THE OHIO MASONIC HOME: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
THE OHIO MASONIC HOME (EIN 31-0536997)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-10-31
IRS object ID
201143049349301074
Schema version
2010v3.4
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)
Timestamp2011-10-31T15:47:44-04:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1HOWARD WERSHBALE & COBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line123240 CHAGRIN BLVDAddressLine1
CityCLEVELANDCity
StateOHState
ZIP Code441225450ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN310536997EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE OHIO MASONIC HOMEBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlOHIONameControl
Phone9373251531Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 120AddressLine1
CitySpringfieldCity
StateOHState
ZIP Code45501ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameThomas StofacName
TitleceoTitle
Date Signed2011-10-27DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJoseph C Sbrocco CPAName
Phone2168311200Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonThomas StofacNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12655 WEST NATIONAL ROADAddressLine1
CitySpringfieldCity
StateOHState
ZIP Code455043698ZIPCode
FieldValueIRS element (for citing)
Gross Receipts18184630GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.ohiomasonichome.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1890YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission Descriptionto provide quality adult healthcare, retirement living and community based services IN A DIGNIFIED, SUPPORTIVE LIVING ENVIRONMENT IN THE NAME OF OHIO FREEMASONRY.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees42TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year19043135ContributionsGrantsPriorYear
Contributions Grants Current Year8020518ContributionsGrantsCurrentYear
Program Service Revenue Prior Year5183753ProgramServiceRevenuePriorYear
Program Service Revenue CY5020340ProgramServiceRevenueCY
Investment Income Prior Year-1620009InvestmentIncomePriorYear
Investment Income Current Year4028116InvestmentIncomeCurrentYear
Other Revenue Prior Year36427OtherRevenuePriorYear
Other Revenue Current Year35304OtherRevenueCurrentYear
Total Revenue Prior Year22643306TotalRevenuePriorYear
Total Revenue Current Year17104278TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year31500GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY22000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6760689SalariesEtcPriorYear
Salaries Etc Current Year2372550SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year250857TotalFundrsngExpCurrentYear
Other Expense Prior Year9282184OtherExpensePriorYear
Other Expenses Current Year9000183OtherExpensesCurrentYear
Total Expenses Prior Year16074373TotalExpensesPriorYear
Total Expenses Current Year11394733TotalExpensesCurrentYear
Revenues Less Expenses Prior Year6568933RevenuesLessExpensesPriorYear
Revenues Less Expenses CY5709545RevenuesLessExpensesCY
Total Assets BOY111745832TotalAssetsBOY
Total Assets EOY118847307TotalAssetsEOY
Total Liabilities BOY44458214TotalLiabilitiesBOY
Total Liabilities EOY42862821TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY67287618NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY75984486NetAssetsOrFundBalancesEOY
Mission DescriptionTHE MISSION OF THE OHIO MASONIC HOME IS TO PROVIDE QUALITY ADULT HEALTHCARE, RETIREMENT LIVING AND COMMUNITY BASED SERVICES IN A DIGNIFIED, SUPPORTIVE LIVING ENVIRONMENT IN THE NAME OF OHIO FREEMASONRY. OUR PURPOSE IS TO PROVIDE MANAGEMENT AND SUPPORT SERVICES AND MANAGE THE RESOURCES FOR OUR SUBSIDIARY ORGANIZATIONS TO SERVE MASONS AND OLDER ADULTS THROUGH RETIREMENT COMMUNITY CAMPUSES AND COMMUNITY BASED SERVICES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense7797985Expense
Grants22000Grants
Revenue5030725Revenue
DescriptionThe Ohio Masonic Home provided management services, strategic planning, administrative services and financial support to affiliates. The long term goal is to be a trusted resource to help people age respectfully.Description
Total Program Service Expense7797985TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
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 IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
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 With1096166NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees42NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccounttrueForeignFinancialAccount
Name Of Foreign CountryCJNameOfForeignCountry
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
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 ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChapterstrueLocalChapters
Policies Reference ChapterstruePoliciesReferenceChapters
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 OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJOHN WHITENamePerson
Telephone Number9375254985TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12655 WEST NATIONAL ROADAddressLine1
CitySpringfieldCity
StateOHState
ZIP Code455043698ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
Dr Ross R Black II
trustee1.0X000
John R Clime
trustee1.0X000
Ronald L Connelly
1st vice chairman1.0X000X
Jim S Deyo
trustee1.0X000
Edward L Fouch
treasurer1.0X000X
Richard M Holcombe
trustee1.0X000
Owen E Johnson MD
trustee1.0X000
Donald R Losasso
trustee1.0X000
Robert E McNutt
Secretary1.0X000X
Michael T Puskarich
2nd vice chairman1.0X000X
Dale G Ray Jr
chairman1.0X000X
Kermit V Zimmerman
trustee1.0X000
Dan c Arnold
trustee1.0X000
Terry W Posey
trustee1.0X000
Jeffrey Waltz
TRUSTEE1.0X000
Wm DAVID Bannerman
FORMER CEO40.0194222015236X
J Michael Williams
COO40.0135164014549X
John B White
CFO40.081634015802X
Marion L Leeman
Interim CEO40.07750003098X
LeSha A Thorpe
FORMER CFO40.06025306285X
FieldValueIRS element (for citing)
Total Reportable Comp From Org548773TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation54970TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers ListedfalseFormersListed
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
Consulting Group Smith Barney
4449 Easton Way Suite 300COLUMBUSOH43219investment services105934
Harkins and Associates
333 N Limestone StreetSPRINGFIELDOH45501Legal Services124358
Howard Wershbale Co
23240 Chagrin Blvd 700CLEVELANDOH44122accounting services121805
McDougall MArketing Services
1192 Westridge RoadDAYTONOH45459marketing services167176
Kronos Inc
PO Box 845748BOSTONMA02284Professional Service129943
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Related Organizations7027000RelatedOrganizations
All Other Contributions993518AllOtherContributions
Total Contributions8020518TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
SERVICES TO AFFILIATES90009949920324992032
RESIDENT SERVICE REVENUE9000992830828308
FieldValueIRS element (for citing)
Total Program Service Revenue5020340TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1920607TotalRevenueColumn
Exclusion$1,920,607ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real22000Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real22000Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column22000TotalRevenueColumn
Exclusion$22,000ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities983829Securities
Other2200000Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities963827Securities
Other112493Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities20002Securities
Other2087507Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2107509TotalRevenueColumn
Exclusion$2,107,509ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events6951GrossIncomeFundraisingEvents
Fundraising Direct Expenses4032FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column2919TotalRevenueColumn

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

FieldValueIRS element (for citing)
DescriptionOTHER REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column10385TotalRevenueColumn
Related Or Exempt Function Income10385RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue10385TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column17104278TotalRevenueColumn
Related Or Exempt Function Income5030725RelatedOrExemptFunctionIncome
Exclusion$4,050,116ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total22000Total
Program Services22000ProgramServices

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)
Total603742Total
Management And General603742ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1290188Total
Management And General1290188ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total77051Total
Management And General77051ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total241401Total
Management And General241401ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total160168Total
Management And General160168ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total190276Total
Management And General190276ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total103275Total
Management And General103275ManagementAndGeneral

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)
Total547249Total
Program Services547249ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total151546Total
Program Services4380ProgramServices
Management And General147166ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total44420Total
Management And General44420ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total457750Total
Program Services61243ProgramServices
Management And General145650ManagementAndGeneral
Fundraising250857Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total7587Total
Program Services7587ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total35644Total
Management And General35644ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total507203Total
Program Services507203ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2246482Total
Program Services2246482ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total522053Total
Program Services522053ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPORT TO AFFILIATES32866663286666
SERVICES FROM AFFILIATES273644273644
REPAIRS & MAINTENANCE179296179296
FRANCHISE TAX310213310213
DUES, SUBSCRIPTIONS, & LICENSE737514855890

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total129504Total
Program Services7780ProgramServices
Management And General121724ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total11394733Total
Program Services7797985ProgramServices
Management And General3345891ManagementAndGeneral
Fundraising250857Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY100BOY
EOY100EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2899912BOY
EOY4612126EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY835500BOY
EOY844361EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY16238538BOY
EOY18995260EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY191125BOY
EOY194526EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis70748988LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec38344751LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY34230838BOY
EOY32404237EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY41551364BOY
EOY45394461EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY8752395BOY
EOY9756346EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY7046060BOY
EOY6645890EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY111745832BOY
EOY118847307EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2062860BOY
EOY1728604EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY42353100BOY
EOY41093600EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY42254BOY
EOY40617EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY44458214BOY
EOY42862821EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY59795756BOY
EOY68187621EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1328541BOY
EOY1484920EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY6163321BOY
EOY6311945EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY67287618BOY
EOY75984486EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY111745832BOY
EOY118847307EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses5709545ReconcilationRevenueExpenses
Reconcilation Other Changes2987323ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12776954CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12256286CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years20200407CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19043135CurrentTaxYearMinus1Year
Current Tax Year8020518CurrentTaxYear
Total72297300Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12776954CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12256286CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years20200407CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19043135CurrentTaxYearMinus1Year
Current Tax Year8020518CurrentTaxYear
Total72297300Total
FieldValueIRS element (for citing)
Public Support Total17072297300PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2058522CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1549381CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years367111CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2100329CurrentTaxYearMinus1Year
Current Tax Year1942607CurrentTaxYear
Total8017950Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years36285CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12044CurrentTaxYearMinus1Year
Current Tax Year10385CurrentTaxYear
Total58714Total
FieldValueIRS element (for citing)
Total Support80373964TotalSupport
Gross Receipts From Admissions Etc33498832GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.89951PublicSupportPertcentage170
Public Support Pertcent Prior Year0.90749PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
General ExplanationOther income includes gain on bed license sale of $2,092,000GeneralExplanation

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)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis754338OtherCostOrOtherBasis
Book Value754338BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis56430153OtherCostOrOtherBasis
Depreciation28723429Depreciation
Book Value27706724BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis9537585OtherCostOrOtherBasis
Depreciation7054301Depreciation
Book Value2483284BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4026911OtherCostOrOtherBasis
Depreciation2567020Depreciation
Book Value1459891BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings32404237TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
HEDGE FUNDS9736346F
OTHER SECURITIES20000F
FieldValueIRS element (for citing)
Total Of Book Value Securities9756346TotalOfBookValueSecurities

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
BENEFICIAL INTEREST IN TRUSTS5978126
BOND ISSUANCE COSTS, NET153748
ASSETS LIMITED AS TO USE479634
DEPOSITS34382
FieldValueIRS element (for citing)
Total Book Value Other Assets6645890TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionSPLIT INTEREST AGREEMENTSDescription
Amount$40,617Amount
FieldValueIRS element (for citing)
Total Of Amounts40617TotalOfAmounts

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantSCHOLARSHIPSTypeOfGrant
Number Of Recipients20NumberOfRecipients
Amount Of Cash Grant22000AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierGrantsIdentifier
Return ReferenceSchedule I, Part I, #2ReturnReference
ExplanationAll scholarship grants are paid directly to the respective university of the grantee.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
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

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonWm DAVID BannermanNamePerson
Base Compensation Filing Org92508BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org101714OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org5827DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org9409NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org209458TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
severance payschedule j, line 4aThe former CEO, William D. Bannerman received $101,714 of severance pay. All amounts have been included as compensation in their respective W-2's.
Housing AllowanceSchedule J, Line 1aTHE former CEO received a housing allowance which was included as compensation in his W-2.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1County of Clark OhioBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN316000132IssuerEIN
Date Issued2009-02-18DateIssued
Issue Price55740000IssuePrice
Description Of Purposehealth care facilities-clark cDescriptionOfPurpose
DefeasedtrueDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds55740000TotalProceeds
Refunding Escrow53933693RefundingEscrow
Issuance Costs From Proceeds407829IssuanceCostsFromProceeds
Capital Expenditures1398478CapitalExpenditures
Year Of Subst Completion2009YearOfSubstCompletion
Current RefundingtrueCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Bond Counsel Routinely EngagedtrueBondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuetrueVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PROCESS FOR DETERMINING COMPENSATIONPAGE 6, PART VI, #15A & 15bTHE BOARD OF TRUSTEES DETERMINES THE COMPENSATION OF THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES. COMPENSATION IS APPROVED IN ADVANCE FOR ALL EMPLOYEES, AND THE DETERMINATIONS ARE RECORDED IN THE MEETING MINUTES AT THE TIME THE DECISIONS ARE MADE. THE REASONABLENESS OF THE COMPENSATION PAID IS REVIEWED PERIODICALLY WITH A REVIEW OF COMPENSATION DATA WHICH MAY BE AVAILABLE THROUGH PUBLISHED SOURCES OR THROUGH COMPARABLE ORGANIZATIONS AND/OR INDUSTRY GROUPS. THE ORGANIZATION HAS COMPENSATION GUIDELINES FOR MOST OTHER POSITIONS.
MONITOR AND ENFORCE CONFLICT OF INTEREST POLICYPAGE 6, PART VI, #12CALL TRUSTEES and CERTAIN EMPLOYEES ARE REQUIRED TO ANNUALLY COMPLETE A CONFLICT OF INTEREST DECLARATION. THE DECLARATION IS COLLECTED AND KEPT ON FILE.
DOCUMENTS AVAILABLE TO PUBLICPAGE 6, PART VI, #19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
MEMBERSPAGE 6, PART VI, SECTION A, #6 and #7aThe Board of Trustees of this corporation are appointed by members of the Masonic Fraternity according to the bylaws of the corporation. THE MEMBERS OF THE BOARD OF TRUSTEES OF THIS CORPORATION SHALL CONSTITUTE THE MEMBERS OF THE CORPORATION AS PROVIDED IN SECTION 1702.14 OF THE OHIO REVISED CODE. MEMBERSHIP OR ANY INTEREST IN THIS CORPORATION SHALL NOT BE ASSIGNABLE BY ANY MEMBER. MEMBERSHIP AND ANY INTEREST IN THIS CORPORATION SHALL NOT PASS TO ANY PERSONAL REPRESENTATIVE, HEIR OR DEVISEE OF A MEMBER. MEMBERSHIP OF ANY MEMBER SHALL CEASE UPON HIS DEATH OR RESIGNATION, OR UPON THE EXPIRATION OF HIS TERM AS A MEMBER, AS FURTHER DEFINED BY THE CODE OF REGULATIONS OF THE CORPORATION.
form 990 review processpage 6, part vi, section b, #11bTHE FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM WHO THEN SUBMITS THE FORM 990 TO THE CEO, CFO, AND THE AUDIT COMMITTEE FOR REVIEW. A COPY OF THE FORM 990 WAS PROVIDED TO THE BOARD OF TRUSTEES PRIOR TO THE FILING.
Tax Exempt BondsSchedule KThe Ohio Masonic Home, Masonic Financial Assistance Corporation, Springfield Masonic Community, The Browning Masonic Community, and Western Reserve Masonic Community are part of an obligated group for the series 2009 bond issue. The 2009 bonds were issued to finance the current refunding of prior bond issues and to acquire and construct additional care facilities for the Ohio Masonic Home and affiliated entities. Masonic Senior Services, who is an affiliate reported on this form 990, is not part of the Obligated Group for the 2009 bond issue.
Other Changes in Net AssetsPage 12, Part XI, #5Unrealized Gains on investments $5,423,552 Change in unrecognized pension obligation ($13,478) Change in value of beneficial interest in perpetual trusts $148,624 Transfers to affiliates ($2,571,385)

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
OHIO MASONIC HOME BENEVOLENT ENDOWMENT
FIVE MASONIC DRIVESPRINGFIELDOH45504311451818MANAGE ENDWMTOH501(c)(3)11Cna
SPRINGFIELD MASONIC COMMUNITY
2655 WEST NATIONAL ROADSPRINGFIELDOH45501311451813SENIOR SVCSOH501(c)(3)9oh mas home
BROWNING MASONIC COMMUNITY INC
2655 WEST NATIONAL ROADSPRINGFIELDOH45501311591769SENIOR SVCSOH501(c)(3)9oh mas home
WESTERN RESERVE MASONIC COMMUNITY INC
2655 WEST NATIONAL ROADSPRINGFIELDOH45501311816443SENIOR SVCSOH501(c)(3)9oh mas home
BROWNING REAL ESTATE HOLDING COMPANY INC
2655 WEST NATIONAL ROADSPRINGFIELDOH45501900042145SENIOR SVCSOH501(c)(3)9oh mas home
MASONIC FINANCIAL ASSISTANCE CORPORATION
2655 WEST NATIONAL ROADSPRINGFIELDOH45501320186721SENIOR SVCSOH501(c)(3)9oh mas home
MASONIC SENIOR SERVICES OF OHIO CORP
2655 WEST NATIONAL ROADSPRINGFIELDOH45501261306274SENIOR SVCSOH501(c)(3)9oh mas home

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
CORNERSTONE HEALTHCARE INC
212 WEST COURT STREETURBANAOH43078311696952HOME HEALTH CAREOHMASONIC SR SVCSC CORPORATION011723511.00000
Cornerstone Home Health of NE Ohio
po box 120springfieldOH45501562460621HOME HEALTH CAREOHMASONIC SR SVCSC CORPORATION02141221.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
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 OrgstruePerformOfServicesForOtherOrgs
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 OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (14 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
ohio masonic home benevolent endowment fdn
c7027000
masonic financial assistance corporation
b3286666
springfield masonic community
b11532
springfield masonic community
k3006363
browing masonic community inc
k240415
western reserve masonic community inc
k862849
masonic senior services of ohio
k299912
masonic financial assistance corporation
k82776
ohio masonic home benevolent endowment fdn
k158065
springield masonic community
b2028156
browning masonic community inc
b270436
masonic financial assistance corporation
b241537
masonic senior services of ohio
b31257
cornerstone healthcare inc
k68008

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