2015-08-13T09:41:20-07:00 2014-09-30 990 2013-10-01 061101924 Masonicare Home Health and Hospice Inc MASO 2036795300 33 North Plains Road Wallingford CT 06492 James R Rude CFO 2015-08-13 2013 2016-03-07 17:11:31Z Susan Adams PO Box 70 Wallingford CT 06492 36811810 false false X WWW.MASONICARE.COM X 1999 CT See Schedule O 17 15 529 0 186462 129539 38367522 36517262 0 -23221 165009 38530763 36811810 84598 84572 0 24732428 24735822 0 0 9659889 10333253 34476915 35153647 4053848 1658163 7477461 12716165 3607286 7476942 3870175 5239223 See Schedule O false false 28122663 37248220 Masonicare Home Health and Hospice, Inc. provides home health services to clients of all ages including: skilled nursing care, hospice care, physical, speech and occupational therapies, medical social work and home health aide services. The total MHH&H, Inc care of sick visits for the period ended September 30, 2014 were 174,465 and total visits for Hospice were 50,481. Total patients served were 19,915 for Care of Sick and 3,351 for Hospice. MHH&H, Inc. provides management services to Masonicare Partners Home Health and Hospice, Inc. Partners is an affiliate that is jointly owned with St. Francis Medical Center. The mission of Partners is to provide home health services to clients of all ages in the greater Hartford area. 28122663 true false false false false false false false false false true false false true true false false true false false false false false false false false false false true true false false false false false false false false false false false false false false false false true false false false false true 106 0 true 529 true false false false false false false false false 0 false false false false false false false false false false X 17 15 false false false false true true true true true false true true true true true true true true true true false X X James R Rude 2036787857 22 Masonic Avenue Wallingford CT 06492 Francis X Conlon Volun-Chairman 1.00 0.00 X X 0 0 0 Steven Abati Volun V. Chairm 1.00 0.00 X X 0 0 0 Geoffrey L Ice Volun-Sec't 1.00 0.00 X X 0 0 0 Newton Buckner Volun-Treasurer 1.00 0.00 X X 0 0 0 Francine A Bailey Volunteer 1.00 0.00 X 0 0 0 Stephen B McPherson Pres.CFO,A.Secr 1.00 40.00 X X 0 934982 31026 Frank C Collins Jr Volunteer 1.00 0.00 X 0 0 0 Patricia A Sweet Volunteer 1.00 0.00 X 0 0 0 Robert P Curwen Jr Volunteer 1.00 0.00 X 0 0 0 Jon-Paul Venoit COO 1.00 40.00 X X 0 286654 22436 Arnold Freedman Volunteer 1.00 0.00 X 0 0 0 Donald Gladding Volunteer 1.00 0.00 X 0 0 0 Arthur W Davis MD Volunteer 1.00 0.00 X 0 0 0 Alexander Jarvis Volunteer 1.00 0.00 X 0 0 0 Susan Koty Volunteer 1.00 0.00 X 0 0 0 Charleton V Erickson Volunteer 1.00 0.00 X 0 0 0 Martha A Partridge Volunteer 1.00 0.00 X 0 0 0 R Scott Thelen CFO/Asst. Tres 1.00 40.00 X 0 346802 36748 Susan Adams Vice President 40.00 0.00 X 146620 0 20752 David Yearick RN 40.00 0.00 X 95264 0 17573 Susan Fagan RN 40.00 0.00 X 105777 0 25866 Doreen Brown Wade Director Hospice 40.00 0.00 X 102530 0 18892 Edna Roig RN 40.00 0.00 X 125265 0 11494 575456 1568438 184787 4 false true false Mckesson 1801 Royal Lane Dallas TX 75229 Medical Supplies 416390 Hospice Pharmacia 1601 Cherry Street Philadelphia PA 19102 Drugs and Medication 634452 Nathaniel Witherall 70 Parsonage Rd Greenwich CT 06836 Hospice 396093 Hewitt Memorial 45 Maltby Street Shelton CT 06484 Hospice 362822 Kindred Nursing Center 78 Viets Street New London CT 06320 Hospice 251068 21 84572 44967 129539 Management fees 621610 3678528 3678528 Patient Service Revenue 621610 33275559 33275559 Provision for Bad Debts -436825 -436825 36517262 0 0 0 0 0 0 0 0 Interest Income 331 331 Other 164594 164594 Vending Machine 84 84 165009 36811810 36682271 0 84572 84572 0 0 146620 146620 0 19190314 16872695 2317619 0 3963105 3961139 1966 1435783 1435783 3144295 3144295 62851 62851 28861 28861 0 0 0 0 0 121722 5031 116691 0 0 0 1878 1878 0 9363 3920 5443 0 0 212954 212954 280882 280882 Supplies 1128554 1114772 13782 Professional Fees 957875 957875 Travel 915930 838974 76956 Purchased Services 894653 380368 514285 2573435 2320914 252521 35153647 28122663 7030984 0 1850 1850 0 0 4186524 8690331 0 0 0 0 344635 324672 7396462 5711671 1561605 1684791 0 0 0 0 1382847 2014521 7477461 12716165 1606090 4982703 835164 1344317 1166032 1149922 3607286 7476942 X 3870175 5239223 3870175 5239223 7477461 12716165 X 1658163 -289115 X false true X true false X 72921 195070 139618 186482 249166 843257 33500476 34840576 34162736 35021526 33601102 171126416 0 0 0 33573397 35035646 34302354 35208008 33850268 171969673 0 0 171969673 3140 467 618 4225 111 78 -23221 331 -22701 3140 578 696 -23221 331 -18476 0 0 33576537 35036224 34303050 35184787 33850599 171951197 1.00000 1.00000 0.00000 X 1801082 775758 1025324 352250 350311 1939 4960801 4347426 613375 282329 238176 44153 1684791 Investments 1347864 Other receivables 666657 2014521 Medicare-Third Party Liability 1069546 Other 80376 1149922 true 0 0 Quality of Life Fund 319 84572 Cost Programs,assistance for clients X true true X X X false true false false false false false true false false Jon-Paul Venoit COO 260400 15000 11254 22436 309090 R Scott Thelen CFO/Asst. Tres 309498 37304 36748 383550 Stephen B McPherson Pres.CFO,A.Secr 536685 15000 383297 31026 966008 Susan Adams Vice President 145254 1366 20752 167372 Part I, Line 1a: Relevant information in regards to selections on 1a. Stephen B. McPherson was reimbursed for the grossed-up value of disability insurance premiums($16,002) under the terms of the executive employment contract (included in Schedule J, Part II, Column(B)(iii) "Other Reportable Compensation"). Part I, Line 7: Non-Fixed payments not listed above Compensation to reward senior management for achieving annual quality, strategic and financial goals for the organization for the amounts reported on Schedule J, Part II, Column(B)(ii) "Bonus and Incentive Compensation".A taxable automobile allowance was provided to Stephen B. McPherson ($13,000) and Jon-Paul Venoit ($11,254)as a part of their employment agreements (included in Schedule J, Part II, Column(B)(iii) "Other Reportable Compensation"). 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 organizations governance. Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body Masonicare Corporation, a sole corporate member, annually appoints the members of the affiliate board. 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, reserved powers to take 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 powers also include the appointment and removal of directors, the company's board chair 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 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. After 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 disclosures 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 the executive management group of the organization annually. This process was completed in November 2013. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available The Masonicare Corporation financial statements are publicly available throught EMMA and public securities markets. The financila statements of Masonicare Home Health and Hospice, Inc. are included in the Masonicare Corporation consolidated financial statements. The certificate of incorporation and related documents are on file with the Connecticut Secretary of State's office. The conflict of interest policy is avaliable upon request. Other Changes In Net Assets Or Fund Balances - Other Decreases INTER-COMPANY = -$289115 Form 990, Part III, Line 1 Organization Mission Masonicare Home Health and Hospice,comprised of a team of highly qualified and caring individuals, is dedicated to excellence in home health and hospice care. We continually strive to improve the health and wellness of patients and families throughout Connecticut with our responsive, accessible and quality-driven approach to care at home and in the community.As the largest non-profit home care and hospice provider in the state, we are dedicated and committed to quality care and excellent customer service. We cover the entire state while maintaining a local feel,with an intense focus on raising the awareness of the home care benefit, We are innovative leaders in developing new programs for home care delivery. 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 contribute 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 Foudation of CT., Masonicare Health Center, Masonicare at Newtown, Inc., Masonicare at Home Inc., Masonicare Partners Home Health and Hospice, Inc. Masonicare at Ashlar Village, Inc., Masonicare at Mystic, Inc. and Keystone Indemnity Company, LTD. Part X, Line 20 TE Bond Liabilites Masonicare Home Health and Hospice, Inc is a member of the Masonicare obligated group that is responsible for the repayment of the Series C and Series E bonds issued by Masonicare,Inc. in 2007 and 2011 respectively. The current outstanding bond balance is $101,542,224. Masonicare Corp PO Box 70 Wallingford CT 06492 061435920 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 Health Center PO Box 70 Wallingford CT 06492 060655131 Provide medical services to elderly CT 501(c)(3) 9 NA false Masonicare at Ashlar Village Inc PO Box 70 Wallingford CT 06492 061050830 Continuing care retirement community CT 501(c)(3) 9 NA false Masonicare Partners Home Health Hospice 111 Founders Plaza Suite 200 East Hartford CT 06492 260758992 Provide home health services CT 501(c)(3) 9 Masonicare Home Health & Hospice 65 false Keystone Indemnity Company Ltd 126 College Street Suite 400 Burlington VT 05401 030371612 Provide insurance services to Masonicare VT 501(c)(3) 11a NA false Masonicare at Newtown Inc PO Box 70 Wallingford CT 06492 061070285 Skilled nursing/assisted living services CT 501(c)(3) 9 NA false Masonicare at Home PO Box 70 Wallingford CT 06492 202377783 Provide home services to elderly CT 501(c)(3) 9 NA false Msasonicare at Mystic PO Box 70 Wallingford CT 06492 Manage senior living facility CT 501(c)(3) 9 Masonicare at Ashlar Village false Senior Living by Masonicare PO Box 70 Wallingford CT 06492 364784728 CT Masonicare at Mystic N/A false false 0.78130 Masonicare Primary Care Physicians PC PO Box 70 Wallingford CT 06492 061491820 Physician medical practice CT N/A C false Masonic Management Services PO Box 70 Wallingford CT 06492 061483276 Provides management services CT N/A C false false false false false false false false false false false true true true false false true false false false Masonicare Corp m 3144295 Cost Masonicare Corp p 3499116 Cost Masonicare Partners Home Health Hospice l 3678528 Cost Masonicare at Newtown Inc k 59566 FMV