Masonicare at Newtown Inc: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
Masonicare at Newtown Inc (EIN 06-1070285)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-15
IRS object ID
201412279349301061
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)
Timestamp2014-08-15T06:34:51-07:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN061070285EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MASONICARE AT NEWTOWN 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 Signed2014-08-15DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts20374828GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteWWW.MASONICARE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1998YearFormation
State Legal DomicileCTStateLegalDomicile
Activity Or Mission DescriptionSEE SCHEDULE OActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees365TotalNbrEmployees
Total Nbr Volunteers70TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year53584ContributionsGrantsCurrentYear
Program Service Revenue Prior Year19274503ProgramServiceRevenuePriorYear
Program Service Revenue CY20094198ProgramServiceRevenueCY
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year265094OtherRevenuePriorYear
Other Revenue Current Year227046OtherRevenueCurrentYear
Total Revenue Prior Year19539597TotalRevenuePriorYear
Total Revenue Current Year20374828TotalRevenueCurrentYear
Grants And Similar Amnts CY53584GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year12601239SalariesEtcPriorYear
Salaries Etc Current Year12382611SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year8256698OtherExpensePriorYear
Other Expenses Current Year8810142OtherExpensesCurrentYear
Total Expenses Prior Year20857937TotalExpensesPriorYear
Total Expenses Current Year21246337TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1318340RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-871509RevenuesLessExpensesCY
Total Assets BOY13407487TotalAssetsBOY
Total Assets EOY12711534TotalAssetsEOY
Total Liabilities BOY2038126TotalLiabilitiesBOY
Total Liabilities EOY2399221TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY11369361NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY10312313NetAssetsOrFundBalancesEOY
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense16951451Expense
Revenue20374828Revenue
DescriptionMasonicare at Newtown,Inc. is a skilled nursing and assisted living community. The skilled nursing facility has 154 beds and operated at a 92.6% occupancy rate providing 52,050 patient days. The assisted living facility, Lockwood Lodge, has 55 units and operated at an 98.2% occupancy rate. Average occupancy was 54.0 units.Description
Total Program Service Expense16951451TotalProgramServiceExpense
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 StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
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 ContributionstrueDeductibleNonCashContributions
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 With109641NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees365NumberOfEmployees
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 Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
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 (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
Anthony Simari
MEMBER0.000.00000
Harmon Andrews
Member0.000.00000
Gwen M Rochette
Member1.000.00000X
Carl Mossberg
Member1.000.00000X
Stephen P Shapiro
Treasurer1.000.00000XX
Howard Orr
MEMBER1.000.00000X
Richard Ruggiano
MEMBER1.000.00000X
Paul L Chello
MEMBER1.000.00000X
William Morrow
MEMBER1.000.00000X
John Sweeney
Administrator40.000.00157306027629X
John R Hall
MEMBER1.000.00000X
Sherwin M Borsuck MD
MEMBER1.000.00000X
R Scott Thelen
ASST. TREASURER0.0040.00031243936384XX
Stephen B McPherson
President0.0040.00085776230646XX
Albert H Cheng
MEMBER1.000.00000X
Mark D Winne
Secretary1.000.00000XX
William R Deickler
VICE CHAIRMAN1.000.00000XX
Robert A Simon
Chairman1.000.00000X
Roselyn Arcadio
Dir-Patient Svc40.000.00103753012055X
Maureen Jennings
ADNS40.000.0010186208289X
Jacqueline Murillo
40.000.0096732011795X
FieldValueIRS element (for citing)
Total Reportable Comp From Org459653TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1170201TotalReportableCompFrmRltdOrgs
Total Other Compensation126798TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
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
Rehabilitation Associates of Connecticut
41 Old Coach RdFairfieldCT06824Therapy754607
Omnicare Inc
525 Knotter DrCheshireCT06410Supplies362636
Morrison Senior Dining
PO Box 102289AtlantaGA30268Food Service1225383
Jeans Beauty Service Inc
908 Mile Square RdYonkersNY10704Hairdresser110019
Construction Resources
316 Main StFarmingtonCT06032Construction117616
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K
Related Organizations53584RelatedOrganizations
Noncash Contributions53584NoncashContributions
Total Contributions53584TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
SKILLED NURSING6230001610063516100635
ASSISTED LIVING62300039935633993563
FieldValueIRS element (for citing)
Total Program Service Revenue20094198TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

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

FieldValueIRS element (for citing)
DescriptionOTHER INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column227046TotalRevenueColumn
Related Or Exempt Function Income227046RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue227046TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column20374828TotalRevenueColumn
Related Or Exempt Function Income20321244RelatedOrExemptFunctionIncome

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total53584Total
Program Services53584ProgramServices

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)
Total184934Total
Management And General184934ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8950101Total
Program Services8548962ProgramServices
Management And General401139ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2588398Total
Program Services2414729ProgramServices
Management And General173669ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total659178Total
Program Services659178ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total933681Total
Management And General933681ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total42832Total
Management And General42832ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total14309Total
Management And General14309ManagementAndGeneral

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)
Total905315Total
Program Services905315ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total40876Total
Program Services32733ProgramServices
Management And General8143ManagementAndGeneral

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)
Total8584Total
Program Services8584ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total9011Total
Program Services5506ProgramServices
Management And General3505ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total294703Total
Management And General294703ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1055109Total
Program Services553608ProgramServices
Management And General501501ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total197369Total
Program Services13944ProgramServices
Management And General183425ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Pharmacy534677534677
Supplies other6145866116642922
Provider Tax950149950149
Purchased Service1293310125324040070

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1915631Total
Program Services1355727ProgramServices
Management And General559904ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total21246337Total
Program Services16951451ProgramServices
Management And General4294886ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY200BOY
EOY200EOY

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)
BOY4215108BOY
EOY4329918EOY

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)
BOY42840BOY
EOY24284EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY71710BOY
EOY24085EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY96045BOY
EOY124643EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis30199792LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec22048885LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY8750107BOY
EOY8150907EOY

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)
BOY231477BOY
EOY57497EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY13407487BOY
EOY12711534EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1053812BOY
EOY1348034EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY984314BOY
EOY1051187EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2038126BOY
EOY2399221EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY11369361BOY
EOY10312313EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11369361BOY
EOY10312313EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13407487BOY
EOY12711534EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-871509ReconcilationRevenueExpenses
Reconcilation Other Changes-185539ReconcilationOtherChanges
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 Years54964CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years49739CurrentTaxYearMinus2Years
Current Tax Year53584CurrentTaxYear
Total158287Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years19403631CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years19151653CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19597841CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19274503CurrentTaxYearMinus1Year
Current Tax Year20093529CurrentTaxYear
Total97521157Total

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 Years19403631CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years19206617CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19647580CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19274503CurrentTaxYearMinus1Year
Current Tax Year20147113CurrentTaxYear
Total97679444Total

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 Total50997679444PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3147CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years67CurrentTaxYearMinus3Years
Current Tax Year669CurrentTaxYear
Total3883Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3147CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years67CurrentTaxYearMinus3Years
Current Tax Year669CurrentTaxYear
Total3883Total

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 Years19406778CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years19206684CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19647580CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19274503CurrentTaxYearMinus1Year
Current Tax Year20147782CurrentTaxYear
Total97683327Total
FieldValueIRS element (for citing)
Public Support Percentage5091.00000PublicSupportPercentage509
Prior Year Support Percentage0.99990PriorYearSupportPercentage
Investment Income Percentage0.00000InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00010PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis419334OtherCostOrOtherBasis
Book Value419334BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis22965800OtherCostOrOtherBasis
Depreciation16264776Depreciation
Book Value6701024BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2451586OtherCostOrOtherBasis
Depreciation2093930Depreciation
Book Value357656BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3585374OtherCostOrOtherBasis
Depreciation3041470Depreciation
Book Value543904BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis777698OtherCostOrOtherBasis
Depreciation648709Depreciation
Book Value128989BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings8150907TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescriptionAmountAmount
THIRD PARTY SETTLEMENTS$27,955
Rounding$1
Other$5,784
DEPOSITS$278,905
CUSTODIAL ASSETS$28,891
ASSET RETIREMENT OBLIGATION$99,999
ACCRUED EMOLOYEE COMPENSATION$609,652
FieldValueIRS element (for citing)
Total Of Amounts1051187TotalOfAmounts

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained
Total Nbr Of501 C3 And Govt Grants0TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantSCHOLARSHIPTypeOfGrant
Number Of Recipients1NumberOfRecipients

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
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 PaymentsfalseAnyNonFixedPayments
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 OrgsTotalCompensationRelatedOrgsBase Compensation Filing OrgBaseCompensationFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
Stephen B McPherson
President5210741500032168830646888408
R Scott Thelen
ASST. TREASURER3019671000047236384348823
John Sweeney
Administrator2762927629157170136157306

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART IV QUESTION 24A-TE BOND ISSUEMASONICARE AT NEWTOWN, INC. IS A MEMBER OF THE MASONICARE OBLIGATED GROUP THAT IS RESPONIBLE FOR THE REPAYMENT OF THE SERIES C AND SERIES E BONDS ISSUED BY MASONICARE,INC IN 2007 & 2011. THE CURRENT OUTSTANDING BOND BALANCE IS $101,556,000.
FORM 990, PART III, LINE 1-ORGANIZATIONIN CONCERT WITH MASONICARE, INC AND THE NAME OF MASONRY, MASONICARE AT NEWTOWN ISCOMMITTED TO EXCELLENCE BY PROVIDING THE HIGHEST QUALITY OF CARE AND SERVICES TOENRICH THE LIVES OF THOSE WE SERVE. BUILDING UPON OUR MASONICARE VALUES AND SERVICE TO OTHERS, MASONICARE AT NEWTOWN SHALL BE THE PREMIER PROVIDER OF A CONTINUUM OF CARE AND SUPPORT HEALTH, WELLNESS AND EDUCATION AMONG PATIENTS, RESIDENTS, STAFF MEMBERS AND THE COMMUNITY.
Other Changes In Net Assets Or Fund Balances - Other DecreasesINTERCOMPANY = -$185539Form 990, Part XI, Line 9
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableTHE FINANCIAL STATEMENTS ARE AVAILABLE THROUGH EMMA AND PUBLIC SECURITIES MARKETS.THE STATEMENTS INCLUDED IN THE MASONICARE CORPORATION CONSOLIDATED FINANCIAL STATEMENTS. THE GOVERNING DOCUMENTS (CERTIFICATE OF INCORPORATION) ARE ON FILE WITH THE SECRETARY OF STATE. THE CONFLICT OF INTEREST POLICY IS AVALIABLE 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 REVIEW AND AGREE TO THE REASONABLENESS OF THE COMPENSATION OF THE PRESIDENT AND EXECUTIVE MANAGEMENT MEMBERS OF THE ORGANIZATION ANNUALLY.Form 990, Part VI, Line 15a
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsTHE ORGANIZATION HAS A SOLE CORPORATE MEMBER, MASONICARE CORPORATION, WITH THE RIGHTTO APPOINT THE MEMBERS OF THE GOVERNING BODY AND PARTICIPATE IN THE ORGANIZATION'SGOVERNANCE.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 ISREVIEWED BY THE PRESIDENT AND BOARD CHAIRMAN. THE REVIEW PROCESS IS THEN DISCUSEED WITH FULL BOARD. AFTER REVIEWING THE COMMENTS/QUESTIONS, CHANGES ARE MADE AS APPROPRIATE AND THE RETURN IS FINALIZED AND FILED.Form 990, Part VI, Line 11b
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or ShareholdersTHE SOLE MEMBER'S POWER ALSO INCLUDE THE APPOINTMENT AND REMOVAL OF DIRECTORS, THE COMPANY'S BOARD CHAIR.Form 990, Part VI, Line 7b
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyMASONICARE CORPORATION, AS SOLE CPORPORATE MEMBER, ANNUALLY APPOINTS THE MEMBERS OFTHE 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 RIGHTTO 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 StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
Masonicare at Home Inc
PO Box 70WallingfordCT06492202377783Providecompanion/homemaker/personal care services to elderlyCT501(c)(3)9NAfalse
Masonicare Partners HomeHealth & Hospice
111 Founders Plaza Suite 200East HartfordCT06108260758992Provide home health services to clients of all agesCT501(c)(3)9NAfalse
Keystone Indemnity Company
126 College Street Suite 400BurlingtonVT05401030371612Provide insurance services to Masonicare affiliatesVT501(c)(3)11afalseN/A
Masonicare Home Health and Hospice Inc
33 North Plains RoadWallingfordCT06492Provide home health services to clients of all agesCT501(c)(3)9NAfalse
Masonicare at Ashlar Village Inc
PO Box 70WallingfordCT06492061070285Provide skilled nursing/assisted living services to elderlyCT501(c)(3)9NAfalse
Masonicare Health Center
PO Box 70WallingfordCT06492060655131Provide comprehensive medical services to elderlyCT501(c)(3)9NAfalse
Masonic Charity Foundation of CT
PO Box 70WallingfordCT06492061435920Provide planned giving and development support to affiliatesCT501(c)(3)7NAfalse
Masonicare Inc
PO Box 70WallingfordCT06492061435919Parent holding and support organization for affiliate corp.CT501(c)(3)11CNAfalse

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
Masonic Primary Care Physicians PC
PO BOX 70WallingfordCT06492Medical 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 OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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