2012-08-13T11:59:18-07:00 2011-09-30 990 2010-10-01 061101924 Masonicare Home Health and Hospice Inc MASO 2036787857 33 North Plains Road Wallingford CT 06492 R Scott Thelen 2012-08-13 2010 2016-02-24 21:20:13Z 35036224 false false X WWW.MASONICARE.COM X 1999 CT See Schedule O 14 12 612 0 72921 195070 33500476 34840576 3061 467 122 111 33576580 35036224 47782 143352 0 24552649 22942957 0 0 6778393 8992252 31378824 32078561 2197756 2957663 6886205 6882531 4892213 4584309 1993992 2298222 See Schedule O false false 25404962 34840687 Masonicare Home Health and Hospice, Inc. provides home health services to clients of all ages including: skilled nursing care, hospice, physical, speech and occupational therapies, medical social work and home health aid services. The total MHH&H, Inc care of sick visits for the period ended September 30, 2011 were 206,052 and total visits for Hospice were 43,885. Total patients served were 4,951 for Care of Sick and 1,195 for Hospice. 3215712 MHH&H, Inc. provides management services to Masonicare Partners Home Health and Hospice, Inc. Partners is an affiliate that is jointly owed with St. Francis Medical Center. The mission of Partners is to provide home health servies to clients of all ages in the greater Hartford area. 25404962 true true false false false false false false false false true false false true true false false true false false false false false false false false false false true true false false false false false false false false false false false false false false false false true false false false false true 115 0 true 612 true false false false false false false false false false false false 0 false false false false false false false false false false false X 14 12 false false false false true true true true true false true true true true true true true true true false false false X X R Scott Thelen 2036787857 22 Masonic Avenue Wallingford CT 06492 Theodore Nelson 1.00 X X 0 0 0 Susan Shikoluk 40.00 X 134247 0 5220 Steven Allison 1.00 X 0 0 0 Steven Abati 1.00 X 0 0 0 Stephen B McPherson 40.00 X X 0 735573 17611 R Scott Thelen 40.00 X X 0 296122 17518 Paul L Chello 1.00 X 0 0 0 Newton Buckner 1.00 X 0 0 0 Merri Chartier 40.00 X 124212 0 5070 Mary Lou Roos 40.00 X X 0 0 0 Mary Loo Roos 40.00 X 127618 0 9563 Mary Cosgrove 40.00 X 97314 0 2979 Lori Perry 40.00 X 125393 0 4752 Gregory K Whitehouse 1.00 X 0 0 0 Geoffrey L Ice 1.00 X 0 0 0 Francis X Conlon 1.00 X X 0 0 0 Edgar Albuja 1.00 X X 0 0 0 Donald Gladding 1.00 X 0 0 0 David Yearick 40.00 X 99027 0 4188 Christopher Earle 1.00 X X 0 0 0 Alexander Jarvis 1.00 X 0 0 0 707811 1031695 66901 5 true true false PMA PO Box 8500 Philadelphia PA 191783855 Workers Compensatin 460608 Milford Hospital 300 Seaside Ave Milford CT 06460 Hospice 163035 Masonicare Inc PO Box 70 Wallingford CT 06492 Management services 2538629 James Street LLC 700 State Street New Haven CT 06511 Rent 172261 Cigna 900 Cottage Grove Rod Hartford CT 06152 Insurance services 2399920 5 140970 54100 195070 Patient Service Revenue 621610 31624864 31624864 Management fees 621610 3215712 3215712 34840576 467 467 0 0 0 0 0 0 0 Vending Machine 111 111 111 35036224 34840687 467 2382 2382 140970 140970 0 0 1116691 1116691 0 17153517 15761952 1391565 0 3391842 3151203 240639 1280907 1264036 16871 2538629 2538629 9565 9565 36417 36417 0 0 0 0 0 1050071 1049581 490 0 0 422947 408343 14604 774434 725288 49146 0 0 0 0 277484 277484 233581 233581 Repairs & maintenance 574205 540341 33864 Purchased Services 735362 311878 423484 Other Professional Fees 961331 930750 30581 I/P General Hospice 340715 340715 Contract Labor 207709 206532 1177 829802 570991 258811 32078561 25404962 6673599 0 1950 1950 0 0 3042608 3796896 0 0 0 0 241288 219209 6251206 5143547 1322881 1107659 0 0 0 0 2277478 1756817 6886205 6882531 1927585 1684560 852215 782871 2112413 2116878 4892213 4584309 X 1993992 2298222 1993992 2298222 6886205 6882531 X 2957663 -2653433 X false true true X false false X 306251 114636 105110 72921 195070 793988 39407179 37974054 38048639 33500476 34840576 183770924 0 0 0 39713430 38088690 38153749 33573397 35035646 184564912 0 0 184564912 4091 3246 3246 3140 467 14190 111 111 4091 3246 3246 3140 578 14301 0 0 39717521 38091936 38156995 33576537 35036224 184579213 0.99990 0.99990 0.00010 0.00010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1297102 598581 698521 352250 344654 7596 4349207 3962136 387071 252647 238176 14471 1107659 Other receivables 3760 Investments 1753057 1756817 Rounding 2 Reserve for third party settlements 2116876 2116878 Part XI, Line 8 Part XI, Line 8: Other Changes in Net Assets or Fund Balances Intercompany balances $ -2653433 X 0 0 Quality of Life 7 94487 Market Values Home Health Care Equipment Charity Care 77 19026 Market Value Home Health & Hospice X X X false true false false false false false false false false Stephen B McPherson 488126 211388 36059 17611 753184 R Scott Thelen 290348 5774 17518 313640 Mary Loo Roos 127618 9563 137181 Part X, Line 20 TE Bond Liabilites Masonicare Home Health and Hospice, Inc is a memeber of the Masonicare obligated group that is responsible for the repayment of the Series C and Series D bonds issued by Masonicare, Inc. in 2007. The current outstanding bond blance is $108,430,000. Form 990, Part III, Line 1 Organization Masonicare Home Health and Hospice, a team of highly qualified and caring individuals, is dedicated to excellence in home health and hospice care. We continually strive to improve the health and wellness of patients and families throughout Connecticut with our responsive, accessible and quality-driven approach to care at home and in the community.As the largest non-profit home care and hospice provider in the state, we are dedicated and committed to quality care and excellent customer service. We cover the entire state while maintaining a local feel. with an intense focus on raising the awareness of the home care benefit, we are innovative leaders in developing new programs for home care deliver.We are the provider and employer of choice. Everyone associated with us understands our mission and we effectively communicate, to our stakeholders, the contributions we provide to our communities. Because we are present in all of the communities we serve, well-respected in our profession and recognized on a national basis, we influence how home care and hospice is delivered throughout the state.We use technology to improve both the quality of our care and the efficiency of our care delivery. Our continuing efforts to recruit, develop and retain the best people in our markets mean we have a waiting list of highly qualified people ready to work for us.We reach out to the entire Masonic Family. Because we believe the Masonic values of faith, hope, charity, temperance, fortitude and justice, Masons throughout the state are proud of our organization.As a result of our strategic focus and hard work, we are a caring, growing, fiscally responsible organization and a powerful force within our state. Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available The financial statements are publicly available throught EMMA and public securities markets. The statements are included in the Masonicare Corporation consolidated financial statements. The governing documents (certificate of incorporation) is filed with the Ct Secretary of State. The conflict of interest policy is currently available upon request. Form 990, Part VI, Line 12c Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts Annually, officers, directors and senior employees are required to complete a conflict of interest disclosure questionnaire. the results of the officers' and directors' disclosures are reported at the board meetings. Senior employee disclosures are reported to the President. The entire process is coordinated by the Corporate Compliance Officer. All respondents are advised to report any changes during the year that may present a conflict of interest. Form 990, Part VI, Line 11 Form 990, Part VI, Line 11: Form 990 Review Process Masonicare Corporation and Masonicare Home Health and Hospice review the tax return for completeness and accuracy. It is also reviewed by the chief executive officer and chairman of the board. The review process is then discussed with full board. After responding to comments/questions, changes are made as appropriate and the return is finalized and filed. Form 990, Part VI, Line 7a Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body Masonicare Corporation, a sole corporate member, annually appoints the members of the affiliate board. Form 990, Part VI, Line 6 Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder The organization has a sole corporate member, Masonicare Corporation, with the right to appoint the members of the governing body and to participate in the organizations governance. Masonicare at Home PO Box 70 Wallingford CT 06492 202377783 Providecompanion/homemaker/personal care services to elderly CT 501(c)(3) 9 NA false Masonicare at Newtown Inc PO Box 70 Wallingford CT 06492 061070285 Provide skilled nursing/assisted living services to elderly CT 501(c)(3) 9 NA false Keystone Indemnity Company Ltd 126 College Street Suite 400 Burlington VT 05401 030371612 Provide insurance services to Masonicare affilates VT 501(c)(3) 11a NA false Masonicare Partners HomeHealth & Hospice 111 Founders Plaza Suite 200 East Hartford CT 06492 260758992 Provide home/health/hospice services to clients of all ages CT 501(c)(3) 9 NA false Masonicare at Ashlar Village Inc PO Box 70 Wallingford CT 06492 061050830 Continuing care retirement and assisted living community CT 501(c)(3) 9 NA false Masonicare Health Center PO Box 70 Wallingford CT 06492 060655131 Provide comprehensive medical services to the elderly CT 501(c)(3) 3 NA false Masonic Charity Foundation of CT PO Box 70 Wallingford CT 06492 061435920 Provide planned giving and development support to affiliates CT 501(c)(3) 11a NA false Masonicare Inc PO Box 70 Wallingford CT 06492 061435920 Parent holding and support organization of affilate corp. CT 501(c)(3) 11a NA false Masonicare Behavioral Healh PO BOX 70 Wallingford CT 06492 061483276 Drs Practice Psychiatric Svs CT N/A C Masonicare Primary Care Physicians PC PO BOX 70 Wallingford CT 06492 061491820 Physician medical practice CT N/A C false false false false false false false false false false false false false false false false true true Masonicare at Home r 953 Actual Masonicare at Newtown Inc q 332378 Actual Masonicare at Ashlar Village Inc r 8348 Actual Masonicare Health Center r 1592696 Actual Masonic Charity Foundation of CT q 176991 Actual Masonicare Inc q 627922 Actual