MASONIC CENTER FOR HEALTH AND REHAB INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
MASONIC CENTER FOR HEALTH AND REHAB INC (EIN 39-1506910)
Tax period
2021-07-01 to 2022-06-30
Filed
2023-04-25
IRS object ID
202301159349300010
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-04-25T08:02:52-05:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line18215 GREENWAY BOULEVARD SUITE 600AddressLine1Txt
CityMIDDLETONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53562ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391506910EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MASONIC CENTER FOR HEALTH AND REHAB INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMASOBusinessNameControlTxt
Phone2629652111PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1410 N MAIN STREETAddressLine1Txt
CityDOUSMANCityNm
State AbbreviationWIStateAbbreviationCd
ZIP531189348ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJEAN FREUCKPersonNm
Person TitleCFO; VP OF FINANCE & SALESPersonTitleTxt
Phone2629652111PhoneNum
Signature2023-04-19SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJEANPersonFirstNm
Person LastFREUCKPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKIMBERLY ANDERSONPreparerPersonNm
PTINP00188889PTIN
Phone6086628600PhoneNum
Preparation2023-04-19PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMARK STRAUTMANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1410 N MAIN STREETAddressLine1Txt
CityDOUSMANCityNm
State AbbreviationWIStateAbbreviationCd
ZIP531189348ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$6,118,156GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.THREEPILLARS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1984FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionMASONIC CENTER FOR HEALTH AND REHAB, INC., SPONSORED BY THE MASONIC FRATERNITY, MEETS THE SOCIAL, PHYSICAL, AND SPIRITUAL NEEDS OF OLDER ADULTS BY PROVIDING HIGH QUALITY HOUSING AND SERVICES IN A SKILLED NURSING FACILILTY.ActivityOrMissionDesc
Voting Members Governing Body3VotingMembersGoverningBodyCnt
Voting Members Independent1VotingMembersIndependentCnt
Total Employee173TotalEmployeeCnt
Total Volunteers98TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,193,537PYContributionsGrantsAmt
CY Contributions Grants$452,909CYContributionsGrantsAmt
PY Program Service Revenue$6,657,574PYProgramServiceRevenueAmt
CY Program Service Revenue$5,655,727CYProgramServiceRevenueAmt
PY Investment Income-$485,109PYInvestmentIncomeAmt
CY Investment Income$1,614CYInvestmentIncomeAmt
PY Other Revenue$10,335PYOtherRevenueAmt
CY Other Revenue$7,906CYOtherRevenueAmt
PY Total Revenue$8,376,337PYTotalRevenueAmt
CY Total Revenue$6,118,156CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$6,409,537PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,825,340CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,722,466PYOtherExpensesAmt
CY Other Expenses$3,489,742CYOtherExpensesAmt
PY Total Expenses$10,132,003PYTotalExpensesAmt
CY Total Expenses$9,315,082CYTotalExpensesAmt
PY Revenues Less Expenses-$1,755,666PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$3,196,926CYRevenuesLessExpensesAmt
Total Assets BOY$14,689,259TotalAssetsBOYAmt
Total Assets EOY$13,904,317TotalAssetsEOYAmt
Total Liabilities BOY$25,738,846TotalLiabilitiesBOYAmt
Total Liabilities EOY$28,150,830TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$11,049,587NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$14,246,513NetAssetsOrFundBalancesEOYAmt
MissionMASONIC CENTER FOR HEALTH AND REHAB, INC., SPONSORED BY THE MASONIC FRATERNITY, MEETS THE SOCIAL, PHYSICAL, AND SPIRITUAL NEEDS OF OLDER ADULTS BY PROVIDING HIGH QUALITY HOUSING AND SERVICES IN A SKILLED NURSING FACILILTY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$7,745,997ExpenseAmt
Revenue$5,655,727RevenueAmt
DescSKILLED NURSING AND REHABILITATION SERVICES - THE ORGANIZATION PROVIDES SKILLED NURSING AND REHABILITATION SERVICES FOR THE FRAIL AND ELDERLY, INCLUDING SOCIAL AND ACTIVITY THERAPY IN A MEDICARE AND MEDICAID CERTIFIED FACILITY. DURING THE YEAR, AN AVERAGE OF 43 RESIDENTS PER DAY FOR A TOTAL OF 15,635 DAYS OF CARE WERE PROVIDED.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$75,032ExpenseAmt
DescWELLNESS SERVICES - WE OFFER SPECIALIZED PROGRAMMING AND EQUIPMENT DESIGNED FOR FITNESS AND WELLNESS FOR ACTIVE ADULTS AGED 55 AND UP.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$7,821,029TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee173EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members3GoverningBodyVotingMembersCnt
Independent Voting Member1IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JEAN FREUCKBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2629657203PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1410 N MAIN STAddressLine1Txt
CityDOUSMANCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53118ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
JAMES MCLEER
BOARD CHAIR1.001.00Yes (X)Yes (X)$0$0$0
MARK STRAUTMAN
PRESIDENT & CEO18.0022.00Yes (X)Yes (X)$0$235,299$28,270
JEAN FREUCK
SECRETARY/TREASURER & CFO18.0022.00Yes (X)Yes (X)$0$168,239$23,008
DAVE RADEMACHER
COO21.0019.00Yes (X)$0$150,196$6,643
KATHY BERNADEN
CHIEF HR OFFICER22.0018.00Yes (X)$0$114,249$12,878
CAYLA PIEHL
HEALTH CARE ADMINISTRATOR11.0029.00$0$114,516$9,617Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$782,499TotReportableCompRltdOrgAmt
Total Other Compensation$80,416TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K10IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$451,369GovernmentGrantsAmt
All Other Contributions$1,540AllOtherContributionsAmt
Total Contributions$452,909TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescSKILLED NURSING SERVICDesc
Business623000BusinessCd
Total Revenue Column$5,655,727TotalRevenueColumnAmt
Related Or Exempt Func Income$5,655,727RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$5,655,727TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,614TotalRevenueColumnAmt
Exclusion$1,614ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
MEAL REVENUE623000$8,303$8,303
MISCELLANEOUS REVENUE623000-$397-$397
FieldValueIRS element (for citing)
Other Revenue Total$7,906OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,118,156TotalRevenueColumnAmt
Related Or Exempt Func Income$5,655,727RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$9,520ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,471,498TotalAmt
Program Services$3,582,054ProgramServicesAmt
Management And General$889,444ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$71,854TotalAmt
Program Services$68,999ProgramServicesAmt
Management And General$2,855ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$999,704TotalAmt
Program Services$959,976ProgramServicesAmt
Management And General$39,728ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$282,284TotalAmt
Program Services$271,066ProgramServicesAmt
Management And General$11,218ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$5,849TotalAmt
Management And General$5,849ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$21,183TotalAmt
Management And General$21,183ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,215TotalAmt
Management And General$1,215ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,058,425TotalAmt
Program Services$883,737ProgramServicesAmt
Management And General$174,688ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$60,351TotalAmt
Management And General$60,351ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$139,769TotalAmt
Program Services$92,190ProgramServicesAmt
Management And General$47,579ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$104,824TotalAmt
Management And General$104,824ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$304,198TotalAmt
Program Services$263,834ProgramServicesAmt
Management And General$40,364ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$12,628TotalAmt
Program Services$6,531ProgramServicesAmt
Management And General$6,097ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$251,830TotalAmt
Program Services$251,830ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$769,535TotalAmt
Program Services$769,535ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$77,663TotalAmt
Program Services$22,425ProgramServicesAmt
Management And General$55,238ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MEDICAL SUPPLIES$220,003$220,003
DINING SERVICES$158,535$158,535
MEDICAID BED TAX$112,200$112,200
PHARMACY / DRUGS$88,185$88,185

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$103,349TotalAmt
Program Services$69,929ProgramServicesAmt
Management And General$33,420ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$9,315,082TotalAmt
Program Services$7,821,029ProgramServicesAmt
Management And General$1,494,053ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$162,444BOYAmt
EOY$181,937EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$50,139BOYAmt
EOY$46,624EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$221,933BOYAmt
EOY$384,798EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$12,886BOYAmt
EOY$27,470EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$26,656BOYAmt
EOY$26,966EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$20,798,431LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$10,323,104LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,839,183BOYAmt
EOY$10,475,327EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$7,358,626BOYAmt
EOY$2,739,490EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$17,392BOYAmt
EOY$21,705EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$14,689,259BOYAmt
EOY$13,904,317EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$980,530BOYAmt
EOY$946,836EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$47,422BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$14,592,526BOYAmt
EOY$14,472,315EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$17,392BOYAmt
EOY$24,192EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,100,976BOYAmt
EOY$12,707,487EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$25,738,846BOYAmt
EOY$28,150,830EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$11,051,084BOYAmt
EOY-$14,247,003EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,497BOYAmt
EOY$490EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$11,049,587BOYAmt
EOY-$14,246,513EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$14,689,259BOYAmt
EOY$13,904,317EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$3,196,926ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$45,761CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,150CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$425,633CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,193,537CurrentTaxYearMinus1YearAmt
Current Tax Year$452,909CurrentTaxYearAmt
Total$3,121,990TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,407,630CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,899,501CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,806,530CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,657,574CurrentTaxYearMinus1YearAmt
Current Tax Year$5,655,727CurrentTaxYearAmt
Total$36,426,962TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$20,346CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$19,713CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$16,076CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,180CurrentTaxYearMinus1YearAmt
Current Tax Year$7,906CurrentTaxYearAmt
Total$74,221TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,473,737CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,923,364CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,248,239CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,861,291CurrentTaxYearMinus1YearAmt
Current Tax Year$6,116,542CurrentTaxYearAmt
Total$39,623,173TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,686,228CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,952,512CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,154,068CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,912,653CurrentTaxYearMinus1YearAmt
Current Tax Year$4,191,854CurrentTaxYearAmt
Total$15,897,315TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,686,228CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,952,512CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,154,068CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,912,653CurrentTaxYearMinus1YearAmt
Current Tax Year$4,191,854CurrentTaxYearAmt
Total$15,897,315TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$23,725,858PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,637CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,293CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,964CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$106CurrentTaxYearMinus1YearAmt
Current Tax Year$1,614CurrentTaxYearAmt
Total$24,614TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,637CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,293CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,964CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$106CurrentTaxYearMinus1YearAmt
Current Tax Year$1,614CurrentTaxYearAmt
Total$24,614TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,479,374CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,933,657CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,255,203CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,861,397CurrentTaxYearMinus1YearAmt
Current Tax Year$6,118,156CurrentTaxYearAmt
Total$39,647,787TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.59840PublicSupportCY509Pct
Public Support PY5090.66820PublicSupportPY509Pct
Investment Income CY0.00060InvestmentIncomeCYPct
Investment Income PY0.00060InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,910OtherCostOrOtherBasisAmt
Book Value$2,910BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$15,624,526OtherCostOrOtherBasisAmt
Depreciation$7,172,828DepreciationAmt
Book Value$8,451,698BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,490,792OtherCostOrOtherBasisAmt
Depreciation$2,683,439DepreciationAmt
Book Value$807,353BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,680,203OtherCostOrOtherBasisAmt
Depreciation$466,837DepreciationAmt
Book Value$1,213,366BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$10,475,327TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescINTERCOMPANY ACCOUNTDesc
Amt$12,707,487Amt
FieldValueIRS element (for citing)
Total Liability$12,707,487TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART IV, LINE 2B:FormAndLineReferenceDesc
ExplanationRESIDENT FUNDS ARE REQUIRED TO BE ESTABLISHED AND ARE HELD FOR SAFEKEEPING BY THE CENTER. THESE AMOUNTS CAN BE WITHDRAWN AT ANY TIME BY THE RESIDENTS, AND ARE HELD IN ONE BANK ACCOUNT.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MARK STRAUTMAN
PRESIDENT & CEO$0$200,169$0$33,840$0$1,290$0$8,950$0$19,320$0$263,569$0$0
JEAN FREUCK
SECRETARY/TREASURER & CFO$0$168,239$0$0$0$0$0$7,513$0$15,495$0$191,247$0$0
DAVE RADEMACHER
COO$0$148,906$0$0$0$1,290$0$6,643$0$0$0$156,839$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3FormAndLineReferenceDesc
ExplanationMASONIC CENTER FOR HEALTH AND REHAB IS RELATED TO THREE PILLARS, A GROUP OF NON-PROFIT ORGANIZATIONS. WISCONSIN MASONIC HOME IS A RELATED PARTY, WHICH PAYS THE CFO AND CEO OF THREE PILLARS. MASONIC CENTER FOR HEALTH AND REHAB THEN REIMBURSES WISCONSIN MASONIC HOME FOR THEIR PORTION OF THE SALARY EXPENSE. IN ORDER TO DETERMINE COMPENSATION, A GOVERNANCE COMMITTEE OF WISCONSIN MASONIC HOME'S BOARD DETERMINES THE SALARY OF THE CEO USING A COMPENSATION SURVEY. THE PROCESS FOLLOWED BY THE COMMITTEE, INCLUDING THE DATA RELIED UPON AND THE COMMITTEE'S DECISIONS, WAS THOROUGLY AND TIMELY DOCUMENTED.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE SOLE CORPORATE MEMBER OF MASONIC CENTER FOR HEALTH AND REHAB, INC. IS WISCONSIN MASONIC HOME, INC.
FORM 990, PART VI, SECTION A, LINE 7AWISCONSIN MASONIC HOME, INC. ELECTS THE OUTSIDE DIRECTOR.
FORM 990, PART VI, SECTION A, LINE 7BTHE SOLE CORPORATE MEMBER HAS CERTAIN RESERVED POWERS OVER THE DECISIONS MADE BY THE BOARD OF DIRECTORS OF MASONIC CENTER FOR HEALTH AND REHAB, INC. THESE POWERS INCLUDE: 1) ELECTION OF THE BOARD OF DIRECTORS 2) ACTIONS REQUIRING APPROVAL BY A MEMBER BY LAY OR AS SET FORTH IN THESE BYLAWS, AND 3) AMENDMENTS TO THE BYLAWS AND ARTICLES OF INCORPORATION OF THE CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 WILL BE REVIEWED BY THE CFO AND ACCOUNTANT.
FORM 990, PART VI, SECTION B, LINE 12CALL DIRECTORS, OFFICERS, AND KEY EMPLOYEES SIGN A WRITTEN CONFLICT OF INTEREST FORM ANNUALLY. IF A CONFLICT EXISTS WITH A MEETING'S AGENDA, THAT DIRECTOR OR OFFICER WILL ABSTAIN FROM DISCUSSION AND VOTING. THE CONFLICT OF INTEREST POLICY IS MONITORED BY THE GOVERNANCE COMMITTEE.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL INFORMATION OF MASONIC CENTER FOR HEALTH AND REHAB, INC. ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VII, LINE 1MARK STRAUTMAN, CEO, DEVOTES APPROXIMATELY 40 HOURS PER WEEK AS FOLLOWS: WISCONSIN MASONIC HOME - 16 HOURS, MASONIC CENTER FOR HEALTH AND REHAB, INC - 18 HOURS, VILLAGE ON THE SQUARE - 6 HOURS. JEAN FREUCK, CFO, DEVOTES APPROXIMATELY 40 HOURS PER WEEK AS FOLLOWS: WISCONSIN MASONIC HOME 16 HOURS, MASONIC CENTER FOR HEALTH AND REHAB, INC - 18 HOURS, VILLAGE ON THE SQUARE - 6 HOURS. DAVE RADEMACHER, COO, DEVOTES APPROXIMATELY 40 HOURS PER WEEK AS FOLLOWS: WISCONSIN MASONIC HOME - 12 HOURS, MASONIC CENTER FOR HEALTH AND REHAB, INC - 21 HOURS, VILLAGE ON THE SQUARE - 7 HOURS. JOSH VAN DEN BERG, CHIEF MARKETING OFFICER, DEVOTES APPROXIMATELY 40 HOURS PER WEEK AS FOLLOWS: WISCONSIN MASONIC HOME - 15 HOURS, MASONIC CENTER FOR HEALTH AND REHAB, INC - 11 HOURS, VILLAGE ON THE SQUARE - 14 HOURS. KATHY BERNADEN, CHIEF HR OFFICER, DEVOTES APPROXIMATELY 40 HOURS PER WEEK AS FOLLOWS: WISCONSIN MASONIC HOME - 14 HOURS, MASONIC CENTER FOR HEALTH AND REHAB, INC - 22 HOURS, VILLAGE ON THE SQUARE - 5 HOURS.
FORM 990, PART IX, LINE 11GOTHER FEES: PROGRAM SERVICE EXPENSES 883,737. MANAGEMENT AND GENERAL EXPENSES 174,688. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,058,425.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
VILLAGE ON THE SQUARE INC
410 MAIN STREETDOUSMANWI53118391662636INDIVIDUAL LIVING FACILITIESWI501(C)(3)LINE 10WICONSIN MASONIC HOME0
WISCONSIN MASONIC HOME INC
410 MAIN STREETDOUSMANWI53118390813463SENIOR ASSISTED LIVINGWI501(C)(3)LINE 100N/A
GRAND LODGE FREE & ACCEPTED MASONS OF WISCONSIN
36275 SUNSET DRIVEDOUSMANWI53118390129695FRATERNAL ORGANIZATIONWI501(C)(8) & (C)(10)0N/A
WISCONSIN MASONIC FOUNDATION
36275 SUNSET DRIVEDOUSMANWI53118396044637SCHOLARSHIP PROVIDERWI501(C)(3)LINE 70N/A
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset ExchangeYes (1)AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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