2020-03-11T09:33:23-05:00 2019-05-31 111986323 MARCUM LLP 53 STATE STREET BOSTON MA 02109 990 2018-06-01 823380934 89 SOUTH CARE SUPPORT INC 89SO 4134454056 89 SOUTH STREET PITTSFIELD MA 01201 DOROTHY MARA TREASURER 4134454056 2020-02-18 1 DOUGLAS FARRINGTON P00370668 6178075000 2020-02-18 47.19.127.190 2020-02-18 11:23:15 ES P 5646463611682D9FF634D53B57C349B9DAC2909E 5646463611682D9FF634D53B57C349B9DAC2909E 2018 2020-09-23 17:36:50Z DOROTHY MARA 89 SOUTH STREET PITTSFIELD MA 01201 5779228 0 X WWW.89SOUTH.ORG X 2017 MA TO ENHANCE AND IMPROVE THE QUALITY OF LIFE OF OLDER ADULTS SUPPORTED BY BERKSHIRE RETIREMENT HOME, INC. AND PROVIDING HOME CARE SERVICES AND RESIDENCY FOR OLDER ADULTS. 5 5 59 5 0 0 14324454 37405 183713 501747 11962 34992 0 0 14520129 574144 0 0 0 0 131718 489789 0 0 0 73450 133601 205168 623390 14314961 -49246 14088276 17918678 101570 3618034 13986706 14300644 TO ENHANCE AND IMPROVE THE QUALITY OF LIFE OF OLDER ADULTS SUPPORTED BY BERKSHIRE RETIREMENT HOME, INC. AND PROVIDING HOME CARE SERVICES AND RESIDENCY FOR OLDER ADULTS. 0 0 61486 0 89 SOUTH CARE SUPPORT PROVIDES SUPPORTIVE SERVICES FOR BERKSHIRE PLACE, WHICH PROVIDES SKILLED NURSING AND REHABILITATION CARE, LONG-TERM RESIDENCY, MEMORY CARE SUPPORT, PALLIATIVE CARE/COMFORT CARE, OUTPATIENT REHABILITATION AND RESPITE CARE. 409149 501747 AT HOME WITH BERKSHIRE PLACE PROVIDES HOME CARE AND OTHER SERVICES IN A PERSON'S HOME OR WHEREVER THEY MAY CALL HOME. 102 CLIENTS WERE SERVED DURING THE YEAR. 470635 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 59 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 5 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 MA X X THE ORGANIZATION 4134454056 89 SOUTH ST PITTSFIELD MA 01201 ELIZABETH KIRBY IMMEDIATE PAST PRESIDENT 0.50 X 0 0 0 NELSON FURLANO VICE PRESIDENT 0.50 X X 0 0 0 DOROTHY MARA TREASURER 0.50 X X 0 0 0 MATTEW SCARAFONI SECRETARY/ CLERK 0.50 X X 0 0 0 RICHARD HERRICK PRESIDENT 0.50 X 0 0 0 EDWARD FORFA EXECUTIVE DIRECTOR 20.00 20.00 X 119110 97158 18794 119110 97158 18794 1 0 1 0 ALLEGRONE CONSTRUCTION CO INC 150 PITTSFIELD RD LENOX MA 01240 CONTRACTOR 4025047 1 37405 37405 HOMEMAKER, PERSONAL CARE, NON-HOM 621610 501747 501747 501747 265691 265691 4974385 5205084 -230699 -230699 -230699 574144 501747 0 34992 110665 101469 9196 345384 333975 11409 1040 1040 32700 31727 973 9500 9500 82009 82009 8797 8797 9938 33 9905 1830 1830 1725 1725 1447 1447 OTHER EXPENSES 16754 16754 NURSING SERVICES 1601 1601 623390 470635 152755 0 57400 715542 2864182 603159 58765 61458 77999 7098245 1135391 966174 5962854 9926182 10481942 199849 15724 15724 14088276 17918678 76109 952175 25461 2665859 101570 3618034 X 13970982 14284920 15724 15724 13986706 14300644 14088276 17918678 -49246 363184 0 X 0 1 X 1 1 1 X X 1 BERKSHIRE RETIREMENT HOME INC 042103875 10 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 15724 15724 15724 15724 1.00000 0 0 7500 7500 7018464 1130000 5888464 10321 5391 4930 61960 61960 5962854 REDEVELOPMENT LOAN 2640398 DUE FROM AFFILIATES 25461 2665859 X 855319 363184 363184 492135 82009 82009 574144 541381 0 541381 82009 82009 623390 PART X, LINE 2: THE HOME AND 89 SOUTH CARE SUPPORT, INC. ARE EXEMPT FROM FEDERAL TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND STATE TAXES UNDER APPLICABLE STATE LAW. IN ADDITION, 89 SOUTH CARE SUPPORT, INC. QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 509(A)(3) AND HAS BEEN CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION. AT HOME HAS BEEN ORGANIZED AS A LIMITED LIABILITY COMPANY AND A PASS-THROUGH ENTITY AND IS INCLUDED WITHIN THE CONSOLIDATED TAX RETURN OF 89 SOUTH CARE SUPPORT, INC. MANAGEMENT HAS EVALUATED SIGNIFICANT TAX POSITIONS AGAINST THE CRITERIA ESTABLISHED BY PROFESSIONAL STANDARDS AND BELIEVES THERE ARE NO SUCH TAX POSITIONS REQUIRING ACCOUNTING RECOGNITION. GENERALLY, THE ORGANIZATION'S TAX RETURNS ARE SUBJECT TO EXAMINATION BY TAXING AUTHORITIES FOR THE PRIOR THREE FILING YEARS. THERE ARE CURRENTLY NO EXAMINATIONS PENDING OR IN PROGRESS. X 0 0 0 0 0 0 0 0 0 EDWARD FORFA EXECUTIVE DIRECTOR 119110 97158 0 0 0 0 0 0 10543 8251 129653 105409 0 0 FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS PROVIDED TO THE AUDIT COMMITTEE AND THEN THE BOARD FOR AUTHORIZATION. FORM 990, PART VI, SECTION B, LINE 12C A QUESTIONNAIRE MUST BE COMPLETED ANNUALLY BY OFFICERS, DIRECTORS AND KEY EMPLOYEES DISCLOSING ANY RELATIONSHIPS PRESENTING POTENTIAL CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION C, LINE 18 FORM 990 IS AVAILABLE AT GUIDE STAR WEBISTE AND PROVIDED UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION PROVIDES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST. AT HOME WITH BERKSHIRE PLACE 89 SOUTH ST PITTSFIELD MA 01201 274015376 HOME CARE AND OTHER SERVICES MA 48687 221793 89 SOUTH CARE SUPPORT INC BERKSHIRE RETIREMENT HOME INC 290 SOUTH ST PITTSFIELD MA 01201 042103875 RESIDENTIAL AND HEALTHCARE SERVICES TO OLDER ADULTS MA 501(C)(3) LINE 10 BERKSHIRE RETIREMENT HOME INC 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 BERKSHIRE RETIREMENT HOME E 25461 FMV