2024-07-17T10:44:33-05:00 2023-12-31 410746749 CLIFTONLARSONALLEN LLP 4 BATTERYMARCH PARK SUITE 100 QUINCY MA 02169 990 2023-01-01 042104318 HOME FOR AGED WOMEN IN SALEM HOME 9787402493 180 DERBY STREET SALEM MA 01970 MARTHA RYAN PRESIDENT 9787402493 2024-07-16 1 MARTHA RYAN 999009999 0 KATARZYNA O PADZIK P02268641 7819821001 2024-07-16 2 AAL1 IAL1 2023 2023-04-26 12:10:37Z BROOKHOUSE HOME FOR AGED WOMEN THOMAS CRANE 180 DERBY STREET SALEM MA 01970 3689148 0 X WWW.BROOKHOUSEHOME.COM X 1861 MA TO OFFER RESIDENTIAL CARE FOR SENIOR WOMEN. 9 9 42 10 0 0 280908 313099 1869859 2104556 288642 293541 0 0 2439409 2711196 0 0 0 0 1278078 1341515 0 0 0 612366 635887 1890444 1977402 548965 733794 5562737 6720128 111970 134883 5450767 6585245 X THE ORGANIZATION'S MISSION IS TO ENCOURAGE AND SUPPORT THE FACILITY'S RESIDENTS IN MAINTAINING FAMILY AND LIFE LONG RELATIONSHIPS THROUGH THE OPERATION OF A 36-BED RESIDENTIAL CARE FACILITY IN SALEM, MASSACHUSETTS. BROOKHOUSE HOME WELCOMES SENIOR WOMEN WITHOUT REGARD OF RACE, CREED OR NATIONAL ORIGIN. 0 0 1512469 0 2104556 RESIDENTIAL CARE FACILITY - OPERATION OF A 36-BED RESIDENTIAL CARE FACILITY LOCATED IN SALEM, MASSACHUSETTS. BROOKHOUSE HOME WELCOMES SENIOR WOMEN WITHOUT REGARD OF RACE, CREED OR NATIONAL ORIGIN. ALL RESIDENTS ENJOY THE PRIVACY OF THEIR OWN ROOM, FURNISHED AND DECORATED WITH THEIR OWN BELONGINGS WHICH PROMOTES A FEELING OF PERSONAL SPACE. THE ORGANIZATION ALSO OFFERS RESPITE SERVICES FOR WOMEN WHO MAY REQUIRE SUPERVISED SUPPORT FOR SHORTER PERIODS OF STAY. 1512469 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 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 14 0 42 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 0 1 1 1 1 0 1 1 0 MA X JUDITH KANE 9787440219 180 DERBY STREET SALEM MA 01970 JUDITH KANE ADMINISTRATOR 40.00 X 112669 0 0 MARTHA RYAN PRESIDENT 5.00 X X 0 0 0 MARY SIMPSON VICE PRESIDENT (THROUGH 8/31/23) 5.00 X X 0 0 0 KEVIN DALY TREASURER 5.00 X X 0 0 0 HELEN GIFFORD RECORDING SECRETARY 5.00 X X 0 0 0 MARJORIE WITTNER DIRECTOR 5.00 X 0 0 0 THOMAS CRANE DIRECTOR 5.00 X 0 0 0 STANLEY USOVICZ DIRECTOR 5.00 X 0 0 0 BECKY PUTNAM DIRECTOR 5.00 X 0 0 0 MARLENE SCHAEDLE DIRECTOR 5.00 X 0 0 0 MARY OPIDEE DIRECTOR 5.00 X 0 0 0 112669 0 0 1 0 0 0 0 279114 33985 313099 NET RESIDENT SERVICE REVENUE 623000 2097070 2097070 7486 7486 2104556 100182 100182 1171311 977952 193359 193359 193359 2711196 2104556 0 293541 112669 112669 1053284 923719 129565 80858 66122 14736 94704 77445 17259 57327 57327 26186 26186 37099 37099 9711 9711 27676 5019 22657 127706 114935 12771 1059 929 130 81768 73591 8177 39278 30859 8419 FOOD EXPENSES 138080 138080 SUPPLIES AND EXPENSES 89997 81770 8227 1977402 1512469 464933 0 762088 637650 345979 71741 52756 24888 30546 2290311 1228464 988217 1061847 3715803 4591350 5562737 6720128 74570 97483 37400 37400 111970 134883 X 5424680 6557966 26087 27279 5450767 6585245 5562737 6720128 733794 400684 0 X 0 1 X 1 0 X 180632 249716 278063 280908 313099 1302418 1433347 1320536 1497151 1869859 2104556 8225449 1613979 1570252 1775214 2150767 2417655 9527867 0 0 0 9527867 93967 80907 97599 84018 100182 456673 93967 80907 97599 84018 100182 456673 1201 300 6653 8154 1709147 1651459 1879466 2234785 2517837 9992694 0.95350 0.95030 0.04570 0.04810 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2019 AMOUNT: $ 1,201. 2020 AMOUNT: $ 300. 2021 AMOUNT: $ 6,653. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 16657 16657 2102839 1081333 1021506 170815 147131 23684 1061847 DUE TO THIRD-PARTY PAYOR 37400 37400 X 3085694 400684 400684 2685010 26186 26186 2711196 1951216 0 1951216 26186 26186 1977402 PART X, LINE 2: THE ORGANIZATION IS A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(3) OF THE INTERNAL REVENUE CODE (IRC) AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE IRC. THE ORGANIZATION FOLLOWS THE POLICY FOR UNCERTAINTY IN INCOME TAXES TO BE RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THE POLICY PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PRINCIPLES FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. NO UNCERTAIN INCOME TAX POSITIONS WERE IDENTIFIED FOR THE YEARS ENDED DECEMBER 31, 2023 AND 2022. FORM 990, PART VI, SECTION A, LINE 1A THE BOARD OF DIRECTORS HAS AN EXECUTIVE COMMITTEE WITH GENERAL CHARGE OF THE AFFAIRS OF THE INSTITUTION DURING THE INTERVALS BETWEEN THE REGULAR QUARTERLY BOARD MEETINGS. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S TOP MANAGEMENT REVIEWS THE DRAFT FORM 990 AND PROVIDES FEEDBACK TO THE TAX PREPARER. THE FINAL FORM 990 IS PROVIDED TO THE PRESIDENT FOR SIGNATURE BEFORE FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, THE BOARD MEMBERS ARE PROVIDED A COPY OF THE CONFLICT OF INTEREST POLICY AND ARE REQUIRED TO SIGN A STATEMENT INDICATING THAT THEY HAVE RECEIVED A COPY OF THE POLICY, HAVE READ AND UNDERSTAND THE POLICY, AND AGREE TO COMPLY WITH THE POLICY. THE BOARD MEMBERS ARE REQUIRED TO DISCLOSE ANY POTENTIAL CONFLICTS. THE BOARD OF DIRECTORS ARE RESPONSIBLE FOR MONITORING THE CONFLICT OF INTEREST POLICY. THIS POLICY IS PERIODICALLY REVIEWED AND MONITORED AT LEAST ANNUALLY DURING A BOARD MEETING. AFTER A BOARD MEMBER DISCLOSES A POTENTIAL CONFLICT, THE REMAINING MEMBERS SHALL APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT AND WILL DISCUSS TO DECIDE IF A CONFLICT EXISTS, AND THE APPROPRIATE COURSE OF ACTION. THE PERSON WITH THE CONFLICT IS EXCLUDED FROM PARTICIPATING IN DELIBERATION, DECISIONS REGARDING THE TRANSACTION, AND VOTING. SEE CONFLICT OF INTEREST POLICY FOR FURTHER DETAILED PROCEDURES. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT AND OFFICERS IS DETERMINED THROUGH COMPENSATION SURVEYS, EMPLOYMENT AGREEMENTS, AND APPROVAL BY THE BOARD OF DIRECTORS. COMPENSATION ANALYSIS AND DECISIONS ARE CONDUCTED IN THE DECEMBER BOARD OF DIRECTORS MEETING WITH AN EFFECTIVE DATE OF JANUARY 1ST OF THE FOLLOWING YEAR AND ARE DOCUMENTED THROUGH MEETING MINUTES. THIS PROCESS WAS LAST COMPLETED IN 2023. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST.