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OVERLOOK HEALTH CENTER AT: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
OVERLOOK HEALTH CENTER AT (EIN 27-0451701)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-11
IRS object ID
201143159349302829
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)
EIN270451701EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1OVERLOOK HEALTH CENTER AT NORTHAMPTON INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlOVERNameControl
Phone4135848457Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NamePAMELA JONESName
TitleTREASURER AND EVP, ACCOUNTINGTitle
Phone4135848457Phone
Date Signed2011-09-22DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameALAN GAROFALOName
Phone6177427788Phone
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 Code01507ZIPCode
FieldValueIRS element (for citing)
Gross Receipts7070901GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MASONICHEALTHSYSTEM.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2009YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionCHARTIBLE-THE PROVISION OF LONG TERM RESIDENTIAL AND REHABILITATIVE CARE TO RESIDENTS OF THE COMMUNITYActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees377TotalNbrEmployees
Total Nbr Volunteers10TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year7969ContributionsGrantsPriorYear
Contributions Grants Current Year6493ContributionsGrantsCurrentYear
Program Service Revenue Prior Year3627563ProgramServiceRevenuePriorYear
Program Service Revenue CY7019100ProgramServiceRevenueCY
Investment Income Prior Year239InvestmentIncomePriorYear
Investment Income Current Year2InvestmentIncomeCurrentYear
Other Revenue Prior Year15053OtherRevenuePriorYear
Other Revenue Current Year45306OtherRevenueCurrentYear
Total Revenue Prior Year3650824TotalRevenuePriorYear
Total Revenue Current Year7070901TotalRevenueCurrentYear
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 Year1819656SalariesEtcPriorYear
Salaries Etc Current Year6638318SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3072217OtherExpensePriorYear
Other Expenses Current Year3985790OtherExpensesCurrentYear
Total Expenses Prior Year4891873TotalExpensesPriorYear
Total Expenses Current Year10624108TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1241049RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-3553207RevenuesLessExpensesCY
Total Assets BOY4743307TotalAssetsBOY
Total Assets EOY5103252TotalAssetsEOY
Total Liabilities BOY6363174TotalLiabilitiesBOY
Total Liabilities EOY10276326TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-1619867NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-5173074NetAssetsOrFundBalancesEOY
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
Expense9583327Expense
Revenue7062293Revenue
DescriptionTO PROVIDE THE RESIDENTS OF THE HEALTH CENTER WITH THE HIGHEST LEVEL OF COMPREHENSIVE MEDICAL CARE SERVICES WITH A CONSIDERATE AND PERSONAL TOUCHDescription
Total Program Service Expense9583327TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
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 With10961NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees377NumberOfEmployees
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 Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
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 DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
PAMELA JONES
TREASURER / EVP OF ACCOUNTING1.00XX019951120376
ROGER W PAGEAU
GRAND MASTER / PRESIDENT1.00XX000
DAVID C TURNER
MHS PRESIDENT & CEO1.00XX030025715691
RICHARD J STEWART
OFFICER/CLERK1.00XX000
WILLIAM BARNETT
PRESIDENT OF OHCN1.00XX000
RONALD E JACKSON
DIRECTOR1.00X000
JOHN LILLIS
DIRECTOR1.00X000
JOSEPH KEARNS
DIRECTOR1.00X000
BRIAN MARSH
DIRECTOR1.00X000
DAVID PACE
DIRECTOR1.00X000
STEVEN JACKSON
DIRECTOR1.00X000
KENNETH ELSTEIN
DIRECTOR1.00X000
PAUL CATALDO
DIRECTOR1.00X000
TOBY SHEA
CFO1.00XX01861189713
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs685886TotalReportableCompFrmRltdOrgs
Total Other Compensation45780TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
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
WORLDWIDE STAFFING
425 UNION STREETWEST SPRINGFIELDMA01089RN AND CNA STAFFING283027
SYSCO
380 SOUTH WORCHESTER STREETNORTONMA02766FOOD SERVICES219125
MCCLELLAND HEALTH SYSTEMS
85 INTERSTATE DRIVEWEST SPRINGFIELDMA01089NUTRITIONAL SERVICES187776
MEDLINE INDUSTRIES INC
560 WEST STMANSFIELDMA02048HEALTH SERVICES164046
NURSEFINDERS
181 PARK AVENUEWEST SPRINGFIELDMA01089RN AND CNA STAFFING117286
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
All Other Contributions6493AllOtherContributions
Total Contributions6493TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE REVENUDescription
Business Code623000BusinessCode
Total Revenue Column7019100TotalRevenueColumn
Related Or Exempt Function Income7019100RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue7019100TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2TotalRevenueColumn
Exclusion$2ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MISCELLANEOUS REVENUE9000993388333883
CAFETERIA REVENUE90009993109310
PURCHASE DISCOUNT90009921132113
FieldValueIRS element (for citing)
Total Other Revenue45306TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column7070901TotalRevenueColumn
Related Or Exempt Function Income7064406RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5618193Total
Program Services5337283ProgramServices
Management And General280910ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3951Total
Program Services3753ProgramServices
Management And General198ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total547826Total
Program Services520435ProgramServices
Management And General27391ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total468348Total
Program Services444931ProgramServices
Management And General23417ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total412949Total
Management And General412949ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total50782Total
Management And General50782ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total20117Total
Management And General20117ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total576589Total
Program Services547760ProgramServices
Management And General28829ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total19750Total
Management And General19750ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total156928Total
Program Services149082ProgramServices
Management And General7846ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total339405Total
Program Services322435ProgramServices
Management And General16970ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total13253Total
Program Services12590ProgramServices
Management And General663ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total120035Total
Management And General120035ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total234628Total
Program Services222897ProgramServices
Management And General11731ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total191319Total
Program Services181753ProgramServices
Management And General9566ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES618304618304
RESIDENT BED TAX533227533227
DIETARY SERVICES274191274191
PROVISION FOR UNCOLLECT231764231764
REPAIRS AND MAINTENANCE1071831018245359

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total85366Total
Program Services81098ProgramServices
Management And General4268ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total10624108Total
Program Services9583327ProgramServices
Management And General1040781ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY198110BOY
EOY372767EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY743841BOY
EOY758322EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY165218BOY
EOY201177EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4036790LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec309470LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3623090BOY
EOY3727320EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY13048BOY
EOY43666EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4743307BOY
EOY5103252EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1181668BOY
EOY945577EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY5181506BOY
EOY9330749EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY6363174BOY
EOY10276326EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-1627836BOY
EOY-5187476EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY7969BOY
EOY14402EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-1619867BOY
EOY-5173074EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4743307BOY
EOY5103252EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-3553207ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
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 Minus1 Year7969CurrentTaxYearMinus1Year
Current Tax Year6493CurrentTaxYear
Total14462Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year3627563CurrentTaxYearMinus1Year
Current Tax Year7019100CurrentTaxYear
Total10646663Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year3635532CurrentTaxYearMinus1Year
Current Tax Year7025593CurrentTaxYear
Total10661125Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50910661125PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year239CurrentTaxYearMinus1Year
Current Tax Year2CurrentTaxYear
Total241Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year239CurrentTaxYearMinus1Year
Current Tax Year2CurrentTaxYear
Total241Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year15053CurrentTaxYearMinus1Year
Current Tax Year45306CurrentTaxYear
Total60359Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year3650824CurrentTaxYearMinus1Year
Current Tax Year7070901CurrentTaxYear
Total10721725Total
FieldValueIRS element (for citing)
First5 Years509XFirst5Years509

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance7969BeginningOfYearBalance
Contributions6493Contributions
Other Expenditures60OtherExpenditures
End Of Year Balance14402EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Contributions7969Contributions
End Of Year Balance7969EndOfYearBalance
FieldValueIRS element (for citing)
Term Endowment EOY Balance1.00000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis500000OtherCostOrOtherBasis
Book Value500000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3036207OtherCostOrOtherBasis
Depreciation199353Depreciation
Book Value2836854BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis39600OtherCostOrOtherBasis
Depreciation6188Depreciation
Book Value33412BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis118842OtherCostOrOtherBasis
Depreciation37929Depreciation
Book Value80913BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis342141OtherCostOrOtherBasis
Depreciation66000Depreciation
Book Value276141BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3727320TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO AFFILIATES$9,251,939
DUE TO RESIDENTS$78,810
FieldValueIRS element (for citing)
Total Of Amounts9330749TotalOfAmounts
Total Revenue7070901TotalRevenue
Total Expenses10624108TotalExpenses
Excess Or Deficit For Year-3553207ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS-3553207ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt7070901TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal7070901RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9907070901TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt10624108TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal10624108ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99010624108TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: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 UNCERTAIN TAX POSITIONS UNDER FIN 48: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.

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 (3 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

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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 6THE MASONIC HEALTH SYSTEM OF MASSACHUSETTS, INC. IS THE SOLE MEMBER OF THE ORGANIZATION AND ELECTS THE BOARD OF DIRECTORS. THERE ARE NO CLASSES OF DIRECTORS. THE MASONIC HEALTH SYSTEM OF MASSACHUSETTS, INC HAS THE POWER TO REMOVE DIRECTORS, TO FILL VACANCIES, AND TO INCREASE OR DECREASE THE SIZE OF THE BOARD.
FORM 990, PART VI, SECTION A, LINE 7ATHE MASONIC HEALTH SYSTEM OF MASSACHUSETTS, INC. IS THE SOLE MEMBER OF THE ORGANIZATION AND ELECTS THE BOARD OF DIRECTORS. THERE ARE NO CLASSES OF DIRECTORS. THE MASONIC HEALTH SYSTEM OF MASSACHUSETTS, INC HAS THE POWER TO REMOVE DIRECTORS, TO FILL VACANCIES, AND TO INCREASE OR DECREASE THE SIZE OF THE BOARD.
FORM 990, PART VI, SECTION A, LINE 7BTHE MASONIC HEALTH SYSTEM OF MASSACHUSETTS, INC. IS THE SOLE MEMBER OF THE ORGANIZATION AND ELECTS THE BOARD OF DIRECTORS. THERE ARE NO CLASSES OF DIRECTORS. THE MASONIC HEALTH SYSTEM OF MASSACHUSETTS, INC HAS THE POWER TO REMOVE DIRECTORS, TO FILL VACANCIES, AND TO INCREASE OR DECREASE THE SIZE OF THE BOARD.
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 COMMITTEE.FORM 990, PART VI, SECTION B, LINE 15
THE ORGANIZATION'S FORM 990 IS AVAILABLE TO THE PUBLIC UPON REQUEST AND CAN ALSO BE FOUND ON 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

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 INC
88 MASONIC HOME ROADCHARLTONMA01507043515688SOLE MEMBERMA501(C)(3)501(C)(3)0
OVERLOOK COMMUNITIES INC
88 MASONIC HOME ROADCHARLTONMA01507043515686RESIDENTIAL & ASSISTED LIVINGMA501(C)(3)501(C)(3)0
OVERLOOK MASONIC HEALTH CENTER INC
88 MASONIC HOME ROADCHARLTONMA01507222843194SKILLED NURSING FACILITYMA501(C)(3)501(C)(3)0
OVERLOOK VISITING NURSE ASSOCIATION INC
88 MASONIC HOME ROADCHARLTONMA01507043515687VISITING NURSE ASSOCIATIONMA501(C)(3)501(C)(3)0
THE GROVES IN LINCOLN INC
88 MASONIC HOME ROADCHARLTONMA01507260300778SENIOR LIVINGMA501(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 Org0SaleOfAssetsToOtherOrg
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 Orgs0PerformOfServicesForOtherOrgs
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