OVERLOOK MASONIC HEALTH CENTER INC: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- OVERLOOK MASONIC HEALTH CENTER INC (EIN 22-2843194)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-07-08
- IRS object ID
- 201911899349301006
- Schema version
- 2018v3.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-07-08T14:02:55-05:00 | ReturnTs |
| Tax Period End | 2018-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 111986323 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARCUM LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 53 STATE STREET | AddressLine1Txt |
| City | BOSTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02109 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222843194 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OVERLOOK MASONIC HEALTH | BusinessNameLine1Txt |
| Business Name Line2 | CENTER INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | OVER | BusinessNameControlTxt |
| Phone | 5082487344 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 88 MASONIC HOME ROAD | AddressLine1Txt |
| City | CHARLTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01507 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TAMERYN CAMPBELL | PersonNm |
| Person Title | CEO/PRESIDENT | PersonTitleTxt |
| Phone | 5082487344 | PhoneNum |
| Signature | 2019-06-26 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DOUGLAS FARRINGTON | PreparerPersonNm |
| PTIN | P00370668 | PTIN |
| Phone | 6178075000 | PhoneNum |
| Preparation | 2019-06-26 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 47.19.127.190 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-06-26 | IPDt |
| IP Tm | 14:30:35 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 5646463611682D9FF634D53B57C349B9DAC2909E | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 5646463611682D9FF634D53B57C349B9DAC2909E | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TAMERYN CAMPBELL | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 88 MASONIC HOME ROAD | AddressLine1Txt |
| City | CHARLTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01507 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $24,865,517 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTP://OVERLOOK-MASS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1987 | FormationYr |
| Legal Domicile State | MA | LegalDomicileStateCd |
| Activity Or Mission | CHARITABLE - THE PROVISION OF LONG-TERM RESIDENTIAL AND REHABILITATIVE CARE TO RESIDENTS OF THE COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 439 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $157,742 | PYContributionsGrantsAmt |
| CY Contributions Grants | $345,475 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $20,985,319 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $21,483,512 | CYProgramServiceRevenueAmt |
| PY Investment Income | $9,766,943 | PYInvestmentIncomeAmt |
| CY Investment Income | $45,954 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,508,836 | PYOtherRevenueAmt |
| CY Other Revenue | $2,112,159 | CYOtherRevenueAmt |
| PY Total Revenue | $32,418,840 | PYTotalRevenueAmt |
| CY Total Revenue | $23,987,100 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $15,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $12,665,511 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $13,396,301 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $11,783,055 | PYOtherExpensesAmt |
| CY Other Expenses | $11,569,728 | CYOtherExpensesAmt |
| PY Total Expenses | $24,448,566 | PYTotalExpensesAmt |
| CY Total Expenses | $24,981,029 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $7,970,274 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$993,929 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $149,278,097 | TotalAssetsBOYAmt |
| Total Assets EOY | $145,780,448 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $13,863,048 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $12,385,324 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $135,415,049 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $133,395,124 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE THE RESIDENTS OF THE HEALTH CENTER WITH THE HIGHEST LEVEL OF COMPREHENSIVE MEDICAL CARE SERVICES WITH A CONSIDERATE AND PERSONAL TOUCH. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $17,178,770 | ExpenseAmt |
| Revenue | $21,483,512 | RevenueAmt |
| Desc | OPERATION OF A LONG-TERM AND RESIDENTIAL CARE FACILITY IN CHARLTON, MA. TOTAL PATIENT DAYS OF CARE, TOTAL REST HOME DAYS OF CARE, AND TOTAL MEMORY DAYS OF CARE FOR THE YEAR ENDED DECEMBER 31, 2018 AMOUNTED TO 45,587, 8,651, AND 4,777, RESPECTIVELY, FOR A TOTAL DAYS OF CARE OF 59,015. | Desc |
| Total Program Service Expenses | $17,178,770 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 118 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 439 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MA | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TAMERYN CAMPBELL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5084342412 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 88 MASONIC HOME ROAD | AddressLine1Txt |
| City | CHARLTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01507 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Key EmployeeKeyEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| PAUL GLEASON | ||||||||
| DIRECTOR, EX-OFFICIO | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MASON RUSSELL | ||||||||
| DIRECTOR, EX-OFFICIO | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| KENNETH BLAKE | ||||||||
| MHS BOARD CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT JOLLY | ||||||||
| CHAIRMAN | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| JACK MULHALL | ||||||||
| VICE CHAIRMAN | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| WILLIAM HOLLAND | ||||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| DAVID PACE | ||||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| RONALD JACKSON | ||||||||
| CLERK | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| JAMES TRACEY | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| TAMERYN CAMPBELL | ||||||||
| PRESIDENT & CEO | 40.00 | $374,352 | $0 | $11,393 | 1.00 | Yes (X) | ||
| PAUL BOWLER | ||||||||
| PRESIDENT & CEO, BRIARWOOD | 40.00 | $215,375 | $0 | $13,250 | 1.00 | Yes (X) | ||
| TED WILBUR | ||||||||
| CHIEF INFORMATION OFFICER | 40.00 | $161,567 | $0 | $12,876 | Yes (X) | |||
| JOE SAVAGE | ||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | $162,811 | $0 | $8,412 | Yes (X) | |||
| KRISTEN MCISSAC | ||||||||
| CHIEF HUMAN RESOURCE OFFICER | 40.00 | $187,028 | $0 | $7,366 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,101,133 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $53,297 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 5 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PREFERRED THERAPY SOLUTIONS | |||||
| 850 SILAS DEANE HWY 2 | WETHERSFIELD | CT | 06109 | THERAPY/REHAB SERVICES | $990,122 |
| CONSTELLATION NEWENERGY | |||||
| 14 WESTPORT AVE | NORWALK | CT | 06851 | ELECTRICITY PROVIDER | $307,984 |
| CUSTOM COMPUTER SPECIALIST | |||||
| 70 SUFFOLK CT 100 | HAUPPAUGE | NY | 11788 | IT SUPPORT | $298,246 |
| BDO | |||||
| ONE INTERNATIONAL PLACE | BOSTON | MA | 02110 | AUDIT/TAX | $239,422 |
| PROFESSIONAL NURSES HEALTH SERVICES | |||||
| 10615 YORK RD | COCKEYSVILLE | MD | 21030 | AGENCY NURSES | $213,065 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $345,475 | AllOtherContributionsAmt |
| Total Contributions | $345,475 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT REVENUE | 623000 | $18,407,090 | $18,407,090 |
| AFFILIATE MANAGEMENT FEE | 900090 | $3,076,422 | $3,076,422 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $21,483,512 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $283,636 | TotalRevenueColumnAmt |
| Exclusion | $283,636 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $289,761 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $289,761 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $289,761 | TotalRevenueColumnAmt |
| Exclusion | $289,761 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $640,735 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $878,417 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$237,682 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$237,682 | TotalRevenueColumnAmt |
| Exclusion | -$237,682 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| FORGIVENESS OF DEBT INCOME | 900099 | $1,500,000 | $1,500,000 |
| MISCELLANEOUS REVENUE | 900099 | $157,381 | $157,381 |
| TENANT SERVICES REVENUE | 900099 | $86,914 | $86,914 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $78,103 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $78,103 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,822,398 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $23,987,100 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $23,305,910 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $335,715 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,000 | TotalAmt |
| Program Services | $15,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,154,429 | TotalAmt |
| Program Services | $849,810 | ProgramServicesAmt |
| Management And General | $304,619 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,052,296 | TotalAmt |
| Program Services | $7,399,801 | ProgramServicesAmt |
| Management And General | $2,652,495 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $506,661 | TotalAmt |
| Program Services | $374,051 | ProgramServicesAmt |
| Management And General | $132,610 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $757,520 | TotalAmt |
| Program Services | $559,320 | ProgramServicesAmt |
| Management And General | $198,200 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $925,395 | TotalAmt |
| Program Services | $683,156 | ProgramServicesAmt |
| Management And General | $242,239 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,297,666 | TotalAmt |
| Management And General | $1,297,666 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $154,315 | TotalAmt |
| Program Services | -$16,679 | ProgramServicesAmt |
| Management And General | $170,994 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,507 | TotalAmt |
| Management And General | $27,507 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,211 | TotalAmt |
| Management And General | $87,211 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,967,913 | TotalAmt |
| Program Services | $2,200,273 | ProgramServicesAmt |
| Management And General | $767,640 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,143 | TotalAmt |
| Program Services | $7,141 | ProgramServicesAmt |
| Management And General | $97,002 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,793,103 | TotalAmt |
| Program Services | $1,122,891 | ProgramServicesAmt |
| Management And General | $670,212 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,012,993 | TotalAmt |
| Program Services | $627,135 | ProgramServicesAmt |
| Management And General | $385,858 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,920 | TotalAmt |
| Management And General | $35,920 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,371 | TotalAmt |
| Program Services | $4,371 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,652 | TotalAmt |
| Program Services | $24,875 | ProgramServicesAmt |
| Management And General | $8,777 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,563,686 | TotalAmt |
| Program Services | $1,155,878 | ProgramServicesAmt |
| Management And General | $407,808 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $370,283 | TotalAmt |
| Program Services | $273,714 | ProgramServicesAmt |
| Management And General | $96,569 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| DIETARY SERVICES | $545,786 | $545,786 | |
| NURSING PURCHASING SERV | $543,842 | $543,842 | |
| EQUIPMENT RENTAL & MAIN | $530,413 | $363,604 | $166,809 |
| BAD DEBT EXPENSE | $364,125 | $364,125 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $132,799 | TotalAmt |
| Program Services | $80,676 | ProgramServicesAmt |
| Management And General | $52,123 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,981,029 | TotalAmt |
| Program Services | $17,178,770 | ProgramServicesAmt |
| Management And General | $7,802,259 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $212,899 | BOYAmt |
| EOY | $492,978 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,766,941 | BOYAmt |
| EOY | $1,182,785 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $98,947 | BOYAmt |
| EOY | $270,360 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $62,291,106 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $43,938,307 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,385,933 | BOYAmt |
| EOY | $18,352,799 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,881,131 | BOYAmt |
| EOY | $19,644,993 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $101,932,246 | BOYAmt |
| EOY | $105,836,533 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $149,278,097 | BOYAmt |
| EOY | $145,780,448 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,563,370 | BOYAmt |
| EOY | $2,375,233 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,987,497 | BOYAmt |
| EOY | $2,551,910 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,312,181 | BOYAmt |
| EOY | $7,458,181 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,863,048 | BOYAmt |
| EOY | $12,385,324 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $124,459,377 | BOYAmt |
| EOY | $122,115,265 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,225,311 | BOYAmt |
| EOY | $5,165,918 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,730,361 | BOYAmt |
| EOY | $6,113,941 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $135,415,049 | BOYAmt |
| EOY | $133,395,124 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $149,278,097 | BOYAmt |
| EOY | $145,780,448 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$993,929 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$1,302,064 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $276,068 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $466,533 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $318,245 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $192,183 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $157,742 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $345,475 | CurrentTaxYearAmt |
| Total | $1,480,178 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $15,287,415 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,715,974 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $24,459,645 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $20,985,319 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $21,483,512 | CurrentTaxYearAmt |
| Total | $95,931,865 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $15,753,948 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,034,219 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $24,651,828 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $21,143,061 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $21,828,987 | CurrentTaxYearAmt |
| Total | $97,412,043 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $97,412,043 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $314,224 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | -$195,275 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $452,638 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $531,163 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $573,397 | CurrentTaxYearAmt |
| Total | $1,676,147 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $314,224 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | -$195,275 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $452,638 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $531,163 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $573,397 | CurrentTaxYearAmt |
| Total | $1,676,147 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $16,068,172 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,838,944 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $25,104,466 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $21,674,224 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $22,402,384 | CurrentTaxYearAmt |
| Total | $99,088,190 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98310 | PublicSupportCY509Pct |
| Public Support PY509 | 0.91510 | PublicSupportPY509Pct |
| Investment Income CY | 0.01690 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01400 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $55,155,848 | BeginningYearBalanceAmt |
| Contributions | $1,664,971 | ContributionsAmt |
| Investment Earnings Or Losses | -$1,508,578 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $35,667,248 | OtherExpendituresAmt |
| End Year Balance | $19,644,993 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $54,967,835 | BeginningYearBalanceAmt |
| Contributions | $178,526 | ContributionsAmt |
| Investment Earnings Or Losses | $24,740 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $15,253 | OtherExpendituresAmt |
| End Year Balance | $55,155,848 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $54,967,835 | BeginningYearBalanceAmt |
| End Year Balance | $54,967,835 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $70,190,115 | BeginningYearBalanceAmt |
| Contributions | $2,558,820 | ContributionsAmt |
| Investment Earnings Or Losses | -$2,061,246 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $15,719,854 | OtherExpendituresAmt |
| End Year Balance | $54,967,835 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $80,076,941 | BeginningYearBalanceAmt |
| Contributions | $487,236 | ContributionsAmt |
| Investment Earnings Or Losses | $1,755,477 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $12,129,539 | OtherExpendituresAmt |
| End Year Balance | $70,190,115 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.42580 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.31120 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.26300 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $336,962 | OtherCostOrOtherBasisAmt |
| Book Value | $336,962 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $46,375,574 | OtherCostOrOtherBasisAmt |
| Depreciation | $30,944,347 | DepreciationAmt |
| Book Value | $15,431,227 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,997,596 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,624,927 | DepreciationAmt |
| Book Value | $372,669 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,580,974 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,369,033 | DepreciationAmt |
| Book Value | $2,211,941 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $18,352,799 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM AFFILIATES | $105,417,007 |
| DEBT SERVICE | $151,775 |
| OTHER RECEIVABLES | $220,348 |
| DUE FROM GRAND LODGE | $47,403 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $105,836,533 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO AFFILIATES | $4,830,765 |
| DUE TO RESIDENTS | $32,201 |
| ASSET RETIREMENT OBLIGATION | $821,007 |
| PENSION LIABILITY | $1,774,208 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $7,458,181 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | 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, 2018 AND 2017, 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. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| HARRINGTON MEMORIAL HOSPITAL | |||||||
| 100 SOUTH STREET | SOUTHBRIDGE | MA | 01550 | 042103577 | 501(C)(3) | $10,000 | ASSIST IN THE CHARITABLE MISSION OF THE ORGANIZATION |
| SALEM COMMUNITY CORPBRIARWOOD | |||||||
| 65 BRIARWOOD CIRCLE | WORCESTER | MA | 01606 | 042696489 | 501(C)(3) | $5,000 | ASSIST IN THE CHARITABLE MISSION OF THE ORGANIZATION |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TAMERYN CAMPBELL | ||||||||||||||
| PRESIDENT & CEO | $349,852 | $0 | $0 | $0 | $24,500 | $0 | $5,500 | $0 | $5,893 | $0 | $385,745 | $0 | $0 | $0 |
| PAUL BOWLER | ||||||||||||||
| PRESIDENT & CEO, BRIARWOOD | $183,784 | $0 | $31,591 | $0 | $0 | $0 | $0 | $0 | $13,250 | $0 | $228,625 | $0 | $0 | $0 |
| TED WILBUR | ||||||||||||||
| CHIEF INFORMATION OFFICER | $148,463 | $0 | $13,104 | $0 | $0 | $0 | $977 | $0 | $11,899 | $0 | $174,443 | $0 | $0 | $0 |
| JOE SAVAGE | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $148,185 | $0 | $14,626 | $0 | $0 | $0 | $0 | $0 | $8,412 | $0 | $171,223 | $0 | $0 | $0 |
| KRISTEN MCISSAC | ||||||||||||||
| CHIEF HUMAN RESOURCE OFFICER | $149,464 | $0 | $13,064 | $0 | $24,500 | $0 | $1,841 | $0 | $5,525 | $0 | $194,394 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. 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 7A | 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. 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. IS THE SOLE MEMBER OF THE ORGANIZATION AND ELECTS THE BOARD OF DIRECTORS. THERE ARE NO CLASSES OF DIRECTORS. 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 BOOARD OF DIRECTORS PRIOR TO ITS SUBMISSION. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION REGULARLY AND CONSISTENLY 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 APPLICABLE 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 YSSTEM OF MASSACHUSETTS, INC. (MHS). THIS CONFLICTS POLICY SHALL APPLY WITH EQUAL FORCE TO ALL CORPORATIONS RELATED TO, OR AFFILIATED WITH, MHS. |
| 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. THAT REVIEW INCLUDES, BUT IS NOT LIMITED TO: PERFORMANCE OF THE COMPANY, ITS FINANCIAL RESULTS, THE SATISFACTION OF ITS MISSION, AND OTHER QUANTIFIABLE AND QUALITATIVE MEASURES INTERNAL AND EXTERNAL TO THE COMPANY. A REVIEW IS WRITTEN ON EACH EMPLOYEE OF THE COMPANY. MERIT GUIDLINES ARE SET PER COMPANY GUIDELINES. ALL PERFORMANCE REVIEWS ARE SIGNED OFF BY THE DIVISION EXECUTIVE OR CEO (FOR THOSE REPORTING TO THE CEO), BOARD OF DIRECTORS (FOR THE CEO), AND HUMAN RESOURCES PRIOR TO PROCESSING THROUGH PAYROLL. ANY OUT OF CYCLE AND/OR MARKET ADJUSTMENTS ARE SIGNED OFF ON BY THE DIVISION EXECUTIVE OR CEO (FOR THOSE REPORTING TO THE CEO) AND THE CHRO. ANY BONUS COMPENSATION IS SIGNED OFF BY THE CEO, CFO, AND HUMAN RESOURCES. DIRECTORS (FOR THE CEO), AND HUMAN RESOURCES PRIOR TO PROCESSING THROUGH PAYROLL. ANY OUT OF CYCLE AND/OR MARKET ADJUSTMENTS ARE SIGNED OFF ON BY THE DIVISION EXECUTIVE OR CEO (FOR THOSE REPORTING TO THE CEO) AND THE CHRO. ANY BONUS COMPENSATION IS SIGNED OFF BY THE CEO, CFO AND HUMAN RESOURCES. |
| FORM 990, PART VI, SECTION C, LINE 18 | THE ORGANIZATION'S FORM 990 IS AVAILABLE TO THE PUBLIC UPON REQUEST AND CAN BE FOUND ONLINE VIA THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITE. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S FINANCIAL STATEMENTS CONFLICT OF INTEREST POLICY, AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | OTHER PROFESSIONAL SERVICE FEES: PROGRAM SERVICE EXPENSES 2,200,273. MANAGEMENT AND GENERAL EXPENSES 767,640. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,967,913. |
| FORM 990, PART XI, LINE 9: | ADJUSTMENT TO MINIMUM PENSION LIABILITY 276,068. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| THE MASONIC HEALTH SYSTEM OF MA INC | |||||||||||
| 88 MASONIC HOME ROAD | CHARLTON | MA | 01507 | 043515688 | PARENT | MA | 501(C)(3) | LINE 12 | N/A | 0 | |
| OVERLOOK VISITING NURSES ASSOCIATION | |||||||||||
| 88 MASONIC HOME ROAD | CHARLTON | MA | 01507 | 043515687 | VNA | MA | 501(C)(3) | LINE 10 | Yes (1) | MHS | |
| OVERLOOK COMMUNITES INC | |||||||||||
| 88 MASONIC HOME ROAD | CHARLTON | MA | 01507 | 043515686 | NURSING FACILITY | MA | 501(C)(3) | LINE 10 | Yes (1) | MHS | |
| OVERLOOK HEALTH CENTER AT NORTHAMPTON | |||||||||||
| 88 MASONIC HOME ROAD | CHARLTON | MA | 01507 | 270451701 | NURSING FACILITY | MA | 501(C)(3) | LINE 10 | Yes (1) | MHS | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (12 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MASONIC HEALTH SYSTEM OF MASSACHUSETTS | ||
| M | $3,485,802 | FMV |
| MASONIC HEALTH SYSTEM OF MASSACHUSETTS | ||
| N | $56,588 | FMV |
| MASONIC HEALTH SYSTEM OF MASSACHUSETTS | ||
| D | $74,188,377 | FMV |
| OVERLOOK VISITNG NURSE ASSOCIATION | ||
| E | $742,077 | FMW |
| OVERLOOK VISITNG NURSE ASSOCIATION | ||
| D | $5,356,914 | FMV |
| OVERLOOK VISITNG NURSE ASSOCIATION | ||
| J | $148,848 | FMV |
| OVERLOOK VISITNG NURSE ASSOCIATION | ||
| L | $928,841 | FMV |
| OVERLOOK COMMUNITIES | ||
| N | $546,298 | FMV |
| OVERLOOK COMMUNITIES | ||
| D | $26,287,290 | FMV |
| OVERLOOK COMMUNITIES | ||
| J | $1,921,126 | FMV |
| OVERLOOK COMMUNITIES | ||
| L | $140,913 | FMV |
| OVERLOOK COMMUNITIES | ||
| L | $297,279 | FMV |