2020-05-04T13:24:47-05:00 2019-12-31 464046371 CERRONE GRAHAM & SHEPHERD PC 446 MAIN ST 10TH FL WORCESTER MA 01608 990 2019-01-01 042104414 ODD FELLOWS HOME OF MASSACHUSETTS INC ODDF 5088536687 104 RANDOLPH ROAD WORCESTER MA 01606 CLARENCE PLANT BOARD SECRETARY 5088536687 2020-04-29 1 MARIE M SHEPHERD CPA P00516248 5087548512 2020-04-29 156.19.81.42 2020-04-29 15:54:46 ED P 7BADA03D45DAF2EBE31E00AFC0010B5BEBFEF245 D8C4CE6918C2335C18BD1293382FEAB1D5BA62BC 2019 2020-09-23 17:36:50Z CLARENCE PLANT 104 RANDOLPH ROAD WORCESTER MA 01606 8005917 0 X WWW.ODDFELLOWSHOMEMA.COM X 1898 MA TO PROVIDE OUR RESIDENTS WITH THE FINEST SKILLED NURSING AND REHABILITATIVE SERVICES. 13 12 211 0 0 0 55449 67502 7589045 7873924 48389 47266 -5429 -6573 7687454 7982119 0 0 0 0 5039160 5326446 0 0 0 2566604 2566974 7605764 7893420 81690 88699 3098645 3187478 2082797 2082001 1015848 1105477 TO PROVIDE OUR RESIDENTS WITH THE FINEST SKILLED NURSING AND REHABILITATIVE SERVICES. DEDICATED TO THE BASIC TENENTS OF FRIENDSHIP, LOVE AND TRUTH, OUR HIGHLY TRAINED STAFF PROVIDES COMPASSIONATE CARE IN A COMFORTABLE, SECURE ENVIRONMENT. 0 0 7009114 7873924 PROVIDE QUALITY SKILLED NURSING CARE AND THERAPY FOR 100 ELDERLY RESIDENTS. 7009114 1 1 0 0 0 0 0 0 1 1 1 0 0 0 0 1 1 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 1 0 1 0 1 18 0 1 211 1 0 0 0 0 0 1 1 0 0 0 0 X 13 12 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X CLARENCE PLANT 5088536687 104 RANDOLPH ROAD WORCESTER MA 01606 GEORGE E SHAW TRUSTEE 1.00 X 0 0 0 CLARENCE PLANT SECRETARY 40.00 X X 42723 0 0 DAVID LABONTE TREASURER 1.00 X X 0 0 0 ROBERT WALSH TRUSTEE 1.00 X 0 0 0 WENDY E BAKER PRESIDENT 1.00 X X 0 0 0 GERARD GILMORE JR TRUSTEE 1.00 X 0 0 0 JOHN SLANEY TRUSTEE 1.00 X 0 0 0 MARY G VITIELLO TRUSTEE 1.00 X 0 0 0 RUTH GARCIA VICE PRESIDENT 1.00 X X 0 0 0 WAYNE LEBLANC TRUSTEE 1.00 X 0 0 0 DWIGHT CROW TRUSTEE 1.00 X 0 0 0 DOREEN SLANEY TRUSTEE 1.00 X 0 0 0 DONNA FIFE TRUSTEE 1.00 X 0 0 0 42723 0 0 2 0 0 0 0 49965 17537 67502 PATIENT REVENUE 623000 7873924 7873924 7873924 47266 47266 17225 49965 23798 -6573 -6573 7982119 7873924 0 40693 X 4643530 4096980 546550 265901 234604 31297 417015 367932 49083 32770 32770 40822 40822 25178 25178 26454 26454 8872 8872 2862 2862 32103 32103 167351 147654 19697 92573 81677 10896 USER FEE EXPENSE 726890 726890 SUPPLIES AND EXPENSES 393978 393978 MEDICAL SUPPLIES AND DR 309432 309432 UTILITIES 207990 183509 24481 499699 441280 58419 7893420 7009114 884306 0 737840 777335 612475 766284 34458 60595 6089095 4556402 1664216 1532693 24967 25897 0 24689 24674 3098645 3187478 710960 747776 37651 45812 511106 486575 823080 801838 2082797 2082001 X 990881 1079580 24967 25897 1015848 1105477 3098645 3187478 88699 930 0 X X 0 1 X 1 0 X 69121 15939 9717 5032 17537 117346 7692947 7861330 7414524 7589045 7873924 38431770 7762068 7877269 7424241 7594077 7891461 38549116 0 0 0 38549116 49800 51976 47048 48389 47266 244479 49800 51976 47048 48389 47266 244479 7811868 7929245 7471289 7642466 7938727 38793595 0.99370 0.99360 0.00630 0.00640 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 37651 8161 45812 1 X 24967 930 25897 25199 -232 24967 25106 93 25199 25199 -93 25106 25664 -465 25199 0 0 45080 45080 4058124 2972051 1086073 861933 635359 226574 1026987 855950 171037 96971 93042 3929 1532693 X 7982119 0 7982119 0 7982119 7893420 0 7893420 0 7893420 PART IV, LINE 1B: THE ORGANIZATION IS THE CUSTODIAN OF THE RESIDENTS PERSONAL NEEDS ACCOUNT. PART IV, LINE 2B: RESIDENTS HAVE FUNDS DEPOSITED INTO ACCOUNT AND WITHDRAW FOR PERSONAL EXPENSES. PART V, LINE 4: THE ENDOWMENT FUNDS WERE ESTABLISHED TO PROVIDE INCOME TO THE ORGANIZATION OVER TIME. PART X, LINE 2: ODD FELLOWS HOME OF MASSACHUSETTS IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C) (3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE ORGANIZATION IS REQUIRED TO RECOGNIZE IN ITS FINANCIAL STATEMENTS THE IMPACT OF A TAX POSITION, IF THAT POSITION IS MORE LIKELY THAN NOT OF NOT BEING SUSTAINED ON AUDIT BASED ON THE TECHNICAL MERITS OF THE POSITION. THE ORGANIZATION FILES FEDERAL AND MASSACHUSETTS INCOME TAX RETURNS. THE INCOME TAX RETURNS FOR TAX YEARS 2017 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE AND THE MASSACHUSETTS DEPARTMENT OF REVENUE. THE ORGANIZATION DID NOT HAVE UNRECOGNIZED TAX BENEFITS AS OF DECEMBER 31, 2019 AND 2018 AND DOES NOT EXPECT THIS TO CHANGE SIGNIFICANTLY OVER THE NEXT 12 MONTHS. THE ORGANIZATION WILL RECOGNIZE INTEREST AND PENALTIES ACCRUED ON ANY UNRECOGNIZED TAX BENEFITS AS A COMPONENT OF INCOME TAX EXPENSE. GOLF TOURNAMENT 17260 12585 4675 1735 1449 2001 BLACK TIE GALA 49930 37380 12550 10407 8206 67190 49965 17225 1735 11856 10207 23798 -6573 X 0 0 0 0 0 0 0 0 0 FORM 990, PART V, LINE 13A MA FORM 990, PART VI, SECTION A, LINE 2 TRUSTEES JOHN SLANEY AND DOREEN SLANEY ARE MARRIED. FORM 990, PART VI, SECTION B, LINE 11B THE 2019 FORM 990 WAS PRESENTED TO AND APPROVED BY THE EXECUTIVE COMMITTEE AND THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 12C TRUSTEES SHALL NOT HAVE ANY UNDISCLOSED CONFLICTS OF INTEREST WITH THE CORPORATION. ANY CONFLICT OF INTEREST ON THE PART OF ANY TRUSTEE SHALL BE DISCLOSED TO THE OTHER TRUSTEES AND MADE A MATTER OF RECORD WHEN ANY MATTER TO WHICH THE INTEREST RELATES BECOMES THE SUBJECT OF ACTION BY THE BOARD. FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE COMMITTEE HOLDS AN ANNUAL MEETING WITH THE BOARD OF TRUSTEES TO DISCUSS THE COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 24E REPAIRS AND MAINTENANCE: PROGRAM SERVICE EXPENSES 94,241. MANAGEMENT AND GENERAL EXPENSES 12,572. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 106,813. WORKERS COMPENSATION: PROGRAM SERVICE EXPENSES 76,441. MANAGEMENT AND GENERAL EXPENSES 10,197. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 86,638. THERAPY SERVICES: PROGRAM SERVICE EXPENSES 68,395. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 68,395. FINES AND PENALTIES: PROGRAM SERVICE EXPENSES 47,970. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 47,970. BAD DEBT EXPENSE: PROGRAM SERVICE EXPENSES 35,510. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 35,510. TRASH REMOVAL: PROGRAM SERVICE EXPENSES 19,876. MANAGEMENT AND GENERAL EXPENSES 2,651. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,527. CONTRACT LABOR NURSING: PROGRAM SERVICE EXPENSES 19,801. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,801. RENT: PROGRAM SERVICE EXPENSES 14,838. MANAGEMENT AND GENERAL EXPENSES 1,979. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,817. CONSULTING: PROGRAM SERVICE EXPENSES 16,118. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,118. LICENSE AND PERMITS: PROGRAM SERVICE EXPENSES 12,074. MANAGEMENT AND GENERAL EXPENSES 1,611. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,685. LAUNDRY: PROGRAM SERVICE EXPENSES 13,588. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,588. PAYROLL SERVICE FEE: PROGRAM SERVICE EXPENSES 11,622. MANAGEMENT AND GENERAL EXPENSES 1,550. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,172. TELEPHONE: PROGRAM SERVICE EXPENSES 8,105. MANAGEMENT AND GENERAL EXPENSES 1,081. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,186. DUES AND SUBSCRIPTIONS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 5,803. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,803. POSTAGE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 5,233. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,233. MISCELLANEOUS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 5,033. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,033. TRUSTEE EXPENSE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 3,200. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,200. TRAINING: PROGRAM SERVICE EXPENSES 2,701. MANAGEMENT AND GENERAL EXPENSES 360. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,061. BANK CHARGES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,952. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,952. DONATIONS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,560. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,560. AUTO EXPENSE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,637. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,637. 990 PART XII, 2C NO CHANGE IN OVERSIGHT OF SELECTION PROCESS. GRAND LODGE OF THE INDEPENDENT ORDER OF ODD FELLOWS 104 RANDOLPH ROAD WORCESTER MA 01606 041383604 FRATERNAL ORGANIZATION MA 501(C)(8) & (C)(10) 0 INDEPENDENT ORDER OF ODD FELLOWS WORCESTER LODGE # 56 104 RANDOLPH ROAD WORCESTER MA 01606 237144681 FRATERNAL ORGANIZATION MA 501(C)(8) & (C)(10) 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 GRAND LODGE OF THE INDEPENDENT ORDER OF ODD FELLOWS E 517519 LOAN DOCUMENTS INDEPENDENT ORDER OF ODD FELLOWS WORCESTER LODGE # 56 E 284319 LOAN DOCUMENTS