2018-11-14T10:16:30-06:00 2017-12-31 271235638 MCMCPAS & ADVISORS LLP 462 S FOURTH ST SUITE 2600 LOUISVILLE KY 402023445 990 2017-01-01 610458374 MASONIC HOMES OF KENTUCKY INC MASO 5028974910 3761 JOHNSON HALL DRIVE MASONIC HOME KY 40041 TODD LACY SR VP FINANCE & CFO 5028974910 2018-11-13 1 LEE GROZA P00034644 5027491900 69.135.99.226 2018-11-13 08:38:55 ES P E7833C35B8B3E1BD4DBCED75060DAF91781D121A EF796B64CBC44A5739C9764D88E81848137ABF54 2017 2019-02-21 02:37:17Z GARY MARSH 3761 JOHNSON HALL DRIVE MASONIC HOME KY 40041 81914223 0 X WWW.MASONICHOMESKY.ORG X 1949 KY PROVIDES AND MAINTAINS A HOME FOR WIDOWS AND ORPHANS OF DECEASED MASONS OF KENTUCKY AND PROVIDES NURSING AND MEDICAL CARE TO CERTAIN RESIDENTS. 21 21 900 124 0 0 1027391 1831508 30535292 33447832 929551 2011224 338967 715723 32831201 38006287 48501 61589 0 0 21620553 23684253 0 0 1207561 12222008 16587643 33891062 40333485 -1059861 -2327198 85607812 95761431 49318888 58201540 36288924 37559891 X PROVIDES AND MAINTAINS A HOME FOR WIDOWS AND ORPHANS OF DECEASED MASONS OF KENTUCKY AND PROVIDES NURSING AND MEDICAL CARE TO CERTAIN RESIDENTS. 0 0 16989588 61589 18498147 HEALTH CARE SERVICES: COMPLETE HEALTH CARE OF RESIDENTS OF THE HOME. THIS INCLUDES THREE LEVELS OF CARE: PERSONAL CARE, NURSING CARE, AND SKILLED CARE. THE STAFF CONSISTS OF A TEAM OF REGISTERED NURSES, LICENSED PRACTICAL NURSES, NURSE ASSISTANTS, MEDICAL AIDES, AND MEDICAL RECORDS PERSONNEL. MOBILE HEALTH CARE CONSISTS OF THREE LEVELS OF CARE: PERSONAL CARE, NURSING HOME, AND FACILITY. RESIDENTS ARE TRANSPORTED TO OUTSIDE MEDICAL FACILITIES AS NEEDED. 9811935 10683168 RESIDENT AND OPERATING SERVICES: THE SOCIAL SERVICES DEPARTMENT INCLUDES A DIRECTOR OR SOCIAL SERVICES ASSISTANT DIRECTOR, SOCIAL SERVICES BUYER, RECEPTIONIST, BEAUTICIAN, AND SEAMSTRESS. THESE POSITIONS PROVIDE SERVICES RELATED TO ADMISSIONS, ADJUSTMENTS TO DAILY ROUTINES, COUNSELING SERVICES FOR BOTH RESIDENTS AND THEIR FAMILY, AND THE PURCHASE OF CLOTHING. 2967860 3231386 DIETARY SERVICES: PREPARES AND SERVES MEALS TO APPROXIMATELY 220 RESIDENTS DAILY. MEALS ARE PREPARED ACCORDING TO THE PHYSICIAN'S DIET ORDER. STAFF INCLUDE A DIETARY DIRECTOR, REGISTERED DIETICIAN, PRODUCTION MANAGERS, SUPERVISORS, COOKS, STOCK CLERK, OFFICE WORKER, AND DIETARY AIDES. AN AVERAGE OF 140 EMPLOYEE MEALS ARE PREPARED DAILY. 950714 1035131 HOUSEKEEPING SERVICES: HOUSEKEEPING SERVICES MORE THAN 278,000 SQUARE FEET OF FACILITIES. THIS INCLUDES RESIDENT'S ROOMS, HALLWAYS, DINING AREAS, CHAPELS, OFFICE AREAS, AND MORE. LAUNDRY STAFF'S DUTIES INCLUDE WASHING, IRONING, DISTRIBUTION, AND STORAGE OF LINEN SUPPLIES AND PERSONAL CLOTHING OF RESIDENTS. 950714 1035131 30720097 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 235 0 1 900 1 0 0 0 0 0 0 0 0 0 0 X 21 21 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 KY X TODD LACY 5027538800 3761 JOHNSON HALL DRIVE MASONIC HOME KY 40041 MARTIN R WALTERS CHAIRMAN 0.80 1.60 X X 0 0 0 JOHN M SAMMONS DIRECTOR 0.80 2.40 X 0 0 0 RONALD S CAUGHRON TREASURER 0.80 2.40 X X 0 0 0 DAVID L OWEN VICE-CHAIRMAN 0.80 2.40 X X 0 0 0 HAROLD E ARMSTRONG DIRECTOR 0.80 X 0 0 0 ROBERT DAVENPORT DIRECTOR 0.80 X 0 0 0 FORREST V DEAN DIRECTOR 0.80 X 0 0 0 CARROLL G DORROH DIRECTOR 0.80 X 0 0 0 F KEITH DREIER DIRECTOR 0.80 X 0 0 0 F GEARY LAIRD DIRECTOR 0.80 X 0 0 0 JOSEPH R CONWAY DIRECTOR 0.80 X 0 0 0 ERNEST JACKSON DIRECTOR 0.80 X 0 0 0 RICHARD NATION SECRETARY 0.80 X 0 0 0 MICHAEL YOUNT DIRECTOR 0.80 X 0 0 0 TERRY BOWMAN DIRECTOR 0.80 X 0 0 0 WILLIAM C PERRY DIRECTOR 0.80 X 0 0 0 T DWAINE RIDDELL DIRECTOR 0.80 X 0 0 0 GARY ROSE DIRECTOR 0.80 X 0 0 0 DONALD YANKEY DIRECTOR 0.80 X 0 0 0 WENDELL LITTLEFIELD DIRECTOR 0.80 X 0 0 0 TIM SANDERS DIRECTOR 0.80 X 0 0 0 GARY MARSH PRESIDENT & CEO 34.00 6.00 X 334635 0 18446 TODD LACY SR VP/FINANCE & CFO 34.00 6.00 X 238092 0 20738 TRASEE WHITAKER VP HUMAN RESOURCES 40.00 X 135442 0 17650 J SCOTT JUDY SR VP/OPERATIONS & COO 40.00 X 238092 0 20118 DEBRA FINNERAN VP/QUALITY CLINICAL SERVICES 40.00 X 184358 0 11173 ROBERT N COOPER ADMINISTRATOR - LOUISVILLE 40.00 X 133735 0 12132 CONJUNA COLLIER ADMINISTRATOR - SHELBYVILLE 40.00 X 151038 0 767 1415392 0 101024 12 0 1 0 AMS TEMPORARIES 519 BARRET AVE LOUISVILLE KY 40204 AGENCY STAFF 297575 REESE DESIGN 600 DISTILLERY COMMON SUITE 200 LOUISVILLE KY 40206 ARCHITECTURAL/INTERIOR DESIGN 194011 THE GILSTER GROUP 5803 WINDSONG CT CINCINNATI OH 45243 CONSULTING 175774 MEDICAL STAFFING NETWORK PO BOX 840292 DALLAS TX 75284 AGENCY STAFF 120815 4 1831508 103408 1831508 OTHER ROOM & BOARD INCOME 623000 16900601 16900601 MEDICARE AND MEDICAID PAYMENTS 623000 16070464 16070464 MANAGEMENT FEE 623000 333632 333632 DIALYSYS EQUIPEMENT RENTAL 623000 92990 92990 TENANT SERVICES 623000 50145 50145 33447832 500554 500554 89 89 438492 32350 406142 406142 406142 45386256 43875586 1510670 1510670 1510670 FRESENIUS INVESTMENT 900099 247423 247423 MISCELLANEOUS REVENUE 900099 62069 62069 309492 38006287 33447832 0 2726947 20100 20100 41489 41489 611910 611910 18614487 16508899 1763901 341687 249252 201063 34449 13740 2727316 2272217 410706 44393 1481288 1271263 182949 27076 205069 2981 200990 1098 72580 72580 42000 42000 118453 118453 1610035 983039 620988 6008 487940 37253 422121 28566 1089791 837198 243734 8859 369046 14136 353864 1046 489415 158770 328347 2298 201096 76737 106668 17691 188243 10120 174882 3241 2869398 2869398 3728485 3169211 559274 521066 442905 78161 OUTSIDE MEDICAL SERVICE 1845402 1845402 PATIENT FOOD 1051243 1051243 BAD DEBT EXPENSE 768625 563681 204944 PERSONAL SERVICES FOR R 743434 743434 186322 468956 -994492 711858 40333485 30720097 8405827 1207561 428869 837896 66432 6250 3916168 3449688 198276 200953 257887 263107 102573104 41158942 50329321 61414162 21732879 24085422 644791 772367 396529 516501 637063 637063 6999597 3578022 85607812 95761431 2701719 3413657 60302 46411610 45707419 5886905 205559 3133257 49318888 58201540 X 35133080 36394435 1155844 1165456 36288924 37559891 85607812 95761431 X -2327198 1156306 2441859 X X 0 1 X 1 0 X 1742670 3006280 1079277 1027391 1831508 8687126 1742670 3006280 1079277 1027391 1831508 8687126 2232933 6454193 728316 747374 708750 618939 939135 3742514 341233 492606 511957 315638 309492 1970926 14400566 153901568 0.44820 0.40480 X 0 0 0 0 0 0 0 0 1 42000 42000 0 PART II-B, LINE 1: THE ORGANIZATION PAID THE DENTON GROUP $42,000 TO ADVOCATE ON BEHALF OF PPEC REGULATIONS AS WELL AS PROPERTY TAX ISSUES. 105835 105835 88700557 34199653 54500904 8050516 4447509 3603007 5716196 2511780 3204416 61414162 ANNUITY PAYABLE 140520 ACCRUED INTEREST PAYABLE 162531 RESIDENT SECURITY DEPOSITS 130333 REFUNDABLE ENTRANCE FEES AND DEPOSITS 730000 DEFERRED RESIDENTS' FEES 641376 DUE TO AFFILIATES 1328497 3133257 X PART X, LINE 2: THE INTERNAL REVENUE SERVICE HAS DETERMINED THAT THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). THE ORGANIZATION RECOGNIZES UNCERTAIN INCOME TAX POSITIONS USING THE "MORE-LIKELY-THAN-NOT" APPROACH AS DEFINED IN THE ASC. NO LIABILITY FOR UNCERTAIN TAX POSITIONS HAS BEEN RECORDED IN THE ACCOMPANYING FINANCIAL STATEMENTS. 1 TIGER FOUNDATION INC PO BOX 11839 LOUISVILLE KY 40251 270698029 501(C)(3) 7500 SUPPORT EDUCATIONAL INITIATIVES 1 SCHOLARSHIPS 3 41489 PART I, LINE 2: THE ORGANIZATION SELECTS INDIVIDUALS WHO WILL BECOME FUTURE LEADERS AND MANAGERS OF MASONIC HOMES OF KENTUCKY AND ASSISTS THEM WITH THEIR EDUCATION TO BECOME NURSES. THE SELECTION OF PEOPLE IS IDENTIFIED BY THE ADMINISTRATOR. X X X X X X 0 0 0 0 0 0 0 0 0 GARY MARSH PRESIDENT & CEO 327435 0 0 0 7200 0 10421 0 8025 0 353081 0 0 0 TODD LACY SR VP/FINANCE & CFO 230892 0 0 0 7200 0 8036 0 12702 0 258830 0 0 0 TRASEE WHITAKER VP HUMAN RESOURCES 135442 0 0 0 0 0 5018 0 12632 0 153092 0 0 0 J SCOTT JUDY SR VP/OPERATIONS & COO 230892 0 0 0 7200 0 7416 0 12702 0 258210 0 0 0 DEBRA FINNERAN VP/QUALITY CLINICAL SERVICES 179558 0 0 0 4800 0 6782 0 4391 0 195531 0 0 0 CONJUNA COLLIER ADMINISTRATOR - SHELBYVILLE 151038 0 0 0 0 0 0 0 767 0 151805 0 0 0 A KENTUCKY ECONOMIC DEVELOPMENT FINANCE AUTHORITY 610600439 49126TAK8 2012-10-31 49531004 CAPITAL IMPROVEMENTS 0 0 0 A 2925000 49531004 3257037 990620 2184188 41702316 2012 1 0 1 1 A 0 1 0 0 0.02300 0.02300 0 0 1 A 0 0 0 1 0 0 0 0 1 A 1 X KITCHEN EQUIPMENT 1 60870 FMV X CATERING 1 32538 FMV X FOOD FOR GALA DINNER 1 10000 FMV 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 MASONIC HOMES OF KENTUCKY, INC. MEMBERS CONSIST OF LIFE, LODGE, ASSOCIATE, AND HONORARY MEMBERS. THE MEMBERS ELECT DIRECTORS IN ACCORDANCE WITH THE BYLAWS AND CONDUCT REGULAR BUSINESS ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS SHALL CONSIST OF TWENTY-ONE (21) MEMBERS, FIFTEEN (15) OF WHOM SHALL BE ELECTED BY THE MEMBERS FROM THE LIST OF LIFE MEMBERS AND SIX (6) OF WHOM SHALL BE GRAND MASTER, DEPUTY GRAND MASTER, GRAND SENIOR WARDEN, GRAND JUNIOR WARDEN, GRAND TREASURER, AND GRAND SECRETARY OF THE GRAND LODGE OF KENTUCKY, F & AM, WHO SHALL BE EX-OFFICIO MEMBERS WITH FULL VOTING PRIVILEGES. THE BOARD OF DIRECTORS MAY FILL ANY VACANCIES STATED HEREIN. FORM 990, PART VI, SECTION B, LINE 11B THE RETURN WAS REVIEWED BY INTERNAL MANAGEMENT AND A COPY OF THE RETURN WAS MADE AVAILABLE TO THE BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ANY MEMBER OF THE BOARD HAVING AN INTEREST IN A CONTRACT OR OTHER TRANSACTION PRESENTED TO THE BOARD OR A COMMITTEE THEREOF FOR AUTHORIZATION, APPROVAL, OR RATIFICATION SHALL MAKE A PROMPT, FULL, AND FRANK DISCLOSURE OF HIS INTEREST. OFFICERS AND DIRECTORS ARE REQUIRED TO SIGN CONFLICT OF INTEREST STATEMENTS AND REMOVE THEMSELVES FROM ANY DISCUSSION AND VOTE WHERE THEY HAVE A CONFLICT. IF A CONFLICT IS DEEMED TO EXIST, SUCH A PERSON SHALL NOT VOTE ON, NOR USE HIS PERSONAL INFLUENCE ON, NOR PARTICIPATE (OTHER THAN TO PRESENT FACTUAL INFORMATION OR TO RESPOND TO QUESTIONS) IN THE DISCUSSIONS OR DELIBERATIONS WITH RESPECT TO SUCH CONTRACT OR TRANSACTION. FORM 990, PART VI, SECTION B, LINE 15 FOR 2017 A CONSULTANT PERFORMED AN INDEPENDENT ANALYSIS ON THE CFO, COO, AND CEO. THE FINANCE COMMITTEE USES THIS INFORMATION TO DOCUMENT AND APPROVE THE SALARIES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANACIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9: APPRECIATION ON INVESTMENTS HELD FOR OTHERS 56,845. CHANGE IN FAIR VALUE OF BENEFICIAL INTERESTS -23,644. NET ASSET TRANSFER - THE VILLAGES 2,408,658. FORM 990, PAGE 12, PART XII, LINE 2C THE ORGANIZATION HAS AN AUDIT COMMITTEE THAT OVERSEES THE SELECTION OF THE INDEPENDENT ACCOUNTANT AND OVERSEES THE AUDIT. THERE WAS NO CHANGE IN THE OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE YEAR. MASONIC RETIREMENT VILLAGE OF TAYLOR MILL INC 3761 JOHNSON HALL MASONIC HOME KY 40041 311756851 TO PROVIDE AND MAINTAIN AFFORDABLE HOUSING FOR THE ELDERLY KY 501 (C)(3) LINE 10 MASONIC HOMES OF KENTUCKY INC 1 MASONIC HOMES INDEPENDENT LIVING II INC 3761 JOHNSON HALL LOUISVILLE KY 40202 273168105 PROVIDE QUALITY HOUSING AND PERSONAL CARE SERVICES KY 501 (C) (3) LINE 10 MASONIC HOMES OF KENTUCKY INC 1 MASONIC HOMES OF KENTUCKY PEDIATRIC DAYCARE INC 3761 JOHNSON HALL MASONIC HOME KY 40041 273248085 PROVIDES DAYCARE AND PRESCHOOL SERVICES. KY 501 (C) (3) LINE 10 MASONIC HOMES OF KENTUCKY INC 1 MASONIC HOMES COMMUNITY BASED SERVICES INC 4338 13TH STREET ASHLAND KY 41102 273248199 PROVIDES SERVICES THAT ENABLE PEOPLE TO REMAIN LIVING IN THEIR HOMES. KY 501 (C) (3) LINE 7 MASONIC HOMES OF KENTUCKY INC 1 0 0 0 1 1 0 0 0 0 0 0 0 0 1 1 0 1 1 1 MASONIC RETIREMENT VILLAGE OF TAYLOR MILL Q 102720 MASONIC RETIREMENT VILLAGE OF TAYLOR MILL R 801479 MASONIC HOMES INDEPENDENT LIVING II Q 3903367 MASONIC HOMES INDEPENDENT LIVING II S 3040464 MASONIC HOMES OF KENTUCKY PEDIATRIC DAYCARE Q 1499417 MASONIC HOMES OF KENTUCKY PEDIATRIC DAYCARE R 888687