2020-08-13T12:03:50-05:00 2019-09-30 350921680 CROWE LLP 175 Powder Forest Drive Simsbury CT 060897902 990 2018-10-01 060655131 Masonicare Health Center MASO 2036786310 PO Box 70 Wallingford CT 06492 JAMES R RUDE CFO 2020-08-13 true Kristin Anderson P01231300 8606789200 2018 2020-11-06 18:47:13Z LINDA URBANSKI PO Box 70 Wallingford CT 06492 61191898 false X WWW.MASONICARE.ORG X 1889 CT Provide comprehensive medical services to the elderly. 13 12 995 320 0 0 733194 712196 61456241 60028944 4003 3 440958 450755 62634396 61191898 0 0 42855591 43977034 0 0 27544614 23786212 70400205 67763246 -7765809 -6571348 33118324 33751675 6363609 6811189 26754715 26940486 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. false false 61138108 60028944 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. 61138108 true true false true false false false true true true false false false true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true 61 0 true 995 true false false false false false false false false false false false false false false X 13 12 false false false false true true true true true false false true true true true true true false true false X JAMES R RUDE 2036787857 22 MASONIC AVENUE WALLINGFORD CT 06492 Jon-Paul Venoit President and CEO 1.0 49.0 X X 0 701087 37504 William R Deickler Chairman 1.0 2.0 X X 0 0 0 Sherwin M Borsuk MD Vice Chairman 1.0 2.0 X X 0 0 0 Newton Buckner Treasuer 1.0 2.0 X X 0 0 0 Thaddeus M Stewart Secretary 1.0 2.0 X X 0 0 0 Bruce R Bellmore Director (thru 04/08/2019) 1.0 2.0 X 0 0 0 Arthur W Davies Director 1.0 1.0 X 0 0 0 Robert J Furce Director 1.0 1.0 X 0 0 0 Howard W Orr Director 1.0 3.0 X 0 0 0 Edward C Page Director (effective 04/09/2019) 1.0 4.0 X 0 0 0 Robert F Polito Jr Director 1.0 3.0 X 0 0 0 Joseph J Porco Director 1.0 1.0 X 0 0 0 Jonathan E Raymond Director 1.0 1.0 X 0 0 0 Robert A Simon Director 1.0 2.0 X 0 0 0 James R Rude CFO and Assistant Treasuer 1.0 49.0 X 0 316600 33718 Mark Garilli Chief Operating Officer thru 02/01/2019 1.0 48.0 X 0 244153 32291 Amy Pellerin Administrator 40.0 0 X 46887 0 3083 Michele Ackerman Director of Nursing 40.0 0 X 139494 0 15356 Mark Dunn Health Records Officer 40.0 0 X 138244 0 20607 Dawn Christie Lantiere Assistant Director of Nursing 40.0 0 X 121055 0 13834 William O'Brien Pharmacist 40.0 0 X 113945 0 33612 Heidi Slade Registered Nurse 40.0 0 X 120119 0 31104 John Sweeney Former Administrator 0.0 0 X 144426 0 4751 824170 1261840 225860 9 true true false Morrison Management Specialists PO BOX 102289 ATLANTA GA 30368 Food Service 2501183 McKesson Drug Company 10 Hudson Crossing Rd Montgomery NY 12549 Prescription Drugs 2006900 West Haven Medical Group 322 East Main Street Suite 1B Branford CT 06405 Physician Services 1834428 New England Geriatrics 103 Myron Street Suite A West Springfield MA 01089 Physician Services 1355917 Silktown Roofing Inc 27 Pleasant Street Manchester CT 06040 Roofing Contractor 602550 27 X 712196 712196 SKILLED NURSING 623000 39476261 39476261 GERIATRIC MED PSYCHIATRIC 623000 10240902 10240902 HOME FOR AGED 623000 3758784 3758784 ACUTE HOSPITAL 623000 2886664 2886664 RESIDENT FEES-APARTMENTS 623000 2445107 2445107 1221226 1221226 0 0 60028944 3 3 83670 83670 0 83670 83670 0 0 DIETARY 900099 281081 281081 SHOPS / STORAGE 900099 47008 47008 VENDING MACHINES 900099 7253 7253 31743 0 0 31743 367085 61191898 60028944 0 450758 X 161156 0 161156 0 32862321 32032280 830041 8503169 8265760 237409 2450388 2377903 72485 140407 0 140407 28007 0 28007 9511708 5683760 3827948 0 34506 26163 8343 1819842 1522364 297478 4865 4662 203 15848 11869 3979 827652 827652 2215309 2182583 32726 246642 246642 SUPPLIES OTHER 4042058 4020981 21077 REPAIRS 1202238 1160160 42078 PHARMACY 1813994 1813994 PROVIDER TAX-CONNECTICUT 1718490 1718490 164646 70497 94149 0 67763246 61138108 6625138 0 2070 2070 8027027 9407140 0 0 0 170846 178887 577514 575285 93423346 70003792 24199903 23419554 0 0 140964 168739 33118324 33751675 4982338 5358826 92458 103566 306736 329297 0 982077 1019500 6363609 6811189 X 26754715 26940486 26754715 26940486 33118324 33751675 X -6571348 6757119 X false true X true false X 993245 758577 742765 733194 712196 3939977 62896725 66158552 65461166 64154770 61088476 319759689 863607 437379 432868 366865 367084 2467803 0 0 64753577 67354508 66636799 65254829 62167756 326167469 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 326167469 1309 61236 61125 74396 83673 281739 0 1309 61236 61125 74396 83673 281739 0 0 755 194 0 0 949 64754886 67416499 66698118 65329225 62251429 326450157 0.9991 0.9987 0.0009 0.0013 X Schedule A, Part III, Line 12 Other Income DESCRIPTION - RECYCLING, COLUMN A - , COLUMN B - 755.0, COLUMN C - 194.0, COLUMN D - , COLUMN E - , COLUMN F - 949.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 1612 1612 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY 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. false true X 84388408 737160 -937362 127004 8515 84052687 83999562 90734 823968 108031 417825 84388408 81951634 113749 2055426 104759 16488 83999562 81376566 276087 403895 60860 44054 81951634 82543622 211991 -1258763 88941 31343 81376566 0.0 0.9605 0.0395 false true true 70867310 49902098 20965212 4116258 3179390 936868 14901891 13697153 1204738 3537887 3225151 312736 23419554 ASBESTOS REMOVAL 847000 ESTIMATED THIRD PARTY LIABILITY 122500 OTHER LIABILITIES 50000 1019500 X 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. true true X true X false true false true true 0 0.0 33201795 24534312 8667483 0.1279 0 0.0 0 0 33201795 24534312 8667483 0.1279 281642 281642 0.0042 0 0.0 0 0.0 0 0.0 0 0.0 0 0 281642 0 281642 0.0042 0 0 33483437 24534312 8949125 0.1321 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 false 1059532 0 6975856 12505391 -5529535 X true false 1 1 Masonicare Health Center 22 Masonic AVenue Wallingford CT 06492 WWW.MASONICARE.ORG 11-CD, H0008 X Masonicare Health Center 1 false false true X X X X X X X X X 16 true false false true X www.masonicare.org X X true 16 true www.masonicare.org false true X 200.0 X true true X X X X true X www.masonicare.org X www.masonicare.org X www.masonicare.org X X X X X true X false X X X X true X false false 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. 0 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. false true false false false false false false false Jon-Paul Venoit President and CEO 0 558277 0 0 0 142810 0 10265 0 27239 0 738591 0 0 John Sweeney Former Administrator 139282 0 5000 0 144 0 4676 0 75 0 149177 0 0 0 James R Rude CFO and Assistant Treasuer 0 304496 0 10000 0 2104 0 9637 0 24081 0 350318 0 0 Mark Garilli Chief Operating Officer thru 02/01/2019 0 243588 0 0 0 565 0 2548 0 29743 0 276444 0 0 Michele Ackerman Director of Nursing 138805 0 525 0 164 0 5662 0 9694 0 154850 0 0 0 Mark Dunn Health Records Officer 137582 0 500 0 162 0 5614 0 14993 0 158851 0 0 0 Heidi Slade Registered Nurse 120033 0 0 0 86 0 5073 0 26031 0 151223 0 0 0 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"). 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; 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 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 false false true false false false false false false false true false true false true true true false false