FURP.ORG / PUBLIC DATA EXPLORER

OVERLOOK MASONIC HEALTH CENTER INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
OVERLOOK MASONIC HEALTH CENTER INC (EIN 22-2843194)
Tax period
2015-01-01 to 2015-12-31
Filed
2018-01-30
IRS object ID
201800309349301620
Schema version
2015v3.0
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)
Return2018-01-30T15:31:34-06:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BDO USA LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1TWO INTERNATIONAL PLACEAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02110ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN222843194EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Overlook Masonic Health Center IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% TAMERYN CAMPBELLInCareOfNm
Business Name ControlOVERBusinessNameControlTxt
Phone5082487344PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line188 Masonic Home RoadAddressLine1Txt
CityCharltonCityNm
State AbbreviationMAStateAbbreviationCd
ZIP015071000ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTAMERYN CAMPBELLPersonNm
Person TitleCEO/PRESIDENTPersonTitleTxt
Phone5084342412PhoneNum
Signature2017-12-08SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBrian VigneaultPreparerPersonNm
PTINP00540650PTIN
Phone6174220700PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Amended ReturnYes (X)AmendedReturnInd
Principal OfficerTAMERYN CAMPBELLPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line188 Masonic Home RoadAddressLine1Txt
CityCharltonCityNm
State AbbreviationMAStateAbbreviationCd
ZIP015071000ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$16,186,969GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addressthemasonichome.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1987FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionCHARITABLE - THE PROVISION OF LONG-TERM RESIDENTIAL AND REHABILITATIVE CARE TO RESIDENTS OF THE COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee444TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$431,449PYContributionsGrantsAmt
CY Contributions Grants$268,365CYContributionsGrantsAmt
PY Program Service Revenue$15,287,415PYProgramServiceRevenueAmt
CY Program Service Revenue$13,715,974CYProgramServiceRevenueAmt
PY Investment Income$1,987,516PYInvestmentIncomeAmt
CY Investment Income$1,220,973CYInvestmentIncomeAmt
PY Other Revenue$1,500,066PYOtherRevenueAmt
CY Other Revenue$981,657CYOtherRevenueAmt
PY Total Revenue$19,206,446PYTotalRevenueAmt
CY Total Revenue$16,186,969CYTotalRevenueAmt
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$12,640,611PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$11,769,100CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$18,101,110PYOtherExpensesAmt
CY Other Expenses$10,590,070CYOtherExpensesAmt
PY Total Expenses$30,741,721PYTotalExpensesAmt
CY Total Expenses$22,359,170CYTotalExpensesAmt
PY Revenues Less Expenses-$11,535,275PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$6,172,201CYRevenuesLessExpensesAmt
Total Assets BOY$180,955,920TotalAssetsBOYAmt
Total Assets EOY$161,400,498TotalAssetsEOYAmt
Total Liabilities BOY$46,849,237TotalLiabilitiesBOYAmt
Total Liabilities EOY$37,799,255TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$134,106,683NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$123,601,243NetAssetsOrFundBalancesEOYAmt
MissionTO 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 SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$17,733,723ExpenseAmt
Revenue$13,715,974RevenueAmt
DescOPERATION OF A LONG TERM CARE AND RESIDENTIAL CARE FACILITY IN CHARLTON, MA. TOTAL PATIENT DAYS OF CARE AND TOTAL REST HOME DAYS OF CARE FOR THE YEAR ENDED DECEMBER 31, 2015 AMOUNTED TO 47,651 AND 10,632, RESPECTIVELY, FOR A TOTAL DAYS OF CARE OF 58,283.Desc
Total Program Service Expenses$17,733,723TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtYes (true)CollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document31IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee444EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonTAMERYN CAMPBELLPersonNm
Phone5084342412PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line188 MASONIC HOME ROADAddressLine1Txt
CityCHARLTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01507ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeInd
ROBERT JOLLY
Director1.0Yes (X)$0$0$0
Harvey Waugh
Director1.0Yes (X)$0$0$0
Robert Grattaroti
Director1.0Yes (X)$0$0$0
JAY JOLICOEUR
Director1.0Yes (X)$0$0$0
JOHN MULHALL
Director1.0Yes (X)$0$0$0
JAMES TRACY
Director1.0Yes (X)$0$0$0Yes (X)
Tameryn Campbell
Clerk1.0$0$350,524$11,924Yes (X)40.0
Pamela Jones
treasurer1.0$0$228,322$11,679Yes (X)40.0
donald akeyo
r.N.40.0$141,951$0$19,731Yes (X)
Rosanne Antunes
DON40.0$106,991$0$25,240Yes (X)
diane cross
Unit Manager40.0$101,508$0$20,795Yes (X)
Robert Whitten
Administrator40.0$136,622$0$2,927Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$487,072TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$578,846TotReportableCompRltdOrgAmt
Total Other Compensation$92,296TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K4IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MAS MEDICAL STAFFING
156 HARVEY ROADLONDONDERRYNH03053Nursing Staffing Age$271,791
Feeley Driscoll PC
200 Portland StreetBostonMA02114Accounting Serv$186,206
HEALTHCARE SERVICES GROUP
SUITE 300 3220 TILLMAN DRBENSALEMPA19020Maintenance, Houseke$246,407
PROFESSIONAL NURSES HEALTH SERVICES
425 Sunderland RoadWORCESTERMA01604Nursing staffing age$126,184
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
All Other Contributions$268,365AllOtherContributionsAmt
Total Contributions$268,365TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNet patient revenueDesc
Business623000BusinessCd
Total Revenue Column$13,715,974TotalRevenueColumnAmt
Related Or Exempt Func Income$13,715,974RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$13,715,974TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$52,032TotalRevenueColumnAmt
Exclusion$52,032ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$390,425RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$390,425RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$390,435TotalRevenueColumnAmt
Exclusion$390,435ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,168,941SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,168,941SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,168,941TotalRevenueColumnAmt
Exclusion$1,168,941ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Other income812900$437,270$437,270
Tenant Services Revenue812900$153,952$153,952
FieldValueIRS element (for citing)
Other Revenue Total$591,222OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,186,969TotalRevenueColumnAmt
Related Or Exempt Func Income$14,307,196RelatedOrExemptFuncIncomeAmt
Exclusion$1,611,408ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$555,765TotalAmt
Program Services$555,765ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,997,305TotalAmt
Program Services$8,519,651ProgramServicesAmt
Management And General$477,654ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$366,951TotalAmt
Program Services$348,603ProgramServicesAmt
Management And General$18,348ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,062,446TotalAmt
Program Services$1,009,324ProgramServicesAmt
Management And General$53,122ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$786,633TotalAmt
Program Services$747,301ProgramServicesAmt
Management And General$39,332ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$784,260TotalAmt
Management And General$784,260ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$15,312TotalAmt
Management And General$15,312ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$52,991TotalAmt
Management And General$52,991ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$441,646TotalAmt
Program Services$168,140ProgramServicesAmt
Management And General$273,506ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,302,792TotalAmt
Program Services$1,237,652ProgramServicesAmt
Management And General$65,140ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$17,591TotalAmt
Management And General$17,591ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,285TotalAmt
Management And General$1,285ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,515,214TotalAmt
Management And General$1,515,214ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,043,093TotalAmt
Program Services$1,940,938ProgramServicesAmt
Management And General$102,155ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$288,103TotalAmt
Program Services$273,698ProgramServicesAmt
Management And General$14,405ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$885,264$841,001$44,263
Departmental expenses$1,192,882$48,569$1,144,313
resident bed tax$751,441$751,441
dietary services$554,607$554,607

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$743,589TotalAmt
Program Services$737,033ProgramServicesAmt
Management And General$6,556ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$22,359,170TotalAmt
Program Services$17,733,723ProgramServicesAmt
Management And General$4,625,447ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$438,145BOYAmt
EOY$239,617EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

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

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,625,160BOYAmt
EOY$2,942,477EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

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

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$403,398BOYAmt
EOY$279,492EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$58,126,494LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$36,370,197LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$23,606,006BOYAmt
EOY$21,756,297EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$71,023,679BOYAmt
EOY$52,456,287EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$82,859,532BOYAmt
EOY$83,726,328EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$180,955,920BOYAmt
EOY$161,400,498EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,517,750BOYAmt
EOY$1,934,851EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$31,953,066BOYAmt
EOY$28,622,192EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,945,285BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,433,136BOYAmt
EOY$7,242,212EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$46,849,237BOYAmt
EOY$37,799,255EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$104,238,197BOYAmt
EOY$97,168,847EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$24,138,568BOYAmt
EOY$20,711,171EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,729,918BOYAmt
EOY$5,721,225EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$134,106,683BOYAmt
EOY$123,601,243EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$180,955,920BOYAmt
EOY$161,400,498EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$6,172,201ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$4,333,239OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteefalseAuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

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$411,148CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$357,839CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$480,186CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$466,533CurrentTaxYearMinus1YearAmt
Current Tax Year$260,163CurrentTaxYearAmt
Total$1,975,869TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,267,499CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,558,915CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,507,040CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,287,415CurrentTaxYearMinus1YearAmt
Current Tax Year$13,715,974CurrentTaxYearAmt
Total$75,336,843TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,678,647CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,916,754CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,987,226CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,753,948CurrentTaxYearMinus1YearAmt
Current Tax Year$13,976,137CurrentTaxYearAmt
Total$77,312,712TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$77,312,712PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,550,889CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,672,125CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$299,677CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$314,224CurrentTaxYearMinus1YearAmt
Current Tax Year$247,312CurrentTaxYearAmt
Total$5,084,227TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,550,889CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,672,125CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$299,677CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$314,224CurrentTaxYearMinus1YearAmt
Current Tax Year$247,312CurrentTaxYearAmt
Total$5,084,227TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,020,863CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$951,841CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,016,096CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,526,953CurrentTaxYearMinus1YearAmt
Current Tax Year$854,093CurrentTaxYearAmt
Total$5,369,846TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$19,250,399CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,540,720CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,302,999CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17,595,125CurrentTaxYearMinus1YearAmt
Current Tax Year$15,077,542CurrentTaxYearAmt
Total$87,766,785TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.88089PublicSupportCY509Pct
Public Support PY5090.84390PublicSupportPY509Pct
Investment Income CY0.05793InvestmentIncomeCYPct
Investment Income PY0.10160InvestmentIncomePYPct
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)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
Collection Used Pub ExhibitionYes (X)CollectionUsedPubExhibitionInd
Collection Used PreservationYes (X)CollectionUsedPreservationInd
Solicited Assets SalefalseSolicitedAssetsSaleInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$70,190,115BeginningYearBalanceAmt
Contributions$2,558,820ContributionsAmt
Investment Earnings Or Losses-$2,061,246InvestmentEarningsOrLossesAmt
Other Expenditures$15,719,854OtherExpendituresAmt
End Year Balance$54,967,835EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$80,076,941BeginningYearBalanceAmt
Contributions$487,236ContributionsAmt
Investment Earnings Or Losses$1,755,477InvestmentEarningsOrLossesAmt
Other Expenditures$12,129,539OtherExpendituresAmt
End Year Balance$70,190,115EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$86,573,267BeginningYearBalanceAmt
Contributions$405,691ContributionsAmt
Investment Earnings Or Losses$7,875,100InvestmentEarningsOrLossesAmt
Other Expenditures$14,777,117OtherExpendituresAmt
End Year Balance$80,076,941EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$91,580,327BeginningYearBalanceAmt
Contributions$247,597ContributionsAmt
Investment Earnings Or Losses$10,326,011InvestmentEarningsOrLossesAmt
Other Expenditures$15,580,668OtherExpendituresAmt
End Year Balance$86,573,267EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$98,782,997BeginningYearBalanceAmt
Contributions$6,017,272ContributionsAmt
Investment Earnings Or Losses-$2,491,704InvestmentEarningsOrLossesAmt
Other Expenditures$10,728,238OtherExpendituresAmt
End Year Balance$91,580,327EndYearBalanceAmt
FieldValueIRS element (for citing)
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$336,962OtherCostOrOtherBasisAmt
Book Value$336,962BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$46,261,995OtherCostOrOtherBasisAmt
Depreciation$27,383,878DepreciationAmt
Book Value$18,878,117BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,321,877OtherCostOrOtherBasisAmt
Depreciation$5,681,988DepreciationAmt
Book Value$639,889BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,205,660OtherCostOrOtherBasisAmt
Depreciation$3,304,331DepreciationAmt
Book Value$1,901,329BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$21,756,297TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescDUE FROM AFFILIATESDesc
Book Value$83,726,328BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$83,726,328TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
DUE TO AFFILIATES$4,081,582
DUE TO RESIDENTS$88,827
ASSET RETIREMENT OBLIGATION$719,703
PENSION LIABILITY$2,352,100
FieldValueIRS element (for citing)
Total Liability$7,242,212TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART III LINE 4:THE ORGANIZATION HAS TWO NON DEPRECIABLE FIXED ASSETS: STAINED GLASS WINDOWS VALUED AT $72,700 AND RAILROAD EQUIPMENT AND TRACK VALUED AT $87,600 FOR A TOTAL $160,300. THESE TWO ASSETS FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION BY ADDING TO THE SOCIAL AND SPIRITUAL WELL BEING OF THE PATIENTS.
PART V LINE 4:THE ORGANIZATION'S ENDOWMENT INCLUDES BOTH DONOR RESTRICTED ENDOWMENT FUNDS AND FUNDS DESIGNATED BY THE BOARD OF DIRECTORS TO FUNCTION AS ENDOWMENTS, AS REQUIRED BY GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS, INCLUDING FUNDS DESIGNATED BY THE BOARD OF DIRECTORS TO FUNCTION, AS ENDOWMENTS ARE CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OR ABSENCE OF DONOR IMPOSED RESTRICTIONS.
PART X LINE 2:IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, THE ORGANIZATION ANNUALLY EVALUATES ITS TAX STATUS AND TAX POSITIONS TAKEN WITH RESPECT TO ITS OPERATIONS AND FINANCIAL POSITION.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmt
donald akeyo
r.N.$141,923$28$19,731$161,682
Tameryn Campbell
Clerk$340,357$10,167$11,924$362,448
Pamela Jones
treasurer$218,311$10,011$10,559$240,001$1,120

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 - REASON FOR AMENDMENT:THE ORGANIZATION AMENDED IT'S FORM 990 TO REFLECT THE FOLLOWING CHANGES - FORM 990, PART VIII, LINES 1F, 3, 6, 7 AND 11 - THE AMOUNTS REPORTED IN THESE LINES WERE UPDATED TO TIE TO THE AUDITED FINANCIAL STATEMENTS. FORM 990, PART IX, LINES 5 AND 7 - THE AMOUNTS IN THESE LINES WERE UPDATED TO BREAKOUT COMPENSATION RECIEVED BY THE ORGANIZATION'S CURRENT OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES. Form 990, Part IX, Line 24e - THE AMOUNT REPORTED IN THIS LINE WAS WAS UPDATED TO TIE TO THE AUDITED FINANCIAL STATEMENTS. FORM 990, PART X, LINES 1, 4, 9, 10C, 11, 15, 17, 25, 27, 29 AND PART XI, LINE 9 - THE AMOUNTS IN THESE LINES WERE UPDATED TO TIE TO THE AUDITED FIANCIAL STATEMENTS, AS WELL AS, REFLECT THE IMPACT OF THE ASSET IMPAIRMENT AS PER THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS. FORM 990 PART VI SECTION A LINE 3: THE ORGANIZATION'S MANAGEMENT DUTIES ARE HANDLED BY ONE OF IT'S RELATED ENTITIES, MASONIC HEALTH SYSTEMS OF MASSACHUSETTS, INC. FORM 990 PART VI SECTION A LINE 3: THE ORGANIZATION'S MANAGEMENT DUTIES ARE HANDLED BY ONE OF IT'S RELATED ENTITIES, MASONIC HEALTH SYSTEMS OF MASSACHUSETTS, INC. ENTITIES, MASONIC HEALTH SYSTEMS OF MASSACHUSETTS, INC.
FORM 990 PART VI SECTION A LINE 6:MASONIC HEALTH SYSTEM OF MASSACHUSETTS INC. IS THE SOLE CORPORATE MEMBER OF OVERLOOK MASONIC HEALTH CENTER INC. AS SUCH THE HEALTH SYSTEM HAS THE RIGHT TO APPROVE ACTIONS TAKEN BY THE BOARD MEMBERS OF OVERLOOK MASONIC HEALTH CENTER INC.
FORM 990 PART VI SECTION A LINE 7A:MASONIC HEALTH SYSTEM OF MASSACHUSETTS, INC. IS THE SOLE CORPORATE MEMBER OF OVERLOOK MASONIC HEALTH CENTER, INC. AS SUCH, THE HEALTH SYSTEM HAS THE RIGHT TO ELECT AND APPROVE BOARD MEMBERS OF OVERLOOK MASONIC HEALTH CENTER, INC.
FORM 990 PART VI SECTION A LINE 7B:MASONIC HEALTH SYSTEM OF MASSACHUSETTS, INC. IS THE SOLE CORPORATE MEMBER OF OVERLOOK MASONIC HEALTH CENTER, INC. AS SUCH, THE HEALTH SYSTEM HAS THE RIGHT TO APPROVE ACTIONS TAKEN BY THE BOARD MEMBERS OF OVERLOOK MASONIC HEALTH CENTER, INC.
FORM 990 PART VI SECTION B LINE 11:MANAGEMENT WORKS WITH THE ORGANIZATION'S EXTERNAL AUDITORS 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 WITH THE BOARD OF DIRECTORS PRIOR TO ITS SUBMISSION.
FORM 990 PART VI SECTION B LINE 12C:THE ORGANIZATION REGULARLY 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 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 SYSTEM 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 13:IT IS THE POLICY OF MHS TO ACTIVELY WORK TO PREVENT FRAUD, WASTE, OR ABUSE OF PROCEDURE. ALL EMPLOYEES CONTRACTORS, AGENTS, AND VOLUNTEERS OF MHS MUST IMMEDIATELY REPORT ANY SUSPICION OF FRAUD, WASTE, OR ABUSE OF PROCEDURE IN CONNECTION WITH MHS OPERATIONS TO HIS OR HER SUPERVISOR. MHS ENGAGES IN A CORPORATE COMPLIANCE PROGRAM FOR THE PURPOSE OF DETECTING AND PREVENTING FRAUD, WASTE, AND ABUSE OF PROCEDURE.
FORM 990 PART VI SECTION B LINE 14:MANAGEMENT AND THE BOARD ARE IN THE PROCESS OF INITIATING A WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY.
FORM 990 PART VI SECTION B LINE 15:THE ORGANIZATION'S SOLE MEMBER MASONIC HEALTH SYSTEM OF MASSACHUSETTS INC. MAINTAINS AN EXECUTIVE COMMITTEE TO ANNUALLY REVIEW THE PERFORMANCE AND COMPENSATION OF THE OFFICERS AND KEY EMPLOYEES. THE EXECUTIVE COMMITTEE DETERMINES THE COMPENSATION FOR OFFICERS AND KEY EMPLOYEES ANNUALLY BASED ON COMPARABLE INDUSTRY DATA AND THROUGH A CONSULTATION AGREEMENT WITH TOWERS PERRIN, A NATIONAL HUMAN RESOURCES CONSULTANT. THE DETERMINATION OF COMPENSATION IS SUBSTANTIATED IN THE ORGANIZATION'S MINUTES OF THE EXECUTIVE COMMITTEE.
FORM 990 PART VI SECTION C LINE 18:THE ORGANIZATION'S FORM 990 IS AVAILABLE TO THE PUBLIC UPON REQUEST AND CAN BE FOUND AT THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITE.
FORM 990 PART VI SECTION C LINE 19:THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990 PART VI SECTION C LINE 19:THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AVAILABLE ON THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITE.
FORM 990 PART XI LINE 9 CHANGES IN NET ASSETS:TRANSFER TO THE GRAND LODGE OF MASONS -2,246,414 TEMP RESTRICTED UNREALIZED GAINS/LOSSES -2,086,825 ___________ TOTAL -4,333,239

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 OrganizationControlledOrganizationInd
THE MASONIC HEALTH SYSTEM OF MASSACHUSET
88 MASONIC HOME ROADCHARLTONMA01507043515688SOLE MEMBERMA501(C)(3)11C III FIMHSfalse
OVERLOOK VISITING NURSES ASSOCIATIO
88 MASONIC HOME ROADCHARLTONMA01507043515687HOME HLTHCARMA501(C)(3)LINE 9MHSfalse
OVERLOOK COMMUNITIES INC
88 MASONIC HOME ROADCHARLTONMA01507043515686RES NURS FACMA501(C)(3)LINE 9MHSfalse
overlook health center at northampt
88 MASONIC HOME ROADcHARLTONMA01507270451701SKIL NURS FACMA501(C)(3)LINE 9MHSfalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1overlook catering incBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line188 masonic home roadAddressLine1Txt
CitycharltonCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01507ZIPCd
FieldValueIRS element (for citing)
EIN271472010EIN
Primary Activitiescatering servicesPrimaryActivitiesTxt
Legal Domicile StateMALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MHSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeC-CorpEntityTypeTxt
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1OVERLOOK CATERING INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeATransactionTypeTxt
Involved$131,550InvolvedAmt
Method Of Amount DeterminationFair ValueMethodOfAmountDeterminationTxt