MASONICARE HEALTH CENTER: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- MASONICARE HEALTH CENTER (EIN 06-0655131)
- Tax period
- 2015-10-01 to 2016-09-30
- Filed
- 2017-08-15
- IRS object ID
- 201712279349300236
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-08-15T08:00:49-07:00 | ReturnTs |
| Tax Period End | 2016-09-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 060655131 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Masonicare Health Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MASO | BusinessNameControlTxt |
| Phone | 2036786310 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 70 | AddressLine1Txt |
| City | Wallingford | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06492 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | James R Rude | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Signature | 2017-08-15 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Thomas Gutner | PrincipalOfficerNm |
| Gross Receipts | $66,428,029 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| All Affiliates Included | false | AllAffiliatesIncludedInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.masonicare.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1889 | FormationYr |
| Legal Domicile State | CT | LegalDomicileStateCd |
| Activity Or Mission | Provide comprehensive medical services to the elderly. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 1046 | TotalEmployeeCnt |
| Total Volunteers | 13 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $381,627 | PYContributionsGrantsAmt |
| CY Contributions Grants | $758,577 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $62,514,879 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $64,968,674 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,309 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,897 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,475,175 | PYOtherRevenueAmt |
| CY Other Revenue | $697,881 | CYOtherRevenueAmt |
| PY Total Revenue | $64,372,990 | PYTotalRevenueAmt |
| CY Total Revenue | $66,428,029 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $381,627 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $42,227,353 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $43,197,299 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $22,046,164 | PYOtherExpensesAmt |
| CY Other Expenses | $23,669,030 | CYOtherExpensesAmt |
| PY Total Expenses | $64,655,144 | PYTotalExpensesAmt |
| CY Total Expenses | $66,866,329 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$282,154 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$438,300 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $38,088,059 | TotalAssetsBOYAmt |
| Total Assets EOY | $37,520,555 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $6,900,331 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $6,979,725 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $31,187,728 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $30,540,830 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Provide comprehensive medical services to the elderly. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $58,770,720 | ExpenseAmt |
| Revenue | $65,167,982 | RevenueAmt |
| Desc | Masonicare Health Center is multi-level care facility. Masonicare Health Center provides services in the following areas: skilled nursing care (long-term care including memory care and rehabilitation care), geriatric acute medical hospital services and geriatric medical psychiatric hospital services, hospital based geriatric outpatient services, and assisted living and independent living apartments. During 2016, the facility's services were utilized as follows: skilled nursing, 375 licensed beds at 95.6% occupancy; geriatric acute medical care, 30 licensed beds at 31.5% occupancy; geriatric medical psychiatric care, 29 licensed beds at 89.6% occupancy; assisted living, 86 apartments at 95.2% occupancy; and independent living, 93 apartments at 97.5% occupancy. | Desc |
| Total Program Service Expenses | $58,770,720 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | Yes (true) | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 57 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1046 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | false | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Org Filed In Lieu Of Form1041 | false | OrgFiledInLieuOfForm1041Ind |
| Licensed More Than One State | false | LicensedMoreThanOneStateInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CT | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | James R Rude | PersonNm |
| Phone | 2036787857 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 22 Masonic Avenue | AddressLine1Txt |
| City | Wallingford | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06492 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| Robert A Simon | |||||||||
| Chairman | 1.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| William R Deickler | |||||||||
| Vice Chairman | 1.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Mark D Winne | |||||||||
| Secretary | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Albert H Cheng | |||||||||
| Treasurer | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Paul L Chello | |||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Sidney Hardee | |||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Thomas M Gutner effec 11716 | |||||||||
| Administrator | 1.00 | 39.00 | Yes (X) | Yes (X) | $0 | $232,623 | $33,007 | ||
| Jon-Paul Venoit | |||||||||
| COO | 1.00 | 46.00 | Yes (X) | Yes (X) | $0 | $465,105 | $39,517 | ||
| Gwen M Rochette | |||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Sherwin M Borsuk MD | |||||||||
| Director | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Robert J Furce | |||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Richard Ruggiano | |||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Howard W Orr | |||||||||
| Director | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| Grant S Gould | |||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| William Morrow | |||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Stephen B McPherson | |||||||||
| CEO/President | 1.00 | 47.00 | Yes (X) | Yes (X) | $0 | $709,564 | $35,816 | ||
| Melinda Schoen thru 111315 | |||||||||
| VP Admin. | 40.00 | 0.00 | Yes (X) | $262,254 | $0 | $36,207 | |||
| James R Rude | |||||||||
| CFO/Asst. Treas | 1.00 | 47.00 | Yes (X) | $0 | $287,580 | $28,046 | |||
| John Sweeney effec 1114-0116 | |||||||||
| Administrator | 3.00 | 37.00 | Yes (X) | $0 | $174,158 | $38,043 | |||
| Patricia Russell | |||||||||
| VP of Nursing | 40.00 | 0.00 | $164,616 | $0 | $21,505 | Yes (X) | |||
| Heidi Slade | |||||||||
| RN | 40.00 | 0.00 | $112,978 | $0 | $4,578 | Yes (X) | |||
| Jon Ernstoff | |||||||||
| Dir OP Clinical | 40.00 | 0.00 | $129,037 | $0 | $3,891 | Yes (X) | |||
| Martin Deflorio | |||||||||
| Dir-Pharmacy | 40.00 | 0.00 | $114,848 | $0 | $14,515 | Yes (X) | |||
| Francis Martowski | |||||||||
| LPN | 40.00 | 0.00 | $138,270 | $0 | $7,539 | Yes (X) | |||
| R Scott Thelen | |||||||||
| Former CFO | 0.00 | 0.00 | $0 | $274,600 | $26,817 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $922,003 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,143,630 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $289,481 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 19 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Morrison Management Specialists | |||||
| PO Box 102289 | Atlanta | GA | 30368 | Food Service | $2,715,981 |
| Montagno Construction | |||||
| 75 Progress Lane | Waterbury | CT | 06705 | Building contractor | $816,664 |
| EGA Architects | |||||
| 1 Vernon Street | Newburyport | MA | 01950 | Achitect Services | $869,693 |
| Medline Industries Inc | |||||
| PO Box 382075 | Pittsburgh | PA | 15251 | Medical Services | $309,450 |
| Alliance Rehab of Connecticut | |||||
| 28100 Torch Parkway Suite 600 | Warrenville | IL | 60555 | Therapy Services | $284,236 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 29 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $758,577 | RelatedOrganizationsAmt |
| Total Contributions | $758,577 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Acute hospital | 623000 | $3,400,915 | $3,400,915 |
| Geriatric med psychiatric | 623000 | $9,814,253 | $9,814,253 |
| Home for aged | 623000 | $3,891,993 | $3,891,993 |
| Resident fees-apartments | 623000 | $2,247,619 | $2,247,619 |
| Skilling nursing | 623000 | $45,090,009 | $45,090,009 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $523,885 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $523,885 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $64,968,674 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $797 | TotalRevenueColumnAmt |
| Exclusion | $797 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $60,439 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $60,439 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $60,439 | TotalRevenueColumnAmt |
| Exclusion | $60,439 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,100 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,100 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,100 | TotalRevenueColumnAmt |
| Exclusion | $2,100 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| Dietary | 900099 | $256,995 | $256,995 | |
| Meaningful Use Incentive | 623000 | $199,308 | $199,308 | |
| Shops/stores | 900099 | $133,521 | $133,521 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $47,618 | TotalRevenueColumnAmt |
| Exclusion | $47,618 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $637,442 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $66,428,029 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $65,167,982 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $501,470 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $217,064 | TotalAmt |
| Management And General | $217,064 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,962,349 | TotalAmt |
| Program Services | $31,268,063 | ProgramServicesAmt |
| Management And General | $694,286 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,653,052 | TotalAmt |
| Program Services | $8,407,990 | ProgramServicesAmt |
| Management And General | $245,062 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,364,834 | TotalAmt |
| Program Services | $2,297,860 | ProgramServicesAmt |
| Management And General | $66,974 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,539,994 | TotalAmt |
| Management And General | $3,539,994 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,655 | TotalAmt |
| Program Services | $1,093 | ProgramServicesAmt |
| Management And General | $29,562 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,575 | TotalAmt |
| Management And General | $31,575 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $862,164 | TotalAmt |
| Program Services | $862,164 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $106,992 | TotalAmt |
| Program Services | $103,494 | ProgramServicesAmt |
| Management And General | $3,498 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,833 | TotalAmt |
| Management And General | $30,833 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,076 | TotalAmt |
| Program Services | $6,076 | ProgramServicesAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $782,227 | TotalAmt |
| Management And General | $782,227 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,793,765 | TotalAmt |
| Program Services | $2,768,265 | ProgramServicesAmt |
| Management And General | $25,500 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $542,584 | TotalAmt |
| Program Services | $528,168 | ProgramServicesAmt |
| Management And General | $14,416 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Purchased Services | $3,355,376 | $3,163,530 | $191,846 |
| Dietary | $1,922,823 | $1,896,934 | $25,889 |
| Supplies Other | $1,900,799 | $1,897,320 | $3,479 |
| Pharmacy | $1,899,276 | $1,899,276 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,863,891 | TotalAmt |
| Program Services | $3,670,487 | ProgramServicesAmt |
| Management And General | $2,193,404 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,866,329 | TotalAmt |
| Program Services | $58,770,720 | ProgramServicesAmt |
| Management And General | $8,095,609 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,070 | BOYAmt |
| EOY | $2,070 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,695,123 | BOYAmt |
| EOY | $7,023,738 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $238,726 | BOYAmt |
| EOY | $238,125 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $434,079 | BOYAmt |
| EOY | $522,534 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $92,790,474 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $63,440,024 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,209,062 | BOYAmt |
| EOY | $29,350,450 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $508,999 | BOYAmt |
| EOY | $383,638 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,088,059 | BOYAmt |
| EOY | $37,520,555 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,734,002 | BOYAmt |
| EOY | $2,740,495 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $443,749 | BOYAmt |
| EOY | $366,072 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,722,580 | BOYAmt |
| EOY | $3,873,158 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,900,331 | BOYAmt |
| EOY | $6,979,725 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,187,728 | BOYAmt |
| EOY | $30,540,830 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,187,728 | BOYAmt |
| EOY | $30,540,830 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,088,059 | BOYAmt |
| EOY | $37,520,555 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$438,300 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$208,598 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | 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 | $334,362 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,007,700 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $451,864 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $993,245 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $758,577 | CurrentTaxYearAmt |
| Total | $3,545,748 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $63,696,121 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $62,550,817 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $61,471,358 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $62,896,725 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $66,158,552 | CurrentTaxYearAmt |
| Total | $316,773,573 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $516,319 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,794,501 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $666,807 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $863,607 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $437,379 | CurrentTaxYearAmt |
| Total | $4,278,613 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $64,546,802 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $65,353,018 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $62,590,029 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $64,753,577 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $67,354,508 | CurrentTaxYearAmt |
| Total | $324,597,934 | 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $324,597,934 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $121,464 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $121,663 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $111,201 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,309 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $61,236 | CurrentTaxYearAmt |
| Total | $416,873 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $121,464 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $121,663 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $111,201 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,309 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $61,236 | CurrentTaxYearAmt |
| Total | $416,873 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $755 | CurrentTaxYearAmt |
| Total | $755 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $64,668,266 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $65,474,681 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $62,701,230 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $64,754,886 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $67,416,499 | CurrentTaxYearAmt |
| Total | $325,015,562 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99870 | PublicSupportCY509Pct |
| Public Support PY509 | 1.00000 | PublicSupportPY509Pct |
| Investment Income CY | 0.00130 | InvestmentIncomeCYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed Section4955 Tax | false | Form4720FiledSection4955TaxInd |
| Correction Made | false | CorrectionMadeInd |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $1,404 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $1,404 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
| Form4720 Filed4912 Tax | false | Form4720Filed4912TaxInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I-A, Line 1 - Direct and Indirect Political Campaign Activities | FormAndLineReferenceDesc |
| Explanation | Masonicare Health Center paid membership dues to the Connecticut Hospital Association for the fiscal year ended September 30, 2016, $1,404 of the membership dues paid was used for lobbying on issues relevant to the Organization's exempt purpose. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | false | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (true) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $81,376,566 | BeginningYearBalanceAmt |
| Contributions | $276,087 | ContributionsAmt |
| Investment Earnings Or Losses | $403,895 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $60,860 | GrantsOrScholarshipsAmt |
| Other Expenditures | $44,054 | OtherExpendituresAmt |
| End Year Balance | $81,951,634 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $82,543,622 | BeginningYearBalanceAmt |
| Contributions | $211,991 | ContributionsAmt |
| Investment Earnings Or Losses | -$1,258,763 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $88,941 | GrantsOrScholarshipsAmt |
| Other Expenditures | $31,343 | OtherExpendituresAmt |
| End Year Balance | $81,376,566 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $81,622,019 | BeginningYearBalanceAmt |
| Contributions | $176,298 | ContributionsAmt |
| Investment Earnings Or Losses | $1,079,326 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $77,473 | GrantsOrScholarshipsAmt |
| Other Expenditures | $256,548 | OtherExpendituresAmt |
| End Year Balance | $82,543,622 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $80,082,741 | BeginningYearBalanceAmt |
| Contributions | $784,086 | ContributionsAmt |
| Investment Earnings Or Losses | $873,915 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $74,396 | GrantsOrScholarshipsAmt |
| Other Expenditures | $44,327 | OtherExpendituresAmt |
| End Year Balance | $81,622,019 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $77,282,525 | BeginningYearBalanceAmt |
| Contributions | $837,166 | ContributionsAmt |
| Investment Earnings Or Losses | $2,076,341 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $77,087 | GrantsOrScholarshipsAmt |
| Other Expenditures | $36,204 | OtherExpendituresAmt |
| End Year Balance | $80,082,741 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.96220 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.03780 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $68,462,034 | OtherCostOrOtherBasisAmt |
| Depreciation | $44,895,373 | DepreciationAmt |
| Book Value | $23,566,661 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,078,510 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,656,434 | DepreciationAmt |
| Book Value | $1,422,076 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,339,271 | OtherCostOrOtherBasisAmt |
| Depreciation | $13,067,042 | DepreciationAmt |
| Book Value | $2,272,229 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,910,659 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,821,175 | DepreciationAmt |
| Book Value | $2,089,484 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $29,350,450 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| Accrued employee compensation | $2,665,257 |
| Asbestos Removal | $754,274 |
| Deferred Patient Revenue | $83,890 |
| Deposits | $169,643 |
| Estimated Third Party | $180,964 |
| Other liabilities | $19,129 |
| Rounding | $1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,873,158 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part IV, Line 2b: Explanation of escrow account liability | Trust Accounts for long term care residents. Financial account into which money can be deposited to be used for personal preference items. Trust account depositors are regularly provided the status and activity of their accounts. |
| Part V, Line 4: Intended uses of the endowment fund. | The endowment funds are used to support the philanthropic mission and activities of Masonicare, Inc and its affiliates. |
| Part X : FIN48 Footnote | Masonicare accounts for uncertain tax positions in accordance with certain provisions of FASB ASC 740, which provides a framework for how companies should recognize, measure, present and disclose uncertain tax positions in their consolidated financial statements. Under FASB ASC 740, Masonicare may recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by the taxing authorities, based on the technical merits of the position. The tax benefits recognized in the consolidated financial statements from such position are measured based on the largest benefit that has a greater than 50% likelihood of being realized upon ultimate settlement.Masonicare did not record any unrecognized tax benefits for the years ended September 30, 2016 and 2015. Masonicare anticipates that it will not have a change in unrecognized tax benefits during the next twelve months that would have a material impact on the consolidated financial statements.All U.S. federal tax years from fiscal 2013 onwards are eligible for audit by the IRS. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | false | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $30,540,823 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,615,483 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,925,340 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10360 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $30,540,823 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,615,483 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,925,340 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10360 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $432,832 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $432,832 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00650 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $432,832 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $432,832 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00650 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $30,973,655 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,615,483 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,358,172 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $990,570 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $9,957,360 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $12,100,381 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$2,143,021 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | false | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Masonicare Health Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 22 Masonic Avenue | AddressLine1Txt |
| City | Wallingford | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06492 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.masonicare.org | WebsiteAddressTxt |
| State License | 11-CD, H0008 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Masonicare Health Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 14 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.masonicare.org | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | www.masonicare.org | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | Yes (true) | OrganizationIncurExciseTaxInd |
| Form4720 Filed | Yes (true) | Form4720FiledInd |
| Excise Report Form4720 For All | $150,000 | ExciseReportForm4720ForAllAmt |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.0000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200.0000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Other Method | Yes (X) | OtherMethodInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | www.masonicare.org | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | www.masonicare.org | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | www.masonicare.org | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Medicare Rates | Yes (X) | MedicareRatesInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 5 - Account Input from Persons Who Represent the Community | In addition to survey responses received from patients/family, visitors and campus volunteers, a representative traveled to the Senior Centers within the community we serve (Wallingford CT Senior Center and Meriden CT Senior Center) to obtain community responses. |
| Part V, Line 15e - Other Method For Applying For Financial Assistance | Billing statements and follow-up correspondence note the availability of Financial Assistance Programs as one of the available payment options. |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used) | A 100% discount is available for all medically necessary Hospital Services where the portion of the bill that is the responsibility of the patient is in excess of 20% of the family household income, regardless of whether they have income that otherwise exceed the financial eligibility requirements for free care (200% FPG) |
| Part I, Line 6a - Related Organization Community Benefit Report | The 2015-2016 Masonicare Community Benefit Report is available at www.masonicare.org. On the Home page click About Us on the top line; on the About Masonicare page click on 2015-2016 Community Benefit Statement.pdf under the subheading Our Ageless Commitment to Caring. |
| Part I, Line 7 - Explanation of Costing Methodology | Masonicare Health Center (MHC) provides a variety of geriatric services to the Wallingford, CT community. Approximately 68% of MHCs revenues come from the provision of skilled nursing facility services (375 licensed beds); approximately 9% of revenues come from residential care home (86 units), independent living apartments (93 units) and other sources; and approximately 23% of revenues come from the provision of geriatric Hospital services (geriatric medical psychiatric inpatient services 29 beds licensed and available; geriatric acute care inpatient hospital medical services exclusive of emergency services and surgical services 62 beds licensed with 30 beds available; and certain geriatric outpatient services). Based upon the geriatric population receiving hospital services, less than 2% of hospital revenues come from private pay / self pay sources; this represents less than 0.5% of MHC total revenues.The amounts reported in this section represent amounts attributable to Hospital services only. |
| Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense | Masonicare Health Center (MHC) calculates the estimated allowance for doubtful accounts by applying appropriate reserve factors to the various aging categories of patient accounts receivable. The provision for bad debts is the amount recorded to have the allowance for doubtful accounts stated at the calculated value. |
| Part III, Line 4 - Bad Debt Expense | The description of the organizations Provision for Bad Debts can be found on page 12 of Masonicares consolidated financial statements for the year ended September 30, 2016. |
| Part III, Line 8 - Explanation Of Shortfall As Community Benefit | None of the Medicare shortfall was treated as community benefit. The source for the amount reported on Line 6 was the Medicare cost report |
| Part III, Line 9b - Provisions On Collection Practices For Qualified Patients | Masonicare Health Center (MHC) provides financial assistance to patients who meet certain criteria under the financial assistance policy without charge, or at amounts less than established rates. While MCHs overall collection policy allows for the use of extraordinary collection actions, such extraordinary collection actions are not authorized for use in the collection of bills related to Hospital services. |
| Part VI - Community Information | Masonicare Health Center (MHC) offers a wide variety of geriatric services to the Wallingford, Connecticut community that include:a. 375 skilled nursing and rehabilitation bedsb. 93 independent living apartmentsc. 86 residential care apartmentsd. 29 acute geriatric psychiatric hospital bedse. 30 acute medical hospital bedsf. Outpatient speciality clinics MHC is licensed as a chronic disease hospital and as such does not have emergency room or provide any emergency medical services. MHC also does not provide any surgical services. The revenues for the hospital portion of the business represents approximately 23% of the program service revenues of MHC.MHC, located in Wallingford CT, services the greater Wallingford area. MHC is centrally located in the state providing easy access to the surrounding towns. In addition to the inpatient acute geriatric medical and inpatient acute geriatric psychiatric services, its outpatient specialty clinics provide easy access and high quality services to the Town of Wallingford and the surrounding towns.Masonicare, the parent company of Masonicare Health Center (MHC), serves the entire state of Connecticut through its various affiliates. As a non-profit 501(c)(3) organization, Masonicare is proud to provide free education programs and services to individuals and families throughout Connecticut. For the year ended September 30, 2016 Masonicare and all of its affiliates across our continuum donated 2,322 hours of their time to benefit the community through home visits and educational programs. These donated hours and services had a monetary value of $62,505 and affected 10,242 members of the community. Also for the year ended September 30, 2016, Masonicares Lunch and Learn educational programs throughout the State of Connecticut, featured current health and wellness and social topics for Seniors. Masonicare sponsored 33 such Lunch and Learn events with 840 attendees at a total cost of $5,775. |
| Part VI - Affilated Health Care System Roles and Promotion | Masonicare of Wallingford, Connecticut, is the state's leading provider of healthcare and retirement living communities for seniors. A not-for-profit with more that 100 years of experience behind us. Masonicare is recognized for the quality, compassionate care and steadfast support provided to residents and patients. Masonicare encompasses a broad range of geriatric healthcare and senior living options: Skilled nursing and rehabilitation facilities - Masonicare Health Center (MHC) located in Wallingford CT and Masonicare at Newtown (MAN) located in Newtown, CT.Home health and hospice services - Masonicare Home Health & Hospice, our statewide home healthcare and hospice affiliate, provided services to 12,912 patients in the fiscal year ended September 30, 2016 through its 6 offices (located in Danielson, CT, East Lyme CT, New Haven CT, Newtown, CT, Norwalk, CT and Wallingford, CT). Independent living options - A continuing care retirement community, Masonicare at Ashlar Village (MAV), and the Johnson, Wells, and Hawkins Apartments for individuals 55 and over located at MHC in Wallingford CT.Assisted living communities - Pond Ridge located at MAV in Wallingford CT and Lockwood Lodge located at MAN in Newtown CT.Personal care at home - Live in, personal care attendant and homemaker services are provided in an individual's home by affiliate Masonicare at Home (MAH).Physician services Primary Care physician services and Behavioral Health physician services are provided at a medical office building in Wallingford CT by affiliate Masonic Management ServicesA residential care home - the Leslie G. Wright Residence located at MHC in Wallingford CT. Masonicare provides various health promotion and community assistance activities, including the following: Free education programs and services to individuals and families throughout Connecticut.Lunch and Learn - This program is designed to provide seniors and others with education on health and wellness. Speakers are typically medical professionals from throughout the Masonicare continuum. Masonicare has coordinated with the senior centers and libraries in the Connecticut towns of Enfield, Hamden, Meriden, Monroe, Newtown, North Haven, Oxford, Southbury, Trumbull, Wallingford and Woodbury.Masonicare Community Services This is a statewide outreach program available to all Connecticut residents and offers information and guidance on a variety of programs and services including:- Medicare, Medicaid (Title 19), and Medicare Part D- Benefits eligibility- Caregiver assistance programs- State and Federal programs- Housing optionsThese services are available over the phone or in the comfort of the resident's home. Masonicare Community Services also provides assistance through a Choices certified counselor for all Medicare questions regarding Medicare Advantage Plans, Part D Prescription Drug Plans and Traditional Medicare coverages. Masonicare Help Line (888)679-9997 - This is a toll free informational phone service assisting seniors and families with a broad range of questions about senior healthcare, retirement living and much more. In addition, assistance is offered in locating and utilizing service agencies and programs in Connecticut. In the fiscal year ended September 2016 the Help Line responded to 13,244 calls from seniors and families requesting assistance. Other activities - Masonicare frequently holds blood pressure screenings and senior health fairs throughout the state, and makes its facilities available to many community organizations including the Commission on Aging, Senior Resources - Agency on Aging, M-Team, Healthy Wallingford, the Alzheimer's Association, Heritage Quilters and the Wallingford Education Foundation. |
| Part V - Explanation of Number of Facility Type | Masonicare Health Center (MHC) offers a wide variety of geriatric services that include the following: Hospital Services: 29 acute geriatric psychiatric hospital beds 30 acute geriatric medical hospital beds Outpatient specialty clinics Other Services: 375 skilled nursing and rehabilitation beds 93 independent living apartments 86 residential care apartments |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
| Rebuttable Presumption Proc | false | RebuttablePresumptionProcInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| James R Rude | ||||||||||||
| CFO/Asst. Treas | $284,257 | $3,000 | $323 | $1,848 | $26,198 | $315,626 | ||||||
| John Sweeney effec 1114-0116 | ||||||||||||
| Administrator | $174,012 | $146 | $6,960 | $31,083 | $212,201 | |||||||
| Jon-Paul Venoit | ||||||||||||
| COO | $308,250 | $32,250 | $124,605 | $10,965 | $28,552 | $504,622 | ||||||
| Melinda Schoen thru 111315 | ||||||||||||
| VP Admin. | $207,588 | $30,051 | $24,615 | $7,431 | $28,776 | $298,461 | ||||||
| Patricia Russell | ||||||||||||
| VP of Nursing | $118,698 | $45,918 | $5,032 | $16,473 | $186,121 | |||||||
| R Scott Thelen | ||||||||||||
| Former CFO | $274,600 | $26,817 | $301,417 | |||||||||
| Stephen B McPherson | ||||||||||||
| CEO/President | $567,427 | $40,525 | $101,612 | $10,559 | $25,257 | $745,380 | ||||||
| Thomas M Gutner effec 11716 | ||||||||||||
| Administrator | $168,158 | $64,465 | $7,099 | $25,908 | $265,630 | |||||||
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 7: Non-Fixed payments not listed above | FormAndLineReferenceDesc |
| Explanation | Compensation to reward senior management for achieving annual quality, strategic and financial goals for the organization for amounts reported on schedule J,Part II,Column(B)(ii) "Bonus and Incentive Compensation". | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder | The organization has a sole corporate member, Masonicare Corporation, with the right to appoint the members of the governing body and to participate in the organization's governance. |
| Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body | Masonicare Corporation, as a sole corporate member, annually appoints the members of the governing body. |
| Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders | Pursuant to the certificate of incorporation of the organization, Masonicare Corporation, as the sole corporate member, has certain reserved powers to make or approve certain actions of the governing body. These powers include the prior approval of amendments to the organization's certificate of incorporation and bylaws,approval of long range plans, budgets and material changes in budgets, mission statements and policies (including investment policies) as well as sales or transfer of assets, mergers and/or dissolutions and certificate of need applications. The sole corporate member's power also include the appointment and removal of directors, the company's board chairman and independent audit firm. |
| Form 990, Part VI, Line 11b: Form 990 Review Process | Masonicare management and our third party accountants review the tax return for completeness and accuracy. It is reviewed by the chief executive officer and chairman of the board. The tax return is also placed on a secured website that can be accessed by all board members for their review. At a full board meeting a discussion is held regarding comments/questions from board members. The tax return is then finalized and filed. |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | The results of the officer and director disclosure are first reviewed by the board chairman and then reported at the board meetings. Any officer or board member shall not make or second motions or vote (other than abstain) on matters if a conflict of interest exists, whether or not the officer or board member had an opportunity to make a written disclosure through the formalized process. Senior employee disclosures are reported to the president and chief executive officer and chief operating officer. The entire process is coordinated by the corporate compliance officer. All respondents are advised of their continuing duty to disclose any possible conflict of interest that may arise during the course of their service. |
| Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | The compensation committee of Masonicare Corporation engages an independent firm to certify the reasonableness of the compensation of the Administrator of the organization annually. The process was completed in November 2015. |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | The Masonicare Corporation financial statements are publicly avaliable through EMMA and public securities markets. The financial statements of Masonic Home and Hospital are included in Masonicare Corporation consolidated financials statements. the certification of incorporation and related documents are on file with Connecticut Secretary of State's Office. The conflict of interest policy is avaliable by request. |
| Other Changes In Net Assets Or Fund Balances - Other Decreases | Intercompany = -$208598 |
| Form 990, Part III, Line 1 Organization Mission | In furtherance of our traditional Masonic values, the mission of Masonicare Health Center is to enhance the quality of life by providing health, social and spiritual care throughout an individual's lifetime with emphasis on the needs of older persons.Masonicare Health Center will be recognized as an organization committed to establishing healthcare centers for excellence in all of its affiliates through the development of an integrated, person-centered healthcare system. Dedicated to our values and in partnership with our communities, we are committed to meeting the total needs of those we serve...mind, body and spirit. |
| Form 990, Part VII, Section A, Line 1a-Trustees | Hours related for volunteer trustees (column B) are the estimated hours per week that the volunteer trustees contributes to this and all other related exempt organizations, not necessarily equally but in the proportion required for which they receive no compensation. Related organizations include, Masonicare,Inc., Masonic Charity Foundation of CT., Masonicare at Newtown, Inc., Masonicare at Ashlar Village, Inc., Masonicare at Home Inc., Masonicare Home Health and Hospice, Inc., Masonicare Partners Home Health and Hospice Inc., Masonicare at Mystic, Inc. and Keystone Indemity Company, LTD. |
| Form 990, Schedule H, Part V, Line 12c | During the fiscal year ended September 30, 2016, the organization paid an excise tax under section 4959 in the amount of $50,000 for each of the the prior three tax years. |
| Part X Line 20 TE Bond Liabilities | Masonicare Health Center is a member of the Masonicare obligated group that is resonible for the repayment of Series C and Series E bonds issued by Masonicare, Inc. in 2007 and 2011 respectively. The current oustanding bond balance is $96,082,224. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Masonicare Corp | ||||||||||
| PO Box 70 | Wallingford | CT | 06492 | 061435919 | Parent holding and support organization. | CT | 501(c)(3) | 11c | NA | false |
| Masonic Charity Foundation of CT | ||||||||||
| PO Box 70 | Wallingford | CT | 06492 | 061435920 | Provide planned giving and development. | CT | 501(c)(3) | 7 | Masonicare Corp | false |
| Masonicare at Newtown Inc | ||||||||||
| PO Box 70 | Wallingford | CT | 06492 | 061070285 | Provide skilled nursing/assisted living services | CT | 501(c)(3) | 9 | Masonicare Corp | false |
| Masonicare at Ashlar Village Inc | ||||||||||
| PO Box 70 | Wallingford | CT | 06492 | 061050830 | Provide assisted living services | CT | 501(c)(3) | 9 | Masonicare Corp | false |
| Masonicare Home Health and Hospice Inc | ||||||||||
| PO BOX 70 | Wallingford | CT | 06492 | 061101924 | Provided home health services | CT | 501(c)(3) | 9 | Masonicare Corp | false |
| Masonicare Partners Home Health & Hospic | ||||||||||
| 111 Founders Plaza Suite 200 | East Hartford | CT | 06108 | 260758992 | Provide home health services | CT | 501(c)(3) | 9 | Masonicare Home Health and Hospice65 | false |
| Keystone Indemnity Company Ltd | ||||||||||
| 126 College Street Suite 400 | Burlington | VT | 05401 | 060371612 | Provide insurance services to Masonicare | VT | 501(c)(3) | 11a | Masonicare Corp | false |
| Masonicare at Home Inc | ||||||||||
| PO Box 70 | Wallingford | CT | 06492 | 202377783 | Provide home services to elderly | CT | 501(c)(3) | 9 | Masonicare Corp | false |
| Masonicare At Mystic Inc | ||||||||||
| PO Box | Wallingford | CT | 06492 | 454656008 | Manage senior living facility | CT | 501(c) (3) | 9 | Masonicare at Ashlar Village | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| Masonicare Primary Care Physicians PC | |||||||||
| PO Box 70 | Wallingford | CT | 06492 | 061491820 | Physician medical practice | CT | NA | C corp | false |
| Masonic Management | |||||||||
| PO Box 70 | Wallingford | CT | 06492 | 061468972 | Provides management services | CT | NA | C corp | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
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