2021-11-15T13:38:18-06:00 2020-12-31 111986323 MARCUM LLP 555 LONG WHARF DRIVE NEW HAVEN CT 06511 990 2020-01-01 043515686 OVERLOOK COMMUNITIES INC OVER 5082487344 88 MASONIC HOME ROAD CHARLTON MA 01507 TAMERYN CAMPBELL CEO/PRESIDENT 5082487344 2021-11-12 1 TAMERYN CAMPBELL 999009999 MARY ANTONETTI P00431862 2037819600 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z TAMERYN CAMPBELL 88 MASONIC HOME ROAD CHARLTON MA 01507 13634106 0 X HTTP://OVERLOOK-MASS.ORG X 2000 MA CHARITABLE - THE PROVISION OF A SENIOR LIVING LIFE CARE COMMUNITY. 9 8 164 10 0 0 0 22835 12768538 13212451 14293 6120 356186 392700 13139017 13634106 0 0 0 0 3830887 4405684 0 0 0 9077933 9231873 12908820 13637557 230197 -3451 34387959 32024784 71931101 69571377 -37543142 -37546593 CHARITABLE - THE PROVISION OF AN ELDERLY COMMUNITY FOR THE RESIDENTS OF THE LOCAL COMMUNITY. 0 0 9941876 13605151 TO PROVIDE, OPERATE, MANAGE, AND/OR ARRANGE FOR THE PROVISION OF HOUSING FACILITIES AND RELATED SERVICES FOR ELDERLY FREEMASONS OF EVERY RACE, COLOR AND RELIGION, AND THEIR WIDOWS AND FAMILY MEMBERS, AS WELL AS MEMBERS OF THE COMMUNITY AT LARGE, INCLUDING CONTINUING CARE FACILITIES AND SERVICES SPECIALLY DESIGNED TO MEET SAID INDIVIDUALS' PHYSICAL SOCIAL AND PSYCHOLOGICAL NEEDS, AND TO PROMOTE THEIR HEALTH, SECURITY, HAPPINESS AND USEFULNESS IN LONGER LIVING. 9941876 1 0 0 0 0 0 0 0 0 0 1 0 0 1 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 0 1 0 0 0 1 70 0 1 164 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X X TAMERYN CAMPBELL 5084342412 88 MASONIC HOME ROAD CHARLTON MA 01507 RICHARD MAGGIO GRAND MASTER (FROM 1/1/2020) 0.15 0.45 X 0 0 0 KENNETH BLAKE MHS BOARD CHAIR 0.15 0.45 X 0 0 0 MASON RUSSELL GRAND TREASURER 0.15 0.45 X 0 0 0 ROBERT JOLLY CHAIR 0.15 0.45 X X 0 0 0 JACK MULHALL VICE CHAIR 0.15 0.45 X X 0 0 0 WILLIAM HOLLAND TREASURER 0.15 0.45 X X 0 0 0 DAVID PACE SECRETARY 0.15 0.45 X X 0 0 0 ROBERT SCHREMSER CLERK (FROM 1/1/2020) 0.15 0.45 X X 0 0 0 TAMERYN CAMPBELL MHS PRESIDENT & CEO 0.15 40.30 X X 0 398990 66881 MICHAEL QUIRK EXECUTIVE DIRECTOR 40.00 X 150767 0 23397 DANYEL DARGER DIRECTOR OF MARKETING 40.00 X 143733 0 23050 JEREMY ROUSH CHIEF OF CULINARY SERVICES 40.00 X 110331 0 20896 NORA KUBASKA SALES COUNSELOR 40.00 X 104984 0 12962 509815 398990 147186 4 0 1 0 LOVE & COMPANY INC 7490 NEW TECHNOLOGY WAY FREDERICK MD 21703 MARKETING CONSULTANT 426419 REINHART FOODSERVICE LLC 6250 N RIVER ROAD ROSEMONT IL 60018 FOOD SERVICES 205379 NORTHEAST FLOORING & KITCHEN 17 KENNEDY DR PUTNAM CT 06260 APARTMENT RENOVATIONS 173152 P&P FLOOR COVERING 107 WAITE CORNER ROAD NORTH BROOKFIELD MA 01535 APARTMENT RENOVATIONS 156922 4 22835 22835 PATIENT SVC & RESIDENT REVENUE 623000 11336168 11336168 ENTRANCE FEE REVENUE 623990 1876283 1876283 13212451 6120 6120 CABLE TV ACCESS REVENUE 721310 207335 207335 OTHER AUXILIARY SERVICES 900099 146377 146377 BARBER/BEAUTY REVENUE 721310 38988 38988 392700 13634106 13605151 0 6120 X 222164 222164 3462463 2364094 1098369 21971 15380 6591 466125 319269 146856 232961 163073 69888 454832 454832 121 121 18084 18084 2786540 2605764 180776 244729 244729 301148 212993 88155 1233687 863581 370106 7105 7105 29705 20794 8911 1937027 1355919 581108 154766 108336 46430 EQUIP RENTAL & MAINT 853069 597148 255921 FOOD 774017 771721 2296 RESIDENTIAL ACTIVITIES 277871 258434 19437 BAD DEBT EXPENSE 32118 32118 127054 31088 95966 13637557 9941876 3695681 0 829859 240377 1100572 128651 8704 0 255122 310540 56430590 27952777 29416778 28477813 2776924 2867403 34387959 32024784 612007 488018 633696 554484 70685398 68528875 71931101 69571377 X -37552505 -37555956 9363 9363 -37543142 -37546593 34387959 32024784 -3451 0 X X 0 1 X 1 0 X 12956 9865 11630 22835 57286 9972349 11132474 11696369 12768538 13212451 58782181 9985305 11142339 11707999 12768538 13235286 58839467 0 0 0 58839467 28066 23127 -46897 14293 6120 24709 28066 23127 -46897 14293 6120 24709 299857 356186 392700 1048743 10013371 11165466 11960959 13139017 13634106 59912919 0.98210 0.98770 0.00040 0.00070 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER SERVICES - 2018 AMOUNT: $ 299,857. 2019 AMOUNT: $ 356,186. 2020 AMOUNT: $ 392,700. 45390527 18707221 26683306 6221335 5294508 926827 4818728 3951048 867680 28477813 DUE FROM AFFILIATES 2742125 OTHER ASSETS 125278 2867403 DUE TO AFFILIATES 28181890 NON-REFUNDABLE ENTRANCE FEES 10839234 REFUNDABLE ENTRANCE FEES 29507751 68528875 X 13601988 -32118 -32118 13634106 0 13634106 13605439 0 13605439 32118 32118 13637557 PART X, LINE 2: BELOW IS AN EXCERPT FROM FOOTNOTE 2 OF THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS FOR THE MASONIC HEALTH SYSTEM OF MASSACHUSETTS, INC. MHS, HEALTH CENTER, OVNA, COMMUNITIES, AND NORTHAMPTON HAVE BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE ORGANIZATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2020 AND 2019, THERE ARE NO TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS PENDING OR IN PROGRESS. PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSE -32,118. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 32,118. X 1 1 X X X X 0 0 0 0 0 0 0 0 0 TAMERYN CAMPBELL MHS PRESIDENT & CEO 0 345512 0 50640 0 2838 0 5700 48000 13181 48000 417871 0 0 MICHAEL QUIRK EXECUTIVE DIRECTOR 135013 0 15467 0 287 0 0 0 23397 0 174164 0 0 0 DANYEL DARGER DIRECTOR OF MARKETING 99267 0 44006 0 460 0 2902 0 20148 0 166783 0 0 0 PART I, LINE 1A TAMERYN CAMPBELL RECEIVED A HOUSING ALLOWANCE WITH AN ESTIMATED VALUE OF $48,000 DURING THE YEAR ENDING DECEMBER 31, 2020. THIS WAS FOR THE BENEFIT OF THE ORGANIZATION AND WAS REPORTED AS NONTAXABLE BENEFIT TO TAMERYN. FORM 990, PART VI, SECTION A, LINE 6 THE MASONIC HEALTH SYSTEM OF MASSACHUSETTS, INC. IS THE SOLE MEMBER OF THE ORGANIZATION AND ELECTS THE BOARD OF DIRECTORS. THERE ARE NO CLASSES OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7A THE MASONIC HEALTH SYSTEM OF MASSACHUSETTS, INC. HAS THE POWER TO REMOVE DIRECTORS, TO FILL VACANCIES, AND TO INCREASE OR DECREASE THE SIZE OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 7B THE MASONIC HEALTH SYSTEM OF MASSACHUSETTS, INC. HAS THE POWER TO REMOVE DIRECTORS, TO FILL VACANCIES, AND TO INCREASE OR DECREASE THE SIZE OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B MANAGEMENT WORKS WITH THE ORGANIZATION'S TAX ADVISOR (CPA FIRM) TO PREPARE THE FINANCIAL INFORMATION AND COMPILE THE DISCLOSURES REQUIRED OF THE FORM 990. UPON ITS COMPLETION, SENIOR MANAGEMENT PROVIDES A DRAFT OF THE FORM 990 TO THE BOARD OF DIRECTORS PRIOR TO ITS SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REGULARY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY VIA ANNUAL EXECUTION OF THE CONFLICT OF INTEREST POLICY. THIS CONFLICTS POLICY IS INTENDED TO SUPPLEMENT, BUT NOT REPLACE, ANY APPLICATBLE STATE LAWS GOVERNING CONFLICTS OF INTEREST APPLICABLE TO NONPROFIT AND CHARITABLE CORPORATIONS. THIS CONFLICTS POLICY HAS BEEN ADOPTED BY THE BOARD OF DIRECTORS OF MASONIC HEALTH SYSTEMS OF MASSACHUSETTS, INC. (MHS) THIS CONFLICTS POLICY SHALL APPLY WITH EQUAL FORCE TO ALL CORPORATIONS RELATED TO, OR AFFILIATED WITH MHS. ON AN ANNUAL BASIS THE DIRECTORS COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE WHICH IS REVIEWED BY THE PRESIDENT'S OFFICE. IF A CONFLICT ARISES, THE INDIVIDUAL WOULD RECUSE THEMSELVES FROM ALL DISCUSSION ON THE MATTER. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S SOLE MEMBER, MASONIC HEALTH SYSTEM OF MASSACHUSETTS, INC. MAINTAINS AN EXECUTIVE COMMITTEE, WHICH AMONG OTHER THINGS, REVIEWS THE COMPENSATION AND TERMS OF THE AGREEMENT WITH ITS EXECUTIVE OFFICER. THE COMMITTEE REVIEWS THE COMPENSATION OF THE INDIVDIUAL IN RELATION TO THE SALARY LEVEL OF OTHER COMPARABLE POSITIONS IN THE MARKET AND THEIR PERFORMANCE. ONCE REASONABLE COMPENSATION IS DETERMINED, IT IS APPROVED BY THE BOARD. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION'S FORM 990 IS AVAILABLE TO THE PUBLIC UPON REQUEST AND CAN ALSO BE FOUND ON THE MASSACHUSETTS ATTORNEY GENERAL WEBSITE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S FINANCIAL STATEMENTS, THE CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,605,764. MANAGEMENT AND GENERAL EXPENSES 993. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,606,757. OTHER FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 179,783. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 179,783. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. MASONIC HEALTH SYSTEM OF MASSACHUSETTS INC 88 MASONIC HOME ROAD CHARLTON MA 01507 043515688 PARENT MA 501(C)(3) LINE 12C, III-FI N/A 0 OVERLOOK VISITING NURSE ASSOCIATION INC 88 MASONIC HOME ROAD CHARLTON MA 01507 043515687 VNA MA 501(C)(3) LINE 10 MASONIC HEALTH SYSTEM OF MASSACHUSETTS 0 OVERLOOK MASONIC HEALTH CENTER INC 88 MASONIC HOME ROAD CHARLTON MA 01507 222843194 NURSING FACILITY MA 501(C)(3) LINE 10 MASONIC HEALTH SYSTEM OF MASSACHUSETTS 0 0 0 0 1 1 0 0 0 0 0 1 1 1 1 0 0 0 0 0