2011-08-10T11:10:55-07:00 2010-09-30 990 2009-10-01 061101924 Masonicare Home Health and Hospice Inc MASO 2036787857 33 North Plains Road Wallingford CT 06492 R Scott Thelen 2011-08-10 2009 2016-02-24 21:20:13Z 33576580 false false X WWW.MASONICARE.COM X 1999 CT See Schedule O 13 11 648 0 105110 72921 38048639 33500476 -4696 3061 189 122 38149242 33576580 96728 47782 0 28560654 24552649 0 0 8637279 6778393 37294661 31378824 854581 2197756 10175816 6886205 5407934 4892213 4767882 1993992 See Schedule O false false 26355954 30341014 Masonicare Home Health and Hospice, Inc. provides home health services to clients of all ages including: skilled nursing care, hospice, physical, speech and occupational therapies, medical social work and home health aid services. The total MHH&H, Inc care of sick visits for the period ended September 30, 2010 were 205,693 and total visits for Hospice were 36,768. Total patients served were 4,633 for Care of Sick and 1,042 for Hospice. 3094000 MHH&H, Inc. provides management services to Masonicare Partners Home Health and Hospice, Inc. Partners is an affiliate that is jointly owed with St. Francis Medical Center. The mission of Partners is to provide home health servies to clients of all ages in the greater Hartford area. 26355954 true true false false false false false false false false true false true false false false false false false false false false false true true false false false false false false false false false false false false false false false false true true false false true 38 0 true 648 true false false false false false false false false false false false 0 false false false false false false false false 13 11 false false false false true true true true true false true true true true true true true true true false false false CT X X R Scott Thelen 2036787857 22 Masonic Avenue Wallingford CT 06492 Theodore Nelson 1.00 X X 0 0 0 Susan Shikoluk 40.00 X 116309 0 0 Steven Abati 1.00 X 0 0 0 Stephen B McPherson 40.00 X X 0 822536 18755 R Scott Thelen 40.00 X 0 120438 1251 Paul L Chello 1.00 X 0 0 0 Paul Dinwoodie 0. X 105300 0 0 Paul A Edberg 1.00 X 0 0 0 Merri Chartier 40.00 X 121233 0 0 Maura McQueeney 0. X 0 154822 231 Mary Lou Roos 40.00 X X 72472 0 2018 Lori Perry 40.00 X 139455 0 0 Kris Azu 40.00 X 134672 0 0 Jeff Flynn 1.00 X 0 0 0 James Standish 0. X 0 388487 14765 Geoffrey L Ice 1.00 X 0 0 0 Francis X Conlon 1.00 X X 0 0 0 Edgar Albuja 1.00 X X 0 0 0 Donald Gladding 1.00 X 0 0 0 Christopher Earle 1.00 X X 0 0 0 Alexander Jarvis 1.00 X 0 0 0 689441 1486283 37020 13 true true false MCKESSON PO BOX 98347 Chicago IL 606960398 COMPUTER SUPPORT 294254 Masonicare Inc PO Box 70 Wallingford CT 06492 Management services 441612 LARSON ALLEN 300 CROWN COLONY DRIVE QUINCY MA 02169 CONSULTING SERVICES 272765 Delta Dental Plan of New Jersey PO Box 23700 Newark NJ 071890001 Dental Ins. Services 269406 CGLIC-BLOOMFIELD EASC 5082 Collection Center Drive Chicago IL 60693 Insurance services 428675 22 23938 48983 72921 Patient Service Revenue 621610 30406476 30406476 Management fees 621610 3094000 3094000 33500476 3140 3140 0 0 0 -79 -79 -79 -79 0 0 0 Vending Machine 122 122 122 33576580 33500476 3183 0 47782 47782 0 0 99380 99380 0 19235125 16910476 2324649 0 3962808 3960613 2195 1255336 1097950 157386 441612 441612 9224 9224 26562 26562 0 0 0 0 98232 98232 10756 514 10242 0 0 485939 485939 729500 682337 47163 0 0 0 0 460783 460783 254442 251963 2479 Supplies Other 893411 814277 79134 Repairs & maintenance 401250 313093 88157 Purchased Services 508811 231755 277056 Other Professional Fees 930750 930750 I/P General Hospice 349430 349430 1177691 749042 428649 31378824 26355954 5022870 0 2385 1950 0 0 3897500 3042608 0 0 0 0 237539 241288 6188945 4866064 1725081 1322881 0 0 0 0 4313311 2277478 10175816 6886205 2421353 1927585 805274 852215 2181307 2112413 5407934 4892213 X 4767882 1993992 4767882 1993992 10175816 6886205 X false true true X false false X 292410 306251 114636 105110 72921 891328 47618687 39407179 37974054 38048639 33500476 196549035 0 0 0 47911097 39713430 38088690 38153749 33573397 197440363 0 0 197440363 8199 4091 3246 3246 3140 21922 0 8199 4091 3246 3246 3140 21922 0 0 197462285 0.99990 1.00000 0.00010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1297102 522561 774541 352250 340660 11590 4269694 3764722 504972 269899 238121 31778 1322881 Other receivables 4421 OTHER Investments 2273057 2277478 Rounding 2 Reserve for third party settlements 2112411 2112413 X 0 0 Quality of Life 3 478 Market Values Home Health Care Equipment Charity Care 94 33755 Market Value Home Health & Hospice X X X true true false false false false false true false false Stephen B McPherson 466163 320726 35647 18755 841291 Maura McQueeney 154822 231 155053 James Standish 323201 65143 143 14765 403252 Sch J, Part I, Line 7 Part I, Line 7: Non-Fixed payments not listed above Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available The financial statements are publicly available throught EMMA and public securities markets. The statements are included in the Masonicare Corporation consolidated financial statements. The governing documents (certificate of incorporation) is filed with the Ct Secretary of State. The conflict of interest policy is currently available upon request. Form 990, Part VI, Line 12c Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts Annually, officers, directors and senior employees are required to complete a conflict of interest disclosure questionnaire. the results of the officers' and directors' disclosures are reported at the board meetings. Senior employee disclosures are reported to the President. The entire process is coordinated by the Corporate Compliance Officer. All respondents are advised to report any changes during the year that may present a conflict of interest. Form 990, Part VI, Line 11 Form 990, Part VI, Line 11: Form 990 Review Process Masonicare Corporation and Masonicare Home Health and Hospice review the tax return for completeness and accuracy. It is also reviewed by the chief executive officer and chairman of the board. The review process is then discussed with full board. After responding to comments/questions, changes are made as appropriate and the return is finalized and filed. Form 990, Part VI, Line 7a Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body Masonicare Corporation, a sole corporate member, annually appoints the members of the affiliate board. Form 990, Part VI, Line 6 Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder The organization has a sole corporate member, Masonicare Corporation, with the right to appoint the members of the governing body and to participate in the organizations governance. Masonicare at Home PO Box 70 Wallingford CT 06492 202377783 Providecompanion/homemaker/personal care services to elderly CT 501(c)(3) 9 NA Masonicare at Newtown Inc PO Box 70 Wallingford CT 06492 061070285 Provide skilled nursing/assisted living services to elderly CT 501(c)(3) 9 NA Keystone Indemnity Company Ltd 126 College Street Suite 400 Burlington VT 05401 030371612 Provide insurance services to Masonicare affilates VT 501(c)(3) 11a NA Masonicare Partners HomeHealth & Hospice 111 Founders Plaza Suite 200 East Hartford CT 06492 260758992 Provide home/health/hospice services to clients of all ages CT 501(c)(3) 9 NA Masonicare at Ashlar Village Inc PO Box 70 Wallingford CT 06492 061050830 Continuing care retirement and assisted living community CT 501(c)(3) 9 NA Masonicare Health Center PO Box 70 Wallingford CT 06492 060655131 Provide comprehensive medical services to the elderly CT 501(c)(3) 3 NA Masonic Charity Foundation of CT PO Box 70 Wallingford CT 06492 061435920 Provide planned giving and development support to affiliates CT 501(c)(3) 11a NA Masonicare Inc PO Box 70 Wallingford CT 06492 061435920 Parent holding and support organization of affilate corp. CT 501(c)(3) 11a NA Masonicare Behavioral Healh 67 Masonic Ave Wallingford CT 06492 061483276 Drs Practice Psychiatric Svs CT N/A C Masonicare Primary Care Physicians PC 67 Masonic Ave Wallingford CT 06492 061491820 Physician medical practice CT N/A C false false false false false false false false false false false false false false false false true true Masonicare at Home r 82803 Masonicare at Newtown Inc r 183311 Masonicare Health Center r 1492273 Masonic Charity Foundation of CT q 37331 Masonicare Inc q 10941060