Masonicare at Newtown Inc: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
Masonicare at Newtown Inc (EIN 06-1070285)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-13
IRS object ID
201202269349301905
Schema version
2010v3.2
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)
Timestamp2012-08-13T12:08:40-07:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

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 Signed2012-08-13DateSigned
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts19706102GrossReceipts
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 Employees374TotalNbrEmployees
Total Nbr Volunteers70TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year54964ContributionsGrantsPriorYear
Contributions Grants Current Year49739ContributionsGrantsCurrentYear
Program Service Revenue Prior Year19001764ProgramServiceRevenuePriorYear
Program Service Revenue CY19597841ProgramServiceRevenueCY
Investment Income Prior Year67InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year149822OtherRevenuePriorYear
Other Revenue Current Year58522OtherRevenueCurrentYear
Total Revenue Prior Year19206617TotalRevenuePriorYear
Total Revenue Current Year19706102TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1000GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year12318251SalariesEtcPriorYear
Salaries Etc Current Year12411597SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year7232034OtherExpensePriorYear
Other Expenses Current Year8225290OtherExpensesCurrentYear
Total Expenses Prior Year19551285TotalExpensesPriorYear
Total Expenses Current Year20637887TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-344668RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-931785RevenuesLessExpensesCY
Total Assets BOY12252608TotalAssetsBOY
Total Assets EOY12683871TotalAssetsEOY
Total Liabilities BOY1973229TotalLiabilitiesBOY
Total Liabilities EOY1612190TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY10279379NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY11071681NetAssetsOrFundBalancesEOY
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense16035149Expense
Grants1000Grants
Revenue19656363Revenue
DescriptionMasonicare at Newtown,Inc. is a skilled nursing and assisted living community. The skilled nursing facility has 154 beds and operated at a 94.4% occupancy rate providing 53,217 patient days. The assisted living facility, Lockwood Lodge, has 55 units and operated at an 95.6% occupancy rate. Average occupancy was 52.6 units.Description
Total Program Service Expense16035149TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
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 IndividualsfalseGrantsToIndividuals
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 EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109668NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees374NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
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
Form720 FiledfalseForm720Filed
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
Policies Reference ChaptersfalsePoliciesReferenceChapters
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
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledCTStatesWhereCopyOfReturnIsFiled
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 WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerFormerFormerHighest Compensated EmployeeHighestCompensatedEmployeeKey EmployeeKeyEmployee
William T Viola Jr
MEMBER1.00X000
William R Deickler
VICE CHAIRMAN1.00X000X
William Morrow
MEMBER1.00X000
Thomas Gutner
President40.0023119100X
Stephen P Shapiro
Treasurer1.00X000X
Stephen B McPherson
ASST. SECRETARY40.00X073557317611X
Sherwin M Borsuck MD
MEMBER1.00X000
Robert A Simon
Chairman1.00X000X
Richard Ruggiano
MEMBER1.00X000
R Scott Thelen
ASST. TREASURER40.00X029612217518X
Patricia Russell
Dir-Patient Svc40.0014663800X
Maureen Jennings
ADNS40.0010239700X
Mark D Winne
Secretary1.00X000X
John Sweeney
Administrator40.0014277000X
John R Hall
MEMBER1.00X000
Howard Orr
MEMBER1.00X000
Harmon Andrews
MEMBER1.00X000
Donald W Dean
MEMBER1.00X000
Barbara F Lott
MEMBER1.00X000
Arthur W Davies MD
Member1.00X000
Albert H Cheng
MEMBER1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org622996TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1031695TotalReportableCompFrmRltdOrgs
Total Other Compensation35129TotalOtherCompensation
Number Individuals GT100 K4NumberIndividualsGT100K
Formers ListedtrueFormersListed
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 RdFairfieldCT06824Therapy900994
Omnicare Inc
525 Knotter DrCheshireCT06410Supplies311949
Morrison Senior Dining
PO Box 102289AtlantaGA30268Food Service1171980
Jeans Beauty Service Inc
908 Mile Square RdYonkersNY10704Hairdresser114776
Constellation Newenergy Inc
PO Box 25230Lehigh ValleyPA18002Utilities134630
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Fundraising Events1000FundraisingEvents
All Other Contributions48739AllOtherContributions
Total Contributions49739TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
SKILLED NURSING6230001586192115861921
ASSISTED LIVING62300037359203735920
FieldValueIRS element (for citing)
Total Program Service Revenue19597841TotalProgramServiceRevenue

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 (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PURCHASE DISCOUNTS
OTHER INCOME9000995852258522
FieldValueIRS element (for citing)
Total Other Revenue58522TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column19706102TotalRevenueColumn
Related Or Exempt Function Income19656363RelatedOrExemptFunctionIncome

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total1000Total
Program Services1000ProgramServices

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)
Total142770Total
Management And General142770ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total9467714Total
Program Services8955324ProgramServices
Management And General512390ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2110196Total
Program Services1928185ProgramServices
Management And General182011ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total690917Total
Management And General690917ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total918332Total
Management And General918332ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total34375Total
Program Services117ProgramServices
Management And General34258ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total13036Total
Management And General13036ManagementAndGeneral

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)
Total982513Total
Program Services962653ProgramServices
Management And General19860ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total49060Total
Program Services55413ProgramServices
Management And General-6353ManagementAndGeneral

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)
Total10525Total
Program Services10525ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total189177Total
Management And General189177ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1155555Total
Program Services552364ProgramServices
Management And General603191ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total166447Total
Program Services8038ProgramServices
Management And General158409ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Supplies other5183955160002395
Purchased Service14332751301469131806
Provider Tax769570769570
Pharmacy409908409908
Dietary5255135210554458

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1049609Total
Program Services813098ProgramServices
Management And General236511ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total20637887Total
Program Services16035149ProgramServices
Management And General4602738ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2683BOY
EOY1032EOY

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)
BOY2294472BOY
EOY2852137EOY

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)
BOY10000BOY
EOY6365EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY78146BOY
EOY82972EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY92512BOY
EOY100377EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis29554399LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec19957125LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY9717916BOY
EOY9597274EOY

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)
BOY56879BOY
EOY43714EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY12252608BOY
EOY12683871EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1661939BOY
EOY1294966EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY8929BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY302361BOY
EOY317224EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1973229BOY
EOY1612190EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY10279379BOY
EOY11071681EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10279379BOY
EOY11071681EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12252608BOY
EOY12683871EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-931785ReconcilationRevenueExpenses
Reconcilation Other Changes1724087ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year54964CurrentTaxYearMinus1Year
Current Tax Year49739CurrentTaxYear
Total104703Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16485723CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18691464CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19403631CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19151653CurrentTaxYearMinus1Year
Current Tax Year19597841CurrentTaxYear
Total93330312Total

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 Years16485723CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18691464CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19403631CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19206617CurrentTaxYearMinus1Year
Current Tax Year19647580CurrentTaxYear
Total93435015Total

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 Total50993435015PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years56856CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1812CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3147CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year67CurrentTaxYearMinus1Year
Total61882Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years56856CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1812CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3147CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year67CurrentTaxYearMinus1Year
Total61882Total

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 Years16542579CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18693276CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19406778CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19206684CurrentTaxYearMinus1Year
Current Tax Year19647580CurrentTaxYear
Total93496897Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99930PublicSupportPercentage509
Prior Year Support Percentage0.99870PriorYearSupportPercentage
Investment Income Percentage0.00070InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00130PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

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 Basis22543093OtherCostOrOtherBasis
Depreciation14664997Depreciation
Book Value7878096BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2430078OtherCostOrOtherBasis
Depreciation1880208Depreciation
Book Value549870BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3384196OtherCostOrOtherBasis
Depreciation2813418Depreciation
Book Value570778BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis777698OtherCostOrOtherBasis
Depreciation598502Depreciation
Book Value179196BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings9597274TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
PATIENT ESCROW ACCOUNTS$37,990
DEPOSITS$204,177
ASSET RETIREMENT OBLIGATION$75,057
FieldValueIRS element (for citing)
Total Of Amounts317224TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart XI, Line 8Identifier
Return ReferencePart XI, Line 8: Other Changes in Net Assets or Fund BalancesReturnReference
Explanation$1724087Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Board Or Committee ApprovalXBoardOrCommitteeApproval
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 PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgs
Thomas Gutner
16017771014231191
Stephen B McPherson
4881262113883605917611753184
R Scott Thelen
290348577417518313640

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 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 D BONDS ISSUED BY MASONICARE,INC IN 2007. THE CURRENT OUTSTANDING BOND BALANCE IS $108,430,000.
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 TBE 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.
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 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 11: 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 11
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)3NAfalse
Masonic Charity Foundation of CT
PO Box 70WallingfordCT06492061435920Provide planned giving and development support to affiliatesCT501(c)(3)11aNAfalse
Masonicare Inc
PO Box 70WallingfordCT06492061435919Parent holding and support organization for affiliate corp.CT501(c)(3)11bNAfalse

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntity
Masonic Management Services
Masonic AveWallingfordCT06492061468972Provides management servicesCTNAC
Masonic Primary Care Physicians PC
MASONIC AVEWallingfordCT06492Medical PracticeCTNAC
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
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 OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Masonic Primary Care Physicians PC
r51188ACTUAL
Masonicare Home Health and Hospice Inc
r332378ACTUAL
Masonicare at Ashlar Village Inc
r86652ACTUAL
Masonicare Health Center
r369968ACTUAL
Masonic Charity Foundation of CT
r95130ACTUAL
Masonicare Inc
r898951ACTUAL

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