MASONICARE HEALTH CENTER: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- MASONICARE HEALTH CENTER (EIN 06-0655131)
- Tax period
- 2014-10-01 to 2015-09-30
- Filed
- 2016-09-01
- IRS object ID
- 201602459349300305
- Schema version
- 2014v6.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-09-01T07:05:12-07:00 | ReturnTs |
| Tax Period End | 2015-09-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-10-01 | 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 | 2016-09-01 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-12-15 16:53:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Thomas Gutner | PrincipalOfficerNm |
| Gross Receipts | $64,372,990 | 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 | 14 | VotingMembersIndependentCnt |
| Total Employee | 1024 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $451,864 | PYContributionsGrantsAmt |
| CY Contributions Grants | $381,627 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $57,973,187 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $62,514,879 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,893 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,309 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,602,696 | PYOtherRevenueAmt |
| CY Other Revenue | $1,475,175 | CYOtherRevenueAmt |
| PY Total Revenue | $60,029,640 | PYTotalRevenueAmt |
| CY Total Revenue | $64,372,990 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $451,864 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $381,627 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $41,903,958 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $42,227,353 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $21,979,696 | PYOtherExpensesAmt |
| CY Other Expenses | $22,046,164 | CYOtherExpensesAmt |
| PY Total Expenses | $64,335,518 | PYTotalExpensesAmt |
| CY Total Expenses | $64,655,144 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$4,305,878 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$282,154 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $39,094,438 | TotalAssetsBOYAmt |
| Total Assets EOY | $38,088,059 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,735,880 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $6,900,331 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $31,358,558 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $31,187,728 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Provide comprehensive medical services to the elderly. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $51,378,597 | ExpenseAmt |
| Grant | $381,627 | GrantAmt |
| Revenue | $64,372,990 | 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 2015, the facility's services were utilized as follows: skilled nursing, 375 licensed beds at 98.1% occupancy; geriatric acute medical care, 30 licensed beds at 25.9% occupancy; geriatric medical psychiatric care, 29 licensed beds at 89.3% occupancy; assisted living, 86 apartments at 92.1% occupancy; and independent living, 93 apartments at 96.2% occupancy. | Desc |
| Total Program Service Expenses | $51,378,597 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | 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 | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | 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 | Yes (true) | 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 | 74 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1024 | 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 | 14 | 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 | Yes (true) | LocalChaptersInd |
| Policies Reference Chapters | Yes (true) | PoliciesReferenceChaptersInd |
| 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 | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| 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 |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Robert A Simon | ||||||||
| Vol/Chairman | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| William R Deickler | ||||||||
| Vol/V Chairman | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Mark D Winne | ||||||||
| Vol/Secretary | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Albert H Cheng | ||||||||
| Vol/Treasurer | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Paul L Chello | ||||||||
| Volunteer | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JF Donal Conway | ||||||||
| Volunteer | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Anthony Simari | ||||||||
| Volunteer | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Gwen M Rochette | ||||||||
| Volunteer | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Sherwin M Borsuk MD | ||||||||
| Volunteer | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Robert J Furce | ||||||||
| Volunteer | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Richard Ruggiano | ||||||||
| Volunteer | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Melinda Schoen | ||||||||
| VP Admin. | 40.00 | 0.00 | Yes (X) | $222,821 | $0 | $22,689 | Yes (X) | |
| Howard W Orr | ||||||||
| Volunteer | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Grant S Gould | ||||||||
| Volunteer | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| William Morrow | ||||||||
| Volunteer | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Stephen B McPherson | ||||||||
| CEO/President | 1.00 | 40.00 | Yes (X) | $0 | $959,801 | $32,378 | Yes (X) | |
| Jon-Paul Venoit | ||||||||
| COO/Asst. Secy | 1.00 | 40.00 | $0 | $335,173 | $35,446 | Yes (X) | ||
| James Rude effective 010515 | ||||||||
| CFO/Asst. Treas | 1.00 | 40.00 | $0 | $0 | $0 | Yes (X) | ||
| R Scott Thelen thru 110114 | ||||||||
| CFO/Asst Treas | 0.00 | 40.00 | $0 | $423,725 | $33,297 | Yes (X) | ||
| Patricia Russell | ||||||||
| VP of Nursing | 40.00 | 0.00 | $151,486 | $0 | $27,263 | Yes (X) | ||
| Jeffrey Bukowski | ||||||||
| Pharmacist | 40.00 | 0.00 | $106,885 | $0 | $29,404 | Yes (X) | ||
| William J O'Brien | ||||||||
| Pharmacist | 40.00 | 0.00 | $105,603 | $0 | $29,875 | Yes (X) | ||
| Martin Deflorio | ||||||||
| Dir-Pharmacy | 40.00 | 0.00 | $119,509 | $0 | $15,542 | Yes (X) | ||
| Francis Martowski | ||||||||
| RN | 40.00 | 0.00 | $132,428 | $0 | $6,828 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $838,732 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,718,699 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $232,722 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 15 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | 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 |
|---|---|---|---|---|---|
| CDW Government Inc | |||||
| 75 Remittance Drive | Chicago | IL | 60673 | Computer Equipment | $756,273 |
| Montagno Construction | |||||
| 75 Progress Lane | Waterbury | CT | 06705 | Building Contractor | $939,374 |
| TwinMed-Medical Supplies | |||||
| 11333 Greenstone Avenue | Santa Fe Springs | CA | 90670 | Supplies | $492,854 |
| Optimum Data | |||||
| 5066 South 111th Street | Omaha | NE | 68137 | IT Services | $321,388 |
| Morrisson Management | |||||
| PO Box 102289 | Atlanta | GA | 30368 | Services | $2,717,143 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 27 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $381,627 | RelatedOrganizationsAmt |
| Total Contributions | $381,627 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Acute hospital | 623000 | $3,321,406 | $3,321,406 |
| Geriatric med psychiatric | 623000 | $9,270,111 | $9,270,111 |
| Home for aged | 623000 | $3,692,960 | $3,692,960 |
| Resident fees-apartments | 623000 | $2,119,092 | $2,119,092 |
| Skilling nursing | 623000 | $43,095,665 | $43,095,665 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,015,645 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,015,645 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $62,514,879 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,309 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,309 | RelatedOrExemptFuncIncomeAmt |
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 |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
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 | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | BusinessBusinessCd | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| I/C rents | $97,091 | $97,091 | ||
| Meaningful Use Incentive | $611,568 | 623000 | $611,568 | |
| Other,net | $591,506 | $591,506 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $175,010 | TotalRevenueColumnAmt |
| Exclusion | $175,010 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,475,175 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $64,372,990 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $63,127,756 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $863,607 | 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 | $381,627 | TotalAmt |
| Program Services | $381,627 | ProgramServicesAmt |
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 | $245,510 | TotalAmt |
| Program Services | $245,510 | ProgramServicesAmt |
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 | $31,470,895 | TotalAmt |
| Program Services | $29,909,503 | ProgramServicesAmt |
| Management And General | $1,561,392 | 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 | $8,068,897 | TotalAmt |
| Program Services | $8,065,455 | ProgramServicesAmt |
| Management And General | $3,442 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,442,051 | TotalAmt |
| Management And General | $2,442,051 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,459,427 | TotalAmt |
| Management And General | $3,459,427 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,195 | TotalAmt |
| Management And General | $24,195 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,660 | TotalAmt |
| Management And General | $30,660 | 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 | $0 | TotalAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,205 | TotalAmt |
| Management And General | $1,205 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,274 | TotalAmt |
| Program Services | $89,869 | ProgramServicesAmt |
| Management And General | $20,405 | 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 | $0 | TotalAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,187 | TotalAmt |
| Management And General | $8,187 | ManagementAndGeneralAmt |
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 | $776,005 | TotalAmt |
| Management And General | $776,005 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,534,627 | TotalAmt |
| Program Services | $13,860 | ProgramServicesAmt |
| Management And General | $2,520,767 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $665,408 | TotalAmt |
| Program Services | $650,849 | ProgramServicesAmt |
| Management And General | $14,559 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Purchased Services | $2,501,885 | $2,313,818 | $188,067 |
| Supplies Other | $1,988,469 | $1,978,545 | $9,924 |
| Dietary | $1,916,516 | $1,885,404 | $31,112 |
| Provider Tax-Connecticut | $1,888,695 | $1,888,695 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,140,611 | TotalAmt |
| Program Services | $3,955,462 | ProgramServicesAmt |
| Management And General | $2,185,149 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,655,144 | TotalAmt |
| Program Services | $51,378,597 | ProgramServicesAmt |
| Management And General | $13,276,547 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,970 | 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 | $8,769,469 | BOYAmt |
| EOY | $6,695,123 | 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 | $199,071 | BOYAmt |
| EOY | $238,726 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $409,874 | BOYAmt |
| EOY | $434,079 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $90,922,338 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $60,713,276 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,178,312 | BOYAmt |
| EOY | $30,209,062 | 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 | $535,742 | BOYAmt |
| EOY | $508,999 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,094,438 | BOYAmt |
| EOY | $38,088,059 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,798,657 | BOYAmt |
| EOY | $2,734,002 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,937,223 | BOYAmt |
| EOY | $4,166,329 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,735,880 | BOYAmt |
| EOY | $6,900,331 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,358,558 | BOYAmt |
| EOY | $31,187,728 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,358,558 | BOYAmt |
| EOY | $31,187,728 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,094,438 | BOYAmt |
| EOY | $38,088,059 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$282,154 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $111,324 | 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 | $95,601 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $334,362 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,007,700 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,144,578 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $993,245 | CurrentTaxYearAmt |
| Total | $3,575,486 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $62,583,232 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $62,725,086 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $62,550,817 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $60,644,777 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $60,777,635 | CurrentTaxYearAmt |
| Total | $309,281,547 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | 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 | $62,678,833 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $63,059,448 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $63,558,517 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $61,789,355 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $61,770,880 | CurrentTaxYearAmt |
| Total | $312,857,033 | 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 | $312,857,033 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $162 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $708 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,855 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,893 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,309 | CurrentTaxYearAmt |
| Total | $6,927 | 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 | $162 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $708 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,855 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,893 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,309 | CurrentTaxYearAmt |
| Total | $6,927 | 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 Minus4 Years | $1,369,976 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,608,110 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,913,309 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,788,718 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,476,484 | CurrentTaxYearAmt |
| Total | $8,156,597 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $64,048,971 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $64,668,266 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $65,474,681 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $63,579,966 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $63,248,673 | CurrentTaxYearAmt |
| Total | $321,020,557 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.97460 | PublicSupportCY509Pct |
| Public Support PY509 | 0.97450 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00010 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $66,534,976 | OtherCostOrOtherBasisAmt |
| Depreciation | $43,178,236 | DepreciationAmt |
| Book Value | $23,356,740 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,078,510 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,483,197 | DepreciationAmt |
| Book Value | $1,595,313 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,948,102 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,382,490 | DepreciationAmt |
| Book Value | $2,565,612 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,360,750 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,669,353 | DepreciationAmt |
| Book Value | $2,691,397 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $30,209,062 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| Accrued employee compensation | $2,498,892 |
| Asbestos Removal | $728,774 |
| Custodial Liabilities | $443,749 |
| Deferred Patient Revenue | $78,845 |
| Deposits | $158,085 |
| Estimated Third Party | $221,389 |
| Other liabilities | $36,595 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $4,166,329 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent150 | Yes (X) | Percent150Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 150.000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | false | 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 | $75,471 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $33,624 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $41,847 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00330 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $75,471 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $33,624 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $41,847 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00330 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $22,698 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $22,698 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $22,698 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $22,698 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $98,169 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $33,624 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $64,545 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00510 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,282,000 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $9,906,781 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $11,644,282 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,737,501 | 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 |
| Other | Yes (X) | OtherInd |
| 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 (Sch H Part I Ln 6) | OwnWebsiteURLTxt |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | false | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 00 | ImplementationStrategyAdptYr |
| Strategy Posted Website | false | StrategyPostedWebsiteInd |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 150.0000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 150.0000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | false | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Other Method | Yes (X) | OtherMethodInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Nondis Emergency Care Policy | false | NondisEmergencyCarePolicyInd |
| No Emergency Care | Yes (X) | NoEmergencyCareInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 3j - Description of Other Needs Assessment | For our Community Health Questionnaire a convenience sampling was used. Within the Masonicare community there were two stations set up in plain sight of visitors. Blank questionnaires available and a blue lock box in which they could return complete questionnaires. The two locations were at the main entrance of the Masonicare Health Center (MHC) and the Medical Office Building waiting room. The boxes were checked regularly. Additionally, Masonicare volunteers were asked to fill out a questionnaire and return them to the volunteer coordinator.The intercept technique was also employed to collect responses. A representative would stand in the vicinity of the main entrance for MHC and ask passing residents or visitors to take a few moments and fill out the survey. Another method used to collect responses was through the online survey tool, Survey Monkey. At the physical collection stations we left slips of paper that provided the survey website. If people were in a rush and could not fill out a hard copy, we asked that they access the site and complete the questionnaire at their convenience.The final way responses were collected was by a representative traveling to the Senior Centers within the community served by MHC, Wallingford Senior Center and Meriden Senior Center. Once again, the intercept technique was used. All physical responses were collected and manually entered into the Survey Monkey database. Any surveys that were illegible or filled out incorrectly were not used. The only piece of information used from incorrectly filled out surveys was the answers to the demographic questions and the additional comments if any were given. If there were no additional comments the questionnaire was completely disregarded; no demographic information or any other information was used. |
| Part V, Line 5 - Account Input from Persons Who Represent the Community | Masonicare's Community Health Needs assessment responses were collected over a three month period, January 1st - March 30th 2014. During this time 175 questionnaires were collected and entered into a database for analysis. The result did not determine any novel needs but instead affirmed the need for continuation and augmentation of our current programs. The top ranked needs identified were:(1)Access to wellness, disease prevention, and ongoing healthcare services(2)Affordable housing(3)Financial difficulties in paying for everyday needs(4)Home care for those with limitation in their daily activities of living(5)Difficulty understanding Medicare/Medicaid |
| Part V, Line 7d - Description of Making Needs Assessment Widely Available | Subsequent to September 30, 2015 the CHNA report has been made widely available to the public on Masonicares website. Part V, Line 8 - CHNA implementation strategyAlthough the CHNA report and implementation strategy was reviewed and discussed at the Board level, formal Board-level approval of an implementation strategy did not occur. |
| 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. |
| Part V, Line 16i - Other Means Hospital Facility Publicized the Policy | Subsequent to September 30, 2015 the Financial Assistance Policy and related application form have been made available on Masonicares website www.masonicare.org (Our Services, Hospital Care for Seniors, Financial Aid Requirements and Applications).Also subsequent to September 30, 2015 the Financial Assistance Policy and related application form are provided at all hospital registration locations. |
| Part V, Line 22d - Other Billing Determination of Individuals Without Insurance | MHC does not provide emergency care. For other medically necessary care, the maximum amounts that can be charged to FAP eligible individuals is less than the published rate. |
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 6a - Related Organization Community Benefit Report | The 2014-2015 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 2014-2015 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 70% of MHCs revenues come from the provision of skilled nursing facility services (375 licensed beds); approximately 10% of revenues come from residential care home (86 units), independent living apartments (93 units) and other sources; and approximately 20% 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, 2015. |
| Part III, Line 8 - Explanation Of Shortfall As Community Benefit | None of the Medicare shortfall was treated as community benefit. The source of the costing methodology 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 20% 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, 2015 Masonicare and all of its affiliates across our continuum donated 3,008 hours of their time to benefit the community through home visits and educational programs. These donated hours and services had a monetary value of $77,218 and touched 8,679 members of the community. Also for the year ended September 30, 2015, 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 1,707 attendees at a total cost of $7,071. |
| 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. We are not-for-profit and have more that 100 years of experience behind us. We're recognized for the quality, compassionate care and steadfast support we provide to our 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 11,633 patients in the fiscal year ended September 30, 2015 through its 6 offices (located in Brookfield, CT, Danielson, CT, East Lyme CT, New Haven 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 individuals 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 activitites, 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, 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:- ConnPace (Connecticut's pharmaceutical program)- 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, we offer assistance in locating and utilizing service agencies and programs in Connecticut. In the fiscal year ended September 2015 the Help Line responded to 12,662 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 I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
| Total501c3 Org | 0 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|
| Quality of Life Fund | 310 | $131,935 | Cost | Programs to enhance resident lives |
| Masonic Charity Fdn-OES grant | 310 | $318,000 | Cost | Support OES & Other residents |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| 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 (5 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 | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Jon-Paul Venoit | |||||||||||
| COO/Asst. Secy | $293,661 | $30,000 | $11,512 | $10,350 | $25,096 | $370,619 | |||||
| Melinda Schoen | |||||||||||
| VP Admin. | $200,933 | $21,450 | $438 | $22,689 | $245,510 | ||||||
| Patricia Russell | |||||||||||
| VP of Nursing | $150,927 | $559 | $27,263 | $178,749 | |||||||
| R Scott Thelen thru 110114 | |||||||||||
| CFO/Asst Treas | $385,303 | $37,801 | $621 | $10,316 | $22,981 | $457,022 | |||||
| Stephen B McPherson | |||||||||||
| CEO/President | $562,665 | $35,000 | $362,136 | $10,350 | $22,028 | $992,179 | |||||
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 |
|---|---|
| Client Note 1 | Client Note 1 - Part V, Line 8 - CHNA implementation strategyAlthough the CHNA report and implementation strategy was reviewed and discussed at the Board level, formal Board-level approval of an implementation strategy did not occur. |
| 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 reviews the tax return for completeness and accuracy. It is also 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 15a: Compensation Review & Approval Process - CEO, Top Management | The compensation committee of Masonicare Corporation, engages an independent firm to certify the reasonableness of the compensation of executive management group of the oraganization annually. This process was completed in November 2014. |
| 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 Increases | Intercompany = $111324 |
| 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. |
| 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 $98,869,224. |
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 | NA | false |
| Masonicare at Newtown Inc | ||||||||||
| PO Box 70 | Wallingford | CT | 06492 | 061070285 | Provide skilled nursing/assisted living services | CT | 501(c)(3) | 9 | NA | false |
| Masonicare at Ashlar Village Inc | ||||||||||
| PO Box 70 | Wallingford | CT | 06492 | 061050830 | Provide assisted living services | CT | 501(c)(3) | 9 | NA | false |
| Masonicare Home Health and Hospice Inc | ||||||||||
| PO BOX 70 | Wallingford | CT | 06492 | 061101924 | Provided home health services | CT | 501(c)(3) | 9 | NA | 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 | NA | false |
| Masonicare at Home Inc | ||||||||||
| PO Box 70 | Wallingford | CT | 06492 | 202377783 | Provide home services to elderly | CT | 501(c)(3) | 9 | NA | 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 Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Senior Living by Masonicare | BusinessNameLine1Txt |
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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 364784728 | EIN |
| Primary Activities | Manage Senior Living Facility | PrimaryActivitiesTxt |
| Legal Domicile State | CT | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Masonicare At Mystic | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| General Or Managing Partner | false | GeneralOrManagingPartnerInd |
| Ownership | 0.78130 | OwnershipPct |
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 | false | 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 |
Transactions Related Org TransactionsRelatedOrgGrp (8 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Masonicare Corp | ||
| k | $97,091 | FMV |
| Masonicare Corp | ||
| m | $3,459,427 | Cost |
| Masonicare Corp | ||
| q | $7,154,893 | Cost |
| Masonic Charity Foundation of CT | ||
| p | $813,984 | Cost |
| Masonicare at Newtown Inc | ||
| p | $263,894 | Cost |
| Masonicare at Ashlar Village Inc | ||
| p | $303,244 | Cost |
| Masonicare Home Health and Hospice Inc | ||
| p | $1,966,428 | Cost |
| Masonicare Primary Care Physicians PC | ||
| q | $734,337 | Cost |
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