MASONICARE AT ASHLAR VILLAGE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MASONICARE AT ASHLAR VILLAGE INC (EIN 06-1050830)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-14
IRS object ID
201412269349302636
Schema version
2012v2.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-08-14T11:15:58-07:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN061050830EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Masonicare at Ashlar Village IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMASONameControl
Phone2036787857Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 70AddressLine1
CityWallingfordCity
StateCTState
ZIP Code06492ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameR Scott ThelenName
TitleAsst. TreasurerTitle
Date Signed2014-08-14DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts27678942GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.masonicare.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1981YearFormation
State Legal DomicileCTStateLegalDomicile
Activity Or Mission DescriptionSee Schedule O.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees255TotalNbrEmployees
Total Nbr Volunteers150TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year28187ContributionsGrantsPriorYear
Contributions Grants Current Year13242ContributionsGrantsCurrentYear
Program Service Revenue Prior Year24256621ProgramServiceRevenuePriorYear
Program Service Revenue CY25157852ProgramServiceRevenueCY
Investment Income Prior Year1553515InvestmentIncomePriorYear
Investment Income Current Year1576091InvestmentIncomeCurrentYear
Other Revenue Prior Year868124OtherRevenuePriorYear
Other Revenue Current Year873472OtherRevenueCurrentYear
Total Revenue Prior Year26706447TotalRevenuePriorYear
Total Revenue Current Year27620657TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year64821GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY67136GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6185844SalariesEtcPriorYear
Salaries Etc Current Year6364425SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year13828574OtherExpensePriorYear
Other Expenses Current Year14205783OtherExpensesCurrentYear
Total Expenses Prior Year20079239TotalExpensesPriorYear
Total Expenses Current Year20637344TotalExpensesCurrentYear
Revenues Less Expenses Prior Year6627208RevenuesLessExpensesPriorYear
Revenues Less Expenses CY6983313RevenuesLessExpensesCY
Total Assets BOY92635485TotalAssetsBOY
Total Assets EOY90149962TotalAssetsEOY
Total Liabilities BOY47077263TotalLiabilitiesBOY
Total Liabilities EOY43637259TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY45558222NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY46512703NetAssetsOrFundBalancesEOY
Mission DescriptionMasonicare at Ashlar Village, an affiliate of Masonicare, is a not-for-proft Continuing Care Retirement Community, providing both independent and assisted living people aged 55 and over. Following the traditions of Masonry, we are committed to creating the highest quality of life for our residents by fostering an environment of respect, independence and dignity.Masonicare at Ashlar Village is dedicated to maintaining the well being, independence and quality of life for all residents. We consistently strive to be recognized as one of the leading Continuing Care Retirement Comminities (CCRCs) in the nation. Masonicare at Ashlar Village envisions a continuing partnership with Masonicare and other related resources in meeting the needs of our community--body, mind and spirit.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense18849948Expense
Revenue25157852Revenue
DescriptionMasonicare at Ashlar Village is a continuing care retirement and assisted living community. The retirement community consists of 248 apartments,72 cottages and 40 villas. The occupancy percentage for the fiscal year ending September 2013 was 94.44%. The assisted living facility(Pond Ridge) consists of 136 units. The occupancy percentage for the fiscal year ending September 2013 was 86.76%. The Village provides healthcare services which promote health, wellness and a high quality of life for all residents in an independent and/or assisted living environment.Description
Total Program Service Expense18849948TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109654NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees255NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonR Scott ThelenNamePerson
Telephone Number2036787857TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line122 Masonic AvenueAddressLine1
CityWallingfordCity
StateCTState
ZIP Code06492ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
Chester R Miller
Member1.000.00X000
Barbara F Lott
Member1.000.00X000
Robert Lisenko
Member1.000.00X000
Philip Lint
Member1.000.00X000
Eloise Hazelwood
Member1.000.00X000
Kenneth Greenhill
Member1.000.00X000
Jeff Flynn
Member1.000.00X000
Georgia Erickson
Member1.000.00X000
R Scott Thelen
Asst. Treasurer1.0040.00X031243936385X
Stephen B McPherson
Asst. Secretary1.0040.00X085776230646X
Jon-Paul Venoit
Sr. VP Res Svcs1.0040.00X016370226613X
John Amarilios
Treasurer1.000.00X000X
Scott T Sherrick
Secretary1.000.00X000X
Carol E Memmott
Vice Chairman1.000.00X000X
David A Gessert
Chairman1.000.00X000X
FieldValueIRS element (for citing)
Total Reportable Comp Frm Rltd Orgs1333903TotalReportableCompFrmRltdOrgs
Total Other Compensation93644TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Precision Landscaping
54 Gracey AvenueMeridenCT06451Land Scaping Service363925
Morrison Management Specialists Inc
PO Box 102289AtlantaGA30268Food Service1415399
Masonicare Inc
PO Box 70WallingfordCT06492Management Services610800
Heritage Floor Covering
892 North Colony RoadWallinfordCT06492Floor Covering438112
ABR Construction Inc
PO Box 720WallingfordCT06492Construction668077
FieldValueIRS element (for citing)
Number Of Contractors GT100 K12NumberOfContractorsGT100K
Related Organizations13242RelatedOrganizations
Total Contributions13242TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Resident income6230001641780216417802
Assisted Living Revenue62399087400508740050
FieldValueIRS element (for citing)
Total Program Service Revenue25157852TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1576915TotalRevenueColumn
Exclusion$1,576,915ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real59976Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real58285Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real1691Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1691TotalRevenueColumn
Exclusion$1,691ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other-824Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-824Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-824TotalRevenueColumn
Exclusion-$824ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
Hair Salon144316$144,316
Guest Meals117888$117,888
Catering146180$146,180

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column463397TotalRevenueColumn
Exclusion$463,397ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue871781TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column27620657TotalRevenueColumn
Related Or Exempt Function Income25157852RelatedOrExemptFunctionIncome
Exclusion$2,449,563ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total25662Total
Program Services25662ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total41474Total
Program Services41474ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4901605Total
Program Services4242749ProgramServices
Management And General658856ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1113138Total
Program Services916800ProgramServices
Management And General196338ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total349682Total
Program Services300984ProgramServices
Management And General48698ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total610800Total
Management And General610800ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total11554Total
Management And General11554ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total10775Total
Management And General10775ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total30305Total
Program Services21192ProgramServices
Management And General9113ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total8179Total
Program Services8179ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total2961122Total
Program Services2961122ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4268346Total
Program Services4268346ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total332101Total
Program Services303352ProgramServices
Management And General28749ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Property taxes730450730450
Utilities10113131011313
Dietary10236191023310309
Purchased Services23741372229892144245

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total833082Total
Program Services765123ProgramServices
Management And General67959ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total20637344Total
Program Services18849948ProgramServices
Management And General1787396ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY689144BOY
EOY684853EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1492873BOY
EOY1748888EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1391650BOY
EOY682350EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY20956BOY
EOY20956EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY91932BOY
EOY228436EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis138433005LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec51715661LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY88880099BOY
EOY86717344EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY68831BOY
EOY67135EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY92635485BOY
EOY90149962EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1357482BOY
EOY1464726EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY44438601BOY
EOY40968558EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1281180BOY
EOY1203975EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY47077263BOY
EOY43637259EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY45558222BOY
EOY46512703EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY45558222BOY
EOY46512703EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY92635485BOY
EOY90149962EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses6983313ReconcilationRevenueExpenses
Reconcilation Other Changes-6028832ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years62209CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years54673CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year28187CurrentTaxYearMinus1Year
Current Tax Year13242CurrentTaxYear
Total158311Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years20487666CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years22403169CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years24485352CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year25121695CurrentTaxYearMinus1Year
Current Tax Year26030500CurrentTaxYear
Total118528382Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years20487666CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years22465378CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years24540025CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year25149882CurrentTaxYearMinus1Year
Current Tax Year26043742CurrentTaxYear
Total118686693Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509118686693PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1503338CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years954885CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1551784CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1556565CurrentTaxYearMinus1Year
Current Tax Year1576915CurrentTaxYear
Total7143487Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1503338CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years954885CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1551784CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1556565CurrentTaxYearMinus1Year
Current Tax Year1576915CurrentTaxYear
Total7143487Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Total0Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years21991004CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years23420263CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years26091809CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year26706447CurrentTaxYearMinus1Year
Current Tax Year27620657CurrentTaxYear
Total125830180Total
FieldValueIRS element (for citing)
Public Support Percentage5090.94320PublicSupportPercentage509
Prior Year Support Percentage0.94040PriorYearSupportPercentage
Investment Income Percentage0.05680InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.05960PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis124961139OtherCostOrOtherBasis
Depreciation42384095Depreciation
Book Value82577044BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis7625671OtherCostOrOtherBasis
Depreciation4956119Depreciation
Book Value2669552BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3894611OtherCostOrOtherBasis
Depreciation3227015Depreciation
Book Value667596BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1951584OtherCostOrOtherBasis
Depreciation1148432Depreciation
Book Value803152BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings86717344TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Est. settlements due third party payors$18,448
Deposits$1,185,527
FieldValueIRS element (for citing)
Total Of Amounts1203975TotalOfAmounts

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationPurpose Of GrantPurposeOfGrantEIN Of RecipientEINOfRecipient
Wallingford Firefighte
45 South Main StreetWallingfordCT0649255000CostDonation
Masonic Charity Foundation of CT
PO Box 70WallingfordCT06492183120CostDonations to the Annual Appeal061435920
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (2 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
Scholarship program2528232
Resident support program413242costFin. assistance to pay monthly fee

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

TitleTitleComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgs
Stephen B McPherson
Asst. Secretary5210741500032168830646888408
R Scott Thelen
Asst. Treasurer3019671000047236385348824
Jon-Paul Venoit
Sr. VP Res Svcs14160015000710226613190315

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Sch J, Part III, Additional InformationPart III, Additional InformationPart 1, Line 3-Methods to Establish Compensation.Masonicare Inc, the sole corporate shareholder, uses a compensation commmittee, an independent compensation consultant and approval by the compensation committee to establish compensation for the officers and senior leaders of Masonicare and its affiliates.
Sch J, Part I, Line 7Part I, Line 7: Non-Fixed payments not listed aboveCompensation to reward senior management for achieving annual quality, strategic and financial goals for the organization.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part X, Line 20, TE Bond LiabilitiesMasonicare at Ashlar Village, Inc. is a member of the Masonicare obligated group that is responsible for the repayment of the Series C and Series D Bonds issued by Masonicare, Inc. in 2007 and 2011. The current outstanding bond balance is $101,556,000.
Other Changes In Net Assets Or Fund Balances - Other DecreasesINTERCOMPANY = -$6028832Form 990, Part XI, Line 9
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableThe financial statements are publicly available through EMMA and public securities markets. The certificate of incorporation and related documents are on file with the Connecticut Secretary of State's office. The conflict of interest policy is available upon request.Form 990, Part VI, Line 19
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementThe Compensation Committee of the sole corporate member, Masonicare Corporation, engages an independent firm to certify the reasonableness of the compensation of the senior administrator and the executive management group of the organization annually. This process was last completed in November 2011 for the Senior Vice President of Residential Services position.Form 990, Part VI, Line 15a
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsAnnually, officers, directors and senior employees are required to complete a conflict of interest disclosure questionaire. 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 director 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 director 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 12c
Form 990, Part VI, Line 11b: Form 990 Review ProcessMasonicare 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 the board members for their review. After responding to all comments/questions, changes are made as appropriate. At a full board meeting a discussion is held regarding comments/questions and the changes that were made. The tax return is then finalized and filed.Form 990, Part VI, Line 11b
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or ShareholdersPursuant to the Certificate of Incorporation of the organization, Masonicare Corporation, as the sole corporate member, has certain 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 transfers 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 7b
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyMasonicare Corporation, as sole corporate member, annually appoints the members of the governing body.Form 990, Part VI, Line 7a
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderThe 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 6

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Masonicare at Home Inc
PO Box 70WallingfordCT06492202377783Providecompanion/homemaker/personal care services to elderlyCT501(c)(3)9N/Afalse
Masonicare Partners HomeHealth & Hospice
111 Founders Plaza Suite 200East HartfordCT06108260758992Provide home health services to clients of all agesCT501(c)(3)9N/Afalse
Keystone Indemnity Company Ltd
126 College Street Suite 400BurlingtonVT05401030371612Provide insurance services to Masonicare affiliatesVT501(c)(3)11afalseNA
Masonicare Home Health and Hospice Inc
33 North Plains RoadWallingfordCT06492061101924Provide home health services to clients of all agesCT501(c)(3)9falseNA
Masonicare at Newtown Inc
PO Box 70WallingfordCT06492061070285Provided skilled nursing/assisted living services to elderlyCT501(c)(3)9falseNA
Masonicare Health Center
PO Box 70WallingfordCT06492060655131Provide comprehensive medical services to elderlyCT501(c)(3)9falseNA
Masonic Charity Foundation of CT
PO Box 70WallingfordCT06492061435920Provide planned giving and development support to affiliatesCT501(c)(3)7falseNA
Masonicare Inc
PO Box 70WallingfordCT06492061435920Parent holding and support organization of affilate corp.CT501(c)(3)11cfalseNA

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityControlled OrgControlledOrg
Masonic Management Services
PO Box 70WallingfordCT06492061468972Provides management servicesCTNACfalse
Masonicare Primary Care Physicians PC
PO Box 70WallingfordCT06492061491820Physicians medical practiceCTNACfalse
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Masonic Management Services
s185Cost
Masonicare Primary Care Physicians PC
r83873Cost
Masonicare at Home Inc
r21645Cost
Masonicare Home Health and Hospice Inc
s3734Cost
Masonicare at Newtown Inc
s16981Cost
Masonicare Health Center
r228664Cost
Masonic Charity Foundation of CT
s103348Cost
Masonicare Inc
s4611796Cost

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