2011-08-12T06:16:47-07:00 2010-09-30 990 2009-10-01 060655131 Masonicare Health Center MASO 2036787857 PO Box 70 Wallingford CT 06492 R Scott Thelen 2011-08-12 2009 2016-02-24 21:20:13Z 63800670 false false X WWW.MASONICARE.ORG X 1889 CT Provide comprehensive medical services to the elderly. 14 12 1039 0 76576 140588 61095773 62145963 -62767 23911 1432278 1490208 62541860 63800670 0 0 41195919 38981135 0 0 20819147 21678639 62015066 60659774 526794 3140896 45802913 43027131 8234311 6639171 37568602 36387960 Provide comprehensive medical services to the elderly. false false 52547589 62145963 Masonicare Health Center is multi-level care facility. In 2010, it operated at a 97.0% occupancy rate providing 182,302 patient days. The independent living units operated at a 100% occupancy rate. Masonicare Health Center provides services in the following areas: long-term care, acute care, geriatric medical psychiatric services, hospital based outpatient services and independent living apartments. 52547589 true true false false false false false false false false true false true false false false false false false false false true false false true false false false false false false false false false false false false false false false false true false false false true 54 0 true 1039 true false false false false false false false false false false false 0 false false false false false false false false 14 12 false false false false true true true true true false false false true true true true true true true false false false X X R Scott Thelen 2036787857 22 Masonic Avenue Wallingford CT 06492 William T Viola Jr 1.00 X 0 0 0 William R Deickler Vice Chair 1.00 X X 0 0 0 William Morrow 1.00 X 0 0 0 William C Piper 40.00 X X 292930 0 23221 Thomas M Maxwell III 1.00 X 0 0 0 Stephen P Shapiro 1.00 X 0 0 0 Stephen B McPherson 40.00 X X 0 822615 18755 Sherwin M Borsuk MD 1.00 X 0 0 0 Robert A Simon Chairman 1.00 X X 0 0 0 Richard Ruggiano 1.00 X 0 0 0 R Scott Thelen 40.00 X 0 120438 1251 Melinda Schoen 40.00 X 123103 0 18657 Martin Deflorio 40.00 X 110498 0 8902 Mark D Winne Secretary 1.00 X X 0 0 0 John R Hall 1.00 X 0 0 0 James Standish 0. X 0 388487 14765 Irene Morris 0. X 105503 0 11250 Howard W Orr 1.00 X 0 0 0 Deena Williamson 40.00 X 102029 0 1491 Beatrice Coulombe 40.00 X 164106 0 15849 Barbara F Lott 1.00 X 0 0 0 898169 1331540 114141 6 true true false Morrison Management Specialists Inc PO BOX 102289 Atlanta GA 30268 Dietary Management 2445527 Mckesson Drug Company 1801 Royal Lane Dallas TX 75229 Pharmaceuticals 2072732 Masonicare Inc PO Box 70 Wallingford CT 06492 Management services 3298680 LINA PO Box 13701 Philadelphia PA 191013701 Emp STD,Life Ins 332248 FIP Construction 10 Mckee Place Cheshire CT 06410 Construction Servcie 1619085 13 140588 140588 Skilling nursing 623000 39933416 39933416 Resident fees-apartments 623000 1849171 1849171 Home for aged 623000 4143344 4143344 Geriatric med psychiatric 623000 9192389 9192389 Acute hospital 623000 5530583 5530583 1497060 1497060 62145963 23911 23911 0 0 0 0 0 0 0 Shops/stores 203843 203843 Other,net 963609 545700 417909 Dietary 194395 194395 128361 128361 1490208 63800670 62691663 968419 0 0 0 0 483163 483163 0 29335736 28299197 1036539 0 6979531 6722726 256805 2182705 2147338 35367 3298680 3298680 64940 64940 27819 27819 0 0 679695 679695 0 18184 18158 26 103112 95011 8101 444828 444828 0 0 0 0 0 607170 598976 8194 0 2955769 2932406 23363 461028 461028 Utilities 1906442 1906442 Supplies Other 1810196 1796128 14068 Purchased Services 2705935 2618786 87149 Pharmacy 2141596 2141596 All other Expenses 2897233 1062093 1835140 1556012 1529037 26975 60659774 52547589 8112185 0 2070 2070 0 0 9288995 8064456 0 0 0 165989 152569 228708 240805 82639197 48623503 35356328 34015694 0 0 0 0 760823 551537 45802913 43027131 3509433 2301983 4724878 4337188 8234311 6639171 X 37568602 36387960 37568602 36387960 45802913 43027131 X false true false X false false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 59864285 34096274 25768011 3841145 1610378 2230767 12698842 10955104 1743738 6234925 1961747 4273178 34015694 Rounding 1 Estimated Third Party 1514456 Deposits 167943 Deferred Patient Revenue 67810 Custodial Liabilities 532051 Asbestos Removal 607427 Accrued employee compensation 1434789 Accrued Employee Benefits Current 12711 4337188 true true true X true X 150.000000000 true false false false true true 15001 15001 0.00290 15001 15001 0.00020 15001 15001 0.00020 1 1100 7250 7250 0.00010 4 661 28537 28537 0.00050 2 175 4025 4025 0.00010 7 1936 39812 39812 0.00070 true 34055 21551096 17766674 3784422 X true true Masonicare Health Center

22 Masonic Avenue Wallingford CT 06492

X 150% of FPG are used to determine the income threshold that a patient must meet or fall below to qualify for discounted medical care. Masonicare Health Center uses the indirect method to record bad debts. Masonicare Health Center Records an allowance for doubtful accounts, which is based on its estimation of bad debts, against its outstanding patient accounts receivable. This estimate is based on Masonicare Health Center's past experience with collecting its receivables and an analysis of current accounts receivable. The costing method used for line 6 is as reported in the annual Medicare Cost Report (CMS 2552) Masonicare Health Center provides care to patients who meet certain criteria under the charity care policy without charge, or at amounts less than established rates. It does not pursue collection of amounts determined to be charity care and these amounts are not reported as net patient service revenues. skilled nursing and rehabilitation unitsindependent living unitsresidential care unitsoutpatient speciality clinics Masonicare is in the process of collecting information through a short questionnaire in order to better understand the communities that we serve. The survery purpose is to uncover the top 3 unmet needs of the older adults (60+) in the Wallingford/Meriden area. Hebrew Health Care, the Wallingford Health Department and the United Way of Meriden and Wallingford shared with us previous community surveys they had conducted in order to form the creation of our survey instrument. Masonicare Health Center (MHC) is part of the consolidated group of affiliates, Masonicare. MHC offers a wide variety of services that include:a. 382 skilled nursing and rehabilitation unitsb. 93 independent living unitsc. 86 residential care unitsd. 21 outpatient speciality clinics (Ambulatory Care Services)e. 30 acute Medical Hospital Bedsf. 29 acute psychiatric hospital bedsMHC is licensed as a chronic disease hospital and as such does not have emergency or surgical services. The revenues for the hospital portion of the business represent approximately 24% of the program service revenues of MHC.Masonicare, the parent company of Masonicare Health Center (MHC), serves the entire state of Connecticut through its separate affiliates. MHC, located in Wallingford CT services the greater Wallingford area. MHC is centrally located in the state providing easy access to the surrounding towns. Its outpatient specialty clinics provide easy access and high quality services to the town of Wallingford and the surrounding towns.As a non-profit 501(c)(3) organization, Masonicare is proud to provide free education programs and services to individuals and families throughout Connecticut. For the year ended Sep.30,2010 Masonicare and all of its affiliates across our continuum donated 2,477 hours of their time to benefit the community through home visits and educational programs. These donated staff hours had a monetary value of $115,482 and touched 12,476 members of the community. Masonicare also has 11 home health and hospice branches throughout the state that service the entire state of Connecticut. Masonicare of Wallingford, Connecticut, is the state's leading provider of healthcare and retirement living communities for seniors. We are not-for-profit and have more that 100 years of experience behind us. We're recognized for the quality, compassionate care and steadfast support we provide to our residents and patients. Masonicare encompasses a broad range of healthcare and senior living options: Skilled nursing and rehabilitation facilities- Masonicare Health Center in Wallingford and Masonicare at Newtown.Independent living options - A continuing care retirement community, Masonicare at Ashlar Village, and the Johnson, Wells, and Hawkins Apartments for individuals 55 and over located in Wallingford.Assisted living communities - Pond Ridge in Wallingford and Lockwood Lodge in Newtown.A residential care home - the Leslie G. Wright Residence in Wallingford. Masonicare Home Health & Hospice, a statewide home healthcare and hospice provider that touches 3,000 patients each month through its 11 offices. Masonicare offers free education programs and services to individuals and families throughout Connecticut that include:Lunch and Learn - this program is designed to provide seniors and others with education on health and wellness. Speakers are typically medical professionals from throughout the Masonicare continuum. Masonicare has coordinated with the senior centers and libraries in the towns of Enfield, Hamden, Meriden, Monroe, Newtown, North Haven, Southbury, Trumbull, Wallingford and Woodbury.Masonicare Community Services - is a statewide outreach program available to all Connecticut residents and offers information and guidance on a variety of programs and services including:- ConnPace (Connecticut's pharmaceutical program)- Medicare, Medicaid (Title 19), and Medicare Part D- Benefits eligibility- Caregiver assistance programs- State and Federal programs- Housing OptionsThese services are available over the phone or in the comfort of the resident's home.The Masonicare Help Line - is a toll free phone service assisting seniors and families with a broad range of questions about senior healthcare, retirement living and much more. In addition, we offer assistance in locating and utilizing service agencies and programs in Connecticut. Masonicare frequently holds blood pressure screenings and senior health fairs throughout the state, and makes its facilities available to many community organizations including the Commission on Aging, Senior Resources - Agency on Aging, M-Team, Healthy Wallingford, the Alzheimer's Association, Heritage Quilters and the Wallingford Education Foundation. X X X true true false false false false false true false false William C Piper 245898 46817 215 23221 316151 Stephen B McPherson 466163 320726 35726 18755 841370 James Standish 323201 65143 143 14765 403252 Beatrice Coulombe 142256 20729 1121 15849 179955 Sch J, Part III, Additional Information Part III, Additional Information Part 1 Line 7- Non Fixed PaymentsCompensation to reward senior managers for achieving annual quality, strategic, and financial goals for the organization 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 through EMMA and public securities markets. The governing documents, certificate of incorporation and related documents are on file with the CT Secretary of State's office. The conflict of interest policy is 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 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 Health Center 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 the 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, as a sole corporate member, annually appoints the members of the governing body. 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 organization's governance. Masonicare at Home Inc PO Box 70 Wallingford CT 06492 202377783 Provide companion/homemaker/personalcare services to elderly CT 501(c)(3) 9 NA Keystone Indemnity Company Ltd 126 College Street Suite 400 Burlington VT 05401 060371612 Provide insurance services to Masonicare affiliates VT 501(c)(3) 11a NA Masonicare Partners HomeHealth & Hospice 111 Founders Plaza Suite 200 East Hartford CT 06108 260758992 Provide home health services to clients of all ages CT 501(c)(3) 9 NA Masonicare Home Health and Hospice Inc 33 North Plains Road Wallingford CT 06492 061101924 Provided home health 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 at Newtown Inc PO Box 70 Wallingford CT 06492 061070285 Provide skilled nursing/assisted living services to elderly CT 501(c)(3) 9 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 061435919 Parent holding and support organization for affilate corps. CT 501(c)(3) 11b NA Masonic Management Services 67 Masonic Ave Wallingford CT 06492 061468972 Provides management services CT NA C Masonicare Primary Care Physicians PC 67 Masonic Ave Wallingford CT 06492 061491820 Physician medical practice CT NA C false false false false false false false false false false false false false false false false true true Masonicare Home Health and Hospice Inc r 1492273 Masonicare at Ashlar Village Inc r 248974 Masonicare at Newtown Inc r 450353 Masonic Charity Foundation of CT r 689100 Masonicare Inc q 2510230