579 BAD DEBT EXPENSE 87633 87633 108994 54991 54003 6612941 5523286 1089655 0 59433 95672 993997 919492 35322 48600 3878914 2962176 982713 916738 1189862 1250067 3261327 3230569 994777 929197 656205 615863 62219 52700 1713201 1597760 X 1548126 1632809 1548126 1632809 3261327 3230569 84683 0 X X 0 1 1 X 0 X 217366 130224 42042 69888 222461 681981 217366 130224 42042 69888 222461 681981 681981 141 55 20 11 5 232 28824 20259 67494 22863 22312 161752 843965 31039836 0.80810 0.79740 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 48013 48013 1914783 1626729 288054 1895725 1335447 560278 20393 20393 916738 CASH ESCROW 5041 DUE FROM CENTRALIZED PAYROLL 1245026 1250067 LINE OF CREDIT 52700 52700 6697624 6612941 84683 0 84683 6697624 0 6697624 0 6697624 6420362 0 6420362 0 6420362 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: NO UNCERTAIN TAX POSITIONS WITHIN THE SCOPE OF ASC 740 EXIST AT DECEMBER 31, 2010. FORM 990, PART VI, SECTION A, LINE 3 UNITED METHODIST ELDER CARE, A RELATED EXEMPT ORGANIZATION, HAS BEEN DELEGATED SOME OF THE MANAGEMENT FUNCTIONS OF UNITED METHODIST HEALTH CARE CENTER FORM 990, PART VI, SECTION B, LINE 11 IT IS UNITED METHODIST ELDER CARE'S POLICY THAT UNITED METHODIST ELDER CARE'S FINANCE COMMITTEE WILL REVIEW THE IRS FORM 990 THAT IS FILED ON THE ORGANIZATIONS BEHALF. THE FINANCE COMMITTEE WILL REPORT THEIR REVIEW TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES EACH BOARD MEMBER AND MANAGER TO PROVIDE AN INITIAL AND THEREAFTER AN ANNUAL CONFLICT OF INTEREST STATEMENT ATTESTING THAT THEY HAVE READ AND ARE FAMILIAR WITH THE CONFLICT OF INTEREST POLICY. IN THE CONFLICT OF INTEREST POLICY THEY ARE REQUIRED TO DISCLOSE ANY RELATIONSHIPS OR BUSINESS DEALINGS WHICH THERE IS THE POTENTIAL FOR A CONFLICT OF INTEREST TO EXIST. THE EXECUTIVE DIRECTOR ENSURES THAT CONFLICT OF INTEREST STATEMENTS ARE SIGNED BY ALL THOSE REQUIRED. IF A CONFLICT OF INTEREST ARISES THEN IT IS REFERRED TO THE EXECUTIVE BOARD FOR RESOLUTION. FORM 990, PART VI, SECTION B, LINE 15A THE EXECUTIVE DIRECTOR'S SALARY IS DETERMINED BY THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS. THE COMMITTEE TAKES INTO ACCOUNT THE COMPENSATION PAID TO SIMILAR EXECUTIVE DIRECTORS AT COMPARABLE NON-PROFIT ORGANIZATIONS IN THE AREA. THE COMMITTEE ALSO CONSIDERS THE PERFORMACE OF THE ORGANIZATION DURING THE REVIEW PERIOD AND THE EXECUTIVE DIRECTOR'S SUCCESS IN ACHIEVING THE ORGANIZATIONS GOALS. THE DISCUSSIONS AND DECISION OF THE EXECUTIVE DIRECTOR'S SALARY ARE DOCUMENTED BY THE FINANCE COMMITTEE DURING THEIR MEETING. THE EXECUTIVE DIRECTOR REVIEWS ALL MANAGEMENT EMPLOYEES FOR COMPENSATION DECISIONS, WHICH ARE MADE WITHIN THE PARAMETERS ESTABLISHED WITHIN THE BUDGET THAT IS APPROVED BY THE BOARD OF DIRECTORS. THE EXECUTIVE DIRECTOR CONSIDERS THE PERFORMANCE OF EACH INDIVIDUAL DURING THE REVIEW PERIOD AND CONSIDERS THE EMPLOYEE'S SUCCESS IN ACHIEVING THE ORGANIZATIONAL GOALS. ALSO, THE EXECUTIVE DIRECOTR COMPARES COMPENSATION OF COMPARABLE NON-PROFIT ORGANIZATIONS IN THE AREA. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC AT THE MAIN OFFICE UPON REQUEST DONATION TO UNITED METHODIST RETIREMENT CENTER FORM 990, PART IX, LINE 24D: UNITED METHODIST HEALTH CARE CENTER CONTRIBUTED $192,579 TO THE UNITED METHODIST RETIREMENT CENTER, A RELATED SECTION 501(C)(3) ORGANIZATION. EMPLOYEES' COMPENSATION FORM 990, PART IX, ALL EMPLOYEES OF UNITED METHODIST HEALTH CARE CENTER ARE PAID THROUGH AND REPORTED BY UNITED METHODIST RETIREMENT CENTER, A RELATED PARTY. UNITED METHODIST HEALTH CARE CENTER REIMBURSES THE RETIREMENT CENTER FOR THIS COST. FORM 990, PART XII, LINE 2C: AUDIT OVERSIGHT THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS IS RESPONSIBLE FOR THE OVERSIGHT OF THE ANNUAL AUDIT FINANCIAL STATEMENTS. UNITED METHODIST ELDER CARE 40 IRVING STREET EAST PROVIDENCE RI 02914 050500898 MANAGES THE OPERATIONS AND FUNDRAISING ACTIVITIES OF RELATED ORGANIZATIONS RI 501(C)(3) LINE 7 N/A 0 UNITED METHODIST ELDER CARE FOUNDATION 40 IRVING STREET EAST PROVIDENCE RI 02914 050500900 HANDLES THE INVESTMENTS AND OTHER SUPPORTING ACTIVITES RI 501(C)(3) LINE 11A, I N/A 0 UNITED METHODIST RETIREMENT CENTER 40 IRVING STREET EAST PROVIDENCE RI 02914 050318003 OPERATES A 115 UNIT RETIREMENT AND ASSISTED LIVING CENTER RI 501(C)(3) LINE 9 N/A 0 THE PROVIDENCE DEACONESS HOME OF THE UNITED METHODIST CHURCH 40 IRVING STREET EAST PROVIDENCE RI 02914 TO PROVIDE A COMMUNITY WHERE OLDER PERSONS MAY LIVE IN COMFORT AND DIGNITY RI 501(C)(3) LINE 11A, I N/A 0 ELDER CARE CONSULTANTS LLC 40 IRVING AVENUE EAST PROVIDENCE RI 02914 270097439 PROVIDE CONSULTING SERVICES IN THE HEALTH CARE INDUSTRY RI N/A 0 0 1 1 1 0 0 0 1 0 0 1 0 0 1 1 0 0