STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

MASONICARE AT ASHLAR VILLAGE INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
MASONICARE AT ASHLAR VILLAGE INC (EIN 06-1050830)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-13
IRS object ID
201242269349302014
Schema version
2010v3.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-08-13T12:02:45-07:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN061050830EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Masonicare at Ashlar Village IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMASONameControl
Phone2036787857Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 70AddressLine1
CityWallingfordCity
StateCTState
ZIP Code06492ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameR Scott ThelenName
TitleAsst. TreasurerTitle
Date Signed2012-08-13DateSigned
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJon Paul VenoitNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO Box 70AddressLine1
CityWallingfordCity
StateCTState
ZIP Code06492ZIPCode
FieldValueIRS element (for citing)
Gross Receipts26091812GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.masonicare.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1981YearFormation
State Legal DomicileCTStateLegalDomicile
Activity Or Mission DescriptionMasonicare at Ashlar Village, an affiliate of Masonicare, is a not-for-proft Continuing Care Retirement Community, providing both independent and assisted living people aged 55 and over. Following the traditions of Masonry, we are committed to creating the highest quality of life for our residents by fostering an environment of respect, independence and dignity.Masonicare at Ashlar Village is dedicated to maintaining the well being, independence and quality of life for all residents. We consistently strive to be recognized as one of the leading Continuing Care Retirement Comminities (CCRCs) in the nation. Masonicare at Ashlar Village envisions a continuing partnership with Masonicare and other related resources in meeting the needs of our community--body, mind and spirit.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees237TotalNbrEmployees
Total Nbr Volunteers150TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year62209ContributionsGrantsPriorYear
Contributions Grants Current Year54672ContributionsGrantsCurrentYear
Program Service Revenue Prior Year22465378ProgramServiceRevenuePriorYear
Program Service Revenue CY23570286ProgramServiceRevenueCY
Investment Income Prior Year953162InvestmentIncomePriorYear
Investment Income Current Year1550374InvestmentIncomeCurrentYear
Other Revenue Prior Year823042OtherRevenuePriorYear
Other Revenue Current Year916480OtherRevenueCurrentYear
Total Revenue Prior Year24303791TotalRevenuePriorYear
Total Revenue Current Year26091812TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year86185GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY91093GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year5891728SalariesEtcPriorYear
Salaries Etc Current Year6035496SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year12536206OtherExpensePriorYear
Other Expenses Current Year13061229OtherExpensesCurrentYear
Total Expenses Prior Year18514119TotalExpensesPriorYear
Total Expenses Current Year19187818TotalExpensesCurrentYear
Revenues Less Expenses Prior Year5789672RevenuesLessExpensesPriorYear
Revenues Less Expenses CY6903994RevenuesLessExpensesCY
Total Assets BOY96800164TotalAssetsBOY
Total Assets EOY95321411TotalAssetsEOY
Total Liabilities BOY48320607TotalLiabilitiesBOY
Total Liabilities EOY47495427TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY48479557NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY47825984NetAssetsOrFundBalancesEOY
Mission DescriptionMasonicare at Ashlar Village, an affiliate of Masonicare, is a not-for-proft Continuing Care Retirement Community, providing both independent and assisted living people aged 55 and over. Following the traditions of Masonry, we are committed to creating the highest quality of life for our residents by fostering an environment of respect, independence and dignity.Masonicare at Ashlar Village is dedicated to maintaining the well being, independence and quality of life for all residents. We consistently strive to be recognized as one of the leading Continuing Care Retirement Comminities (CCRCs) in the nation. Masonicare at Ashlar Village envisions a continuing partnership with Masonicare and other related resources in meeting the needs of our community--body, mind and spirit.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense16713296Expense
Revenue23570286Revenue
DescriptionMasonicare at Ashlar Village is a continuing care retirement and assisted living community. The retirement community consists of 248 apartments,72 cottages and 40 villas. The occupancy percentage for the fiscal year ending September 2010 was 93.06%. The assisted living facility(Pond Ridge) consists of 136 units. The occupancy percentage for the fiscal year ending September 2010 was 76.47%. The Village provides healthcare services which promote health, wellness and a high quality of life for all residents in an independent and/or assisted living environment.Description
Total Program Service Expense16713296TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109653NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees237NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonR Scott ThelenNamePerson
Telephone Number2036787857TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line122 Masonic AvenueAddressLine1
CityWallingfordCity
StateCTState
ZIP Code06492ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
Stephen B McPherson
Asst. Secretary40.00XX073557317611
Scott T Sherrick
Secretary1.00XX000
R Scott Thelen
Asst. Treasurer40.00XX029612217518
Michael B Dodge
Member1.00X000
Jon Paul Venoit
Executive Direc40.00XX188917021483
John Amarilios
Member1.00X000
Jeff Flynn
Member1.00X000
Irving Pease
Member1.00X000
Georgia C Erickson
Member1.00X000
Eloise Hazelwood
Member1.00X000
David Berardesca
Member1.00X000
David A Gessert
Chairman1.00XX000
Carol E Memmott
Vice Chairman1.00XX000
Arnold H Freedman
Treasurer1.00XX000
Andrew D Urbanski
Member1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org188917TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1031695TotalReportableCompFrmRltdOrgs
Total Other Compensation56612TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Precision Landscaping
54 Gracey AvenueMeridenCT06451Landscaping/Lawncare390500
Morrison Management Specialists Inc
PO Box 102289AtlantaGA30268Food Service1235381
Masonicare Inc
PO Box 70WallingfordCT06492Management services619726
Heritage Floor Covering Company
892 North Colony RoadWallingfordCT06492Flooring303878
ABR Construction Inc
PO Box 720 Silversmith IndustrialWallingfordCT06492Construction601212
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Related Organizations54672RelatedOrganizations
Total Contributions54672TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Resident income6230001632658616326586
Assisted Living Revenue62399072437007243700
FieldValueIRS element (for citing)
Total Program Service Revenue23570286TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1551784TotalRevenueColumn
Exclusion$1,551,784ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other-1410Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-1410Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-1410TotalRevenueColumn
Exclusion-$1,410ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
Hair Salon146246$146,246
Guest Meals113811$113,811
Catering137343$137,343

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column519080TotalRevenueColumn
Exclusion$519,080ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue916480TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column26091812TotalRevenueColumn
Related Or Exempt Function Income23570286RelatedOrExemptFunctionIncome
Exclusion$2,466,854ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total16721Total
Program Services16721ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total74372Total
Program Services74372ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total197493Total
Management And General197493ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4600732Total
Program Services4005120ProgramServices
Management And General595612ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total903429Total
Program Services798182ProgramServices
Management And General105247ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total333842Total
Program Services278642ProgramServices
Management And General55200ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total619726Total
Management And General619726ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total10772Total
Management And General10772ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total11304Total
Management And General11304ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total51742Total
Program Services40455ProgramServices
Management And General11287ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total8260Total
Program Services8260ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total1873363Total
Program Services1873363ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4208018Total
Program Services4208018ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total287551Total
Program Services260582ProgramServices
Management And General26969ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Utilities10615771061577
Repairs & maintenance37287635076422112
Purchased Services24404921809432631060
Property taxes705772705772
Dietary970131970131

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total439645Total
Program Services251905ProgramServices
Management And General187740ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total19187818Total
Program Services16713296ProgramServices
Management And General2474522ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1341153BOY
EOY1267770EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1489628BOY
EOY1637255EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY903773BOY
EOY1675152EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY20956BOY
EOY20956EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY82811BOY
EOY87906EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis133833337LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec43279972LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY92872660BOY
EOY90553365EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY89183BOY
EOY79007EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY96800164BOY
EOY95321411EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1314452BOY
EOY1589672EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY45874111BOY
EOY44792353EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1132044BOY
EOY1113402EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY48320607BOY
EOY47495427EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY48479557BOY
EOY47825984EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY48479557BOY
EOY47825984EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY96800164BOY
EOY95321411EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses6903994ReconcilationRevenueExpenses
Reconcilation Other Changes-7557567ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year62209CurrentTaxYearMinus1Year
Current Tax Year54673CurrentTaxYear
Total116882Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13040378CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14438017CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years20487666CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year22403169CurrentTaxYearMinus1Year
Current Tax Year24485352CurrentTaxYear
Total94854582Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13040378CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14438017CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years20487666CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year22465378CurrentTaxYearMinus1Year
Current Tax Year24540025CurrentTaxYear
Total94971464Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50994971464PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1451538CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1217447CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1503338CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year954885CurrentTaxYearMinus1Year
Current Tax Year1551784CurrentTaxYear
Total6678992Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1451538CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1217447CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1503338CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year954885CurrentTaxYearMinus1Year
Current Tax Year1551784CurrentTaxYear
Total6678992Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Total0Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years14491916CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15655464CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years21991004CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year23420263CurrentTaxYearMinus1Year
Current Tax Year26091809CurrentTaxYear
Total101650456Total
FieldValueIRS element (for citing)
Public Support Percentage5090.93430PublicSupportPercentage509
Prior Year Support Percentage0.93280PriorYearSupportPercentage
Investment Income Percentage0.06570InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.06720PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis121470013OtherCostOrOtherBasis
Depreciation34898586Depreciation
Book Value86571427BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis7362156OtherCostOrOtherBasis
Depreciation4507107Depreciation
Book Value2855049BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3607062OtherCostOrOtherBasis
Depreciation2864371Depreciation
Book Value742691BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1394106OtherCostOrOtherBasis
Depreciation1009908Depreciation
Book Value384198BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings90553365TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Rounding$2
Deposits$1,113,400
FieldValueIRS element (for citing)
Total Of Amounts1113402TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart XI, Line 8Identifier
Return ReferencePart XI, Line 8: Other Changes in Net Assets or Fund BalancesReturnReference
Explanation$ -7557567Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1Masonic Charity Foundation of CTBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO Box 70AddressLine1
CityWallingfordCity
StateCTState
ZIP Code06492ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient061435920EINOfRecipient
IRC Section501 (c) (3)IRCSection
Amount Of Cash Grant14671AmountOfCashGrant
Amount Of Non Cash Assistance0AmountOfNonCashAssistance
Purpose Of Grantdonations to the Annual AppealPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (2 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
Scholarship program1619700
Resident support program654672costfinancial support provided to pay monthly fees

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsBase Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
Stephen B McPherson
4881262113883605917611753184
R Scott Thelen
290348577417518313640
Jon Paul Venoit
17627515001114221483210400

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part X, Line 20, TE Bond LiabilitiesMasonicare at Ashlar Village, Inc. is a member 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 balance is $108,430,000.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableThe financial statements are publicly available through EMMA and public securities markets. The certificate of incorporation and related documents are on file with the Connecticut Secretary of State's office. The conflict of interest policy is available upon request.Form 990, Part VI, Line 19
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsAnnually, officers, directors and senior employees are required to complete a conflict of interest disclosure questionnaire. The results of the officer and director disclosures are first reviewed by the board chairman and then reported at the board meetings. Any officer or director 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 director had an opportunity to make a written disclosure through the formalized process. Senior employee disclosures are reported to the President and Chief Executive Officer and Chief Operating Officer. The entire process is coodinated 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 12c
Form 990, Part VI, Line 11: Form 990 Review ProcessMasonicare management reviews the tax return for completeness and accuracy. It is reviewed by the chief executive officer and chairman of the board. The review process is then discussed with the full board. After responding to comments/questions, changes are made as appropriate and the return is finalized and filed.Form 990, Part VI, Line 11
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyMasonicare Corporation, as sole corporate member, annually appoints the members of the governing body.Form 990, Part VI, Line 7a
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderThe organization has a sole corportate member, Masonicare Corporation, with the right to appoint the members of the governing body and to participate in the organization's governance.Form 990, Part VI, Line 6

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Masonicare at Home Inc
PO Box 70WallingfordCT06492202377783Providecompanion/homemaker/personal care services to elderlyCT501(c)(3)9N/Afalse
Masonicare Partners HomeHealth & Hospice
111 Founders Plaza Suite 200East HartfordCT06108260758992Provide home health services to clients of all agesCT501(c)(3)9N/Afalse
Keystone Indemnity Company Ltd
126 College Street Suite 400BurlingtonVT05401030371612Provide insurance services to Masonicare affiliatesVT501(c)(3)11afalseNA
Masonicare Home Health and Hospice Inc
33 North Plains RoadWallingfordCT06492061101924Provide home health services to clients of all agesCT501(c)(3)9falseNA
Masonicare at Newtown Inc
PO Box 70WallingfordCT06492061070285Provided skilled nursing/assisted living services to elderlyCT501(c)(3)9falseNA
Masonicare Health Center
PO Box 70WallingfordCT06492060655131Provide comprehensive medical services to elderlyCT501(c)(3)3falseNA
Masonic Charity Foundation of CT
PO Box 70WallingfordCT06492061435920Provide planned giving and development support to affiliatesCT501(c)(3)11afalseNA
Masonicare Inc
PO Box 70WallingfordCT06492061435920Parent holding and support organization of affilate corp.CT501(c)(3)11bfalseNA

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntity
Masonic Management Services
PO Box 70WallingfordCT06492061468972Provides management servicesCTNAC
Masonicare Primary Care Physicians PC
PO Box 70WallingfordCT06492061491820Physicians medical practiceCTNAC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Masonicare Primary Care Physicians PC
q88549actual
Masonicare at Home Inc
r24968actual
Masonicare Home Health and Hospice Inc
q8348actual
Masonicare at Newtown Inc
q86652actual
Masonicare Health Center
r211765actual
Masonic Charity Foundation of CT
q135543actual
Masonicare Inc
q6777807actual