2025-09-25T10:33:35-05:00 2024-12-31 410746749 CLIFTONLARSONALLEN LLP 4 BATTERYMARCH PARK SUITE 100 QUINCY MA 02169 990 2024-01-01 050258941 BETHANY HOME OF RI INC BETH 4018312870 111 SOUTH ANGELL STREET PROVIDENCE RI 02906 STEPHANIE IGOE EXECUTIVE DIRECTOR 4018312870 2025-09-25 1 1 DANIELLE NIHILL P01350943 7819821001 2025-09-24 2024 2025-03-06 01:10:19Z STEPHANIE IGOE 111 SOUTH ANGELL STREET PROVIDENCE RI 02906 5392993 0 1 X WWW.BETHANYHOMEOFRI.ORG X 1892 RI TO PROVIDE SUPERIOR SKILLED NURSING CARE IN A COMFORTABLE HOMELIKE ENVIRONMENT. 9 9 84 9 0 0 551363 737400 4485285 4618941 36086 36652 353 0 5073087 5392993 0 0 0 0 4213921 4301100 0 0 0 1551711 1630049 5765632 5931149 -692545 -538156 10365729 10198424 192016 223119 10173713 9975305 X THE BETHANY HOME OF RHODE ISLAND PROVIDES CONTINUOUS QUALITY PROGRESSIVE REHABILITATIVE SERVICES AS WELL AS SKILLED NURSING AND LONG TERM CARE IN A COMMUNITY ENVIRONMENT. THIS NON-PROFIT ORGANIZATION EXCEEDS EXPECTATIONS BY FOCUSING ON RESIDENT, FAMILY AND STAFF SATISFACTION WITH ITS SERVICES. 0 0 5242319 4618941 LICENSED TO CARE FOR 33 RESIDENTS, BETHANY HOME PROVIDES TOP-NOTCH SKILLED NURSING SERVICES, WITHIN AN INTIMATE, HOME-LIKE SETTING. THE FACILITY IS MEDICARE AND MEDICAID CERTIFIED. DURING 2024 BETHANY HOME PROVIDED 10,632 BED DAYS. INCLUDED IN THIS TOTAL WERE 4,649 MEDICAID AND 2,702 MEDICARE BED DAYS PROVIDED. 5242319 1 1 0 0 0 0 0 0 1 1 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 3 0 1 84 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X STEPHANIE IGOE 4018312870 111 SOUTH ANGELL STREET PROVIDENCE RI 02906 SR JANE MCGARRAHAN BOARD CHAIR 1.00 1.00 X X 0 0 0 MARK CHAFFE TREASURER 0.50 0.50 X X 0 0 0 ANDREW SCHUPACK BOARD MEMBER 0.50 0.50 X 0 0 0 JUD SAVISKAS BOARD MEMBER 0.50 0.50 X 0 0 0 SR DONNA CONROY BOARD MEMBER 0.50 0.50 X 0 0 0 ELAINE HILL BOARD MEMBER 0.50 0.50 X 0 0 0 LUCY HANNA BOARD MEMBER 0.50 0.50 X 0 0 0 BELINDA JOHNSON BOARD MEMBER 0.50 0.50 X 0 0 0 DEBBY KELLEY BOARD MEMBER 0.50 0.50 X 0 0 0 STEPHANIE IGOE ADMINISTRATOR 36.00 4.00 X 141775 15753 21659 IRINA KRICHEVSKIY RN MDS/QI COORDINATOR 56.00 0.00 X 149045 0 13963 GRACE NELSON REGISTERED NURSE 40.00 0.00 X 117584 0 12633 MICHAEL DESVEAUX DIRECTOR OF NURSING 40.00 0.50 X 117333 0 12694 LINDA WILSON CHIEF FINANCIAL OFFICER THRU 40.00 0.50 X 108115 0 17767 633852 15753 78716 5 0 1 0 0 432988 19713 284699 737400 MEDICAID AND MEDICARE 623000 2923135 2923135 PROGRAM SERVICE REVENU 623000 1550794 1550794 ANCILLARY SERVICES 623000 145012 145012 4618941 36652 36652 5392993 4618941 0 36652 177868 177868 3272684 3102473 170211 96532 92862 3670 479915 446905 33010 274101 247912 26189 8132 8132 36571 36571 3263 3263 325170 324214 956 8138 8138 135832 74505 61327 29733 29733 219677 219677 4489 4489 236425 220497 15928 90006 75106 14900 HEALTH CARE PROVIDER AS 260131 260131 FOOD 169145 169145 CREDIT LOSS EXPENSES 74505 74505 MISCELLANEOUS EXPENSES 28832 8892 19940 5931149 5242319 688830 0 1226624 1197080 13298 6501 550542 336417 33139 20733 5114745 3018959 2227555 2095786 519225 406206 5795346 6135701 10365729 10198424 189750 218451 2266 4668 192016 223119 X 4405791 3887386 5767922 6087919 10173713 9975305 10365729 10198424 X -538156 187563 152185 X 1 X 0 1 0 X 1080529 1445616 915411 551363 737400 4730319 3621004 4462249 4468201 4485285 4618941 21655680 4701533 5907865 5383612 5036648 5356341 26385999 46715 69463 486990 293814 432988 1329970 71966 57569 96638 99493 109233 434899 118681 127032 583628 393307 542221 1764869 24621130 3212 1601 13306 36086 36652 90857 3212 1601 13306 36086 36652 90857 3820 31 222 353 4426 4708565 5909497 5397140 5073087 5392993 26481282 0.92980 0.94340 0.00340 0.00260 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2020 AMOUNT: $ 3,820. 2021 AMOUNT: $ 31. 2022 AMOUNT: $ 222. 2023 AMOUNT: $ 353. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 3949436 183189 4132625 3691674 257762 3949436 3992566 -300892 3691674 39110 3952484 962 3992556 37357 3591 1838 39110 1.00000 0.00000 0.00000 0 0 557679 557679 2839613 1989802 849811 336507 172645 163862 1236024 801226 434798 144922 55286 89636 2095786 BENEFICIAL INTEREST IN PERPETUAL TRUST 6087920 DUE FROM AFFILIATE - BETHANY HOME FOUNDATION 47781 6135701 X PART IV, LINE 2B: BETHANY HOME OF RI, INC., HOLDS MONEY IN PERSONAL NEEDS ACCOUNTS FOR FUTURE USE. PART V, LINE 4: THE ENDOWMENT FUNDS ARE SET ASIDE FOR THE SUPPORT OF THE GENERAL OPERATIONS OF BETHANY HOME'S FACILITY AND VARIOUS PROGRAMS. PART X, LINE 2: NO PROVISION FOR FEDERAL AND STATE INCOME TAXES HAS BEEN REFLECTED IN THE ACCOMPANYING FINANCIAL STATEMENTS SINCE BETHANY HOME OF RHODE ISLAND QUALIFIES AS A TAX-EXEMPT ORGANIZATION AS PROVIDED UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE INTERNAL REVENUE SERVICE (IRS) HAS CLASSIFIED THE ORGANIZATION AS A PUBLIC CHARITY. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE ORGANIZATION REPORTS TAX-RELATED INTEREST AND PENALTIES, IF ANY, AS A COMPONENT OF INCOME TAX EXPENSE. X X X 0 0 0 0 0 0 0 1 0 STEPHANIE IGOE ADMINISTRATOR 141775 15753 0 0 0 0 5526 614 13967 1552 161268 17919 0 0 IRINA KRICHEVSKIY RN MDS/QI COORDINATOR 149045 0 0 0 0 0 5962 0 8001 0 163008 0 0 0 PART I, LINE 3 ANNUAL PERFORMANCE REVIEW IS COMPLETED BY THE BOARD. PART I, LINE 7 BETHANY HOME OF RI, INC., DISTRUBUTED RETENSION BONUSES THROUGHOUT THE YEAR TO ALL STAFF MEMEBERS. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE OFFICERS AND SUCH OTHER DIRECTORS OF THE BETHANY HOME OF RHODE ISLAND APPOINTED BY THE BOARD OF DIRECTORS, IF ANY. THE EXECUTIVE COMMITTEE SHALL HAVE THE POWER TO ACT FOR AND IN PLACE OF THE BOARD OF DIRECTORS AT ANY TIME BETWEEN MEETINGS OF THE BOARD OF DIRECTORS AND WHEN ACTION BY THE BOARD IS NECESSARY. FORM 990, PART VI, SECTION B, LINE 11B ONCE COMPLETED THE 990 IS SENT TO THE BOARD PRIOR TO THE NEXT MEETING, QUESTIONS AND CONCERNS CAN BE DISCUSSED DURING THE NEXT MEETING. ANY QUESTIONS THAT CAN'T BE ANSWERED ARE REFERRED TO THE CPAS FOR CLARIFICATION. ONCE BOARD IS IN AGREEMENT WITH THE DETAILS OF THE 990S THEY ARE SIGNED BY THE ADMINISTRATOR STEPHANIE IGOE AND SENT TO THE CPAS. THE FORM 990 IS THEN SUBMITTED TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY. THE ADMINISTRATOR MONITORS ALL POSSIBLE CONFLICTS AT ALL TIME, IN PARTICULAR IF THERE ARE ANY CHANGES IN BOARD MEMBERS OR KEY EMPLOYEES. IF THE ADMINISTRATOR DISCOVERS A CONFLICT OF INTEREST IS DETERMINED TO EXIST, THE ADMINISTRATOR AND OTHER APPROPRIATE MEMBERS OF THE BOARD OF DIRECTORS WILL TAKE THE NECESSARY STEPS TO ADDRESS AND RESOLVE THE ISSUE. FORM 990, PART VI, SECTION B, LINE 15 THE ADMINISTRATOR'S COMPENSATION IS DETERMINED BY THE BOARD OF DIRECTORS. THE BOARD TAKES INTO ACCOUNT THE COMPENSATION PAID TO SIMILAR ADMINISTRATORS AT COMPARABLE NON PROFIT NURSING HOMES IN THE AREA. ADDITIONALLY, THE BOARD CONSIDERS THE PERFORMANCE OF THE ORGANIZATION DURING THE REVIEW PERIOD AND THE ADMINISTRATOR'S SUCCESS IN ACHIEVING THE ORGANIZATIONAL GOALS. THE DISCUSSIONS AND DECISION ON THE ADMINISTRATOR'S COMPENSATION ARE DOCUMENTED BY THE BOARD OF DIRECTORS IN THE MINUTES TO THE BOARD MEETING. THE ADMINISTRATOR REVIEWS ALL OTHER EMPLOYEES' COMPENSATION. THE ADMINISTRATOR COMPARES COMPENSATION PAID AT SIMILAR-SIZED NURSING HOME FACILITIES IN THE STATE WHEN DETERMINING A COMPETITIVE SALARY. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2024. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: GAIN ON BENEFICIAL INTEREST IN PERPETUAL TRUST 152,185. BETHANY HOME FOUNDATION INC 111 SOUTH ANGELL STREET PROVIDENCE RI 02906 222575208 BETHANY HOME FOUNDATION SUPPORTS INDEPENDENT LIVING FOR THE ELDERLY RI 501(C)(3) LINE 12B, II BETHANY HOME OF RHODE ISLAND INC 1 0 0 1 1 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 BETHANY HOME FOUNDATION INC C 432988 CASH