2018-11-01T10:12:11-05:00 2017-12-31 410746749 CLIFTONLARSONALLEN LLP 300 CROWN COLONY DRIVE SUITE 310 QUINCY MA 02169 990 2017-01-01 223064323 MARY ANN MORSE HEALTHCARE CORP MARY 5087886050 747 WATER STREET FRAMINGHAM MA 01701 LISA KUBIAK PRESIDENT & CEO 5087886050 2018-10-10 1 HEMALI PATEL P01337292 6179848100 2018-10-10 67.137.57.251 2018-10-10 14:27:56 ED P BE9A5386F0E0E3B4CADA17EFD89B09732DDF69A5 E4230CF8B121F430B57B115B827E49D3D68EC28B 2017 2019-02-21 02:37:17Z LISA KUBIAK 747 WATER STREET FRAMINGHAM MA 01701 22971163 0 X WWW.MARYANNMORSEHEALTHCARECORP.ORG X 1990 MA TO PROVIDE THE HIGHEST QUALITY SKILLED NURSING, REHAB, RESTORATIVE & ASSISTED LIVING SERVICES. 14 14 380 73 0 0 0 0 20207122 19269310 504906 602878 0 0 20712028 19872188 0 0 0 0 12513746 12408025 0 0 0 7355926 7434046 19869672 19842071 842356 30117 34949822 34826912 21915444 21147601 13034378 13679311 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. 0 0 12040429 13771259 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. 4702568 5498051 HERITAGE ASSISTED LIVING INDEPENDENT AND TRADITIONAL ASSISTED LIVING SERVICES TO RESIDENTS IN 58 APARTMENT UNITS, PROVIDES MEMORY CARE SERVICES IN A SECURE ENVIRONMENT TO MEMORY CARE RESIDENTS IN 20 UNITS, AND ANOTHER 20 UNITS THAT PROVIDE MENTAL HEALTH SERVICES TO RESIDENTS. A LARGE MULTI-PURPOSE ROOM ALLOWS FOR JOINT ACTIVITIES PROGRAMS ATTENDED BY BOTH THE MEMORY CARE RESIDENTS AND THE CLASSIC 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. HERITAGE EMPLOYEES LICENSED NURSES FROM 8:00 AM UNTIL 11:00 PM, WHICH IS NOT A REQUIREMENT. HERITAGE ALSO EMPLOYEES A 32 HOUR PER WEEK PROGRAM MANAGER FOR THE DEDICATED MEMORY CARE UNIT. THE PROGRAM MANAGER IS A RN AND IS RECOGNIZED FOR HER KNOWLEDGE AND EXPERIENCE IN THE FIELD OF MEMORY CARE. HERITAGE EMPLOYEES MORE ACTIVITY STAFF THAN THE TYPICAL ASSISTED LIVING FACILITY, AND ROTATES THE ACTIVITY STAFF THROUGH BOTH THE MEMORY CARE UNIT AND THE TRADITIONAL ASSISTED LIVING WING. 16742997 1 0 0 0 0 0 0 0 1 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 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 87 0 380 1 0 0 0 0 0 0 0 0 0 0 X 14 14 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 5086555305 747 WATER ST FRAMINGHAM MA 01701 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 JOHN DOERR 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 RICHARD KILLIGREW FORMER PRESIDENT & CEO 40.00 X 178405 0 7748 LISA KUBIAK PRES/CEO (EX DIR -2017) 40.00 X 142866 0 7909 ELLEN ADAMS EXECUTIVE DIRECTOR 40.00 X 111862 0 8183 KATHLEEN DONALDSON DIRECTOR OF NURSING 40.00 X 114706 0 1754 BETH DELINSKY UNIT MANAGER/LPN 40.00 X 121652 0 6090 CAROLYN LAZARUS REGISTERED NURSE 40.00 X 102538 0 1846 CHRISTINE RAFFOL PHYSICAL THERAPIST 40.00 X 101354 0 6049 873383 0 39579 7 0 1 0 CARR ENTERPRISES LTD 100 CONIFER HILL DRIVE DANVERS MA 01923 CONTRACTOR 541084 HEALTHCARE SERVICES GROUP INC PO BOX 829677 PHILADELPHIA PA 19182 DIETARY SERVICES 449095 LWDA 45 WALDEN STREET CONCORD MA 01742 ARCHITECT 138797 3 NET RESIDENT SERVICE REVENUE 623000 19057449 19057449 OTHER INCOME 623000 211861 211861 19269310 162979 162979 3538874 3098975 439899 439899 439899 19872188 19269310 0 602878 464786 464786 10107064 9071421 1035643 74690 65862 8828 869216 783077 86139 892269 786804 105465 78756 78756 55899 55899 56891 56891 1153497 886918 266579 282661 282661 172958 172958 151203 151203 977716 977716 14202 1771 12431 616699 616699 1259430 1207338 52092 181777 181777 RELATED MEDICAL EXPENSE 773578 773578 USER FEE EXPENSE 709046 709046 FOOD 584152 584152 BAD DEBTS 185000 185000 180581 96838 83743 19842071 16742997 3099074 0 50951 25515 3082794 2078504 1638962 1373346 167292 186761 37271318 16961564 20202890 20309754 9420650 10460818 386283 392214 34949822 34826912 1655088 1798003 280506 224733 19449077 18714968 386283 386040 144490 23857 21915444 21147601 X 13034378 13679311 13034378 13679311 34949822 34826912 X 30117 494183 120633 X 0 1 X 1 0 X 18889488 19872686 20096693 20207122 19269310 98335299 18889488 19872686 20096693 20207122 19269310 98335299 0 0 0 98335299 81659 145808 160913 211878 162979 763237 81659 145808 160913 211878 162979 763237 18971147 20018494 20257606 20419000 19432289 99098536 0.99230 0.99310 0.00770 0.00690 X 0 1 X 1430439 1430439 29866565 13199876 16666689 5022618 3761688 1260930 951696 951696 20309754 INTEREST RATE SWAP CONTRACTS IN LOSS POSITION 23857 23857 X 19815297 0 19815297 56891 56891 19872188 19785180 0 19785180 56891 56891 19842071 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 PRECRIBES 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, 2017 AND 2016. THE COMPANY'S INFORMATION RETURNS ARE SUBJECT TO EXAMINATION BY THE FEDERAL AND STATE JURISDICTIONS. X X X 0 0 0 0 0 0 0 0 0 RICHARD KILLIGREW FORMER PRESIDENT & CEO 161405 0 17000 0 0 0 2764 0 4984 0 186153 0 0 0 LISA KUBIAK PRES/CEO (EX DIR -2017) 130566 0 12300 0 0 0 1100 0 6809 0 150775 0 0 0 A MASSACHUSETTS DEVELOPMENT FINANCE AGENCY 043431814 2016-12-05 19655029 REFINANCE AND EXPANSION/RENOVATION 0 0 0 A 786201 19655029 19655029 2011 1 0 1 1 A 0 0 0 0 0 0 1 A 0 1 0 0 1 1 SANTANDER BANK 9.000000000000 0 0 0 0 1 A 1 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 REVIEWS 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 OF 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 GAINS ON CARRYING VALUE OF INTEREST RATE SWAP CONTRACTS 120,633.