2011-11-14T14:11:21-06:00 2010-12-31 LARSONALLEN LLP 300 CROWN COLONY DRIVE SUITE 310 QUINCY MA 02169 990 2010-01-01 223064323 MARY ANN MORSE HEALTHCARE CORP MARY 5087886050 747 WATER STREET FRAMINGHAM MA 01701 RICHARD KILLIGREW 5087886050 2011-11-09 1 DOUGLAS FIEBELKORN 6179848100 2011-11-09 2010 2016-03-07 17:11:31Z RICHARD KILLIGREW 747 WATER STREET FRAMINGHAM MA 01701 19840361 0 X N/A X 1990 MA THE MISSION OF MARY ANNE 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. 12 11 322 15 0 0 0 0 17786653 18571867 -69045 204956 0 0 17717608 18776823 0 0 0 0 10913666 10878578 0 0 0 6121384 6867052 17035050 17745630 682558 1031193 32871452 37263576 24345218 27521295 8526234 9742281 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 10844078 12162326 MARY ANN MORSE NURSING & REHAB CENTER IS 123 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 ACCREDIDATION 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 ACCREDIDATION OF HEALTHCARE ORGANIZATIONS. 4429271 6409541 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 BUSINESS AND A SMALL BUSINESS, WHICH PROVIDES TRANSPORTATION FOR RESIDENTS OF OFFSITE ACTIVITIES. 15273349 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 92 0 322 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X RICHARD KILLIGREW 5087886050 747 WATER STREET FRAMINGHAM MA 01701 DONALD BLOCH 1.00 X X 0 0 0 ALLAN MCLEAN 40.00 X X 138792 0 0 MICHAEL GOTTLIEB MD 1.00 X 0 0 0 FRANK JENKINS 1.00 X X 0 0 0 MARY ELIZABETH COTTER 1.00 X 0 0 0 BARRY SIMS 1.00 X X 0 0 0 BARBARA PLANTE 1.00 X 0 0 0 ELIZABETH DONNELLY 1.00 X 0 0 0 MARK RICH 42810 1.00 X 0 0 0 WILLIAM GOODMAN MD 1.00 X 0 0 0 JENNY MCGEE 1.00 X 0 0 0 MARY GREENDALE 1.00 X 0 0 0 RICHARD KILLIGREW 40.00 X 122247 0 14185 LISA KUBIAK 40.00 X 130150 0 14031 ELLEN ADAMS 40.00 X 119538 0 13699 SUSAN CORINA 40.00 X 102972 0 13482 ROSALINE COELHO 40.00 X 109968 0 13581 723667 0 68978 6 0 0 0 CARR ENTERPRISES 10 DEARBORN ROAD SUITE 3C PEABODY MA 01960 BUILDING CONTRACTOR 499677 STAT CARE PHARMACY 198 WORCESTER ST NORTH GRAFTON MA 01536 PATIENT MEDICATIONS 322906 LEVI & WONG DESIGNS 45 WALDEN ST CONCORD MA 01742 ARCHITECTURAL SERVICES 190308 PROMUTUAL GROUP 101 ARCH ST BOSTON MA 02110 INSURANCE SERVICES 163832 PEGASUS SOLUTIONS 184 WEST CENTRAL STREET FRANKLIN MA 02038 FINANCIAL CONSULTING 148562 5 PROG.SERV.REVENUE-RELA 623000 18170772 18170772 OTHER PROGRAM INCOME 623000 401095 401095 18571867 94915 94915 1173579 1063538 110041 110041 110041 18776823 18571867 0 204956 275224 275224 8964010 7643493 1320517 33452 28671 4781 867732 743711 124021 738160 632659 105501 56523 56523 247770 247770 27162 27162 734655 734655 61124 61124 199679 49946 149733 27713 27713 1390063 1390063 22840 1000 21840 108752 108752 1066357 1037900 28457 RELATED MEDICAL EXPENSE 1080742 1080742 MEDICAID USER FEES 615338 615338 FOOD 607135 607135 WRITE-OFF OF DEFERRED F 447867 447867 BARBER EXPENSE 46717 46717 126615 77538 49077 17745630 15273349 2472281 0 164799 88162 5629501 6784076 1322325 1268304 319394 260779 31195115 10428373 19857057 20766742 3099880 3399105 2478496 4696408 32871452 37263576 1340328 1832114 176310 197033 22390000 25060000 438580 432148 24345218 27521295 X 8526234 9742281 8526234 9742281 32871452 37263576 X 1031193 184854 X X 0 1 1 X 0 X 15221428 16098566 16992707 17786653 18571867 84671221 15221428 16098566 16992707 17786653 18571867 84671221 0 0 0 84671221 346217 568719 240029 136054 94915 1385934 346217 568719 240029 136054 94915 1385934 15567645 16667285 17232736 17922707 18666782 86057155 0.98390 0.98150 0.01610 0.01850 X 1430439 1430439 21155338 6236993 14918345 3007692 1819457 1188235 3841985 2371923 1470062 1759661 1759661 20766742 BOND FUND RESERVE 4177908 DEFERRED FINANCING COSTS, NET 518500 4696408 SECURITY DEPOSITS 432148 432148 18776823 17745630 1031193 184854 184854 1216047 18961677 184854 184854 18776823 0 18776823 17745630 0 17745630 0 17745630 PART XI, LINE 8 - OTHER ADJUSTMENTS: ROUNDING MASSACHUSETTS DEVELOPMENT FINANCE AGENCY 043431814 57583RRD9 2010-11-19 25060000 REFINANCE AND EXPANSION/RENOVATION 0 0 0 25060000 520872 4931000 2011 1 0 1 1 0 0 0 0 1 0 1 0 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE PRESIDENT AND CEO REVIEWED THE 990 BEFORE IT WAS 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. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY THAT IS APPLICABLE TO ALL BOARD 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 CHIEF FINANCIAL OFFICER; EXECUTIVE DIRECTOR, MARY ANN MORSE NURSING & REHAB CENTER; EXECUTIVE DIRECTOR, HERITAGE ASSISTED LIVING FACILITY. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENTS AND TAX RETURNS ARE MADE AVAILABLE TO THE PUBLIC AT EACH LOCATION UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 184,854. ROUNDING FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS NOT CHANGED EITHER ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR.