2018-01-30T15:31:34-06:00 2015-12-31 BDO USA LLP TWO INTERNATIONAL PLACE BOSTON MA 02110 990 2015-01-01 222843194 Overlook Masonic Health Center Inc % TAMERYN CAMPBELL OVER 5082487344 88 Masonic Home Road Charlton MA 015071000 TAMERYN CAMPBELL CEO/PRESIDENT 5084342412 2017-12-08 true Brian Vigneault P00540650 6174220700 2015 2021-01-29 14:40:06Z X TAMERYN CAMPBELL 88 Masonic Home Road Charlton MA 015071000 16186969 false X themasonichome.org X 1987 MA CHARITABLE - THE PROVISION OF LONG-TERM RESIDENTIAL AND REHABILITATIVE CARE TO RESIDENTS OF THE COMMUNITY. 6 6 444 0 0 431449 268365 15287415 13715974 1987516 1220973 1500066 981657 19206446 16186969 0 0 0 0 12640611 11769100 0 0 0 18101110 10590070 30741721 22359170 -11535275 -6172201 180955920 161400498 46849237 37799255 134106683 123601243 TO PROVIDE THE RESIDENTS OF THE HEALTH CENTER WITH THE HIGHEST LEVEL OF COMPREHENSIVE MEDICAL CARE SERVICES WITH A CONSIDERATE AND PERSONAL TOUCH. false false 17733723 13715974 OPERATION 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. 17733723 true true false false false false false true false true true false false true true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 31 0 true 444 true false false false false false true true false false false false X 6 6 false true false false true true true true true false false true true true true true false true true false MA X X TAMERYN CAMPBELL 5084342412 88 MASONIC HOME ROAD CHARLTON MA 01507 ROBERT JOLLY Director 1.0 X 0 0 0 Harvey Waugh Director 1.0 X 0 0 0 Robert Grattaroti Director 1.0 X 0 0 0 JAY JOLICOEUR Director 1.0 X 0 0 0 JOHN MULHALL Director 1.0 X 0 0 0 JAMES TRACY Director 1.0 X X 0 0 0 Tameryn Campbell Clerk 1.0 40.0 X 0 350524 11924 Pamela Jones treasurer 1.0 40.0 X 0 228322 11679 donald akeyo r.N. 40.0 X 141951 0 19731 Rosanne Antunes DON 40.0 X 106991 0 25240 diane cross Unit Manager 40.0 X 101508 0 20795 Robert Whitten Administrator 40.0 X 136622 0 2927 487072 578846 92296 4 false true false MAS MEDICAL STAFFING 156 HARVEY ROAD LONDONDERRY NH 03053 Nursing Staffing Age 271791 Feeley Driscoll PC 200 Portland Street Boston MA 02114 Accounting Serv 186206 HEALTHCARE SERVICES GROUP SUITE 300 3220 TILLMAN DR BENSALEM PA 19020 Maintenance, Houseke 246407 PROFESSIONAL NURSES HEALTH SERVICES 425 Sunderland Road WORCESTER MA 01604 Nursing staffing age 126184 4 268365 268365 Net patient revenue 623000 13715974 13715974 13715974 52032 52032 0 0 390425 390425 0 390435 390435 1168941 1168941 1168941 1168941 0 0 0 Other income 812900 437270 437270 Tenant Services Revenue 812900 153952 153952 591222 16186969 14307196 1611408 0 0 0 0 555765 555765 0 8997305 8519651 477654 366951 348603 18348 1062446 1009324 53122 786633 747301 39332 784260 784260 15312 15312 52991 52991 0 0 0 441646 168140 273506 0 0 0 0 1302792 1237652 65140 17591 17591 0 1285 1285 1515214 1515214 0 2043093 1940938 102155 288103 273698 14405 Medical Supplies 885264 841001 44263 Departmental expenses 1192882 48569 1144313 resident bed tax 751441 751441 dietary services 554607 554607 743589 737033 6556 22359170 17733723 4625447 0 438145 239617 0 0 0 0 2625160 2942477 0 0 0 0 0 0 0 0 403398 279492 58126494 36370197 23606006 21756297 71023679 52456287 0 0 0 0 0 0 82859532 83726328 180955920 161400498 1517750 1934851 0 0 0 0 31953066 28622192 0 0 0 0 2945285 0 0 0 10433136 7242212 46849237 37799255 X 104238197 97168847 24138568 20711171 5729918 5721225 134106683 123601243 180955920 161400498 X -6172201 -4333239 X false true X false false X 411148 357839 480186 466533 260163 1975869 15267499 15558915 15507040 15287415 13715974 75336843 0 0 0 15678647 15916754 15987226 15753948 13976137 77312712 0 0 0 77312712 2550889 1672125 299677 314224 247312 5084227 0 2550889 1672125 299677 314224 247312 5084227 0 1020863 951841 1016096 1526953 854093 5369846 19250399 18540720 17302999 17595125 15077542 87766785 0.88089 0.84390 0.05793 0.10160 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X X false 70190115 2558820 -2061246 15719854 54967835 80076941 487236 1755477 12129539 70190115 86573267 405691 7875100 14777117 80076941 91580327 247597 10326011 15580668 86573267 98782997 6017272 -2491704 10728238 91580327 false false 336962 336962 46261995 27383878 18878117 6321877 5681988 639889 5205660 3304331 1901329 21756297 DUE FROM AFFILIATES 83726328 83726328 0 DUE TO AFFILIATES 4081582 DUE TO RESIDENTS 88827 ASSET RETIREMENT OBLIGATION 719703 PENSION LIABILITY 2352100 7242212 X 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. X X X false false false false false false false false false donald akeyo r.N. 141923 28 19731 161682 Tameryn Campbell Clerk 340357 10167 11924 362448 Pamela Jones treasurer 218311 10011 1120 10559 240001 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 THE MASONIC HEALTH SYSTEM OF MASSACHUSET 88 MASONIC HOME ROAD CHARLTON MA 01507 043515688 SOLE MEMBER MA 501(C)(3) 11C III FI MHS false OVERLOOK VISITING NURSES ASSOCIATIO 88 MASONIC HOME ROAD CHARLTON MA 01507 043515687 HOME HLTHCAR MA 501(C)(3) LINE 9 MHS false OVERLOOK COMMUNITIES INC 88 MASONIC HOME ROAD CHARLTON MA 01507 043515686 RES NURS FAC MA 501(C)(3) LINE 9 MHS false overlook health center at northampt 88 MASONIC HOME ROAD cHARLTON MA 01507 270451701 SKIL NURS FAC MA 501(C)(3) LINE 9 MHS false overlook catering inc 88 masonic home road charlton MA 01507 271472010 catering services MA MHS C-Corp false true false false false false false false false false false false true true false false false true false false OVERLOOK CATERING INC A 131550 Fair Value