MASONICARE HEALTH CENTER: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- MASONICARE HEALTH CENTER (EIN 06-0655131)
- Tax period
- 2022-10-01 to 2023-09-30
- Filed
- 2024-08-15
- IRS object ID
- 202402289349302200
- Schema version
- 2022v5.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-08-15T12:31:27+00:00 | ReturnTs |
| Tax Period End | 2023-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 873231666 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PKF OConnor Davies Advisory LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 Mamaroneck Avenue Suite 301 | AddressLine1Txt |
| City | Harrison | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 105281633 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 060655131 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Masonicare Health Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MASO | BusinessNameControlTxt |
| Phone | 2036786310 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 70 | AddressLine1Txt |
| City | Wallingford | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06492 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Steven Beaulieu | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 2036795555 | PhoneNum |
| Signature | 2024-08-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Garrett M Higgins | PreparerPersonNm |
| PTIN | P00543209 | PTIN |
| Phone | 9143818900 | PhoneNum |
| Self Employed | Yes (X) | SelfEmployedInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2024-08-08 14:25:15Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STEVEN BEAULIEU | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 70 | AddressLine1Txt |
| City | Wallingford | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06492 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $56,097,704 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.masonicare.org/services/health-wellness | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1889 | FormationYr |
| Legal Domicile State | CT | LegalDomicileStateCd |
| Activity Or Mission | THE MISSION OF MASONICARE HEALTH CENTER IS TO PROVIDE COMPREHENSIVE MEDICAL SERVICES TO THE ELDERLY.` | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 734 | TotalEmployeeCnt |
| Total Volunteers | 84 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $826,915 | PYContributionsGrantsAmt |
| CY Contributions Grants | $617,795 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $53,556,199 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $55,073,143 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,274 | PYInvestmentIncomeAmt |
| CY Investment Income | $6,434 | CYInvestmentIncomeAmt |
| PY Other Revenue | $370,969 | PYOtherRevenueAmt |
| CY Other Revenue | $400,332 | CYOtherRevenueAmt |
| PY Total Revenue | $54,756,357 | PYTotalRevenueAmt |
| CY Total Revenue | $56,097,704 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $33,251,416 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $34,594,937 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $23,612,873 | PYOtherExpensesAmt |
| CY Other Expenses | $25,671,872 | CYOtherExpensesAmt |
| PY Total Expenses | $56,864,289 | PYTotalExpensesAmt |
| CY Total Expenses | $60,266,809 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,107,932 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$4,169,105 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $30,436,340 | TotalAssetsBOYAmt |
| Total Assets EOY | $31,550,601 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $8,657,938 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $8,437,424 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $21,778,402 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $23,113,177 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE MISSION OF MASONICARE HEALTH CENTER IS TO PROVIDE COMPREHENSIVE MEDICAL SERVICES TO THE ELDERLY. IN FURTHERANCE OF OUR TRADITIONAL MASONIC VALUES, THE MISSION OF MASONICARE HEALTH CENTER IS TO ENHANCE THE QUALITY OF LIFE BY PROVIDING HEALTH, SOCIAL AND SPIRITUAL CARE THROUGHOUT AN INDIVIDUAL'S LIFETIME WITH EMPHASIS ON THE NEEDS OF OLDER PERSONS. MASONICARE HEALTH CENTER WILL BE RECOGNIZED AS AN ORGANIZATION COMMITTED TO ESTABLISHING HEALTHCARE CENTERS FOR EXCELLENCE IN ALL OF ITS AFFILIATES THROUGH THE DEVELOPMENT OF AN INTEGRATED, PERSON-CENTERED HEALTHCARE SYSTEM. DEDICATED TO OUR VALUES AND IN PARTNERSHIP WITH OUR COMMUNITIES, WE ARE COMMITTED TO MEETING THE TOTAL NEEDS OF THOSE WE SERVE...MIND, BODY AND SPIRIT | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $53,730,090 | ExpenseAmt |
| Revenue | $55,073,143 | RevenueAmt |
| Desc | Masonicare Health Center is a multi-level care facility. Masonicare Health Center provides services in the following areas: skilled nursing care (long-term care including memory care and rehabilitation care), geriatric medical psychiatric hospital services and assisted living and independent living apartments. During 2023, the facility's services were utilized as follows: skilled nursing, 260 licensed beds at 88.3% occupancy; geriatric medical psychiatric care, 43 licensed beds at 91.9% occupancy; assisted living, 86 apartments at 79.1% occupancy; and independent living, 93 apartments at 96.5% occupancy. | Desc |
| Total Program Service Expenses | $53,730,090 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | Yes (true) | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 39 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 734 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | false | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STEVEN D BEAULIEU | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2036787857 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 22 MASONIC AVENUE | AddressLine1Txt |
| City | WALLINGFORD | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06492 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| BONNIE MCWAIN | ||||||||
| SECRETARY | 1.0 | 6.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CHRISTOPHER J EARLE | ||||||||
| VICE CHAIRMAN | 1.0 | 8.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| NEWTON BUCKNER | ||||||||
| TREASURER | 1.0 | 7.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ROBERT F POLITO JR | ||||||||
| CHAIRMAN | 1.0 | 7.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BRUCE R BELLMORE | ||||||||
| DIRECTOR thru 03/31/23 | 1.0 | 6.0 | Yes (X) | $0 | $0 | $0 | ||
| EDWARD C PAGE | ||||||||
| DIRECTOR | 1.0 | 6.0 | Yes (X) | $0 | $0 | $0 | ||
| JOSEPH J PORCO | ||||||||
| DIRECTOR | 1.0 | 6.0 | Yes (X) | $0 | $0 | $0 | ||
| KEVIN J HECHT | ||||||||
| DIRECTOR | 1.0 | 6.0 | Yes (X) | $0 | $0 | $0 | ||
| LAURA MICHNOWSKI | ||||||||
| DIRECTOR | 1.0 | 6.0 | Yes (X) | $0 | $0 | $0 | ||
| LES B KING | ||||||||
| DIRECTOR (EFFECTIVE 4/1/23 THRU 7/22/23) | 1.0 | 7.0 | Yes (X) | $0 | $0 | $0 | ||
| MARK WINNE | ||||||||
| DIRECTOR | 1.0 | 6.0 | Yes (X) | $0 | $0 | $0 | ||
| PATRICK BIRNEY | ||||||||
| DIRECTOR (EFFECTIVE 10/1/22 THRU 11/7/22) | 1.0 | 6.0 | Yes (X) | $0 | $0 | $0 | ||
| RINALDO MAGLIANO | ||||||||
| DIRECTOR (EFFECTIVE 7/23/23) | 1.0 | 7.0 | Yes (X) | $0 | $0 | $0 | ||
| ROBERT J FURCE | ||||||||
| DIRECTOR | 1.0 | 7.0 | Yes (X) | $0 | $0 | $0 | ||
| SHELBY JACKSON | ||||||||
| DIRECTOR (EFFECTIVE 11/8/22) | 1.0 | 6.0 | Yes (X) | $0 | $0 | $0 | ||
| SUSAN KOTY | ||||||||
| DIRECTOR | 1.0 | 6.0 | Yes (X) | $0 | $0 | $0 | ||
| THADDEUS M STEWART | ||||||||
| DIRECTOR | 1.0 | 6.0 | Yes (X) | $0 | $0 | $0 | ||
| THEODORE J NELSON | ||||||||
| DIRECTOR | 1.0 | 6.0 | Yes (X) | $0 | $0 | $0 | ||
| COURTNEY O'SULLIVAN | ||||||||
| LONG TERM CARE ADMINISTRATOR | 40.0 | 0 | Yes (X) | $153,292 | $0 | $40,852 | ||
| JON-PAUL VENOIT | ||||||||
| PRESIDENT AND CEO, ASSISTANT SECRETARY | 1.0 | 47.0 | Yes (X) | $0 | $717,186 | $52,193 | ||
| STEVEN D BEAULIEU | ||||||||
| CFO, ASSISTANT TREASURER | 1.0 | 47.0 | Yes (X) | $0 | $275,148 | $47,278 | ||
| CARA CARBRAY | ||||||||
| DIRECTOR BEHAVIORAL HEALTH HOSPITAL | 40.0 | 0 | $136,773 | $0 | $35,150 | Yes (X) | ||
| HEIDI SLADE | ||||||||
| REGISTERED NURSE | 40.0 | 0 | $139,093 | $0 | $46,342 | Yes (X) | ||
| LAWRENCE OGBOGU | ||||||||
| BEHAVIORAL HEALTH APRN | 40.0 | 0 | $164,352 | $0 | $6,650 | Yes (X) | ||
| MARY JANE GAGLIARDI | ||||||||
| PSYCHIATRIC CLINICAL SUPERVISOR | 40.0 | 0 | $241,754 | $0 | $15,500 | Yes (X) | ||
| PATRICIA EVELYN | ||||||||
| DIRECTOR OF NURSING SNF | 40.0 | 0 | $148,095 | $0 | $18,926 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $983,359 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $992,334 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $262,891 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 20 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| HealthPRO Heritage | ||||||
| PO BOX 69268 | BALTIMORE | MD | 21264 | THERAPY SERVICES | $2,039,960 | |
| IntelyCare Inc | ||||||
| 1250 Hancock St | Quincy | MA | 02169 | Nursing Services | $1,206,031 | 501N |
| AAA Nursing Care LLC | ||||||
| 3303 Main St | Stratford | CT | 06614 | Nursing Services | $676,030 | |
| Morrison Management Specialists | ||||||
| PO Box 102289 | Atlanta | GA | 30368 | Food Services | $635,166 | |
| Montagno Construction Inc | ||||||
| 75 Progress Lane | Waterbury | CT | 06705 | Construction Services | $574,184 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 27 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $617,795 | RelatedOrganizationsAmt |
| Total Contributions | $617,795 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| SKILLED NURSING | 623311 | $31,880,523 | $31,880,523 |
| GERIATRIC MED PSYCHIATRIC | 623311 | $16,188,719 | $16,188,719 |
| HOME FOR AGED | 623311 | $3,456,875 | $3,456,875 |
| RESIDENT FEES-APARTMENTS | 623311 | $2,752,224 | $2,752,224 |
| Other Program Services | 623311 | $794,802 | $794,802 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $55,073,143 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,434 | TotalRevenueColumnAmt |
| Exclusion | $6,434 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $193,673 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $193,673 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $193,673 | TotalRevenueColumnAmt |
| Exclusion | $193,673 | ExclusionAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| DIETARY | 900099 | $150,375 | $150,375 |
| SHOPS / STORAGE | 900099 | $45,962 | $45,962 |
| VENDING MACHINES | 900099 | $6,637 | $6,637 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,685 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,685 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $206,659 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $56,097,704 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $55,073,143 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $406,766 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $305,523 | TotalAmt |
| Management And General | $305,523 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,852,418 | TotalAmt |
| Program Services | $25,172,990 | ProgramServicesAmt |
| Management And General | $679,428 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,854,682 | TotalAmt |
| Program Services | $1,518,480 | ProgramServicesAmt |
| Management And General | $336,202 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,686,325 | TotalAmt |
| Program Services | $4,563,164 | ProgramServicesAmt |
| Management And General | $123,161 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,895,989 | TotalAmt |
| Program Services | $1,827,874 | ProgramServicesAmt |
| Management And General | $68,115 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $174,614 | TotalAmt |
| Program Services | $87,459 | ProgramServicesAmt |
| Management And General | $87,155 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,750 | TotalAmt |
| Management And General | $45,750 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,844 | TotalAmt |
| Management And General | $5,844 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,543,275 | TotalAmt |
| Program Services | $8,167,951 | ProgramServicesAmt |
| Management And General | $3,375,324 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,188 | TotalAmt |
| Program Services | $40,904 | ProgramServicesAmt |
| Management And General | $284 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,556 | TotalAmt |
| Program Services | $31,755 | ProgramServicesAmt |
| Management And General | $801 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,023,764 | TotalAmt |
| Program Services | $1,742,229 | ProgramServicesAmt |
| Management And General | $281,535 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $469 | TotalAmt |
| Program Services | $245 | ProgramServicesAmt |
| Management And General | $224 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,005 | TotalAmt |
| Program Services | $6,005 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $755,479 | TotalAmt |
| Management And General | $755,479 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,947,195 | TotalAmt |
| Program Services | $1,914,195 | ProgramServicesAmt |
| Management And General | $33,000 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $559,001 | TotalAmt |
| Program Services | $559,001 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES OTHER | $3,458,729 | $3,380,012 | $78,717 |
| REPAIRS | $2,833,853 | $2,614,150 | $219,703 |
| PHARMACY | $962,017 | $962,017 | |
| PROVIDER TAX-CONNECTICUT | $1,121,265 | $1,121,265 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $160,868 | TotalAmt |
| Program Services | $20,394 | ProgramServicesAmt |
| Management And General | $140,474 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,266,809 | TotalAmt |
| Program Services | $53,730,090 | ProgramServicesAmt |
| Management And General | $6,536,719 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,162 | BOYAmt |
| EOY | $1,200 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,757,296 | BOYAmt |
| EOY | $8,151,381 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,005 | BOYAmt |
| EOY | $40,005 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $330,789 | BOYAmt |
| EOY | $228,170 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $100,370,704 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $77,754,553 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,153,784 | BOYAmt |
| EOY | $22,616,151 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $126,304 | BOYAmt |
| EOY | $513,694 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,436,340 | BOYAmt |
| EOY | $31,550,601 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,600,851 | BOYAmt |
| EOY | $6,468,362 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$4,047 | BOYAmt |
| EOY | -$4,047 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $341,196 | BOYAmt |
| EOY | $349,191 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,719,938 | BOYAmt |
| EOY | $1,623,918 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,657,938 | BOYAmt |
| EOY | $8,437,424 | EOYAmt |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,778,402 | BOYAmt |
| EOY | $23,113,177 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,778,402 | BOYAmt |
| EOY | $23,113,177 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,436,340 | BOYAmt |
| EOY | $31,550,601 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$4,169,105 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $5,503,880 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $712,196 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $847,355 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,533,285 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $826,915 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $617,795 | CurrentTaxYearAmt |
| Total | $4,537,546 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $61,088,476 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $59,304,829 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $49,435,178 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $53,556,199 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $55,073,143 | CurrentTaxYearAmt |
| Total | $278,457,825 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $367,084 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $268,810 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $200,073 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $186,789 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $206,659 | CurrentTaxYearAmt |
| Total | $1,229,415 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $62,167,756 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $60,420,994 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $51,168,536 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $54,569,903 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $55,897,597 | CurrentTaxYearAmt |
| Total | $284,224,786 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $284,224,786 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $83,673 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $146,274 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $145,687 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $186,454 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $200,107 | CurrentTaxYearAmt |
| Total | $762,195 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $83,673 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $146,274 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $145,687 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $186,454 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $200,107 | CurrentTaxYearAmt |
| Total | $762,195 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $62,251,429 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $60,567,268 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $51,314,223 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $54,756,357 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $56,097,704 | CurrentTaxYearAmt |
| Total | $284,986,981 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.9973 | PublicSupportCY509Pct |
| Public Support PY509 | 0.9978 | PublicSupportPY509Pct |
| Investment Income CY | 0 | InvestmentIncomeCYPct |
| Investment Income PY | 0.0 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $5,844 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $5,844 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | FormAndLineReferenceDesc |
| Explanation | MASONICARE HEALTH CENTER PAID MEMBERSHIP DUES TO LEADINGAGE, THE CONNECTICUT HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2023, $5,844 OF THE MEMBERSHIP DUES PAID WAS USED FOR LOBBYING ON ISSUES RELEVANT TO THE ORGANIZATION'S EXEMPT PURPOSE | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | false | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (true) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $86,314,927 | BeginningYearBalanceAmt |
| Contributions | $63,401 | ContributionsAmt |
| Investment Earnings Or Losses | $1,772,860 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $242,823 | GrantsOrScholarshipsAmt |
| Other Expenditures | $6,574 | OtherExpendituresAmt |
| End Year Balance | $87,901,791 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $88,482,467 | BeginningYearBalanceAmt |
| Contributions | $2,551,822 | ContributionsAmt |
| Investment Earnings Or Losses | -$4,512,040 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $196,479 | GrantsOrScholarshipsAmt |
| Other Expenditures | $10,843 | OtherExpendituresAmt |
| End Year Balance | $86,314,927 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $84,884,852 | BeginningYearBalanceAmt |
| Contributions | $457,427 | ContributionsAmt |
| Investment Earnings Or Losses | $3,659,627 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $192,064 | GrantsOrScholarshipsAmt |
| Other Expenditures | $327,375 | OtherExpendituresAmt |
| End Year Balance | $88,482,467 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $84,052,687 | BeginningYearBalanceAmt |
| Contributions | $574,456 | ContributionsAmt |
| Investment Earnings Or Losses | $610,214 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $170,327 | GrantsOrScholarshipsAmt |
| Other Expenditures | $182,178 | OtherExpendituresAmt |
| End Year Balance | $84,884,852 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $84,388,408 | BeginningYearBalanceAmt |
| Contributions | $737,160 | ContributionsAmt |
| Investment Earnings Or Losses | -$937,362 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $127,004 | GrantsOrScholarshipsAmt |
| Other Expenditures | $8,515 | OtherExpendituresAmt |
| End Year Balance | $84,052,687 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.0 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.9619 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.0381 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $74,130,221 | OtherCostOrOtherBasisAmt |
| Depreciation | $55,977,253 | DepreciationAmt |
| Book Value | $18,152,968 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,822,071 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,865,713 | DepreciationAmt |
| Book Value | $956,358 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,978,879 | OtherCostOrOtherBasisAmt |
| Depreciation | $14,223,316 | DepreciationAmt |
| Book Value | $755,563 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,439,533 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,688,271 | DepreciationAmt |
| Book Value | $2,751,262 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $22,616,151 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| RESERVE FOR ASBESTOS REMOVAL | $979,000 |
| ESTIMATED THIRD PARTY LIABILITY | $553,342 |
| OTHER LIABILITIES | $91,576 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,623,918 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part V, Line 4 | THE ENDOWMENT FUNDS ARE USED TO SUPPORT THE PHILANTHROPIC MISSION AND ACTIVITIES OF MASONICARE CORPORATION AND ITS AFFILIATES. |
| Schedule D, Part IV, Line 2b Explanation of escrow agreement | TRUST ACCOUNTS FOR LONG TERM RESIDENTS. FINANCIAL ACCOUNT INTO WHICH MONEY CAN BE DEPOSITED TO BE USED FOR PERSONAL PREFERENCE ITEMS. TRUST ACCOUNT DEPOSITORS ARE REGULARLY PROVIDED THE STATUS AND ACTIVITY OF THEIR ACCOUNTS. |
| Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | MASONICARE ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH CERTAIN PROVISIONS OF FASB ASC 740, WHICH PROVIDES A FRAMEWORK FOR HOW COMPANIES SHOULD RECOGNIZE, MEASURE, PRESENT AND DISCLOSE UNCERTAIN TAX POSITIONS IN THEIR CONSOLIDATED FINANCIAL STATEMENTS. UNDER FASB ASC 740, MASONICARE MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IT IF IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS FROM SUCH POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. MASONICARE DID NOT RECORD ANY UNRECOGNIZED TAX BENEFITS FOR THE YEARS ENDED SEPTEMBER 30, 2023 AND 2022. MASONICARE ANTICIPATES THAT IT WILL NOT HAVE A CHANGE IN UNRECOGNIZED TAX BENEFITS DURING THE NEXT TWELVE MONTHS THAT WOULD HAVE A MATERIAL IMPACT ON THE CONSOLIDATED FINANCIAL STATEMENTS. ALL U.S. FEDERAL TAX YEARS FROM FISCAL 2019 ONWARDS ARE ELIGIBLE FOR AUDIT BY THE IRS. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | false | FinancialAssistanceBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $30,042,736 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,466,300 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,576,436 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1091 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $30,042,736 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,466,300 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,576,436 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1091 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $169,730 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $169,730 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0028 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $169,730 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $169,730 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0028 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $30,212,466 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,466,300 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,746,166 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1119 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,232,567 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $6,619,425 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $13,495,955 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$6,876,530 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Masonicare Health Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 22 Masonic AVenue | AddressLine1Txt |
| City | Wallingford | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06492 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.masonicare.org/services/health-wellness | WebsiteAddressTxt |
| State License | 11-CD, H0008 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Masonicare Health Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.MASONICARE.ORG/ABOUT-US/COMMUNITY-IMPACT | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.MASONICARE.ORG/ABOUT-US/COMMUNITY-IMPACT | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.0 | FPGFamilyIncmLmtFreeCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Other Method | Yes (X) | OtherMethodInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | www.masonicare.org/resources/financial-options | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | www.masonicare.org/resources/financial-options | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | www.masonicare.org/resources/financial-options | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 3E | THE MASONICARE HEALTH CENTER ASSESSMENT QUESTIONNAIRE WAS DESIGNED TO ASK RESPONDENTS FOR PRIORITIZE THE "MOST IMPORTANT, 2ND MOST IMPORTANT, 3RD MOST IMPORTANT" UNMET NEED. MASONICARE LEADERSHIP REVIEWED THE PRIORITIZATION FOR REASONABLENESS AND DISCUSSED WHICH ITEMS WERE APPROPRIATE FOR MHC FOLLOW-UP. THE ITEMS CONSIDERED INCLUDED THE SEVERITY OF THE NEED, THE URGENCY OF THE NEED AND THE IMPORTANCE OF THE NEED TO THE COMMUNITY. BASED ON THE SURVEY, THREE SIGNIFICANT NEEDS WERE IDENTIFIED: ACCESS TO WELLNESS, DISEASE PREVENTION AND ON-GONG MENTAL HEALTH SERVICE; HOMECARE FOR THOSE WITH LIMITATION IN THEIR DAILY ACTIVITIES OF LIVING AS IT RELATES TO MENTAL HEALTH NEEDS; TRANSPORTATION TO MENTAL HEALTH SERVICES FOR THOSE WHO NO LONGER DRIVE AND/OR ARE UNABLE TO USE PUBLIC TRANSPORTATION. WITH MHC'S LIMITED HOSPITAL SERVICES FOR THE GERIATRIC POPULATION ONLY, THE SIGNIFICANT HEALTH NEEDS IDENTIFIED ARE NOT AS BROAD AS FOR A TYPICAL ACUTE CARE HOSPITAL. |
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 1 - Masonicare Health Center. Members of the collaborative team representing the community included the Director of the Wallingford Health Department, the Director of the Wallingford Senior Center and the Director of the Wallingford YMCA. Each provided input into the development of the survey questions based on first-hand knowledge of the Wallingford community. With MHC's limited hospital services for the geriatric population only, the solicitation of the input from the community is more targeted than a typical acute care hospital. |
| Schedule H, Part V, Section B, Line 7 Facility , 1 | Facility , 1 - Masonicare Health Center. The 2023 Community Health needs Assessment and Implementation Plan for Hospital Services was adopted by the Board of Directors on September 27, 2023. This document is available at www.masonicare.org by taking the following steps: - On the "home" page, click services going across the top of the page, to be directed to the "our services" page. - On the "our services" page under "Health and Wellness" click on Behavioral Health, scroll down to the heading "Forms and Information", and click Community Health Needs Assessment to be directed to the most current document. |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 1 - Masonicare Health Center. FACILITY NAME: MASONICARE HEALTH CENTER DESCRIPTION: THE SIGNIFICANT NEEDS IDENTIFIED IN THE MOST RECENTLY CONDUCTED CHNA INCLUDED THE FOLLOWING: Significant Need #1- Access to wellness, disease prevention and ongoing mental health services. This overall need is being addressed by MHC, particularly with the continued expansion of Behavioral Health services from 43 beds to 50 beds. The CON has been approved and completion of these seven additional beds are projected to be complete by October 2023. At the patient-level, MHC is continually working with local hospitals, local skilled nursing facilities and local physicians to be the location of choice for seniors who need the geriatric psychiatric Hospital Services provided. Masonicare promotes the availability of its services through various media outlets (television and radio advertisement, social media, the Masonicare website), as well as through statewide outreach programs, the toll-free Help Line, specific educational programs and through the ongoing work of our Community Liaisons. As we continue to open up after COVID-19 restrictions, MHC is a frequent participant in events promoting healthcare services at the local senior centers, and meetings are held periodically with representatives from the local Health Department and Housing Authority. Participation, membership and representation on the Boards of organizations such as the United Way, Leading Age CT, CALA, the Wallingford Committee on Aging and the Connecticut Alzheimer's Association support the work of identifying resources and connecting residents to new & ongoing programs. Our newest program, created in early 2023, is the CareConnect Navigator Program. This complementary program is a personal resource dedicated to help navigate the challenges and complexities of the healthand senior services system. Help is available for, but not limited to, understanding financial commitments, insurance coverage and transitions of care, and understanding where your loved one belongs in the array of health and wellness options. It is available to anyone inside and outside of the Masonicare community. Since this program was created, we have seen a large number of calls and emails from outside community members, with some pertaining to Behavioral Health issues. We feel this additional program will contribute to meeting the unmet needs this survey indicates, as well as continuing Masonicare's commitment to community benefit programs. Significant Need #2- Difficulty understanding insurance coverages for Behavioral Health services. This need is being addressed by MHC. At the in-patient level, there is ongoing communication of billing and insurance coverage for Behavioral Health services. We have two staff members in the billing department that work directly with families on insurance issues. We also have a CHOICES counselor on staff at the Masonicare HealthCare Center, who can also help with these issues. In terms of outpatient Behavioral Health services, we continue to foster relationships with The Agency on Aging, The Homecare Program for Elders, Social/Human services departments in surrounding towns, the Veteran's Administration and various homecare agencies. Our staff attend educational programs to learn more about at home Behavioral Health resources for the community, which includes CPI (crisis prevention & Intervention training). Significant Significant Need #3- Information and/or assistance in obtaining Behavioral Health benefits and services At the patient level, there is ongoing education and communication to address information and/or assistance in obtaining Behavioral Health benefits and services. On the community level, further education is provided by Masonicare's Community Services Department, our Behavioral Health Hospital staff and the new CareConnect Navigator Department. Education includes lunch and learns sponsored by any of the departments above, at Assisted Living communities, senior centers, libraries, Masonicare Healthcare Center and at Masonicare at Ashlar Village. All of these programs are open to the public and advertised through local newspapers, emails, social media, and senior centers. Other Needs- The remainder of the needs identified by the assessment questionnaire were not determined to be "significant". |
| Schedule H, Part V, Section B, Line 13 Facility , 1 | Facility , 1 - MASONICARE HEALTH CENTER. A 100% discount is also available for all medically necessary Hospital Services where for the patient responsibility in excess of 20% of the family household income. |
| Schedule H, Part V, Section B, Line 15 Facility , 1 | Facility , 1 - Masonicare Health Center. Billing statements and follow-up correspondence note the availability of Financial Assistance Programs as one of the available "payment options". Current information regarding the Financial Assistance Policy for Hospital Services (and the related plain language summary and application form) are available at www.masonicare.org by taking the following steps: - On the "home" page, click Services going across the top of the page. - On the "our services" page,under "Health and Wellness" click Behavioral Health. - On the "Behavioral Health" page, scroll down to 'Forms and Information click on the link for the Financial Assistance Application and Policy for Hospital Services. |
| Schedule H, Part V, Section B, Line 16 Facility , 1 | Facility , 1 - Masonicare Health Center. Translations of the Financial Assistance Policy for Hospital Services, Financial Assistance Application for Hospital Services and the Plain Language Summary documents will be made available if and when the Limited English Proficiency requirements are met. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 0 | FacilityNum |
Supplemental Information Detail SupplementalInformationDetail (17 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part III, Line 9b Provisions on Collection Practices for Qualified Patients | Masonicare Health Center (MHC) provides financial assistance to patients who meet certain criteria under the financial assistance policy without charge, or at amounts less than established rates. According to its Financial Assistance Policy, Masonicare Health Center does not pursue extraordinary collection actions against any patients in the collection of amounts billed for hospital services. |
| Schedule H, Part I, Line 5a Schedule H, Part I, LIne 5a | With approximately 0.5% of total revenue coming from private pay/self pay sources, MHC does not explicitly budget for financial assistance costs. |
| Schedule H, Part I, Line 3c Eligibility criteria for free or discounted care | A 100% DISCOUNT IS ALSO AVAILABLE FOR ALL MEDICALLY NECESSARY HOSPITAL SERVICES WHERE FOR THE PATIENT RESPONSIBILITY IN EXCESS OF 20% OF THE FAMILY HOUSEHOLD INCOME. |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | MASONICARE HEALTH CENTER (MHC) CALCULATES THE ESTIMATED ALLOWANCE FOR DOUBTFUL ACCOUNTS BY APPLYING THE APPROPRIATE RESERVE FACTORS BASED UPON HISTORICAL COLLECTION PERCENTAGES TO THE VARIOUS AGING CATEGORIES OF PATIENT ACCOUNTS RECEIVABLE. THE PROVISION FOR BAD DEBTS IS THE AMOUNT REQUIRED TO HAVE THE ALLOWANCE FOR DOUBTFUL ACCOUNTS STATED AT THE CALCULATED VALUE. |
| Schedule H, Part III, Line 3 Bad Debt Expense Methodology | THE HOSPITAL IS UNABLE TO ESTIMATE ACCURATELY THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FREE SERVICES UNDER THE FINANCIAL ASSISTANCE POLICY. ALTHOUGH A PORTION OF BAD DEBT EXPENSE MAY RELATE TO PATIENTS WHO WOULD QUALIFY FOR CHARITY CARE, A REPORTABLE FIGURE CAN NOT BE REASONABLY ESTIMATED. |
| Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote | SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE. BAD DEBT EXPENSE FOR THE YEARS ENDING SEPTEMBER 30, 2023 AND 2022 WAS NOT SIGNIFICANT. |
| Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs | THE HOSPITAL CONTINUALLY STRIVES TO PROVIDE EXCELLENT PATIENT CARE IN THE MOST COST EFFECTIVE FASHION. NONETHELESS, THE MEDICARE PROGRAM, IN MANY CASES, DOES NOT PROVIDE PAYMENT THAT COVERS THE FULL COST OF THE CARE PROVIDED. THE IRS DOES NOT CLASSIFY THIS SHORTFALL IN MEDICARE PAYMENTS AS COMMUNITY BENEFITS. HOWEVER, WE BELIEVE IT IS AN IMPORTANT CONTRIBUTION MADE BY THE HOSPITAL TO THE HEALTH AND WELL BEING OF THE COMMUNITY. THE SOURCE FOR THE AMOUNT REPORTED ON LINE 6 WAS THE MEDICARE COST REPORT. |
| Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance | MASONICARE HEALTH CENTER (MHC) PROVIDES FINANCIAL ASSISTANCE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER THE FINANCIAL ASSISTANCE POLICY WITHOUT CHARGE, OR AT AMOUNTS LESS THAN ESTABLISHED RATES. ACCORDING TO ITS FINANCIAL ASSISTANCE POLICY, MASONICARE HEALTH CENTER DOES NOT PURSUE EXTRAORDINARY COLLECTION ACTIONS AGAINST ANY PATIENTS IN THE COLLECTION OF AMOUNTS BILLED FOR HOSPITAL SERVICES. |
| Schedule H, Part V, Section B, Line 16a FAP website | - Masonicare Health Center: Line 16a URL: www.masonicare.org/resources/financial-options; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | - Masonicare Health Center: Line 16b URL: www.masonicare.org/resources/financial-options; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | - Masonicare Health Center: Line 16c URL: www.masonicare.org/resources/financial-options; |
| Schedule H, Part VI, Line 2 Needs assessment | VARIOUS COMMITTEES AND GROUPS AT MASONICARE MEET PERIODICALLY TO DISCUSS THE NEEDS OF THE COMMUNITY WE SERVE AS WELL AS THE RESOURCES AND SERVICES AVAILABLE AT MASONICARE AND OTHER AGENCIES IN THE AREA. THE ORGANIZATION IS REPRESENTED AT COMMUNITY LEVEL ORGANIZATIONS AND GROUPS THAT ARE INVOLVED WITH THE ASSESSMENT OF COMMUNITY NEEDS. THE ORGANIZATION'S RESOURCES ARE CALLED UPON TO PARTICIPATE IN PROGRAMS AND PROJECTS PUT TOGETHER TO ADDRESS THOSE NEEDS. |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | MASONICARE HEALTH CENTER (MHC) INFORMS PATIENTS AND THEIR FAMILIES ABOUT FINANCIAL ASSISTANCE DURING THE ADMISSION PROCESS FOR ALL HOSPITAL SERVICES. INFORMATION IS POSTED THROUGHOUT THE HOSPITAL AS WELL AS ON MASONICARE'S WEBSITE AND ON THE PATIENT BILLING STATEMENT. |
| Schedule H, Part VI, Line 4 Community information | THE COMMUNITY SERVED BY MASONICARE HEALTH CENTER'S GERIATRIC HOSPITAL SERVICES IS THE SENIOR POPULATION (AGE 60 AND OLDER) IN THE WALLINGFORD AND MERIDEN CONNECTICUT AREA. MANY OF THE INDIVIDUALS SERVED BY THE GERIATRIC HOSPITAL FACILITY COME FROM THE LARGER SENIOR CARE ENVIRONMENT AT MASONICARE HEALTH CENTER, WITH THE GERIATRIC HOSPITAL SERVICES ONLY A SMALL COMPONENT OF MASONICARE HEALTH CENTER'S OVERALL OPERATION. WITH LIMITED HOSPITAL SERVICES FOR THE GERIATRIC POPULATION ONLY, THE DEFINITION OF THE COMMUNITY SERVED IS MORE TARGETED THAN FOR A TYPICAL ACUTE CARE HOSPITAL. |
| Schedule H, Part VI, Line 5 Promotion of community health | A MAJORITY OF THE ORGANIZATION'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS OR SPECIALTIES. MASONICARE PROVIDES VARIOUS HEALTH PROMOTION AND COMMUNITY ASSISTANCE ACTIVITIES, INCLUDING THE FOLLOWING: FREE EDUCATION PROGRAMS AND SERVICES TO INDIVIDUALS AND FAMILIES THROUGHOUT CONNECTICUT. LUNCH AND LEARN - THIS PROGRAM IS DESIGNED TO PROVIDE SENIORS AND OTHERS WITH EDUCATION ON HEALTH AND WELLNESS. SPEAKERS ARE TYPICALLY CLINICAL PROFESSIONALS FROM THROUGHOUT THE MASONICARE CONTINUUM AND COMMUNITY EXPERTS. MASONICARE HAS COORDINATED WITH THE SENIOR CENTERS AND LIBRARIES THROUGHOUT CONNECTICUT. MASONICARE COMMUNITY SERVICES - THIS IS A STATEWIDE OUTREACH PROGRAM AVAILABLE TO ALL CONNECTICUT RESIDENTS AND OFFERS INFORMATION AND GUIDANCE ON A VARIETY OF PROGRAMS AND SERVICES INCLUDING: - MEDICARE, MEDICAID (TITLE 19), AND MEDICARE PART D - BENEFITS ELIGIBILITY - CAREGIVER ASSISTANCE PROGRAMS - STATE AND FEDERAL PROGRAMS - HOUSING OPTIONS THESE SERVICES ARE AVAILABLE OVER THE PHONE OR IN THE COMFORT OF THE RESIDENT'S HOME. MASONICARE COMMUNITY SERVICES ALSO PROVIDES ASSISTANCE THROUGH A CHOICES CERTIFIED COUNSELOR FOR ALL MEDICARE QUESTIONS REGARDING MEDICARE ADVANTAGE PLANS, PART D PRESCRIPTION DRUG PLANS AND TRADITIONAL MEDICARE COVERAGES. MASONICARE'S CARECONNECT NAVIGATOR IS A NEW COMPLIMENTARY PERSONAL RESOURCE DEDICATED TO HELPING ANYONE IN THE COMMUNITY AT LARGE TO NAVIGATE THE COMPLEX WORLD OF HEALTH AND SENIOR CARE SERVICES. THE MISSION OF THIS PROGRAM IS TO HELP EASE THE STRESS OF CARE TRANSITIONS AND ASSIST IN ACCESSING CARE, SERVICES AND RESOURCES. MASONICARE FREQUENTLY HOLDS BLOOD PRESSURE SCREENINGS AND SENIOR HEALTH FAIRS THROUGHOUT THE STATE, AND MAKES ITS FACILITIES AVAILABLE TO MANY COMMUNITY ORGANIZATIONS INCLUDING THE MERIDEN-WALLINGFORD M-TEAM, HEALTHY WALLINGFORD, THE ALZHEIMER'S ASSOCIATION, PARKINSON'S SUPPORT GROUPS, VETERANS COFFEE HOUSES, THE AMERICAN RED CROSS AND CT DEPARTMENT OF MENTAL HEALTH AND ADDICTION SERVICES. |
| Schedule H, Part VI, Line 6 Affiliated health care system | MASONICARE OF WALLINGFORD, CONNECTICUT, IS THE STATE'S LEADING PROVIDER OF HEALTHCARE AND RETIREMENT LIVING COMMUNITIES FOR SENIORS. A NOT-FOR-PROFIT WITH MORE THAN 100 YEARS OF EXPERIENCE, MASONICARE IS RECOGNIZED FOR QUALITY, COMPASSIONATE CARE AND STEADFAST SUPPORT PROVIDED TO RESIDENTS AND PATIENTS. MASONICARE ENCOMPASSES A BROAD RANGE OF GERIATRIC HEALTHCARE AND SENIOR LIVING OPTIONS: SKILLED NURSING AND REHABILITATION FACILITY - MASONICARE HEALTH CENTER (MHC) LOCATED IN WALLINGFORD CT. HOME HEALTH AND HOSPICE SERVICES - MASONICARE HOME HEALTH & HOSPICE, OUR STATEWIDE HEALTHCARE AND HOSPICE AFFILIATE, PROVIDED SERVICES TO 6,345 PATIENTS IN THE FISCAL YEAR ENDED SEPTEMBER 30, 2023 THROUGH ITS 3 OFFICES (LOCATED IN EAST HARTFORD, CT, NORWICH, CT, AND WALLINGFORD, CT). INDEPENDENT LIVING OPTIONS - CONTINUING CARE RETIREMENT COMMUNITIES, MASONICARE AT ASHLAR VILLAGE (MAV) , MASONICARE AT MYSTIC (MAM) AND MASONICARE AT CHESTER VILLAGE (MCV), AND THE JOHNSON, WELLS, AND HAWKINS APARTMENTS FOR INDIVIDUALS 55 AND OVER LOCATED AT MHC IN WALLINGFORD CT. ASSISTED LIVING COMMUNITY - POND RIDGE LOCATED AT MAV IN WALLINGFORD CT. PERSONAL CARE AT HOME - LIVE IN, PERSONAL CARE ATTENDANT AND HOMEMAKER SERVICES ARE PROVIDED IN AN INDIVIDUAL'S HOME BY AFFILIATE MASONICARE AT HOME (MAH). A RESIDENTIAL CARE HOME - THE LESLIE G. WRIGHT RESIDENCE LOCATED AT MHC IN WALLINGFORD CT. |
| Schedule H, Part VI, Line 7 State filing of community benefit report | CT |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JON-PAUL VENOIT | ||||||||||||||
| PRESIDENT AND CEO, ASSISTANT SECRETARY | $0 | $664,976 | $0 | $30,000 | $0 | $22,210 | $0 | $11,202 | $0 | $40,991 | $0 | $769,379 | $0 | $0 |
| COURTNEY O'SULLIVAN | ||||||||||||||
| LONG TERM CARE ADMINISTRATOR | $152,951 | $0 | $0 | $0 | $341 | $0 | $6,687 | $0 | $34,165 | $0 | $194,144 | $0 | $0 | $0 |
| STEVEN D BEAULIEU | ||||||||||||||
| CFO, ASSISTANT TREASURER | $0 | $247,662 | $0 | $3,000 | $0 | $24,486 | $0 | $10,056 | $0 | $37,222 | $0 | $322,426 | $0 | $0 |
| LAWRENCE OGBOGU | ||||||||||||||
| BEHAVIORAL HEALTH APRN | $164,304 | $0 | $0 | $0 | $48 | $0 | $6,523 | $0 | $127 | $0 | $171,002 | $0 | $0 | $0 |
| MARY JANE GAGLIARDI | ||||||||||||||
| PSYCHIATRIC CLINICAL SUPERVISOR | $217,160 | $0 | $23,880 | $0 | $714 | $0 | $8,331 | $0 | $7,169 | $0 | $257,254 | $0 | $0 | $0 |
| PATRICIA EVELYN | ||||||||||||||
| DIRECTOR OF NURSING SNF | $130,692 | $0 | $15,925 | $0 | $1,478 | $0 | $1,251 | $0 | $17,675 | $0 | $167,021 | $0 | $0 | $0 |
| HEIDI SLADE | ||||||||||||||
| REGISTERED NURSE | $138,458 | $0 | $0 | $0 | $635 | $0 | $5,845 | $0 | $40,497 | $0 | $185,435 | $0 | $0 | $0 |
| CARA CARBRAY | ||||||||||||||
| DIRECTOR BEHAVIORAL HEALTH HOSPITAL | $130,434 | $0 | $6,059 | $0 | $280 | $0 | $4,404 | $0 | $30,746 | $0 | $171,923 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 | THE ORGANIZATIONS CEO, JON-PAUL VENOIT, IS COMPENSATED BY A RELATED ORGANIZATION, MASONICARE CORPORATION WHICH USES THE FOLLOWING METHODS TO ESTABLISH HIS COMPENSATION; COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. |
| Schedule J, Part I, Line 7 | COMPENSATION TO REWARD SENIOR MANAGEMENT FOR ACHIEVING ANNUAL QUALITY, STRATEGIC AND FINANCIAL GOALS FOR THE ORGANIZATION FOR AMOUNTS REPORTED ON SCHEDULE J, PART II, COLUMN (B)(II) "BONUS AND INCENTIVE COMPENSATION". |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 6 Classes of members or stockholders | THE ORGANIZATION HAS A SOLE CORPORATE MEMBER, MASONICARE CORPORATION, WITH THE RIGHT TO APPOINT MEMBERS OF THE GOVERNING BODY AND TO PARTICIPATE IN THE ORGANIZATION'S GOVERNANCE. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | MASONICARE CORPORATION, AS SOLE CORPORATE MEMBER, ANNUALLY APPOINTS THE MEMBERS OF THE GOVERNING BODY. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | PURSUANT TO THE CERTIFICATE OF INCORPORATION OF THE ORGANIZATION, MASONICARE CORPORATION, AS THE SOLE CORPORATE MEMBER, HAS CERTAIN RESERVED POWERS TO TAKE OR APPROVE CERTAIN ACTIONS OF THE GOVERNING BODY. THESE POWERS INCLUDE THE PRIOR APPROVAL OF AMENDMENTS TO THE ORGANIZATION'S CERTIFICATE OF INCORPORATION AND BYLAWS, APPROVAL OF LONG RANGE PLANS, BUDGETS AND MATERIAL CHANGES IN BUDGETS, MISSION STATEMENTS AND POLICIES (INCLUDING INVESTMENT POLICIES) AS WELL AS SALES OR TRANSFER OF ASSETS, MERGERS AND/OR DISSOLUTIONS AND CERTIFICATE OF NEED APPLICATIONS. THE SOLE CORPORATE MEMBER'S POWERS ALSO INCLUDE THE APPOINTMENT AND REMOVAL OF DIRECTORS, THE ORGANIZATION'S BOARD CHAIR AND INDEPENDENT AUDIT FIRM. |
| Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body | MASONICARE HEALTH CENTER DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY DURING THE TAX YEAR. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | MASONICARE MANAGEMENT AND OUR EXTERNAL ACCOUNTANTS REVIEW THE FORM 990 AND SUPPLEMENTAL SCHEDULES FOR COMPLETENESS AND ACCURACY. IT IS REVIEWED BY THE CHIEF EXECUTIVE OFFICER AND CHAIRMAN OF THE BOARD. THE FORM 990 AND SUPPLEMENTAL SCHEDULES IS ALSO PLACED ON A SECURED WEBSITE THAT CAN BE ACCESSED BY ALL BOARD MEMBERS FOR THEIR REVIEW. AT A FULL BOARD MEETING A DISCUSSION IS HELD REGARDING COMMENTS/QUESTIONS FROM BOARD MEMBERS. THE FORM 990 AND SUPPLEMENTAL SCHEDULES IS THEN FINALIZED AND FILED. |
| Form 990, Part VI, Line 12c Conflict of interest policy | ANNUALLY, OFFICERS, DIRECTORS AND SENIOR EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE QUESTIONNAIRE. THE CORPORATE COMPLIANCE OFFICER ANNOTATES THE RESULTS TO DETERMINE IF, AND TO WHAT EXTENT, A CONFLICT OF INTEREST EXISTS. THE RESULTS OF THE OFFICER AND BOARD MEMBER DISCLOSURES ARE FIRST REVIEWED BY THE BOARD CHAIRMAN AND THEN REPORTED AT THE BOARD MEETINGS. ANY OFFICER OR BOARD MEMBER SHALL NOT MAKE OR SECOND MOTIONS OR VOTE (OTHER THAN ABSTAIN) ON MATTERS IF A CONFLICT OF INTEREST EXISTS, WHETHER OR NOT THE OFFICER OR BOARD MEMBER HAD AN OPPORTUNITY TO MAKE A WRITTEN DISCLOSURE THROUGH THE FORMALIZED PROCESS. SENIOR EMPLOYEE DISCLOSURES ARE REPORTED TO THE PRESIDENT AND CHIEF EXECUTIVE OFFICER. THE ENTIRE PROCESS IS COORDINATED BY THE CORPORATE COMPLIANCE OFFICER. ALL RESPONDENTS ARE ADVISED OF THEIR CONTINUING DUTY TO DISCLOSE ANY POSSIBLE CONFLICT OF INTEREST THAT MAY ARISE DURING THE COURSE OF THEIR SERVICE. |
| Form 990, Part VI, Line 19 Required documents available to the public | THE ORGANIZATION PROVIDES REQUIRED DOCUMENTS UPON REQUEST. |
| Form 990, Part VIII, Line 11d Other Miscellaneous Revenue | Recycle - Total Revenue: 184, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 184; Miscellaneous - Total Revenue: 3501, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 3501; |
| Form 990, Part IX, Line 11g Other Fees | PROFESSIONAL FEES - Total Expense: 588952, Program Service Expense: 556918, Management and General Expenses: 32034, Fundraising Expenses: ; PURCHASE SERVICES - Total Expense: 7695314, Program Service Expense: 7611033, Management and General Expenses: 84281, Fundraising Expenses: ; SHARED SERVICES - Total Expense: 3259009, Program Service Expense: , Management and General Expenses: 3259009, Fundraising Expenses: ; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | CAPITAL CONTRIBUTIONS FROM RELATED ENTITIES - 5503880; |
| FORM 990, PART VI, LINE 15A - COMPENSATION OF TOP MANAGEMENT OFFICIAL | FORM 990, PART VI, LINE 15A CHECKED "NO" IN ACCORDANCE WITH THE IRS INSTRUCTIONS SINCE THE FILING ORGANIZATION DOES NOT COMPENSATE THE TOP MANAGEMENT OFFICIAL. |
| FORM 990, PART VI, LINE 15B - COMPENSATION OF THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES | THE CEO RECOMMENDS ANY SALARY ADJUSTMENTS OF THE EXECUTIVE LEADERSHIP, USING THE RESULTS OF THE VALUATION STUDY AND HIS ASSESSMENT OF INDIVIDUAL PERFORMANCE OR OTHER PERTINENT INFORMATION. THE PROPOSED EXECUTIVE SALARY CHANGES ARE PROVIDED TO THE COMPENSATION COMMITTEE. THE PROCESS WAS COMPLETED IN MAY 2023 FOR THE FOLLOWING POSITIONS: CHIEF FINANCIAL OFFICER, CHIEF INFORMATION OFFICER, CHIEF OF HEALTHCARE SERVICES, CHIEF OF STRATEGY, VICE PRESIDENT OF HUMAN RESOURSES, VICE PRESIDENT OF MISSION EFFECTIVENESS, EXECUTIVE DIRECTOR OF MASONICARE AT MYSTIC, EXECUTIVE DIRECTOR OF MASONICARE AT CHESTER VILLAGE, EXECUTIVE DIRECTOR OF MASONIC CHARITY FOUNDATION, EXECUTIVE DIRECTOR OF MASONICARE AT HOME, HEALTH AND HOSPICE, EXECUTIVE DIRECTOR OF MASONICARE AT HOME, LTC ADMINISTRATOR OF MASONICARE HEALTH CENTER. |
| FORM 990, PART VII, SECTION A, LINE 1A - TRUSTEES | HOURS RELATED FOR VOLUNTEER TRUSTEES (COLUMN B) ARE THE ESTIMATED HOURS PER WEEK THAT THE VOLUNTEER TRUSTEES CONTRIBUTE TO THIS AND ALL OTHER RELATED EXEMPT ORGANIZATIONS, NOT NECESSARILY EQUALLY BUT IN THE PROPORTION REQUIRED FOR WHICH THEY RECEIVE NO COMPENSATION. RELATED ORGANIZATIONS INCLUDE, MASONICARE CORPORATION, MASONIC CHARITY FOUNDATION OF CT, MASONICARE AT ASHLAR VILLAGE INC., MASONICARE HOME HEALTH AND HOSPICE INC., MASONICARE AT HOME INC., MASONICARE AT MYSTIC INC., MASONICARE AT CHESTER VILLAGE INC. AND KEYSTONE INDEMNITY COMPANY LTD. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| MASONICARE CORPORATION | ||||||||||
| PO BOX 70 | WALLINGFORD | CT | 06492 | 061435919 | PARENT HOLDING AND SUPPORT ORGANIZATION | CT | 501(c)(3) | Type III-FI | NA | false |
| MASONIC CHARITY FOUNDATION OF CT | ||||||||||
| PO BOX 70 | WALLINGFORD | CT | 06492 | 061435920 | PROVIDE PLANNED GIVING AND DEVELOPMENT | CT | 501(c)(3) | 7 | MASONICARE CORPORATION | false |
| MASONICARE AT ASHLAR VILLAGE INC | ||||||||||
| PO BOX 70 | WALLINGFORD | CT | 06492 | 061050830 | CCRC AND ASSISTED LIVING COMMUNITY | CT | 501(c)(3) | 10 | MASONICARE CORPORATION | false |
| MASONICARE AT CHESTER VILLAGE INC | ||||||||||
| PO BOX 70 | WALLINGFORD | CT | 06492 | 822936624 | CONTINUING CARE RETIREMENT COMMUNITY | CT | 501(c)(3) | 10 | MASONICARE CORPORATION | false |
| MASONICARE HOME HEALTH AND HOSPICE INC | ||||||||||
| PO BOX 70 | WALLINGFORD | CT | 06492 | 061101924 | PROVIDE HOME HEALTH/HOSPICE SERVICES | CT | 501(c)(3) | 10 | MASONICARE CORPORATION | false |
| MASONICARE AT HOME INC | ||||||||||
| PO BOX 70 | WALLINGFORD | CT | 06492 | 202377783 | PROVIDE HOME SERVICES TO THE ELDERLY | CT | 501(c)(3) | 10 | MASONICARE CORPORATION | false |
| KEYSTONE INDEMNITY COMPANY LTD | ||||||||||
| 126 COLLEGE STREET SUITE 400 | BURLINGTON | VT | 05401 | 030371612 | PROVIDE INSURANCE SERVICES TO MASONICARE | CT | 501(c)(3) | Type III-FI | MASONICARE CORPORATION | false |
| MASONICARE AT MYSTIC INC | ||||||||||
| PO BOX 70 | WALLINGFORD | CT | 06492 | 464656008 | MANAGE SENIOR LIVING FACILITY | CT | 501(c)(3) | Type I | MASONICARE AT ASHLAR VILLAGE INC | false |
| AF & AM OF CT GRAND LODGE | ||||||||||
| 69 MASONIC AVENUE | WALLINGFORD | CT | 06492 | 060243277 | MASONIC FRATERNAL ORGANIZATION | CT | 501(c)(10) | NA | false | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GENM SENIOR CARE CONSULTING GROUP LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 22 MASONIC AVENUE | AddressLine1Txt |
| City | WALLINGFORD | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06492 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 871834093 | EIN |
| Primary Activities | CONSULTING | PrimaryActivitiesTxt |
| Legal Domicile State | CT | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MASONICARE CORPORATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C Corporation | EntityTypeTxt |
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |