MASONICARE HEALTH CENTER: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: MASONICARE HEALTH CENTER (EIN 06-0655131)
Tax period: 2018-10-01 to 2019-09-30
Filed: 2020-08-13
IRS object ID: 202012269349300836
Schema version: 2018v3.1
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	2020-08-13T12:03:50-05:00	ReturnTs
Tax Period End	2019-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	350921680	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CROWE LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	175 Powder Forest Drive	AddressLine1Txt
City	Simsbury	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	060897902	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-10-01	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	JAMES R RUDE	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2020-08-13	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Kristin Anderson	PreparerPersonNm
PTIN	P01231300	PTIN
Phone	8606789200	PhoneNum

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-11-06 18:47:13Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LINDA URBANSKI	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	$61,191,898	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MASONICARE.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1889	FormationYr
Legal Domicile State	CT	LegalDomicileStateCd
Activity Or Mission	Provide comprehensive medical services to the elderly.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	995	TotalEmployeeCnt
Total Volunteers	320	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$733,194	PYContributionsGrantsAmt
CY Contributions Grants	$712,196	CYContributionsGrantsAmt
PY Program Service Revenue	$61,456,241	PYProgramServiceRevenueAmt
CY Program Service Revenue	$60,028,944	CYProgramServiceRevenueAmt
PY Investment Income	$4,003	PYInvestmentIncomeAmt
CY Investment Income	$3	CYInvestmentIncomeAmt
PY Other Revenue	$440,958	PYOtherRevenueAmt
CY Other Revenue	$450,755	CYOtherRevenueAmt
PY Total Revenue	$62,634,396	PYTotalRevenueAmt
CY Total Revenue	$61,191,898	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$42,855,591	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$43,977,034	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$27,544,614	PYOtherExpensesAmt
CY Other Expenses	$23,786,212	CYOtherExpensesAmt
PY Total Expenses	$70,400,205	PYTotalExpensesAmt
CY Total Expenses	$67,763,246	CYTotalExpensesAmt
PY Revenues Less Expenses	-$7,765,809	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$6,571,348	CYRevenuesLessExpensesAmt
Total Assets BOY	$33,118,324	TotalAssetsBOYAmt
Total Assets EOY	$33,751,675	TotalAssetsEOYAmt
Total Liabilities BOY	$6,363,609	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$6,811,189	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$26,754,715	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$26,940,486	NetAssetsOrFundBalancesEOYAmt
Mission	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	$61,138,108	ExpenseAmt
Revenue	$60,028,944	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 acute medical hospital services and geriatric medical psychiatric hospital services, hospital based geriatric outpatient services, and assisted living and independent living apartments. During 2019, the facility's services were utilized as follows: skilled nursing, 357 licensed beds at 94.1% occupancy; geriatric acute medical care, 62 licensed beds at 9.5% occupancy; geriatric medical psychiatric care, 29 licensed beds at 85.2% occupancy; assisted living, 86 apartments at 94.0% occupancy; and independent living, 93 apartments at 98.4% occupancy.	Desc
Total Program Service Expenses	$61,138,108	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
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
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 With Officer Ent	false	BusinessRlnWithOfficerEntInd
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	61	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	995	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
Form8899 Filedind	false	Form8899Filedind
Form1098 C Filed	false	Form1098CFiledInd
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	13	GoverningBodyVotingMembersCnt
Independent Voting Member	12	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	Yes (true)	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	Yes (true)	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	JAMES R RUDE	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 (23 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	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Jon-Paul Venoit
President and CEO	1.0	49.0	Yes (X)	Yes (X)	$0	$701,087	$37,504
William R Deickler
Chairman	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
Sherwin M Borsuk MD
Vice Chairman	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
Newton Buckner
Treasuer	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
Thaddeus M Stewart
Secretary	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
Bruce R Bellmore
Director (thru 04/08/2019)	1.0	2.0	Yes (X)		$0	$0	$0
Arthur W Davies
Director	1.0	1.0	Yes (X)		$0	$0	$0
Robert J Furce
Director	1.0	1.0	Yes (X)		$0	$0	$0
Howard W Orr
Director	1.0	3.0	Yes (X)		$0	$0	$0
Edward C Page
Director (effective 04/09/2019)	1.0	4.0	Yes (X)		$0	$0	$0
Robert F Polito Jr
Director	1.0	3.0	Yes (X)		$0	$0	$0
Joseph J Porco
Director	1.0	1.0	Yes (X)		$0	$0	$0
Jonathan E Raymond
Director	1.0	1.0	Yes (X)		$0	$0	$0
Robert A Simon
Director	1.0	2.0	Yes (X)		$0	$0	$0
James R Rude
CFO and Assistant Treasuer	1.0	49.0		Yes (X)	$0	$316,600	$33,718
Mark Garilli
Chief Operating Officer thru 02/01/2019	1.0	48.0		Yes (X)	$0	$244,153	$32,291
Amy Pellerin
Administrator	40.0	0		Yes (X)	$46,887	$0	$3,083
Michele Ackerman
Director of Nursing	40.0	0			$139,494	$0	$15,356	Yes (X)
Mark Dunn
Health Records Officer	40.0	0			$138,244	$0	$20,607	Yes (X)
Dawn Christie Lantiere
Assistant Director of Nursing	40.0	0			$121,055	$0	$13,834	Yes (X)
William O'Brien
Pharmacist	40.0	0			$113,945	$0	$33,612	Yes (X)
Heidi Slade
Registered Nurse	40.0	0			$120,119	$0	$31,104	Yes (X)
John Sweeney
Former Administrator	0.0	0			$144,426	$0	$4,751		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$824,170	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,261,840	TotReportableCompRltdOrgAmt
Total Other Compensation	$225,860	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	9	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	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
Morrison Management Specialists
PO BOX 102289	ATLANTA	GA	30368	Food Service	$2,501,183
McKesson Drug Company
10 Hudson Crossing Rd	Montgomery	NY	12549	Prescription Drugs	$2,006,900
West Haven Medical Group
322 East Main Street	Branford	CT	06405	Physician Services	$1,834,428	Suite 1B
New England Geriatrics
103 Myron Street	West Springfield	MA	01089	Physician Services	$1,355,917	Suite A
Silktown Roofing Inc
27 Pleasant Street	Manchester	CT	06040	Roofing Contractor	$602,550

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	27	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Related Organizations	$712,196	RelatedOrganizationsAmt
Total Contributions	$712,196	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SKILLED NURSING	623000	$39,476,261	$39,476,261
GERIATRIC MED PSYCHIATRIC	623000	$10,240,902	$10,240,902
HOME FOR AGED	623000	$3,758,784	$3,758,784
ACUTE HOSPITAL	623000	$2,886,664	$2,886,664
RESIDENT FEES-APARTMENTS	623000	$2,445,107	$2,445,107

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,221,226	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,221,226	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$60,028,944	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3	TotalRevenueColumnAmt
Exclusion	$3	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$83,670	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$83,670	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$83,670	TotalRevenueColumnAmt
Exclusion	$83,670	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	$281,081	$281,081
SHOPS / STORAGE	900099	$47,008	$47,008
VENDING MACHINES	900099	$7,253	$7,253

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$31,743	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$31,743	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$367,085	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$61,191,898	TotalRevenueColumnAmt
Related Or Exempt Func Income	$60,028,944	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$450,758	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	$161,156	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$161,156	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$32,862,321	TotalAmt
Program Services	$32,032,280	ProgramServicesAmt
Management And General	$830,041	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$8,503,169	TotalAmt
Program Services	$8,265,760	ProgramServicesAmt
Management And General	$237,409	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,450,388	TotalAmt
Program Services	$2,377,903	ProgramServicesAmt
Management And General	$72,485	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$140,407	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$140,407	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$28,007	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$28,007	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$9,511,708	TotalAmt
Program Services	$5,683,760	ProgramServicesAmt
Management And General	$3,827,948	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$34,506	TotalAmt
Program Services	$26,163	ProgramServicesAmt
Management And General	$8,343	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,819,842	TotalAmt
Program Services	$1,522,364	ProgramServicesAmt
Management And General	$297,478	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$4,865	TotalAmt
Program Services	$4,662	ProgramServicesAmt
Management And General	$203	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$15,848	TotalAmt
Program Services	$11,869	ProgramServicesAmt
Management And General	$3,979	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$827,652	TotalAmt
Management And General	$827,652	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,215,309	TotalAmt
Program Services	$2,182,583	ProgramServicesAmt
Management And General	$32,726	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$246,642	TotalAmt
Program Services	$246,642	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SUPPLIES OTHER	$4,042,058	$4,020,981	$21,077
REPAIRS	$1,202,238	$1,160,160	$42,078
PHARMACY	$1,813,994	$1,813,994
PROVIDER TAX-CONNECTICUT	$1,718,490	$1,718,490

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$164,646	TotalAmt
Program Services	$70,497	ProgramServicesAmt
Management And General	$94,149	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$67,763,246	TotalAmt
Program Services	$61,138,108	ProgramServicesAmt
Management And General	$6,625,138	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$2,070	BOYAmt
EOY	$2,070	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$8,027,027	BOYAmt
EOY	$9,407,140	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)
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$170,846	BOYAmt
EOY	$178,887	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$577,514	BOYAmt
EOY	$575,285	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$93,423,346	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$70,003,792	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$24,199,903	BOYAmt
EOY	$23,419,554	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	$140,964	BOYAmt
EOY	$168,739	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$33,118,324	BOYAmt
EOY	$33,751,675	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$4,982,338	BOYAmt
EOY	$5,358,826	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$92,458	BOYAmt
EOY	$103,566	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$306,736	BOYAmt
EOY	$329,297	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$982,077	BOYAmt
EOY	$1,019,500	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$6,363,609	BOYAmt
EOY	$6,811,189	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$26,754,715	BOYAmt
EOY	$26,940,486	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$26,754,715	BOYAmt
EOY	$26,940,486	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$33,118,324	BOYAmt
EOY	$33,751,675	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$6,571,348	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$6,757,119	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	false	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	$993,245	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$758,577	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$742,765	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$733,194	CurrentTaxYearMinus1YearAmt
Current Tax Year	$712,196	CurrentTaxYearAmt
Total	$3,939,977	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$62,896,725	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$66,158,552	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$65,461,166	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$64,154,770	CurrentTaxYearMinus1YearAmt
Current Tax Year	$61,088,476	CurrentTaxYearAmt
Total	$319,759,689	TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$863,607	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$437,379	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$432,868	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$366,865	CurrentTaxYearMinus1YearAmt
Current Tax Year	$367,084	CurrentTaxYearAmt
Total	$2,467,803	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	$64,753,577	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$67,354,508	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$66,636,799	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$65,254,829	CurrentTaxYearMinus1YearAmt
Current Tax Year	$62,167,756	CurrentTaxYearAmt
Total	$326,167,469	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	$326,167,469	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,309	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$61,236	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$61,125	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$74,396	CurrentTaxYearMinus1YearAmt
Current Tax Year	$83,673	CurrentTaxYearAmt
Total	$281,739	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	$1,309	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$61,236	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$61,125	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$74,396	CurrentTaxYearMinus1YearAmt
Current Tax Year	$83,673	CurrentTaxYearAmt
Total	$281,739	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	$755	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$194	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$949	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$64,754,886	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$67,416,499	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$66,698,118	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$65,329,225	CurrentTaxYearMinus1YearAmt
Current Tax Year	$62,251,429	CurrentTaxYearAmt
Total	$326,450,157	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.9991	PublicSupportCY509Pct
Public Support PY509	0.9987	PublicSupportPY509Pct
Investment Income CY	0.0009	InvestmentIncomeCYPct
Investment Income PY	0.0013	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 Other Income	FormAndLineReferenceDesc
Explanation	DESCRIPTION - RECYCLING, COLUMN A - , COLUMN B - 755.0, COLUMN C - 194.0, COLUMN D - , COLUMN E - , COLUMN F - 949.0;	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 C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$1,612	OtherActivitiesAmt
Total Lobbying Expenditures	$1,612	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 Connecticut Hospital Association for the fiscal year ended September 30, 2019, $1,612 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	$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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$83,999,562	BeginningYearBalanceAmt
Contributions	$90,734	ContributionsAmt
Investment Earnings Or Losses	$823,968	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$108,031	GrantsOrScholarshipsAmt
Other Expenditures	$417,825	OtherExpendituresAmt
End Year Balance	$84,388,408	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$81,951,634	BeginningYearBalanceAmt
Contributions	$113,749	ContributionsAmt
Investment Earnings Or Losses	$2,055,426	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$104,759	GrantsOrScholarshipsAmt
Other Expenditures	$16,488	OtherExpendituresAmt
End Year Balance	$83,999,562	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$81,376,566	BeginningYearBalanceAmt
Contributions	$276,087	ContributionsAmt
Investment Earnings Or Losses	$403,895	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$60,860	GrantsOrScholarshipsAmt
Other Expenditures	$44,054	OtherExpendituresAmt
End Year Balance	$81,951,634	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$82,543,622	BeginningYearBalanceAmt
Contributions	$211,991	ContributionsAmt
Investment Earnings Or Losses	-$1,258,763	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$88,941	GrantsOrScholarshipsAmt
Other Expenditures	$31,343	OtherExpendituresAmt
End Year Balance	$81,376,566	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.9605	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0395	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	$70,867,310	OtherCostOrOtherBasisAmt
Depreciation	$49,902,098	DepreciationAmt
Book Value	$20,965,212	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,116,258	OtherCostOrOtherBasisAmt
Depreciation	$3,179,390	DepreciationAmt
Book Value	$936,868	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$14,901,891	OtherCostOrOtherBasisAmt
Depreciation	$13,697,153	DepreciationAmt
Book Value	$1,204,738	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,537,887	OtherCostOrOtherBasisAmt
Depreciation	$3,225,151	DepreciationAmt
Book Value	$312,736	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$23,419,554	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
ASBESTOS REMOVAL	$847,000
ESTIMATED THIRD PARTY LIABILITY	$122,500
OTHER LIABILITIES	$50,000

Field	Value	IRS element (for citing)
Total Liability	$1,019,500	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 V, Line 4 Intended uses of endowment funds	The endowment funds are used to support the philanthropic mission and activities of Masonicare Corporation and its affiliates.
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, 2019 and 2018. 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 2016 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	$33,201,795	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,534,312	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,667,483	NetCommunityBenefitExpnsAmt
Total Expense	0.1279	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	$33,201,795	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,534,312	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,667,483	NetCommunityBenefitExpnsAmt
Total Expense	0.1279	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$281,642	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$281,642	NetCommunityBenefitExpnsAmt
Total Expense	0.0042	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	$281,642	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$281,642	NetCommunityBenefitExpnsAmt
Total Expense	0.0042	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$33,483,437	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,534,312	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,949,125	NetCommunityBenefitExpnsAmt
Total Expense	0.1321	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	false	BadDebtExpenseReportedInd
Bad Debt Expense	$1,059,532	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$6,975,856	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$12,505,391	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$5,529,535	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	false	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	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	16	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	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	www.masonicare.org	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
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	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	www.masonicare.org	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	www.masonicare.org	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
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
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 (6 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 ongong healthcare service; Difficulty understanding Medicare/Medicare D; Difficulty understanding age related illnesses. 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 Executive Director of the Wallingford Senior Center and the Executive Director of the Wallingford YMCA. Each provided input into the development of the survey questions based on first-hand knowledge of the Wallingford community, assisted in the identification of and access to appropriate locations for community survey administration.
Schedule H, Part V, Section B, Line 7 Facility , 1	Facility , 1 - Masonicare Health Center. The 2017 Community Health needs Assessment and Implementation Plan for Hospital Services was adopted by the Board of Directors on August 29, 2017. 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 Acute Care Senior Hospital, 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. The significant needs identified in the most recently conducted CHNA included the following: (1) Access to wellness, disease prevention, and ongoing healthcare services (Need being addressed by MHC) - Masonicare Health Center (MHC) is a provider of the following hospital services: geriatric medical inpatient psychiatric services, geriatric medical inpatient acute care services and certain geriatric outpatient services (including gastroenterology, cardiology, podiatry and others). MHC does not have an emergency room and does not provide emergency services. MHC is continually working with local acute care hospitals, local skilled nursing facilities and local physicians to be the location of choice for the geriatric hospital services available. Masonicare promotes the availability of its services through various media outlets (television and radio advertisements, the Masonicare website, social media), as well as through the statewide outreach programs and the toll-free Help Line. MHC is a frequent participant in events promoting health care services a the local senior centers, and meetings are held periodically with representatives from the local Department of Health and Housing Authority. In addition, blood pressure screenings and senior health fairs are held throughout the state. (2) difficulty understanding Medicare/Medicaid (Need being addressed by MHC) - Through its Community Services program, Masonicare provides assistance through a "Choices" certified counselor all Medicare program questions. In addition, Financial Services personnel are available to assist with questions that patients or prospective patients may have regarding Medicare insurance coverage options and applicability for services offered at MHC. (3) Difficulty understanding age-related illnesses (Need being addressed by MHC) - MHC has a robust educational program that continues to provide education to seniors on various aspects of age-related illnesses. The remainder of the needs identified by the questionnaire was not deemed to be significant based on the limited hospital services provided to the senior population.
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 Acute Care Senior Hospital. - On the "Acute Care Senior Hospital" page, scroll down to 'Forms and Information" and 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 (15 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 available for all medically necessary Hospital Services where the portion of the bill that is the responsibility of the patient is in excess of 20% of the family household income, regardless of whether they have income that otherwise exceed the financial eligibility requirements for free care (200% FPG)
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 reasonable 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, 2019 and 2018 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 V, Section B, Line 16a FAP website	- Masonicare Health Center: Line 16a URL: www.masonicare.org;
Schedule H, Part V, Section B, Line 16b FAP Application website	- Masonicare Health Center: Line 16b URL: www.masonicare.org;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- Masonicare Health Center: Line 16c URL: www.masonicare.org;
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	Masonicare Health Center furthers its exempt purpose of promoting health of the community through a diverse Board of Directors whose members contribute through their unique talents and resources toward the organizations mission to enhance the quality of life of seniors through exceptional care.
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 and Masonicare Partners Home Health & Hospice, our statewide healthcare and hospice affiliates, provided services to 9,182 patients in the fiscal year ended September 30, 2019 through its 6 offices (located in Derby, CT, Danielson, CT, East Hartford, CT, Mystic, CT, Norwalk, CT and Wallingford, CT). Independent living options - Continuing care retirement communities, Masonicare at Ashlar Village (MAV) 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. 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 medical professional from throughout the Masonicare continuum. Masonicare has coordinated with the senior centers and libraries in the Connecticut towns of Cheshire, Cromwell, Groton, Mansfield, Meriden, North Haven, Pawcatuck, Southbury, Waterford and Wallingford. 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 Help Line (888) 679-9997 - This is a toll free informational phone service assisting seniors and families with a broad range of questions about senior healthcare, retirement living and much more. In addition, assistance is offered in locating and utilizing service agencies and programs in Connecticut. In the fiscal year ended September 2019 the Help Line responded to 6,433 calls from seniors and families requesting assistance. Other activities - Masonicare frequently holds blood pressure screenings and senior health fairs throughout the state, and makes its facilities available to many community organizations including the CT Commission on Aging, Senior Resources - Agency on Aging, M-Team, Healthy Wallingford, the Alzheimer's Association, Heritage Quilters, Parkinson's Support Groups, Veterans Coffee Houses, The Pontiac Club, Chester Merchants Association, American Red Cross, CT Department of Mental Health and Addiction Services and the Wallingford Education Foundation.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	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	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 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	$0	$558,277	$0	$0	$0	$142,810	$0	$10,265	$0	$27,239	$0	$738,591	$0	$0
John Sweeney
Former Administrator	$139,282	$0	$5,000	$0	$144	$0	$4,676	$0	$75	$0	$149,177	$0	$0	$0
James R Rude
CFO and Assistant Treasuer	$0	$304,496	$0	$10,000	$0	$2,104	$0	$9,637	$0	$24,081	$0	$350,318	$0	$0
Mark Garilli
Chief Operating Officer thru 02/01/2019	$0	$243,588	$0	$0	$0	$565	$0	$2,548	$0	$29,743	$0	$276,444	$0	$0
Michele Ackerman
Director of Nursing	$138,805	$0	$525	$0	$164	$0	$5,662	$0	$9,694	$0	$154,850	$0	$0	$0
Mark Dunn
Health Records Officer	$137,582	$0	$500	$0	$162	$0	$5,614	$0	$14,993	$0	$158,851	$0	$0	$0
Heidi Slade
Registered Nurse	$120,033	$0	$0	$0	$86	$0	$5,073	$0	$26,031	$0	$151,223	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	The compensation committee of the Board of Trustees of related parent organization, Masonicare Corporation, engaged an independent firm to certify the reasonableness of the compensation of the top management official of the organization.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	Jon-Paul Venoit received a payment from a supplemental non-qualified retirement plan of $131,214 (included in Schedule J, Part II, Column (b)(iii) "Other Reportable 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 11b Review of form 990 by governing body	Masonicare management and our external accountants review the tax return for completeness and accuracy. It is reviewed by the chief executive officer and chairman of the board. The tax return 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 tax return 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 15b Process to establish compensation of other employees	The compensation committee of Masonicare Corporation engages an independent firm to certify the reasonableness of the compensation of the executive director of the organization annually. The compensation committee approves compensation based on market data analysis. The committees deliberations are reflected in its minutes. The process was completed in May 2019.
Form 990, Part VI, Line 19 Required documents available to the public	The Organization provides required documents upon request.
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 Newtown, Inc. (Dissolved 09/30/2019), Masonicare at Ashlar Village Inc., Masonicare Home Health and Hospice Inc., Masonicare Partners Home Health and Hospice Inc. (Dissolved 09/30/2019), Masonicare at Home Inc., Masonicare at Mystic Inc., Masonicare at Chester Village Inc. and Keystone Indemnity Company LTD.
Form 990, Part VIII, Line 2f Other Program Service Revenue	Outpatient - Total Revenue: 1221226, Related or Exempt Function Revenue: 1221226, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	Recycling - Total Revenue: 43, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 43; Misc - Total Revenue: 31700, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 31700;
Form 990, Part IX, Line 11g Other Fees	PROFESSIONAL FEES - Total Expense: 3039539, Program Service Expense: 3039539, Management and General Expenses: , Fundraising Expenses: ; PURCHASE SERVICES - Total Expense: 2841569, Program Service Expense: 2644221, Management and General Expenses: 197348, Fundraising Expenses: ; SHARED SERVICES - Total Expense: 3630600, Program Service Expense: , Management and General Expenses: 3630600, Fundraising Expenses: ;
Form 990, Part X, Line 20 TE Bond Liabilities	Masonicare Health Center is a member of the Masonicare obligated group that is responsible for the repayment of Series F bonds issued by Masonicare Corporation on November 15, 2017. The current outstanding bond balance is $103,965,000.
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	CAPITAL CONTRIBUTIONS FROM RELATED ENTITIES - 6757119;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 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 PARTNERS HOME HEALTH & HOSPICE INC (Dissolved 09302019)
PO BOX 70	WALLINGFORD	CT	06492	260758992	PROVIDE HOME HEALTH/HOSPICE SERVICES	CT	501(c)(3)	10	MASONICARE HOME HEALTH AND HOSPICE (65)	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)	10	MASONICARE AT ASHLAR VILLAGE INC	false
MASONICARE AT NEWTOWN INC (Dissolved 09302019)
PO Box 70	Wallingford	CT	06492	061070285	PROVIDE SKILLED NURSING / ASSISTED LIVING SERVICES	CT	501(c)(3)	7	Masonicare Corporation	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
MASONICARE PRIMARY CARE PHYSICIANS (Dissolved 06302019)
PO BOX 70	WALLINGFORD	CT	06492	061491820	PHYSICIAN MEDICAL PRACTICE	CT	N/A	C Corporation	false
MASONIC MANAGEMENT SERVICES (Dissolved 06302019)
PO BOX 70	WALLINGFORD	CT	06492	061468972	PROVIDES MANAGEMENT SERVICES	CT	N/A	C Corporation	false

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	false	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	false	TransferFromOtherOrgInd