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OVERLOOK MASONIC HEALTH CENTER INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
OVERLOOK MASONIC HEALTH CENTER INC (EIN 22-2843194)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-11
IRS object ID
201133159349302828
Schema version
2010v3.4
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)
Timestamp2011-11-11T14:35:55-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1FEELEY & DRISCOLL PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1200 PORTLAND STREETAddressLine1
CityBOSTONCity
StateMAState
ZIP Code02114ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN222843194EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1OVERLOOK MASONIC HEALTH CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlOVERNameControl
Phone5082487344Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line188 MASONIC HOME ROADAddressLine1
CityCHARLTONCity
StateMAState
ZIP Code015071000ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePAM JONESName
TitleTREASURER AND EVP, ACCOUNTINGTitle
Phone5082487344Phone
Date Signed2011-09-22DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameALAN GAROFALOName
Phone6177427788Phone
Date Prepared2011-09-22DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonPAMELA JONESNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line188 MASONIC HOME ROADAddressLine1
CityCHARLTONCity
StateMAState
ZIP Code015071000ZIPCode
FieldValueIRS element (for citing)
Gross Receipts22816360GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteTHEMASONICHOME.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1987YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionCHARITABLE - THE PROVISION OF LONG-TERM RESIDENTIAL AND REHABILITATIVE CARE TO RESIDENTS OF THE COMMUNITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees487TotalNbrEmployees
Total Nbr Volunteers40TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1036308ContributionsGrantsPriorYear
Contributions Grants Current Year1382093ContributionsGrantsCurrentYear
Program Service Revenue Prior Year15186533ProgramServiceRevenuePriorYear
Program Service Revenue CY15683831ProgramServiceRevenueCY
Investment Income Prior Year896410InvestmentIncomePriorYear
Investment Income Current Year5058941InvestmentIncomeCurrentYear
Other Revenue Prior Year690788OtherRevenuePriorYear
Other Revenue Current Year691495OtherRevenueCurrentYear
Total Revenue Prior Year17810039TotalRevenuePriorYear
Total Revenue Current Year22816360TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year12079684SalariesEtcPriorYear
Salaries Etc Current Year12259597SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year9481351OtherExpensePriorYear
Other Expenses Current Year9028225OtherExpensesCurrentYear
Total Expenses Prior Year21561035TotalExpensesPriorYear
Total Expenses Current Year21287822TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-3750996RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1528538RevenuesLessExpensesCY
Total Assets BOY184962230TotalAssetsBOY
Total Assets EOY192453459TotalAssetsEOY
Total Liabilities BOY40791725TotalLiabilitiesBOY
Total Liabilities EOY42007251TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY144170505NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY150446208NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE THE RESIDENTS OF THE HEALTH CENTER WITH THE HIGHEST LEVEL OF COMPREHENSIVE MEDICAL CARE SERVICES WITH A CONSIDERATE AND PERSONAL TOUCH.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense18635679Expense
Revenue16375326Revenue
DescriptionOPERATION OF A LONG-TERM CARE AND RESIDENTIAL CARE FACILITY IN CHARLTON, MA. TOTAL PATIENT DAYS OF CARE AND TOTAL REST HOME DAYS OF CARE FOR THE YEAR ENDED DECEMBER 31, 2010 AMOUNTED TO 49,351 AND 14,868, RESPECTIVELY, FOR A TOTAL DAYS OF CARE OF 64,219.Description
Total Program Service Expense18635679TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art1CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109639NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees487NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1PAMELA JONESBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5082487344TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line188 MASONIC HOME ROADAddressLine1
CityCHARLTONCity
StateMAState
ZIP Code01507ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployee
DONALD HICKS
CHAIRMAN OF BOARD1.00X000
JAY JOLICOUER
OFFICER1.00X000
ROBERT JOLLY
OFFICER1.00X000
ROBERT GRATTAROTI
OFFICER1.00X000
JACK MULHALL
OFFICER1.00X000
JAMES TRACY
OFFICER1.00X000
JEFFREY GARDINER
OFFICER1.00X000
LUDWIG ALBAN
OFFICER1.00X000
RICHARD STEWART
OFFICER1.00X000
BRIAN MARSH
OFFICER1.00X000
PAMELA JONES
TREASURER/ MHS EVP OF ACCOUNTING1.00X019951120376X
DAVID C TURNER
MHS PRESIDENT/CEO1.00X030025715691X
TOBY SHEA
CFO1.0001861189713X
PAUL BOWLER
VP OF OPERATIONS40.0017362809236X
FieldValueIRS element (for citing)
Total Reportable Comp From Org173628TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs685886TotalReportableCompFrmRltdOrgs
Total Other Compensation55016TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BLUE CROSS BLUE SHIELD OF MA
401 PARK DRIVEBOSTONMA02115INSURANCE1740254
SYSCO
380 SOUTH WORCHESTER STREETNORTONMA02766FOOD SERVICES604899
FLYNN PETROLEUM
307 HARTFORD PIKESHREWSBURYMA01545UTILITIES494543
TRANSCANADA POWER MARKETING LTD
110 TURNPIKE ROADWESTBOROUGHMA01581UTILITIES419789
NATHAN SALLOP INSURANCE AGENCY
25 NEW CHARDON STREETBOSTONMA02114INSURANCE393982
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
All Other Contributions1382093AllOtherContributions
Total Contributions1382093TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT REVENUEDescription
Business Code623000BusinessCode
Total Revenue Column15683831TotalRevenueColumn
Related Or Exempt Function Income15683831RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue15683831TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1843345TotalRevenueColumn
Exclusion$1,843,345ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities3215596Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities3215596Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column3215596TotalRevenueColumn
Exclusion$3,215,596ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MISCELLANEOUS812900547358547358
CAFETERIA REVENUE7213106700267002
BARBER/BEAUTY8129002286422864

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column54271TotalRevenueColumn
Related Or Exempt Function Income54271RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue691495TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column22816360TotalRevenueColumn
Related Or Exempt Function Income16375326RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$5,058,941ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total182864Total
Management And General182864ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total9609995Total
Program Services9312359ProgramServices
Management And General297636ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total414215Total
Program Services393504ProgramServices
Management And General20711ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1157244Total
Program Services1099382ProgramServices
Management And General57862ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total895279Total
Program Services850515ProgramServices
Management And General44764ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total200004Total
Management And General200004ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total12873Total
Management And General12873ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total36250Total
Management And General36250ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total368908Total
Management And General368908ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total336999Total
Program Services320149ProgramServices
Management And General16850ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1201003Total
Program Services1140953ProgramServices
Management And General60050ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total18059Total
Management And General18059ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total994330Total
Management And General994330ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2472684Total
Program Services2349050ProgramServices
Management And General123634ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total401627Total
Program Services381546ProgramServices
Management And General20081ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES849082849082
RESIDENT BED TAX741346741346
DIETARY SERVICES707902707902
REPAIRS AND MAINTENANCE51567548989125784
PROVISION FOR BAD DEBT143483143483

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total28000Total
Management And General28000ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total21287822Total
Program Services18635679ProgramServices
Management And General2652143ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY71400BOY
EOY63801EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY655783BOY
EOY1057831EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1009025BOY
EOY957474EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY486686BOY
EOY396444EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis65484215LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec25700172LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY41870564BOY
EOY39784043EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY101938118BOY
EOY102908170EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY38930654BOY
EOY47285696EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY184962230BOY
EOY192453459EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1553627BOY
EOY1585149EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY55640BOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY36246441BOY
EOY35205926EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1903175BOY
EOY4129475EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1032842BOY
EOY1086701EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY40791725BOY
EOY42007251EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY116788025BOY
EOY122372108EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY21676450BOY
EOY22367735EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY5706030BOY
EOY5706365EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY144170505BOY
EOY150446208EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY184962230BOY
EOY192453459EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1528538ReconcilationRevenueExpenses
Reconcilation Other Changes4747165ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years580071CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years495441CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1020056CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year860861CurrentTaxYearMinus1Year
Current Tax Year1171950CurrentTaxYear
Total4128379Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11222918CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8487408CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14758017CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15186533CurrentTaxYearMinus1Year
Current Tax Year15683831CurrentTaxYear
Total65338707Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11802989CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8982849CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15778073CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16047394CurrentTaxYearMinus1Year
Current Tax Year16855781CurrentTaxYear
Total69467086Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years155617CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years155334CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years41159CurrentTaxYearMinus2Years
Total352110Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years155617CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years155334CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years41159CurrentTaxYearMinus2Years
Total352110Total
FieldValueIRS element (for citing)
Public Support Total50969114976PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3030996CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5746992CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years533262CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year909773CurrentTaxYearMinus1Year
Current Tax Year4855132CurrentTaxYear
Total15076155Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3030996CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5746992CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years533262CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year909773CurrentTaxYearMinus1Year
Current Tax Year4855132CurrentTaxYear
Total15076155Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years727728CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years803522CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years712846CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year690788CurrentTaxYearMinus1Year
Current Tax Year691495CurrentTaxYear
Total3626379Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15561713CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15533363CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17024181CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17647955CurrentTaxYearMinus1Year
Current Tax Year22402408CurrentTaxYear
Total88169620Total
FieldValueIRS element (for citing)
Public Support Percentage5090.78390PublicSupportPercentage509
Prior Year Support Percentage0.79970PriorYearSupportPercentage
Investment Income Percentage0.17100InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.15200PriorYrInvestIncomePercentage
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

Art Public Exhibition Amts ArtPublicExhibitionAmts

FieldValueIRS element (for citing)
Assets In Part X211501AssetsInPartX
FieldValueIRS element (for citing)
Collect Used For Public ExhibitionXCollectUsedForPublicExhibition
Collect Used For PreservationXCollectUsedForPreservation
Solicited Assets For Sale0SolicitedAssetsForSale

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance96602400BeginningOfYearBalance
Contributions3472073Contributions
Investment Earnings Or Losses9393039InvestmentEarningsOrLosses
Other Expenditures10684515OtherExpenditures
End Of Year Balance98782997EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance98483745BeginningOfYearBalance
Contributions735867Contributions
Investment Earnings Or Losses21433488InvestmentEarningsOrLosses
Other Expenditures24050700OtherExpenditures
End Of Year Balance96602400EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance133769784BeginningOfYearBalance
Contributions878300Contributions
Investment Earnings Or Losses-29315371InvestmentEarningsOrLosses
Other Expenditures6848968OtherExpenditures
End Of Year Balance98483745EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.72000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.06000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.22000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis336962OtherCostOrOtherBasis
Book Value336962BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis57449186OtherCostOrOtherBasis
Depreciation20762703Depreciation
Book Value36686483BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis6321403OtherCostOrOtherBasis
Depreciation4597299Depreciation
Book Value1724104BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1376664OtherCostOrOtherBasis
Depreciation340170Depreciation
Book Value1036494BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings39784043TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM AFFILIATES46217969
DEFERRED FINANCING COSTS1067727
FieldValueIRS element (for citing)
Total Book Value Other Assets47285696TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
DUE TO AFFILIATES$480,844
DUE TO RESIDENTS$55,278
ASSET RETIREMENT OBLIGATION$550,579
FieldValueIRS element (for citing)
Total Of Amounts1086701TotalOfAmounts
Total Revenue22816360TotalRevenue
Total Expenses21287822TotalExpenses
Excess Or Deficit For Year1528538ExcessOrDeficitForYear
Net Unrealized GL On Investments4747165NetUnrealizedGLOnInvestments
Total Adjustments4747165TotalAdjustments
Excess Or Deficit Per FS6275703ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt27563525TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments4747165NetUnrealizedGainsInvestments
Revenue Not Rptd F9904747165RevenueNotRptdF990
Revenue Subtotal22816360RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99022816360TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt21287822TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal21287822ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99021287822TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART III, LINE 4:THE ORGANIZATION HAS TWO NON-DEPRECIABLE FIXED ASSETS: STAINED GLASS WINDOWS VALUED AT $72,700 AND RAILROAD EQUIPMENT AND TRACK VALUED AT $87,600 FOR A TOTAL $160,300. THESE TWO ASSETS FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION BY ADDING TO THE SOCIAL AND SPIRITUAL WELL BEING OF THE PATIENTS.
PART V, LINE 4:THE ORGANIZATION'S ENDOWMENT INCLUDES BOTH DONOR RESTRICTED ENDOWMENT FUNDS AND FUNDS DESIGNATED BY THE BOARD OF DIRECTORS TO FUNCTION AS ENDOWMENTS. AS REQUIRED BY GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS, INCLUDING FUNDS DESIGNATED BY THE BOARD OF DIRECTORS TO FUNCTION AS ENDOWMENTS, ARE CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OR ABSENCE OF DONOR-IMPOSED RESTRICTIONS.DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:
PART X:IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, THE ORGANIZATION ANNUALLY EVALUATES ITS TAX STATUS AND TAX POSITIONS TAKEN WITH RESPECT TO ITS OPERATIONS AND FINANCIAL POSITION.DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
PAMELA JONES
0199511000003886016490021988700
DAVID C TURNER
0300257000003361012330031594800
TOBY SHEA
018611800000009713019583100
PAUL BOWLER
173628000000092360182864000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 3THE ORGANIZATION'S MANAGEMENT DUTIES ARE HANDLED BY ONE OF IT'S RELATED ENTITIES, MASONIC HEALTH SYSTEMS OF MASSACHUSETTS, INC.
FORM 990, PART VI, SECTION A, LINE 3THE ORGANIZATION'S MANAGEMENT DUTIES ARE HANDLED BY ONE OF IT'S RELATED ENTITIES, THE MASONIC HEALTH SYSTEM OF MASSACHUSETTS, INC.
FORM 990, PART VI, SECTION A, LINE 6MASONIC HEALTH SYSTEM OF MASSACHUSETTS, INC. IS THE SOLE CORPORATE MEMBER OF OVERLOOK MASONIC HEALTH CENTER, INC. AS SUCH, THE HEALTH SYSTEM HAS THE RIGHT TO APPROVE ACTIONS TAKEN BY THE BOARD MEMBERS OF OVERLOOK MASONIC HEALTH CENTER, INC.
FORM 990, PART VI, SECTION A, LINE 7AMASONIC HEALTH SYSTEM OF MASSACHUSETTS, INC. IS THE SOLE CORPORATE MEMBER OF OVERLOOK MASONIC HEALTH CENTER, INC. AS SUCH, THE HEALTH SYSTEM HAS THE RIGHT TO ELECT AND APPROVE BOARD MEMBERS OF OVERLOOK MASONIC HEALTH CENTER, INC.
FORM 990, PART VI, SECTION A, LINE 7BMASONIC HEALTH SYSTEM OF MASSACHUSETTS, INC. IS THE SOLE CORPORATE MEMBER OF OVERLOOK MASONIC HEALTH CENTER, INC. AS SUCH, THE HEALTH SYSTEM HAS THE RIGHT TO APPROVE ACTIONS TAKEN BY THE BOARD MEMBERS OF OVERLOOK MASONIC HEALTH CENTER, INC.
FORM 990, PART VI, SECTION B, LINE 11MANAGEMENT WORKS WITH THE ORGANIZATION'S EXTERNAL AUDITORS TO PREPARE THE FINANCIAL INFORMATION AND COMPILE THE DISCLOSURES REQUIRED OF THE FORM 990. UPON ITS COMPLETION, SENIOR MANAGEMENT PROVIDES A DRAFT OF THE FORM 990 WITH THE BOARD OF DIRECTORS PRIOR TO ITS SUBMISSION.
THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY VIA ANNUAL EXECUTION OF THE CONFLICT OF INTEREST POLICY. THIS CONFLICTS POLICY IS INTENDED TO SUPPLEMENT, BUT NOT REPLACE, ANY APPLICABLE STATE LAWS GOVERNING CONFLICTS OF INTEREST APPLICABLE TO NONPROFIT AND CHARITABLE CORPORATIONS. THIS CONFLICTS POLICY HAS BEEN ADOPTED BY THE BOARD OF DIRECTORS OF MASONIC HEALTH SYSTEM OF MASSACHUSETTS, INC. (MHS) THIS CONFLICTS POLICY SHALL APPLY WITH EQUAL FORCE TO ALL CORPORATIONS RELATED TO, OR AFFILIATED WITH, MHS. FORM 990, PART VI, SECTION A, LINE 13:IS THE POLICY OF MHS TO ACTIVELY WORK TO PREVENT FRAUD, WASTE, OR ABUSE OF PROCEDURE. ALL EMPLOYEES, CONTRACTORS, AGENTS, AND VOLUNTEERS OF MHS MUST IMMEDIATELY REPORT ANY SUSPICION OF FRAUD, WASTE, OR ABUSE OF PROCEDURE IN CONNECTION WITH MHS OPERATIONS TO HIS OR HER SUPERVISOR. MHS ENGAGES IN A CORPORATE COMPLIANCE PROGRAM FOR THE PURPOSE OF DETECTING AND PREVENTING FRAUD, WASTE, AND ABUSE OF PROCEDURE. FORM 990, PART VI, SECTION A, LINE 14: MANAGEMENT AND THE BOARD ARE IN THE PROCESS OF INITIATING A WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY.FORM 990, PART VI, SECTION B, LINE 12C
THE ORGANIZATION MAINTAINS A PERSONNEL COMMITTEE TO ANNUALLY REVIEW THE PERFORMANCE AND COMPENSATION OF THE OFFICERS AND KEY EMPLOYEES. THE PERSONNEL COMMITTEE DETERMINES THE COMPENSATION FOR OFFICERS AND KEY EMPLOYEES ANNUALLY BASED ON COMPARABLE INDUSTRY DATA AND THROUGH A CONSULTATION AGREEMENT WITH TOWERS PERRIN, A NATIONAL HUMAN RESOURCES CONSULTANT. THE DETERMINATION OF COMPENSATION IS SUBSTANTIATED IN THE ORGANIZATION'S MINUTES OF THE PERSONNEL COMMITTEEFORM 990, PART VI, SECTION B, LINE 15
THE ORGANIZATION'S FORM 990 IS AVAILABLE TO THE PUBLIC UPON REQUEST AND CAN BE FOUND AT THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITE.FORM 990, PART VI, SECTION C, LINE 18
THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19: THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AVAILABLE ON THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITE.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 4,747,165.FORM 990, PART XI, LINE 5:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusControlled OrgControlledOrg
THE MASONIC HEALTH SYSTEM OF MASSACHUSETTS
88 MASONIC HOME ROADCHARLTONMA01507043515688SOLE MEMBERMA501(C)(3)501(C)(3)0
OVERLOOK VISITING NURSES ASSOCIATION INC
88 MASONIC HOME ROADCHARLTONMA01507043515687HOME HEALTHCAREMA501(C)(3)501(C)(3)0
OVERLOOK COMMUNITIES INC
88 MASONIC HOME ROADCHARLTONMA01507043515686RESIDENTIAL & ASSISTED LIVINGMA501(C)(3)501(C)(3)0
THE GROVES IN LINCOLN INC
88 MASONIC HOME ROADCHARLTONMA01507260300778SENIOR LIVINGMA501(C)(3)501(C)(3)0
OVERLOOK HEALTH CENTER AT NORTHAMPTON INC
88 MASONIC HOME ROADCHARLTONMA01507270451701SKILLED NURSING FACILITYMA501(C)(3)501(C)(3)0
THE APARTMENTS AT THE GROVES INC
88 MASONIC HOME ROADCHARLTONMA01507260300696SENIOR LIVINGMA501(C)(3)501(C)(3)0

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1OVERLOOK CATERING INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line188 MASONIC HOME ROADAddressLine1
CityCHARLTONCity
StateMAState
ZIP Code01507ZIPCode
FieldValueIRS element (for citing)
EIN271472010EIN
Primary ActivityCATERING SERVICESPrimaryActivity
Legal Domicile StateMALegalDomicileState
Type Of EntityCTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org1SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg