2011-07-26T10:02:32-05:00 2010-12-31 GRAHAM SHEPHERD PC 446 MAIN STREET 10TH FLOOR WORCESTER MA 01608 990 2010-01-01 042104414 ODD FELLOWS HOME OF MASSACHUSETTS ODDF 5088536687 104 RANDOLPH ROAD WORCESTER MA 01606 JAMES DIVVER 5088536687 2011-07-21 1 JOHN E GRAHAM CPA 5087548512 2010 2016-02-24 21:20:13Z JAMES DIVVER 104 RANDOLPH ROAD WORCESTER MA 01606 6576613 0 X WWW.ODDFELLOWSHOMEMA.COM X 1898 MA TO PROVIDE OUR RESIDENTS WITH THE FINEST SKILLED NURSING AND REHABILITATIVE SERVICES. 12 11 193 0 0 0 21217 29399 6461501 6209182 116050 113968 0 247 6598768 6352796 0 1100 0 0 4809889 4742398 0 0 0 2360736 2274334 7170625 7017832 -571857 -665036 5172047 4649505 2945782 3132986 2226265 1516519 TO PROVIDE OUR RESIDENTS WITH THE FINEST SKILLED NURSING AND REHABILITATIVE SERVICES. DEDICATED TO THE BASIC TENENTS OF FRIENDSHIP, LOVE AND TRUTH, OUR HIGHLY TRAINED STAFF PROVIDES COMPASSIONATE CARE IN A COMFORTABLE, SECURE ENVIRONMENT. 0 0 5883131 6209182 PROVIDE QUALITY SKILLED NURSING CARE AND THERAPY FOR 100 ELDERLY RESIDENTS. 5883131 1 1 0 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 16 0 1 193 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X JAMES DIVVER 5088536687 104 RANDOLPH ROAD WORCESTER MA 01606 RUTH GARCIA 1.00 X X 0 0 0 SAMUEL C WHITE 1.00 X X 0 0 0 CLARENCE PLANT 20.00 X X 41902 0 0 DAVID LABONTE 1.00 X X 0 0 0 CINDY SCHOFIELD 1.00 X 0 0 0 CRAIG CELLITTI 1.00 X 0 0 0 ROBERT WALSH 1.00 X 0 0 0 BARRY G RECTOR 1.00 X 0 0 0 NEVILLE RICHEN 1.00 X 0 0 0 WENDY E BAKER 1.00 X 0 0 0 GERARD GILMORE JR 1.00 X 0 0 0 JOHN SLANEY 1.00 X 0 0 0 ROSEMARY CARLSON 32.00 X 53508 0 0 JAMES TRACY 32.00 X 51600 0 0 147010 0 0 0 1 0 0 0 29399 29399 PATIENT REVENUE 623000 6209182 6209182 6209182 53650 53650 267382 207064 60318 60318 60318 17000 16753 247 247 6352796 6209182 0 114215 1100 1100 95410 95410 4055309 3696499 358810 216039 192449 23590 375640 334623 41017 34680 34680 25858 25858 400 400 14145 14145 78650 16690 61960 17163 17163 235393 210613 24780 14584 14584 144011 144011 189138 167781 21357 145915 129983 15932 SUPPLIES AND EXPENSES 622207 622207 USER FEE EXPENSE 497041 497041 BAD DEBT EXPENSE 228695 228695 MISCELLANEOUS 16476 16476 TRUSTEE EXPENSE 9978 9978 7017832 5883131 1134701 0 75302 126579 121815 751997 702925 67136 38911 5593766 3043690 2693293 2550076 1361506 1148232 100998 82782 5172047 4649505 885788 1110666 56522 31545 1965000 1685000 38472 281493 0 24282 2945782 3132986 X 1759871 1421298 83885 0 382509 95221 2226265 1516519 5172047 4649505 X -665036 -44710 X X 0 1 1 X 0 X 51437 27062 19671 21217 29399 148786 7097291 7217667 7106156 6456528 6183934 34061576 7148728 7244729 7125827 6477745 6213333 34210362 0 0 0 34210362 133602 147748 87724 90864 113968 573906 133602 147748 87724 90864 113968 573906 7282330 7392477 7213551 6568609 6327301 34784268 0.98350 0.98290 0.01650 0.01640 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 466394 -44710 326463 95221 901567 32198 467371 466394 901567 1.00000 0 0 45080 45080 4058124 2055007 2003117 667684 342752 324932 770604 598277 172327 52274 47654 4620 2550076 RESIDENT REFUNDS DUE 24282 24282 6352796 7017832 -665036 -44710 -44710 -709746 6369549 16753 16753 6352796 0 6352796 7034585 16753 16753 7017832 0 7017832 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE ENDOWMENT FUNDS WERE ESTABLISHED TO PROVIDE INCOME TO THE ORGANIZATION OVERTIME. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: PART X, LINE 2: ODD FELLOWS HOME OF MASSACHUSETTS IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C) (3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE ORGANIZATION IS REQUIRED TO RECOGNIZE IN ITS FINANCIAL STATEMENTS THE IMPACT OF A TAX POSITION, IF THAT POSITION IS MORE LIKELY THAN NOT OF NOT BEING SUSTAINED ON AUDIT BASED ON THE TECHNICAL MERITS OF THE POSITION. THE COMPANY FILES FEDERAL AND MASSACHUSETTS INCOME TAX RETURNS. THE INCOME TAX RETURNS FOR TAX YEARS 2008 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE AND THE MASSACHUSETTS DEPARTMENT OF REVENUE. THE COMPANY DID NOT HAVE UNRECOGNIZED TAX BENEFITS AS OF DECEMBER 31, 2010 AND 2009 AND DOES NOT EXPECT THIS TO CHANGE SIGNIFICANTLY OVER THE NEXT 12 MONTHS. THE COMPANY WILL RECOGNIZE INTEREST AND PENALTIES ACCRUED ON ANY UNRECOGNIZED TAX BENEFITS AS A COMPONENT OF INCOME TAX EXPENSE. REALIZED GAIN ON THE SALE OF INVESTMENT: 60,318 CONTRIBUTIONS: 29,399 INVESTMENT INCOME: 53,557 X X X X 0 MA MOONLIGHT BALL 17000 17000 16753 17000 17000 16753 16753 247 X 0 0 0 0 0 0 0 0 0 ROSEMARY CARLSON 53508 0 0 0 0 0 0 0 0 0 53508 0 0 0 JAMES TRACY 51600 0 0 0 0 0 0 0 0 0 51600 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE 2010 FORM 990 WAS PRESENTED TO AND APPROVED BY THE EXECUTIVE COMMITTEE AND THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 12C TRUSTEES SHALL NOT HAVE ANY UNDISCLOSED CONFLICTS OF INTEREST WITH THE CORPORATION. ANY CONFLICT OF INTEREST ON THE PART OF ANY TRUSTEE SHALL BE DISCLOSED TO THE OTHER TRUSTEES AND MADE A MATTER OF RECORD WHEN ANY MATTER TO WHICH THE INTEREST RELATES BECOMES THE SUBJECT OF ACTION BY THE BOARD. FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE COMMITTEE HOLDS AN ANNUAL MEETING WITH THE BOARD OF TRUSTEES TO DISCUSS THE COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -44,710. 990 PART XII, 2C NO CHANGE IN OVERSIGHT OF SELECTION PROCESS. GRAND LODGE OF THE INDEPENDENT ORDER OF ODD FELLOWS 104 RANDOLPH ROAD WORCESTER MA 01606 041383604 FRATERNAL ORGANIZATION MA 501(C)(8) & (C)(10) 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 GRAND LODGE OF THE INDEPENDENT ORDER OF ODD FELLOWS E 278576 LOAN DOCUMENTS