2020-11-10T14:48:01-06:00 2019-12-31 410746749 CLIFTONLARSONALLEN LLP 300 CROWN COLONY DRIVE SUITE 310 QUINCY MA 02169 990 2019-01-01 223064323 MARY ANN MORSE HEALTHCARE CORP MARY 5087886050 747 WATER STREET FRAMINGHAM MA 01701 LISA KUBIAK PRESIDENT & CEO 5087886050 2020-11-10 1 DOUGLAS FIEBELKORN P00173341 6179848100 2020-11-10 108.20.24.183 2020-11-10 10:10:18 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 8691CE57B3CA54F67807ABE18706F5E1A699ECB4 2019 2021-01-29 14:40:06Z LISA KUBIAK 747 WATER STREET FRAMINGHAM MA 01701 24902775 0 X WWW.MARYANNMORSEHEALTHCARECORP.ORG X 1990 MA TO PROVIDE THE HIGHEST QUALITY SKILLED NURSING, REHAB, RESTORATIVE & ASSISTED LIVING SERVICES. 13 13 389 33 0 0 0 49218 19292151 20274283 563851 555800 0 -16430 19856002 20862871 0 0 0 0 12615245 13349829 0 0 0 6993424 7469630 19608669 20819459 247333 43412 32944356 33344256 20073418 19845536 12870938 13498720 X THE MISSION OF MARY ANN MORSE HEALTHCARE CORP. IS TO ENHANCE THE QUALITY OF LIFE OF ITS RESIDENTS BY PROVIDING THE HIGHEST QUALITY SKILLED NURSING, REHABILITATIVE, RESTORATIVE AND ASSISTED LIVING SERVICES AS WELL AS COMFORT AND SUPPORT TO FAMILIES OF RESIDENTS. 1 0 12178572 13782044 MARY ANN MORSE HEALTHCARE CENTER IS A 124-BED FACILITY PROVIDING SKILLED LONG TERM CARE, LONG TERM DEMENTIA CARE, AND SHORT TERM SUB-ACUTE SERVICES. MARY ANN MORSE NURSING & REHAB CENTER IS CERTIFIED BY THE JOINT COMMISSION FOR THE ACCREDITATION OF HEALTHCARE ORGANIZATIONS. MARY ANN MORSE HEALTHCARE CENTER RANKS IN THE TOP 20% OF SKILLED NURSING FACILITIES IN MASSACHUSETTS BY THE DEPARTMENT OF PUBLIC HEALTH AND IS A 5 STAR FACILITY AS MEASURED BY CMS. 5413186 6059066 HERITAGE ASSISTED LIVING - INDEPENDENT AND TRADITIONAL ASSISTED LIVING SERVICES TO RESIDENTS IN 58 APARTMENT UNITS, AND PROVIDES MEMORY CARE OR MENTAL HEALTH SERVICES IN A SECURE ENVIRONMENT TO RESIDENTS IN 40 UNITS. A LARGE MULTI-PURPOSE ROOM ALLOWS FOR JOINT ACTIVITIES PROGRAMS ATTENDED BY ALL OF THE COMMUNITY'S RESIDENTS, INCREASING THE QUALITY OF LIFE FOR ALL RESIDENTS. HERITAGE HAS A LARGE BUS AND A SMALL BUS, WHICH PROVIDES TRANSPORTATION FOR RESIDENTS TO OFFSITE ACTIVITIES. 403854 433173 MARY ANN MORSE HOMECARE PROVIDES PRIVATE-DUTY SERVICES TO THE SURROUNDING COMMUNITY. 17995612 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 147 0 389 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X ROBERT MAGUIRE JR 5087886050 747 WATER STREET FRAMINGHAM MA 01701 LISA KUBIAK PRESIDENT & CEO 40.00 X 182211 0 1594 CAROL KAPOLKA EXECUTIVE DIR. - MAM 40.00 X 125964 0 9 BETHANY MERCER CAMMARANO EXECUTIVE DIR. - HAF 40.00 X 125309 0 9 ROBERT MAGUIRE JR CONTROLLER 40.00 X 100923 0 1445 WILLIAM MCGRORY HARMONY PROGRAM DIRECTOR 40.00 X 113526 0 261 KATHLEEN DONALDSON DIRECTOR OF NURSING 40.00 X 113359 0 1716 MARINO DE SOUZA RN 40.00 X 107686 0 545 JOHN CALCIO CHAIRMAN 2.00 X X 0 0 0 REBECCA HEFFERNAN VICE CHAIRMAN 2.00 X X 0 0 0 FRANK JENKINS TREASURER 2.00 X X 0 0 0 ALLAN MCLEAN CLERK 2.00 X X 0 0 0 DONALD M BLOCH ESQ BOARD MEMBER 1.00 X 0 0 0 MARY ELIZABETH COTTER ESQ BOARD MEMBER 1.00 X 0 0 0 WILLIAM GOODMAN MD BOARD MEMBER 1.00 X 0 0 0 MICHAEL GOTTLIEB MD BOARD MEMBER 1.00 X 0 0 0 MARGARET SHIELDS BOARD MEMBER 1.00 X 0 0 0 BARRY SIMS BOARD MEMBER 1.00 X 0 0 0 DAVID UPTON BOARD MEMBER 1.00 X 0 0 0 BARBARA WALSH BOARD MEMBER 1.00 X 0 0 0 BARNET SHERMAN BOARD MEMBER 1.00 X 0 0 0 868978 0 5579 1 0 1 0 RADIUS EXECUTIVE IT SOLUTIONS 92 MONTVALE AVENUE STONEHAM MA 02180 IT SUPPORT 113953 1 48018 1200 49218 NET RESIDENT SERVICE REVENUE 623000 20071799 20071799 OTHER INCOME 623000 202484 202484 20274283 195056 195056 4380183 4019439 360744 360744 360744 4035 48018 20465 -16430 -16430 20862871 20274283 0 539370 435065 435065 11050129 10494383 555746 83161 75921 7240 893539 815718 77821 887935 810630 77305 91679 91679 76003 76003 42346 42346 724520 478191 246329 155566 155566 141366 141366 176450 176450 1085329 1058794 26535 17976 3585 14391 520599 501687 18912 1354840 1259500 95340 211694 211694 RELATED MEDICAL EXPENSE 736761 736761 FOOD 720702 720583 119 USER FEE EXPENSE 716699 716699 SETTLEMENT LIABILITY EX 425000 425000 272100 167594 104506 20819459 17995612 2823847 0 34124 74453 1689337 1693107 1267438 1356690 171926 220570 38550725 19311990 20131438 19238735 9007479 10621027 642614 139674 32944356 33344256 1419105 1841800 212632 292462 17980858 17246750 460823 464524 20073418 19845536 X 12870938 13498720 12870938 13498720 32944356 33344256 X 43412 1115306 -530936 X X 0 1 X 1 0 X 49218 49218 20096693 20207122 19269310 19292151 20274283 99139559 20096693 20207122 19269310 19292151 20323501 99188777 0 0 0 99188777 160913 211878 162979 186645 195056 917471 160913 211878 162979 186645 195056 917471 20257606 20419000 19432289 19478796 20518557 100106248 0.99080 0.99130 0.00920 0.00870 X 0 1 X 1430439 1430439 31571438 15125632 16445806 5548848 4186358 1362490 19238735 X 20762190 0 20762190 42346 58335 100681 20862871 20293778 0 20293778 42346 483335 525681 20819459 PART IV, LINE 2B: THE ORGANIZATION HOLDS TENANT SECURITY DEPOSITS. PART X, LINE 2: THE COMPANY ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES IN ACCORDANCE WITH ASC TOPIC, INCOME TAXES. THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN TAX POSITIONS AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENTS REGARDING A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE COMPANY HAS DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS WHICH QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS AT DECEMBER 31, 2019 AND 2018. THE COMPANY'S INFORMATION RETURNS ARE SUBJECT TO EXAMINATION BY THE FEDERAL AND STATE JURISDICTIONS. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 78,800. FUNDRAISING EXPENSE -20,465. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 78,800. FUNDRAISING EXPENSE -20,465. SETTLEMENT LIABILITY EXPENSE 425,000. GOLF TOURANMENT 52053 48018 4035 800 535 6960 9072 1655 1443 52053 48018 4035 800 535 6960 9072 1655 1443 20465 -16430 X X X 0 0 0 0 0 0 0 0 0 LISA KUBIAK PRESIDENT & CEO 172211 0 10000 0 0 0 1581 0 13 0 183805 0 0 0 A MASSACHUSETTS DEVELOPMENT FINANCE AGENCY 043431814 2010-11-19 25060000 REFINANCE AND EXPANSION/RENOVATION 0 0 0 A 7763574 25060000 408875 4826550 19824575 2011 1 0 1 1 A 0 0 0 0 0 0 1 A 0 1 0 0 1 1 SANTANDER BANK 3.000000000000 0 0 0 0 1 A 1 FORM 990, PART III, LINE 2 IN JANUARY 2019, THE ORGANIZATION STARTED PROVIDING PRIVATE-DUTY HOMECARE SERVICES TO THE COMMUNITY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY A CPA FIRM BASED ON INFORMATION PROVIDED BY MANAGEMENT. THE PRESIDENT/CEO AND CONTROLLER REVIEW THE FORM 990 BEFORE IT IS FILED. THE FORM 990 IS MADE AVAILABLE TO THE FINANCE COMMITTEE FOR COMMENT AT THE FIRST FINANCE COMMITTEE MEETING AFTER THE 990 IS PREPARED. MANAGEMENT WILL REVIEW THE FINAL FORM 990 AFTER COMMENTS WITH THE FINANCE COMMITTEE. THE BOARD OF TRUSTEES WILL BE INFORMED THAT THE FORM 990 HAS BEEN FILED AT THE NEXT BOARD MEETING, AND A COPY OF THE COMPLETE FILED FORM 990 WILL BE PROVIDED TO THE BOARD OF TRUSTEES UPON REQUEST. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY THAT IS APPLICABLE TO ALL TRUSTEE MEMBERS AND MANAGEMENT LEVEL EMPLOYEES ("PERSONS"). ON AN ANNUAL BASIS, ALL PERSONS RECEIVE THE CONFLICT OF INTEREST POLICY AND ARE REQUIRED TO SIGN A DISCLOSURE STATEMENT IDENTIFYING ANY CONFLICTS OF INTEREST. PRIOR TO PARTICIPATING IN OR DISCUSSING ANY MATTER CONCERNING THE CORPORATION WHICH MIGHT PRESENT A CONFLICT, ANY PERSON SHALL FIRST DISCLOSE ANY SUCH CONFLICT TO THE GROUP PARTICIPATING IN OR DISCUSSING SAID MATTER, AND THAT DISCUSSION AND DISCLOSURE SHALL BE MADE A PART OF THE RECORDS OF THE CORPORATION. ANY PERSON INVOLVED IN A CONFLICT SHALL NOT DISCUSS, VOTE ON OR USE HIS OR HER PERSONAL INFLUENCE ON SUCH MATTER AT ANY MEETING OF A BOARD OR COMMITTEE OF WHICH SUCH PERSON IS A MEMBER, AND HE OR SHE SHOULD NOT BE COUNTED IN DETERMINING THE QUORUM FOR THE MEETING, EVEN WHERE PERMITTED BY LAW. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF TRUSTEES DETERMINES THE COMPENSATION FOR THE TOP MANAGEMENT OFFICIALS, WHICH ARE DOCUMENTED AND RECORDED IN THE CORPORATE MINUTES. THE PROCESS INVOLVES MEETING AND CONSULTING WITH THE ORGANIZATION'S LABOR ATTORNEYS ON A REGULAR AND CONSISTENT BASIS TO GO OVER ANY AND ALL QUESTIONS AND PROCEDURES INVOLVING COMPENSATION OF TOP OFFICIALS, AS WELL AS TO REVIEW AND COMPARE THE ANALYSIS OF INDUSTRY AND MARKET DATA AS IT RELATES TO COMPENSATION FOR TOP OFFICIALS IN THE SAME OR SIMILAR INDUSTRIES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: UNREALIZED GAIN (LOSS) ON SWAP -530,936. FORM 990, PART XIII, LINE 2C THE ORGANIZATION DID NOT CHANGE EITHER IT'S OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR.