2013-11-07T10:27:40-06:00 2012-12-31 410746749 CLIFTONLARSONALLEN LLP 300 CROWN COLONY DRIVE SUITE 310 QUINCY MA 02169 990 2012-01-01 223064323 MARY ANN MORSE HEALTHCARE CORP MARY 5087886050 747 WATER STREET FRAMINGHAM MA 01701 RICHARD KILLIGREW 5087886050 2013-11-05 1 ROBERT DILLAN P01688008 6179848100 2013-11-05 2012 2016-03-07 17:11:31Z RICHARD KILLIGREW 747 WATER STREET FRAMINGHAM MA 01701 23353550 0 X N/A X 1990 MA THE MISSION OF MARY ANN MORSE HEALTHCARE CORP. IS TO ENHANCE THE QUALITY OF LIFE OF ITS RESIDENTS THROUGH THE PROVISION OF THE HIGHEST QUALITY SKILLED NURSING, REHABILITATIVE, RESTORATIVE AND ASSISTED LIVING SERVICES AND TO LEND COMFORT AND SUPPORT TO FAMILIES OF RESIDENTS. 13 11 348 27 0 0 0 0 18080225 18062410 170184 -348502 0 0 18250409 17713908 0 0 0 0 10939380 11728369 0 0 0 6813947 6256125 17753327 17984494 497082 -270586 37073406 35984888 28131724 27279567 8941682 8705321 X THE MISSION OF MARY ANN MORSE HEALTHCARE CORP. IS TO ENHANCE THE QUALITY OF LIFE OF ITS RESIDENTS THROUGH THE PROVISION OF THE HIGHEST QUALITY SKILLED NURSING, REHABILITATIVE, RESTORATIVE AND ASSISTED LIVING SERVICES AND TO LEND COMFORT AND SUPPORT TO FAMILIES OF RESIDENTS. 0 0 11189462 12048452 MARY ANN MORSE NURSING & REHAB 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 NURSING & REHABILITATION CENTER RECENTLY RECEIVED SURVEYS WITH ZERO DEFICIENCIES FROM BOTH THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH AND THE JOINT COMMISSION FOR THE ACCREDITATION OF HEALTHCARE ORGANIZATIONS. 4354508 6013958 HERITAGE ASSISTED LIVING PROVIDES TRADITIONAL ASSISTED LIVING SERVICES TO RESIDENTS IN 58 APARTMENT UNITS, AND PROVIDES DEMENTIA SERVICES IN A SECURE ENVIRONMENT TO ALZHEIMER'S RESIDENTS IN 40 UNITS. A LARGE MULTI-PURPOSE ROOM ALLOWS FOR JOINT ACTIVITIES PROGRAMS ATTENDED BY BOTH THE DEMENTIA 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 OF OFFSITE ACTIVITIES. HERITAGE EMPLOYS LICENSED NURSES FROM 8:00 AM UNTIL 11:00 PM, WHICH IS NOT A REQUIREMENT. HERITAGE ALSO EMPLOYS A 32 HOUR PER WEEK PROGRAM MANAGER FOR THE DEDICATED MEMORY CARE UNIT. HERITAGE EMPLOYS MORE ACTIVITY STAFF THAN THE TYPICAL ASSISTED FACILITY, AND ROTATES THE ACTIVITY STAFF THROUGH THE TRADITIONAL ASSISTED LIVING WING AND THE MEMORY CARE WING ON A REGULAR BASIS. 0 0 15543970 1 0 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 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 164 0 348 1 0 0 0 0 0 0 0 0 0 0 X 13 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X X RICHARD KILLIGREW 5086655303 747 WATER STREET FRAMINGHAM MA 01701 DONALD BLOCH ESQ 2.00 X X 0 0 0 ALLAN MCLEAN 2.00 X X 0 0 0 MICHAEL GOTTLIEB MD 1.00 X 0 0 0 FRANK JENKINS 2.00 X X 0 0 0 MARY ELIZABETH COTTER 1.00 X 0 0 0 BARRY SIMS 2.00 X X 0 0 0 ELIZABETH DONNELLY 1.00 X 0 0 0 WILLIAM GOODMAN MD 1.00 X 0 0 0 MARY GREENDALE 1.00 X 7100 0 0 RICHARD KILLIGREW 40.00 X X 177104 0 7192 JOHN CALCIO 1.00 X 0 0 0 MARGARET PEGGY SHIELDS 1.00 X 0 0 0 MICHELLE GOLDBERG 1.00 X 0 0 0 LISA KUBIAK 40.00 X 129160 0 5755 ELLEN ADAMS 40.00 X 115950 0 5616 CAROLYN LAZARUS 40.00 X 101073 0 5882 PATRICIA-JO DEAN 40.00 X 102863 0 4535 THOMAS DEVANEY 40.00 X 100008 0 4864 SUSAN CORINA 40.00 X 101580 0 4864 834838 0 38708 7 0 1 0 CARR ENTERPRISES 10 DEARBORN ROAD SUITE 3C PEABODY MA 01960 CONSTRUCTION SERVICES 368944 PARTNERS PHARMACY 181 CEDAR HILL ROAD MARLBOROUGH MA 01752 MEDICATIONS & PHARMACY SUPPLIES 261099 HALLSMITH SYSCO 99 SPRING STREET PLYMPTON MA 02367 FOOD & DIETARY SUPPIES 243401 HR CONCEPTS LLC 111 CHARLES STREET MANCHESTER NH 03101 BENEFIT PLAN ADMINISTRATION 178136 MEDLINE INDUSTRIES ONE MEDLINE PLACE MUNDELEIN IL 60060 MEDICAL SUPPLIES 124820 5 PROG.SERV.REVENUE-RELATED-990 623000 17741249 17741249 OTHER PROGRAM REVENUE 623000 321161 321161 18062410 69718 69718 5221422 5639642 -418220 -418220 -418220 17713908 18062410 0 -348502 177104 177104 9822900 8655457 1167443 42349 36655 5694 926670 802075 124595 759346 657248 102098 27360 27360 67384 67384 25907 25907 561484 331003 230481 90300 90300 176345 176345 57552 57552 863053 863053 20426 1701 18725 677248 677248 1300854 1248762 52092 238389 238389 FOOD 669331 669331 RELATED MEDICAL EXPENSE 655418 655418 MEDICAID USER FEES 616489 616489 BAD DEBTS 69996 69996 138589 91141 47448 17984494 15543970 2440524 0 55714 39346 7979461 6861046 1338495 1243797 263656 305302 35876323 12796552 23447869 23079771 3205803 3424547 782408 1031079 37073406 35984888 1600052 1346183 185167 177785 24972987 25336792 1373518 418807 28131724 27279567 X 8941682 8705321 8941682 8705321 37073406 35984888 X -270586 594424 -560199 X X 0 1 X 1 0 X 16992707 17786653 18571867 18080225 18062410 89493862 16992707 17786653 18571867 18080225 18062410 89493862 0 0 0 89493862 240029 136054 94915 62797 69718 603513 240029 136054 94915 62797 69718 603513 17232736 17922707 18666782 18143022 18132128 90097375 0.99330 0.98760 0.00670 0.01240 X 1430439 1430439 30032204 9755279 20276925 4413680 3041273 1372407 23079771 SECURITY DEPOSITS 418807 418807 X 17722226 594424 -560199 34225 17688001 25907 25907 17713908 17958587 0 17958587 25907 25907 17984494 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE STANDARDS FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES REQUIRE THE COMPANY TO REPORT ANY UNCERTAIN TAX POSITIONS AND TO ADJUST ITS FINANCIAL STATEMENTS FOR THE IMPACT THEREOF. AS OF DECEMBER 31, 2012 AND 2011, THE COMPANY DETERMINED THAT IT HAD NO TAX POSITIONS THAT DID NOT MEET THE "MORE LIKELY THAN NOT" THRESHOLD OF BEING SUSTAINED BY THE APPLICABLE TAX AUTHORITY. THE COMPANY FILES TAX AND INFORMATION RETURNS IN THE UNITED STATES (FEDERAL) AND MASSACHUSETTS (STATE) JURISDICTIONS. THESE RETURNS ARE GENERALLY SUBJECT TO EXAMINATION BY TAX AUTHORITIES FOR THE LAST THREE YEARS. PART XI, LINE 2D - OTHER ADJUSTMENTS: UNREALIZED LOSS ON CARRYING VALUE OF INTEREST RATE SWAP CONTRACT -560,202. ROUNDING 3. PART XI, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT EXPENSES NETTED AGAINST INVESTMENT INCOME 25,907. PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT EXPENSES NETTED AGAINST INVESTMENT INCOME 25,907. X X 0 0 0 0 0 0 0 0 0 RICHARD KILLIGREW 177104 0 0 0 0 0 2657 0 4535 0 184296 0 0 0 A MASSACHUSETTS DEVELOPMENT FINANCE AGENCY 043431814 57583RRD9 2010-11-19 25060000 REFINANCE AND EXPANSION/RENOVATION 0 0 0 A 18916919 25060000 290384 520871 5331826 2011 1 0 1 1 A 0 0 0 0 0 0 0 A 0 1 0 0 1 1 SOVEREIGN BANK 9.000000000000 0 0 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE PRESIDENT & CEO REVIEWS THE 990 BEFORE IT IS FILED. THE FORM 990 IS REVIEWED BY THE FINANCE COMMITTEE AT THE FIRST FINANCE COMMITTEE MEETING AFTER THE 990 IS PREPARED. THE FINANCE COMMITTEE WILL THEN REPORT ON ITS REVIEW OF THE FORM 990 TO THE FULL BOARD OF TRUSTEES AT THE NEXT BOARD MEETING, UPON APPROVAL BY THE BOARD OF TRUSTEES, A FINAL COPY OF THE FORM 990 WILL THEN BE FILED WITH THE IRS, AND DISTRIBUTED TO EACH VOTING MEMBER OF THE BOARD OF TRUSTEES. 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 MEEETING, EVEN WHERE PERMITTED BY LAW. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF TRUSTEES DECIDE 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 GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE AT EACH LOCATION UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: UNREALIZED LOSS ON CARRYING VALUE OF INTEREST RATE SWAP CONTRACT -560,202. ROUNDING 3. OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS NOT CHANGED EITHER ITS OVERSIGHT OR SELECTION PROCESS DURING THE TAX YEAR.