OVERLOOK MASONIC HEALTH CENTER INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- OVERLOOK MASONIC HEALTH CENTER INC (EIN 22-2843194)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-15
- IRS object ID
- 202243199349319369
- Schema version
- 2021v4.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-15T14:44:11-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 111986323 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARCUM LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 555 LONG WHARF DRIVE | AddressLine1Txt |
| City | NEW HAVEN | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06511 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222843194 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OVERLOOK MASONIC HEALTH | BusinessNameLine1Txt |
| Business Name Line2 | CENTER INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | OVER | BusinessNameControlTxt |
| Phone | 5082487344 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 88 MASONIC HOME ROAD | AddressLine1Txt |
| City | CHARLTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01507 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TAMERYN CAMPBELL | PersonNm |
| Person Title | CEO/PRESIDENT | PersonTitleTxt |
| Phone | 5082487344 | PhoneNum |
| Signature | 2022-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | TAMERYN | PersonFirstNm |
| Person Last | CAMPBELL | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MARY ANTONETTI | PreparerPersonNm |
| PTIN | P00431862 | PTIN |
| Phone | 2037819600 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TAMERYN CAMPBELL | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 88 MASONIC HOME ROAD | AddressLine1Txt |
| City | CHARLTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01507 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $29,981,273 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTP://OVERLOOK-MASS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1987 | FormationYr |
| Legal Domicile State | MA | LegalDomicileStateCd |
| Activity Or Mission | THE PROVISION OF LONG-TERM RESIDENTIAL AND REHABILITATIVE CARE TO RESIDENTS OF THE COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 409 | TotalEmployeeCnt |
| Total Volunteers | 17 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $306,839 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,662,222 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $23,306,946 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $22,320,762 | CYProgramServiceRevenueAmt |
| PY Investment Income | $673,663 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,070,324 | CYInvestmentIncomeAmt |
| PY Other Revenue | $383,977 | PYOtherRevenueAmt |
| CY Other Revenue | $382,991 | CYOtherRevenueAmt |
| PY Total Revenue | $24,671,425 | PYTotalRevenueAmt |
| CY Total Revenue | $28,436,299 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,500 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $14,753,998 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $16,773,834 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $12,208,021 | PYOtherExpensesAmt |
| CY Other Expenses | $12,601,685 | CYOtherExpensesAmt |
| PY Total Expenses | $26,964,519 | PYTotalExpensesAmt |
| CY Total Expenses | $29,375,519 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,293,094 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$939,220 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $147,982,116 | TotalAssetsBOYAmt |
| Total Assets EOY | $148,489,436 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $11,700,155 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $12,005,864 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $136,281,961 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $136,483,572 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE THE RESIDENTS OF THE HEALTH CENTER WITH THE HIGHEST LEVEL OF COMPREHENSIVE MEDICAL CARE SERVICES WITH A CONSIDERATE AND PERSONAL TOUCH. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $20,025,746 | ExpenseAmt |
| Revenue | $22,400,873 | RevenueAmt |
| Desc | OPERATION OF A LONG-TERM CARE FACILITY IN CHARLTON, MA. TOTAL PATIENT DAYS OF CARE FOR 2021 TOTALED 36,315. OPERATION OF A POST ACUTE FACILITY IN CHARLTON, MA. TOTAL PATIENT CARE DAYS FOR 2021 TOTALED 6,520. OPERATION OF A RESIDENTIAL ENHANCED LIVING FACILITY IN CHARLTON, MA TOTAL PATIENT CARE DAYS FOR 2021 TOTALED 7,170. OPERATION OF A MEMORY CARE RESIDENTIAL UNIT AND ADULT DAY CARE MEMORY PROGRAM FACILITY IN CHARLTON, MA. FIELDSTONE MEMORY CARE RESIDENTIAL UNIT TOTAL PATIENT CARE DAYS TOTALED 4,471. VISTA ADULT DAY PROGRAM TOTALED 481 DAYS OF CARE. | Desc |
| Total Program Service Expenses | $20,025,746 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 108 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 409 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TAMERYN CAMPBELL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5084342412 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 88 MASONIC HOME ROAD | AddressLine1Txt |
| City | CHARLTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01507 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| RICHARD MAGGIO | |||||||||
| GRAND MASTER | 0.15 | 1.30 | Yes (X) | $0 | $0 | $0 | |||
| KENNETH BLAKE | |||||||||
| MHS BOARD CHAIR | 0.15 | 1.30 | Yes (X) | $0 | $0 | $0 | |||
| MASON RUSSELL | |||||||||
| EX OFFICIO | 0.15 | 1.30 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT JOLLY | |||||||||
| CHAIR | 0.15 | 0.30 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| JACK MULHALL | |||||||||
| VICE CHAIR | 0.15 | 0.15 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| WILLIAM HOLLAND DECEASED 2022 | |||||||||
| TREASURER | 0.15 | 1.30 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| DAVID PACE | |||||||||
| SECRETARY | 0.15 | 1.30 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| ROBERT SCHREMSER | |||||||||
| CLERK | 0.15 | 1.30 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| TAMERYN CAMPBELL | |||||||||
| PRESIDENT & CEO | 40.00 | 1.30 | Yes (X) | $573,867 | $0 | $72,729 | Yes (X) | ||
| JAMES TRACY FROM 1222021 | |||||||||
| TREASURER | 0.15 | 1.15 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| TED WILBUR | |||||||||
| CHIEF INFORMATION OFFICER | 40.00 | $159,376 | $0 | $20,486 | Yes (X) | ||||
| JOE SAVIDGE | |||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | $163,194 | $0 | $22,389 | Yes (X) | ||||
| AKEYO DONALD O | |||||||||
| NURSE SUPERVISOR | 60.00 | $161,316 | $0 | $27,815 | Yes (X) | ||||
| NDUYU PAMELA | |||||||||
| NURSE SUPERVISOR | 57.00 | $127,974 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,185,727 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $143,419 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 5 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PRO EMS SOLUTIONS INC | |||||
| 31 SMITH PLACE | CAMBRIDGE | MA | 02138 | COVID TESTING, LAB PROCESSING, AND REPOR | $632,760 |
| CUSTOM COMPUTER SPECIALISTS INC | |||||
| PO BOX 29786 | NEW YORK | NY | 100879786 | IT SUPPORT | $376,629 |
| MARCUM LLP | |||||
| 185 ASYLUM STREET 25TH FLOOR | HARTFORD | CT | 06103 | ACCOUNTING, TAX, AND COST REPORT SERVICE | $133,150 |
| MINDSETGO INC | |||||
| 36 POWDER HILL WAY | WESTBOROUGH | MA | 01581 | LEADERSHIP TRAINING & COACHING | $105,731 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $3,370,540 | GovernmentGrantsAmt |
| All Other Contributions | $291,682 | AllOtherContributionsAmt |
| Total Contributions | $3,662,222 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT REVENUE | 623000 | $19,055,935 | $19,055,935 |
| AFFILIATE MANAGEMENT FEE | 900099 | $3,264,827 | $3,264,827 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $22,320,762 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $110,999 | TotalRevenueColumnAmt |
| Exclusion | $110,999 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $302,880 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $302,880 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $302,880 | TotalRevenueColumnAmt |
| Exclusion | $302,880 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,504,299 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,544,974 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,959,325 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,959,325 | TotalRevenueColumnAmt |
| Exclusion | $1,959,325 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| OTHER PAYER REVENUE | 623000 | $57,045 | $57,045 |
| OTHER TENANT REVENUE | 623000 | $20,842 | $20,842 |
| CABLE TV ACCESS | 900099 | $2,224 | $2,224 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $80,111 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $28,436,299 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $22,400,873 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,373,204 | 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 | $964,042 | TotalAmt |
| Management And General | $964,042 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,866,814 | TotalAmt |
| Program Services | $10,710,400 | ProgramServicesAmt |
| Management And General | $2,156,414 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $319,842 | TotalAmt |
| Program Services | $279,032 | ProgramServicesAmt |
| Management And General | $40,810 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,441,120 | TotalAmt |
| Program Services | $1,248,577 | ProgramServicesAmt |
| Management And General | $192,543 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,182,016 | TotalAmt |
| Program Services | $987,473 | ProgramServicesAmt |
| Management And General | $194,543 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,672,849 | TotalAmt |
| Management And General | $1,672,849 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $116,324 | TotalAmt |
| Management And General | $116,324 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,265 | TotalAmt |
| Management And General | $57,265 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $118,427 | TotalAmt |
| Management And General | $118,427 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,620,071 | TotalAmt |
| Program Services | $1,087,677 | ProgramServicesAmt |
| Management And General | $2,532,394 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $230,609 | TotalAmt |
| Management And General | $230,609 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,026,312 | TotalAmt |
| Program Services | $1,304,892 | ProgramServicesAmt |
| Management And General | $721,420 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $928,901 | TotalAmt |
| Program Services | $928,901 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,067 | TotalAmt |
| Program Services | $2,271 | ProgramServicesAmt |
| Management And General | $32,796 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $120,540 | TotalAmt |
| Program Services | $7,165 | ProgramServicesAmt |
| Management And General | $113,375 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,532 | TotalAmt |
| Management And General | $71,532 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,340,824 | TotalAmt |
| Program Services | $1,296,454 | ProgramServicesAmt |
| Management And General | $44,370 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $437,118 | TotalAmt |
| Program Services | $437,118 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| DIETARY SERVICES | $789,818 | $789,818 | |
| BAD DEBT EXPENSE | $477,740 | $477,740 | |
| EQUIP RENTAL & MAINT | $380,066 | $329,856 | $50,210 |
| RESIDENT BED TAX | $84,611 | $84,611 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,611 | TotalAmt |
| Program Services | $53,761 | ProgramServicesAmt |
| Management And General | $39,850 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,375,519 | TotalAmt |
| Program Services | $20,025,746 | ProgramServicesAmt |
| Management And General | $9,349,773 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,371 | BOYAmt |
| EOY | $308,500 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,279,774 | BOYAmt |
| EOY | $1,563,757 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $747,013 | BOYAmt |
| EOY | $413,285 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $64,948,579 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $48,120,996 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,474,353 | BOYAmt |
| EOY | $16,827,583 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,272,112 | BOYAmt |
| EOY | $28,847,669 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $104,167,493 | BOYAmt |
| EOY | $100,528,642 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $147,982,116 | BOYAmt |
| EOY | $148,489,436 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,451,684 | BOYAmt |
| EOY | $2,519,075 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,292,218 | BOYAmt |
| EOY | $1,134,222 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,956,253 | BOYAmt |
| EOY | $8,352,567 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,700,155 | BOYAmt |
| EOY | $12,005,864 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $121,326,971 | BOYAmt |
| EOY | $120,114,185 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,954,990 | BOYAmt |
| EOY | $16,369,387 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $136,281,961 | BOYAmt |
| EOY | $136,483,572 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $147,982,116 | BOYAmt |
| EOY | $148,489,436 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$939,220 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $796,785 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $344,046 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
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 | $157,742 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $345,475 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $190,513 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $306,839 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,662,222 | CurrentTaxYearAmt |
| Total | $4,662,791 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $20,985,319 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $21,483,512 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $22,875,495 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $23,306,946 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $22,320,762 | CurrentTaxYearAmt |
| Total | $110,972,034 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $21,143,061 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $21,828,987 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $23,066,008 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $23,613,785 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $25,982,984 | CurrentTaxYearAmt |
| Total | $115,634,825 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $115,634,825 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $531,163 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $573,397 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $455,869 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $360,651 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $413,879 | CurrentTaxYearAmt |
| Total | $2,334,959 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $531,163 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $573,397 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $455,869 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $360,651 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $413,879 | CurrentTaxYearAmt |
| Total | $2,334,959 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $2,058,583 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $92,989 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $80,111 | CurrentTaxYearAmt |
| Total | $2,231,683 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $21,674,224 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $22,402,384 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $25,580,460 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $24,067,425 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $26,476,974 | CurrentTaxYearAmt |
| Total | $120,201,467 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.96200 | PublicSupportCY509Pct |
| Public Support PY509 | 0.96190 | PublicSupportPY509Pct |
| Investment Income CY | 0.01940 | InvestmentIncomeCYPct |
| Investment Income PY | 0.02000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | MISC INCOME - 2019 AMOUNT: $ 2,058,583. 2020 AMOUNT: $ 92,989. 2021 AMOUNT: $ 80,111. | ExplanationTxt |
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 D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | Yes (1) | AgentTrusteeEtcInd |
| Beginning Balance | $50,890 | BeginningBalanceAmt |
| Ending Balance | $33,737 | EndingBalanceAmt |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $24,287,640 | BeginningYearBalanceAmt |
| Contributions | $3,210,357 | ContributionsAmt |
| Investment Earnings Or Losses | $2,749,728 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,384,528 | OtherExpendituresAmt |
| End Year Balance | $28,863,197 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $22,109,679 | BeginningYearBalanceAmt |
| Contributions | $329,674 | ContributionsAmt |
| Investment Earnings Or Losses | $2,868,492 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,020,205 | OtherExpendituresAmt |
| End Year Balance | $24,287,640 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $19,644,993 | BeginningYearBalanceAmt |
| Contributions | $805,705 | ContributionsAmt |
| Investment Earnings Or Losses | $3,140,400 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,481,419 | OtherExpendituresAmt |
| End Year Balance | $22,109,679 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $55,155,848 | BeginningYearBalanceAmt |
| Contributions | $1,664,971 | ContributionsAmt |
| Investment Earnings Or Losses | -$1,508,578 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $35,667,248 | OtherExpendituresAmt |
| End Year Balance | $19,644,993 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $54,967,835 | BeginningYearBalanceAmt |
| Contributions | $178,526 | ContributionsAmt |
| Investment Earnings Or Losses | $24,740 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $15,253 | OtherExpendituresAmt |
| End Year Balance | $55,155,848 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.43233 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.19854 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.36914 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $336,084 | OtherCostOrOtherBasisAmt |
| Book Value | $336,084 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $46,511,889 | OtherCostOrOtherBasisAmt |
| Depreciation | $34,108,295 | DepreciationAmt |
| Book Value | $12,403,594 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,203,034 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,175,846 | DepreciationAmt |
| Book Value | $2,027,188 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,897,572 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,836,855 | DepreciationAmt |
| Book Value | $2,060,717 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $16,827,583 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MASONIC EDUCATION AND CHARITY TRUST INVESTMENT FUND | Desc |
| Book Value | $28,847,669 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $28,847,669 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM AFFILIATES | $100,236,368 |
| OTHER RECEIVABLES | $48,113 |
| DUE FROM GRAND LODGE | $244,161 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $100,528,642 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO AFFILIATES | $6,391,766 |
| DUE TO RESIDENTS | $33,737 |
| ASSET RETIREMENT OBLIGATION | $921,064 |
| PENSION LIABILITY | $1,006,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $8,352,567 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $27,222,520 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $796,785 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$477,740 | OtherRevenueAmt |
| Revenue Not Reported | $319,045 | RevenueNotReportedAmt |
| Revenue Subtotal | $26,903,475 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $118,427 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $1,414,397 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $1,532,824 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $28,436,299 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $28,779,352 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $28,779,352 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $118,427 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $477,740 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $596,167 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $29,375,519 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 2B: | PERSONS ADMITTED TO THE HEALTH CENTER WHO DO NOT WISH TO APPOINT A RESPONSIBLE PARTY TO MANAGE THEIR ASSETS MAY, IF THEY WISH, HAVE THE HEALTH CENTER ASSUME THE RESPONSIBILITY OF MANAGING THEIR ASSETS ON THEIR BEHALF. ASSETS THAT ARE TRANSFERRED TO THE HEALTH CENTER UNDER THIS ARRANGEMENT ARE CO-MINGLED WITH THE ASSETS OF OTHER RESIDENTS AND PLACED IN AN INVESTMENT TRUST ACCOUNT PURSUANT TO A REVOCABLE TRUST AGREEMENT. ALL SUCH FUNDS HAVE BEEN PLACED IN A MONEY MARKET ACCOUNT IN THE HEALTH CENTER'S NAME AT A BANK. ALL RECEIPTS FROM RESIDENTS DURING THEIR PERIOD OF RESIDENCY AND ALL CHARGES FOR ROOM AND BOARD AND MEDICAL CARE ARE CREDITED AND/OR CHARGED TO THEIR INDIVIDUAL ACCOUNTS. INTEREST IS CALCULATED MONTHLY ON THE TOTAL TRUST ACCOUNT AND CREDITED TO EACH RESIDENT IN ACCORDANCE WITH HIS/HER PRO RATA BALANCE. THESE FUNDS, AND CORRESPONDING LIABILITIES, ARE RECORDED ON THE CONSOLIDATED BALANCE SHEETS AND ARE INCLUDED IN CASH AND EQUIVALENTS AND ACCOUNTS PAYABLE. THE RESIDENT PORTIONS OF EACH OF THESE RESPECTIVE ACCOUNTS WERE $33,737 AND$50,890 AT DECEMBER 31, 2021 AND 2020, RESPECTIVELY. |
| PART V, LINE 4: | THE ORGANIZATION HAS AN ENDOWMENT WHICH IS HELD IN THE MASONIC EDUCATION AND CHARITY TRUST. FUNDS ARE SPENT FROM THE ENDOWMENT WHEN NEEDED FOR OPERATIONS OR CAPITAL IMPROVEMENTS. |
| PART X, LINE 2: | BELOW IS AN EXCERPT FROM FOOTNOTE 2 OF THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS FOR THE MASONIC HEALTH SYSTEM OF MASSACHUSETTS, INC. MHS, HEALTH CENTER, OVNA, COMMUNITIES, AND NORTHAMPTON HAVE BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE ORGANIZATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2021 AND 2020, THERE ARE NO TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS PENDING OR IN PROGRESS. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE -477,740. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | DONOR RESTRICTED ACTIVITY 1,414,397. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 477,740. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Housing Allowance Or Residence | Yes (X) | HousingAllowanceOrResidenceInd |
| Written Policy Ref T And E Expnss | 0 | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | 0 | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TAMERYN CAMPBELL | ||||||||||||||
| PRESIDENT & CEO | $395,329 | $0 | $175,700 | $0 | $2,838 | $0 | $10,872 | $0 | $61,857 | $0 | $646,596 | $0 | $0 | $0 |
| AKEYO DONALD O | ||||||||||||||
| NURSE SUPERVISOR | $161,215 | $0 | $0 | $0 | $101 | $0 | $3,440 | $0 | $24,375 | $0 | $189,131 | $0 | $0 | $0 |
| JOE SAVIDGE | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $158,912 | $0 | $0 | $0 | $4,282 | $0 | $0 | $0 | $22,389 | $0 | $185,583 | $0 | $0 | $0 |
| TED WILBUR | ||||||||||||||
| CHIEF INFORMATION OFFICER | $158,004 | $0 | $0 | $0 | $1,372 | $0 | $3,291 | $0 | $17,195 | $0 | $179,862 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 1A | FormAndLineReferenceDesc |
| Explanation | TAMERYN CAMPBELL RECEIVED A HOUSING ALLOWANCE FROM A RELATED ORGANIZATION (OC) WITH AN ESTIMATED VALUE OF $48,000 DURING THE YEAR ENDING DECEMBER 31, 2021. THIS WAS REPORTED AS A NONTAXABLE BENEFIT TO TAMERYN. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE MASONIC HEALTH SYSTEM OF MASSACHUSETTS, INC. IS THE SOLE MEMBER OF THE ORGANIZATION AND ELECTS THE BOARD OF DIRECTORS. THERE ARE NO CLASSES OF DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MASONIC HEALTH SYSTEM OF MASSACHUSETTS, INC. HAS THE POWER TO REMOVE DIRECTORS, TO FILL VACANCIES, AND TO INCREASE OR DECREASE THE SIZE OF THE BOARD. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE MASONIC HEALTH SYSTEM OF MASSACHUSETTS, INC. HAS THE POWER TO REMOVE DIRECTORS, TO FILL VACANCIES, AND TO INCREASE OR DECREASE THE SIZE OF THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 11B | MANAGEMENT WORKS WITH THE ORGANIZATION'S TAX ADVISOR (CPA FIRM) TO PREPARE THE FINANCIAL INFORMATION AND COMPILE THE DISCLOSURES REQUIRED OF THE FORM 990. UPON ITS COMPLETION, SENIOR MANAGEMENT PROVIDES A DRAFT OF THE FORM 990 TO THE BOARD OF DIRECTORS PRIOR TO ITS SUBMISSION. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION REGULARLY AND CONSISTENLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY VIA ANNUAL EXECUTION OF THE CONFLICT OF INTEREST POLICY. THIS CONFLICTS POLICY IS INTENDED TO SUPPLEMENT, BUT NOT REPLACE, ANY APPLICABLE STATE LAWS GOVERNING CONFLICTS OF INTEREST APPLICABLE TO NONPROFIT AND CHARITABLE CORPORATIONS. THIS CONFLICTS POLICY HAS BEEN ADOPTED BY THE BOARD OF DIRECTORS OF MASONIC HEALTH SYSTEM OF MASSACHUSETTS, INC. (MHS). THIS CONFLICTS POLICY SHALL APPLY WITH EQUAL FORCE TO ALL CORPORATIONS RELATED TO, OR AFFILIATED WITH, MHS. ON AN ANNUAL BASIS THE DIRECTORS COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE WHICH IS REVIEWED BY THE PRESIDENT'S OFFICE. IF A CONFLICT ARISES, THE INDIVIDUAL WOULD RECUSE THEMSELVES FROM ALL DISCUSSION ON THE MATTER. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATION'S SOLE MEMBER, MASONIC HEALTH SYSTEM OF MASSACHUSETTS, INC. MAINTAINS AN EXECUTIVE COMMITTEE, WHICH AMONG OTHER THINGS, REVIEWS THE COMPENSATION AND TERMS OF THE AGREEMENT WITH ITS EXECUTIVE OFFICER. THE COMMITTEE REVIEWS THE COMPENSATION OF THE INDIVDIUAL IN RELATION TO THE SALARY LEVEL OF OTHER COMPARABLE POSITIONS IN THE MARKET AND THEIR PERFORMANCE. ONCE REASONABLE COMPENSATION IS DETERMINED, IT IS APPROVED BY THE BOARD. |
| FORM 990, PART VI, SECTION C, LINE 18 | THE ORGANIZATION'S FORM 990 IS AVAILABLE TO THE PUBLIC UPON REQUEST AND CAN BE FOUND ONLINE VIA THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITE. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S FINANCIAL STATEMENTS CONFLICT OF INTEREST POLICY, AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | CONSULTING FEES: PROGRAM SERVICE EXPENSES 104,121. MANAGEMENT AND GENERAL EXPENSES 49,273. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 153,394. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 47,760. MANAGEMENT AND GENERAL EXPENSES 58,610. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 106,370. RECRUITMENT FEES: PROGRAM SERVICE EXPENSES 35,050. MANAGEMENT AND GENERAL EXPENSES 16,500. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 51,550. MEDICAL DIRECTOR FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 79,937. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 79,937. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 39,250. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 39,250. SERVICE CONTRACTS: PROGRAM SERVICE EXPENSES 900,746. MANAGEMENT AND GENERAL EXPENSES 1,461,691. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,362,437. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 827,133. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 827,133. |
| FORM 990, PART XI, LINE 9: | ADJUSTMENT TO MINIMUM PENSION LIABILITY 344,046. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| MASONIC HEALTH SYSTEM OF MASSACHUSETTS INC | |||||||||||
| 88 MASONIC HOME ROAD | CHARLTON | MA | 01507 | 043515688 | PARENT | MA | 501(C)(3) | LINE 12C, III-FI | N/A | 0 | |
| OVERLOOK VISITING NURSES ASSOCIATION | |||||||||||
| 88 MASONIC HOME ROAD | CHARLTON | MA | 01507 | 043515687 | VNA | MA | 501(C)(3) | LINE 10 | Yes (1) | MASONIC HEALTH SYSTEM OF MASSACHUSETTS | |
| OVERLOOK COMMUNITIES INC | |||||||||||
| 88 MASONIC HOME ROAD | CHARLTON | MA | 01507 | 043515686 | NURSING FACILITY | MA | 501(C)(3) | LINE 10 | Yes (1) | MASONIC HEALTH SYSTEM OF MASSACHUSETTS | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (10 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MASONIC HEALTH SYSTEM OF MASSACHUSETTS | ||
| N | $15,853 | CASH |
| MASONIC HEALTH SYSTEM OF MASSACHUSETTS | ||
| D | $73,753,605 | CASH |
| OVERLOOK VISITING NURSE ASSOCIATION | ||
| E | $928,859 | CASH |
| OVERLOOK VISITING NURSE ASSOCIATION | ||
| D | $356,324 | CASH |
| OVERLOOK VISITING NURSE ASSOCIATION | ||
| J | $152,880 | CASH |
| OVERLOOK VISITING NURSE ASSOCIATION | ||
| L | $1,025,677 | CASH |
| OVERLOOK COMMUNITIES | ||
| N | $713,202 | CASH |
| OVERLOOK COMMUNITIES | ||
| D | $26,542,013 | CASH |
| OVERLOOK COMMUNITIES | ||
| J | $3,031,392 | CASH |
| OVERLOOK COMMUNITIES | ||
| L | $575,559 | CASH |