MASONIC CENTER FOR HEALTH AND REHAB INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
MASONIC CENTER FOR HEALTH AND REHAB INC (EIN 39-1506910)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-12
IRS object ID
201141329349302119
Schema version
2009v1.7
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)
Timestamp2011-05-12T11:11:08-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1220 SOUTH SIXTH STREET SUITE 300AddressLine1
CityMINNEAPOLISCity
StateMNState
ZIP Code55402ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN391506910EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Masonic Center for Health and Rehab IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMASONameControl
Phone2629652111Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1410 N Main StreetAddressLine1
CityDousmanCity
StateWIState
ZIP Code531189348ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDavid OinesName
TitleCFOTitle
Phone2629652111Phone
Date Signed2011-05-12DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone6123764500Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMark StrautmanNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1410 N Main StreetAddressLine1
CityDousmanCity
StateWIState
ZIP Code531189348ZIPCode
FieldValueIRS element (for citing)
Gross Receipts6684533GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.Threepillars.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1985YearFormation
State Legal DomicileWIStateLegalDomicile
Activity Or Mission DescriptionMEET THE SOCIAL, PHYSICAL, AND SPIRITUAL NEEDS OF OLDER ADULTS BY PROVIDING QUALITY HOUSING.ActivityOrMissionDescription
Nbr Voting Members Governing Body3NbrVotingMembersGoverningBody
Nbr Independent Voting Members1NbrIndependentVotingMembers
Total Nbr Employees73TotalNbrEmployees
Total Nbr Volunteers30TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year5977ContributionsGrantsPriorYear
Contributions Grants Current Year194447ContributionsGrantsCurrentYear
Program Service Revenue Prior Year6372974ProgramServiceRevenuePriorYear
Program Service Revenue CY6479062ProgramServiceRevenueCY
Investment Income Prior Year1951InvestmentIncomePriorYear
Investment Income Current Year586InvestmentIncomeCurrentYear
Other Revenue Prior Year10195OtherRevenuePriorYear
Other Revenue Current Year10438OtherRevenueCurrentYear
Total Revenue Prior Year6391097TotalRevenuePriorYear
Total Revenue Current Year6684533TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4036098SalariesEtcPriorYear
Salaries Etc Current Year4079964SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year15107TotalFundrsngExpCurrentYear
Other Expense Prior Year2915049OtherExpensePriorYear
Other Expenses Current Year2657322OtherExpensesCurrentYear
Total Expenses Prior Year6951147TotalExpensesPriorYear
Total Expenses Current Year6737286TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-560050RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-52753RevenuesLessExpensesCY
Total Assets BOY4047591TotalAssetsBOY
Total Assets EOY7186300TotalAssetsEOY
Total Liabilities BOY3456350TotalLiabilitiesBOY
Total Liabilities EOY6647813TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY591241NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY538487NetAssetsOrFundBalancesEOY
Mission DescriptionMasonic Center for Health and Rehab, Inc., sponsored by the Masonic Fraternity, meets the social, physical, and spiritual needs of older adults by providing high quality housing and services in a skilled nursing facililty.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense5950411Expense
Grants0Grants
Revenue6479062Revenue
DescriptionThe organization provides skilled nursing and rehabilitation services for the frail and elderly, including social and activity therapy in a medicare and medicaid certified facility. During the year, and average of 78 residents per day for a total of 28,596 days of care were provided.Description
Total Program Service Expense5950411TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees73NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Nbr Voting Governing Body Members3NbrVotingGoverningBodyMembers
Number Independent Voting Members1NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledWIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Dave OinesBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2629652111TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1410 N Main StAddressLine1
CityDousmanCity
StateWIState
ZIP Code531189348ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (3 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
VIRGINIA ROMAINE
CHAIRPERSON1.00X000
David Oines
cfo16.00X338655296819679X
Mark Strautmann
ceo12.00X5314610090026856X
FieldValueIRS element (for citing)
Total Reportable Comp From Org87011TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs153868TotalReportableCompFrmRltdOrgs
Total Other Compensation46535TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
RehabCare Group Inc
PO BOX 503534ST LOUISMO63150Therapy Services424769
Morrison Management Specialists
PO Box 102289AtlantaGA30368Dining Services380223
Plunkett Raysich Architects LLP
11000 West Park PlaceMilwaukeeWI53224Architectural Services320381
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
All Other Contributions194447AllOtherContributions
Total Contributions194447TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionSKILLED NURSING SVCSDescription
Business Code623000BusinessCode
Total Revenue Column6479062TotalRevenueColumn
Related Or Exempt Function Income6479062RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue6479062TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column586TotalRevenueColumn
Exclusion$586ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
Descriptionother miscellaneousDescription
Business Code541900BusinessCode
Total Revenue Column10438TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Exclusion$10,438ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue10438TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column6684533TotalRevenueColumn
Related Or Exempt Function Income6479062RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$11,024ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total95057Total
Management And General95057ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3074148Total
Program Services2732965ProgramServices
Management And General341183ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total29949Total
Program Services25827ProgramServices
Management And General4122ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total666956Total
Program Services575150ProgramServices
Management And General91806ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total213854Total
Program Services184417ProgramServices
Management And General29437ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total12609Total
Management And General12609ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total32182Total
Management And General32182ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total27000Total
Program Services27000ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total28036Total
Management And General28036ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total26915Total
Management And General26915ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total60725Total
Management And General60725ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total143920Total
Program Services143920ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total3574Total
Management And General3574ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total5364Total
Management And General5364ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total73728Total
Program Services73672ProgramServices
Management And General56ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total285167Total
Program Services282862ProgramServices
Management And General2305ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total44118Total
Program Services31486ProgramServices
Management And General12632ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Purchased Services1058730103867420056
Supplies445918445088830
Uncollectible Accounts378359378359
Miscellaneous3097710991487915107

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total6737286Total
Program Services5950411ProgramServices
Management And General771768ManagementAndGeneral
Fundraising15107Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY159431BOY
EOY210318EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY51868EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY948854BOY
EOY924055EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY10316BOY
EOY10403EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY22870BOY
EOY43123EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis8520213LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2946705LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2678123BOY
EOY5573508EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY195668BOY
EOY196370EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY32329BOY
EOY176655EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4047591BOY
EOY7186300EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY485411BOY
EOY2357586EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY1428751BOY
EOY1377883EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY8620BOY
EOY6375EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
EOY1089602EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1533568BOY
EOY1816367EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3456350BOY
EOY6647813EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY591241BOY
EOY344775EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY193712EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY591241BOY
EOY538487EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4047591BOY
EOY7186300EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review1AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5231CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2997CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8848CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5977CurrentTaxYearMinus1Year
Current Tax Year194447CurrentTaxYear
Total217500Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5204724CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5418389CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5749853CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6372974CurrentTaxYearMinus1Year
Current Tax Year6479062CurrentTaxYear
Total29225002Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5209955CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5421386CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5758701CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6378951CurrentTaxYearMinus1Year
Current Tax Year6673509CurrentTaxYear
Total29442502Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1223876CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years981923CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years969364CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1241623CurrentTaxYearMinus1Year
Current Tax Year1295599CurrentTaxYear
Total5712385Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1223876CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years981923CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years969364CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1241623CurrentTaxYearMinus1Year
Current Tax Year1295599CurrentTaxYear
Total5712385Total
FieldValueIRS element (for citing)
Public Support Total50923730117PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5233CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7663CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5218CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year601CurrentTaxYearMinus1Year
Current Tax Year586CurrentTaxYear
Total19301Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5233CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7663CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5218CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year601CurrentTaxYearMinus1Year
Current Tax Year586CurrentTaxYear
Total19301Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years540CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9787CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9610CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10195CurrentTaxYearMinus1Year
Current Tax Year10438CurrentTaxYear
Total40570Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5215728CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5438836CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5773529CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6389747CurrentTaxYearMinus1Year
Current Tax Year6684533CurrentTaxYear
Total29502373Total
FieldValueIRS element (for citing)
Public Support Percentage5090.80430PublicSupportPercentage509
Prior Year Support Percentage0.99800PriorYearSupportPercentage
Investment Income Percentage0.00070InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00070PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSchedule A, Part II, Line 12, Explanation of Other Income: Other IncomeGeneralExplanation

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

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance10136529BeginningOfYearBalance
Contributions32742Contributions
End Of Year Balance10169271EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance9802031BeginningOfYearBalance
Contributions334498Contributions
End Of Year Balance10136529EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs1EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R1AreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2910OtherCostOrOtherBasis
Book Value2910BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4849164OtherCostOrOtherBasis
Depreciation2341795Depreciation
Book Value2507369BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis990739OtherCostOrOtherBasis
Depreciation432773Depreciation
Book Value557966BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2677400OtherCostOrOtherBasis
Depreciation172137Depreciation
Book Value2505263BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings5573508TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDue to AffiliatesDescription
Amount$1,816,367Amount
FieldValueIRS element (for citing)
Total Of Amounts1816367TotalOfAmounts
Total Revenue6684533TotalRevenue
Total Expenses6737286TotalExpenses
Excess Or Deficit For Year-52753ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS-52753ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt6490821TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments0NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities0DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants0RecoveriesOfPriorYearGrants
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal6490821RevenueSubtotal
Other Revenues Not Included193712OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt193712RevenueNotRptdOnFinStmt
Total Revenue Per Form9906684533TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt6737287TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities0DonatedServicesUseOfFacilities
Prior Year Adjustments0PriorYearAdjustments
Losses Reported0LossesReported
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal6737287ExpensesSubtotal
Investment Expenses Not Included20InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9906737287TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Part IV, Line 2b:RESIDENT FUNDS ARE REQUIRED TO BE ESTABLISHED AND ARE HELD FOR SAFEKEEPING BY THE CENTER. THESE AMOUNTS CAN BE WITHDRAWN AT ANY TIME BY THE RESIDENTS, AND ARE HELD IN ONE BANK ACCOUNT.
Part V, Line 4:The organization's endowment funds include the following: Wisconsin Masonic Foundation - Home Endowment Fund: These funds are held by the related organization, Wisconsin Masonic Foundation. The interest in the net assets of the foundation is reflected on the balance sheet of Wisconsin Masonic Home. These funds available for use by Wisconsin Masonic Home are used for general operating purposes, and support the charitable mission of Wisconsin Masonic Home. The Ohde Fund: This fund is included in the net assets of Wisconsin Masonic Home. The funds under the Ohde endowment are to be used for present and future residents of the Wisconsin Masonic Home, the Bark River Apartments and the Riverside Lodge, who cannot afford to pay for their own care. The Cummings Fund: This fund is included in the net assets of Wisconsin Masonic Home. The funds under the Cummings endowment are to be used to provide services which will improve resident quality of life. Examples of these services include (1) medical assessment and care, (2) spiritual activity, and (3) activities, leadership and community events. Activities, leadership and community events would include staff and programs that would provide attention to education, entertainment, transportation, personal development, and other activities relating to resident preferences. The Butler Perpetual Trust: The Butler Perpetual Trust has been established from an estate, and is currently reflected on the balance sheet of Wisconsin Masonic Home as part of restricted net assets. Wisconsin Masonic Home exerts no influence or control over the investments. This endowment will be used to support the charitable mission of Wisconsin Masonic Home.Description of Intended Use of Endowment Funds:

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses0WrittenPolicyReTAndEExpenses
Substantiation Required0SubstantiationRequired
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Mark StrautmannBusinessNameLine1
FieldValueIRS element (for citing)
Base Compensation Filing Org50491BaseCompensationFilingOrg
Comp Based On Related Orgs95860CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org2655OtherCompensationFilingOrg
Other Compensation Related Orgs5040OtherCompensationRelatedOrgs
Deferred Comp Filing Org5127DeferredCompFilingOrg
Deferred Comp Related Orgs9735DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org4138NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs7856NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org62411TotalCompensationFilingOrg
Total Compensation Related Orgs118491TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 1aHealth club fees for the CEO are included in his compensation. These fees are included as a reviewed item in the compensation process.
Part IIIMasonic Center for Health and Rehab is related to Three Pillars, a group of non-profit organizations. Wisconsin Masonic Home is a related party, which pays the CFO and CEO of Three Pillars. Masonic Center for Health and Rehab then reimburses Wisconsin Masonic Home for their portion of the salary expense. In order to determine compensation, an executive committee of Wisconsin Masonic Home's Board determines the salary of the CEO using a compensation suvey. The process followed by the Committee, includeding the data relied upon and the Committee's decisions, was thorougly and timely documented.Supplemental Information

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuer
WISCONSIN HEALTH AND EDUCATIONAL FACILITIES
39133785597710vpf92003-10-0116396562003 THREE PILLARS SENIOR LIVING COMMUNITIES00
Wisconsin Health and Educational Facilities
3913378552010-02-016300000Draw down on private placement loan00

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundAmount DefeasedAmountDefeasedIssuance Costs From ProceedsIssuanceCostsFromProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindCapital ExpendituresCapitalExpenditures
163593712731714764963212420031011
108960216104201000011073498

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Bond Counsel Routinely Engaged0BondCounselRoutinelyEngaged
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate1ExceptionToRebate

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section A, line 6The sole corporate member of Masonic Center for Health and Rehab, Inc. is Wisconsin Masonic Home, Inc.
Form 990, Part VI, Section A, line 7aWisconsin Masonic Home, Inc. elects the outside director.
Form 990, Part VI, Section A, line 7bThe Board of Directors of Wisconsin Masonic Home, Inc has certain reserve powers over the decisions made by the board of directors of Masonic Center for Health and Rehab, Inc.
Form 990, Part VI, Section B, line 11The form 990 was reviewed by management, then posted to the organization's Board portal and hard copies were made available to board members for review.
Form 990, Part VI, Section B, line 12cAll directors, officers, and key employees sign a written conflict of interest form at the annual meeting. If a conflict exists with a meeting's agenda, that director or officer will abstain from discussion and voting.
Form 990, Part VI, Section C, line 19The governing documents, conflict of interest policy and financial information of Masonic Center for Health and Rehab, Inc. are available to the public upon request.
Form 990, Part VII, Line 1Mark Strautman devotes approximately 40 hours per week as follows: Wisconsin Masonic Home - 16 Hours, Masonic Center for Health and Rehab, Inc - 12 hours, Village on the Square - 12 hours. Dave Oines devotes approximately 40 hours per week as follows: Wisconsin Masonic Home - 18 Hours, Masonic Center for Health and Rehab, Inc - 16 hours, Village on the Square - 6 hours.SHARED HOURS

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNA
VILLAGE ON THE SQUARE INC
410 MAIN STREETDOUSMANWI53118391662636INDIVIDUAL LIVING FACILITIESWI501(c)(3)Line 9N/A
WISCONSIN MASONIC HOME INC
410 MAIN STREETDOUSMANWI53118390813463SENIOR ASSISTED LIVINGWI501(c)(3)Line 7N/A
GRAND LODGE FREE & ACCEPTED MASONS OF WISCONSIN
36275 SUNSET DRIVEDOUSMANWI53118390129695FRATERNAL ORGANIZATIONWI501(c)(8) & (c)(10)N/A
Wisconsin Masonic Foundation
36275 SUNSET DRIVEDOUSMANWI53118396044637SCHOLARSHIP PROVIDERWI501(c)(3)Line 7N/A
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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