STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

Masonicare at Newtown Inc: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
Masonicare at Newtown Inc (EIN 06-1070285)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-10
IRS object ID
201102239349300600
Schema version
2009v1.7
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)
Timestamp2011-08-10T11:15:45-07:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN061070285EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MASONICARE AT NEWTOWN 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 Signed2011-08-10DateSigned
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonR Scott ThelenNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 70AddressLine1
CityWALLINGFORDCity
StateCTState
ZIP Code06492ZIPCode
FieldValueIRS element (for citing)
Gross Receipts19206617GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501cXOrganization501c
Web SiteWWW.MASONICARE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1998YearFormation
State Legal DomicileCTStateLegalDomicile
Activity Or Mission DescriptionSEE SCHEDULE OActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees364TotalNbrEmployees
Total Nbr Volunteers70TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year43486ContributionsGrantsPriorYear
Contributions Grants Current Year54964ContributionsGrantsCurrentYear
Program Service Revenue Prior Year19403631ProgramServiceRevenuePriorYear
Program Service Revenue CY19001764ProgramServiceRevenueCY
Investment Income Prior Year7772InvestmentIncomePriorYear
Investment Income Current Year67InvestmentIncomeCurrentYear
Other Revenue Prior Year152815OtherRevenuePriorYear
Other Revenue Current Year149822OtherRevenueCurrentYear
Total Revenue Prior Year19607704TotalRevenuePriorYear
Total Revenue Current Year19206617TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1450GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1000GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year13321171SalariesEtcPriorYear
Salaries Etc Current Year12318251SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year7717269OtherExpensePriorYear
Other Expenses Current Year7232034OtherExpensesCurrentYear
Total Expenses Prior Year21039890TotalExpensesPriorYear
Total Expenses Current Year19551285TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1432186RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-344668RevenuesLessExpensesCY
Total Assets BOY13199850TotalAssetsBOY
Total Assets EOY12252608TotalAssetsEOY
Total Liabilities BOY2405085TotalLiabilitiesBOY
Total Liabilities EOY1973229TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY10794765NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY10279379NetAssetsOrFundBalancesEOY
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense18106876Expense
Grants1000Grants
Revenue19151586Revenue
DescriptionMasonicare at Newtown,Inc. is a skilled nursing and assisted living community. The skilled nursing facility has 154 beds and operated at a 95.3% occupancy rate providing 53,593 patient days. The assisted living facility, Lockwood Lodge, has 55 units and operated at an 97.1% occupancy rate. Average occupancy was 53.4 units.Description
Total Program Service Expense18106876TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
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 OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
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
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109639NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees364NumberOfEmployees
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
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
States Where Copy Of Return Is FiledCTStatesWhereCopyOfReturnIsFiled
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 (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
William T Viola Jr
MEMBER1.00X000
William R Deickler
VICE CHAIRMAN1.00X000X
William Morrow
MEMBER1.00X000
Thomas Gutner
President40.00X278486016435X
Stephen P Shapiro
MEMBER1.00X000
Stephen B McPherson
ASST. SECRETARY40.00X082253618755X
Sherwin M Borsuck MD
MEMBER1.00X000
Robert A Simon
Chairman1.00X000X
Richard Ruggiano
MEMBER1.00X000
R Scott Thelen
ASST. TREASURER40.0001204381251X
Patricia Russell
Dir-Patient Svc40.0013413900X
Mark D Winne
Secretary1.00X000X
John R Hall
MEMBER1.00X000
James Standish
OFFICER0.038848714765X
Howard Orr
MEMBER1.00X000
Donald W Dean
MEMBER1.00X000
Barbara F Lott
MEMBER1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org412625TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1331461TotalReportableCompFrmRltdOrgs
Total Other Compensation51206TotalOtherCompensation
Number Individuals GT100 K4NumberIndividualsGT100K
Formers ListedtrueFormersListed
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
Value Healthcare Services Inc
525 Knotter DriveCheshireCT06410Supplies221254
Morrison Senior Dining
PO Box 102289AtlantaGA30268Food Service1100902
Mckesson Medical Surgical
345 Mccausland CourtCheshireCT06420Medical Supplies109632
Hess Corporation
PO Box 905423CharlotteNC28290Fuel and Gas133193
Construction Resources
316 Main StreetFarmingtonCT06032Construction588655
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K
All Other Contributions54964AllOtherContributions
Total Contributions54964TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
SKILLED NURSING6230001554979915549799
ASSISTED LIVING62300034519653451965
FieldValueIRS element (for citing)
Total Program Service Revenue19001764TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column67TotalRevenueColumn
Exclusion$67ExclusionAmount

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

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

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 (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PURCHASE DISCOUNTS1197111971
OTHER INCOME137851137851
FieldValueIRS element (for citing)
Total Other Revenue149822TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column19206617TotalRevenueColumn
Related Or Exempt Function Income19151586RelatedOrExemptFunctionIncome
Exclusion$67ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total1000Total
Program Services1000ProgramServices

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)
Total256409Total
Management And General256409ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total9152499Total
Program Services8831574ProgramServices
Management And General320925ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2228928Total
Program Services2044272ProgramServices
Management And General184656ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total680415Total
Program Services639590ProgramServices
Management And General40825ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total359856Total
Management And General359856ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total57049Total
Management And General57049ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total13356Total
Management And General13356ManagementAndGeneral

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)
Total1044031Total
Program Services1044031ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total37908Total
Program Services-11592ProgramServices
Management And General49500ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total126948Total
Program Services126948ProgramServices

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total9605Total
Program Services9605ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total209773Total
Program Services209773ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1123077Total
Program Services1123077ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total152269Total
Program Services144281ProgramServices
Management And General7988ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Utilities403771403771
SUPPLIES-OTHER5294835280381445
PURCHASE SERVICE1094947104155853389
PROVIDER TAX757142757142
DIETARY5100875068163271

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total802732Total
Program Services706992ProgramServices
Management And General95740ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total19551285Total
Program Services18106876ProgramServices
Management And General1444409ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2683BOY
EOY2683EOY

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)
BOY2893053BOY
EOY2294472EOY

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)
BOY4392BOY
EOY10000EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY72431BOY
EOY78146EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY74813BOY
EOY92512EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis28519486LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec18801570LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY10045483BOY
EOY9717916EOY

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)
BOY106995BOY
EOY56879EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY13199850BOY
EOY12252608EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2109102BOY
EOY1661939EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY8929EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY295983BOY
EOY302361EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2405085BOY
EOY1973229EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY10794765BOY
EOY10279379EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10794765BOY
EOY10279379EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13199850BOY
EOY12252608EOY
FieldValueIRS element (for citing)
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 Year54964CurrentTaxYear
Total54964Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16346903CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16485723CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18691464CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19403631CurrentTaxYearMinus1Year
Current Tax Year19151653CurrentTaxYear
Total90079374Total

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 Years16346903CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16485723CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18691464CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19403631CurrentTaxYearMinus1Year
Current Tax Year19206617CurrentTaxYear
Total90134338Total

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 Total50990134338PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years54146CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years56856CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1812CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3147CurrentTaxYearMinus1Year
Current Tax Year67CurrentTaxYear
Total116028Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years54146CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years56856CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1812CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3147CurrentTaxYearMinus1Year
Current Tax Year67CurrentTaxYear
Total116028Total

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)
Total90250366Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99870PublicSupportPercentage509
Investment Income Percentage0.00130InvestmentIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis419334OtherCostOrOtherBasis
Book Value419334BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis21718956OtherCostOrOtherBasis
Depreciation13785939Depreciation
Book Value7933017BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2322718OtherCostOrOtherBasis
Depreciation1778673Depreciation
Book Value544045BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3280780OtherCostOrOtherBasis
Depreciation2666972Depreciation
Book Value613808BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis777698OtherCostOrOtherBasis
Depreciation569986Depreciation
Book Value207712BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings9717916TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
PATIENT ESCROW ACCOUNTS$22,863
DEPOSITS$207,333
ASSET RETIREMENT OBLIGATION$72,165
FieldValueIRS element (for citing)
Total Of Amounts302361TotalOfAmounts

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
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 PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgs
Thomas Gutner
1550101117691170716435294921
Stephen B McPherson
4661633207263564718755841291
James Standish
3232016514314314765403252

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSch J, Part I, Line 7Identifier
Return ReferencePart I, Line 7: Non-Fixed payments not listed aboveReturnReference
ExplanationCompensation to reward senior managers for achieving quality,strategic and financial goals for the organization.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableTHE FINANCIAL STATEMENTS ARE AVAILABLE THROUGH EMMA AND PUBLIC SECURITIES MARKETS.THE STATEMENTS INCLUDED IN THE MASONICARE CORPORATION CONSOLIDATED FINANCIAL STATEMENTS. THE GOVERNING DOCUMENTS (CERTIFICATE OF INCORPORATION) ARE ON FILE WITH THE SECRETARY OF STATE. THE CONFLICT OF INTEREST POLICY IS AVALIABLE UPON REQUEST.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsTHE ORGANIZATION HAS A SOLE CORPORATE MEMBER, MASONICARE CORPORATION, WITH THE RIGHTTO APPOINT THE MEMBERS OF THE GOVERNING BODY AND PARTICIPATE IN THE ORGANIZATION'SGOVERNANCE.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessMASONICARE MANAGEMENT REVIEWS THE TAX RETURN FOR COMPLETENESS AND ACCURACY. IT ISREVIEWED BY THE PRESIDENT AND BOARD CHAIRMAN. THE REVIEW PROCESS IS THEN DISCUSEED WITH FULL BOARD. AFTER REVIEWING THE COMMENTS/QUESTIONS, CHANGES ARE MADE AS APPROPRIATE AND THE RETURN IS FINALIZED AND FILED.
Form 990, Part VI, Line 7aForm 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyMASONICARE CORPORATION, AS SOLE CPORPORATE MEMBER, ANNUALLY APPOINTS THE MEMBERS OFTHE GOVERNING BODY.
Form 990, Part VI, Line 6Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderTHE ORGANIZATION HAS A SOLE CORPORATE MEMBER, MASONICARE CORPORATION, WITH THE RIGHTTO APPOINT THE MEMBERS OF THE GOVERNING BODY AND TO PARTICIPATE IN THE ORGANIZATION'S GOVERNANCE.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Direct Controlling Entity NADirectControllingEntityNA
Masonicare at Home Inc
PO Box 70WallingfordCT06492202377783Providecompanion/homemaker/personal care services to elderlyCT501(c)(3)9NA
Masonicare Partners HomeHealth & Hospice
111 Founders Plaza Suite 200East HartfordCT06108260758992Provide home health services to clients of all agesCT501(c)(3)9NA
Keystone Indemnity Company
126 College Street Suite 400BurlingtonVT05401030371612Provide insurance services to Masonicare affiliatesVT501(c)(3)11aN/A
Masonicare Home Health and Hospice Inc
33 North Plains RoadWallingfordCT06492Provide home health services to clients of all agesCT501(c)(3)9NA
Masonicare at Ashlar Village Inc
PO Box 70WallingfordCT06492061070285Provide skilled nursing/assisted living services to elderlyCT501(c)(3)9NA
Masonicare Health Center
PO Box 70WallingfordCT06492060655131Provide comprehensive medical services to elderlyCT501(c)(3)3NA
Masonic Charity Foundation of CT
PO Box 70WallingfordCT06492061435920Provide planned giving and development support to affiliatesCT501(c)(3)11aNA
Masonicare Inc
PO Box 70WallingfordCT06492061435919Parent holding and support organization for affiliate corp.CT501(c)(3)11bNA

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
22 Masonic AvenueWallingfordCT06492061468972Provides management servicesCTNAC
Masonic Primary Care Physicians PC
22 MASONIC AVENUEWallingfordCT06492Medical 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 OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Masonic Primary Care Physicians PC
r45545
Masonicare Home Health and Hospice Inc
r183311
Masonicare at Ashlar Village Inc
r2306
Masonicare Health Center
r450353
Masonic Charity Foundation of CT
r59818
Masonicare Inc
r1044986