Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| (A)
MASONICARE HEALTH CENTER INC |
060655131 | 3 | Yes | 8,171,627 | 0 | |
| (B)
MASONICARE AT ASHLAR VILLAGE INC |
061050830 | 9 | Yes | 0 | 0 | |
| (C)
MASONICARE HOME HEALTH AND HOSPICE |
061101924 | 9 | Yes | 399,488 | 0 | |
| (D)
MASONICARE AT HOME INC |
202377783 | 9 | Yes | 0 | 0 | |
| (E)
MASONIC CHARITY FOUNDATION OF CT |
061435920 | 7 | Yes | 0 | 0 | |
| (F)
MASONICARE AT CHESTER VILLAGE |
822936624 | 9 | No | 0 | 0 | |
|
Total 6
|
8,571,115 | 0 | ||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) .. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2022 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2022 |
(iii) Distributable Amount for 2022 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2022 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI).
See instructions. |
||||
| 3 Excess distributions carryover, if any, to 2022: | ||||
| a From 2017....... | ||||
| b From 2018....... | ||||
| c From 2019....... | ||||
| d From 2020....... | ||||
| e From 2021....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2022 distributable amount | ||||
|
i
Carryover from 2017 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2022 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2022 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2022, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
6
Remaining underdistributions for 2022. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
7 Excess distributions carryover to 2023. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a Excess from 2018..... | ||||
| b Excess from 2019..... | ||||
| c Excess from 2020..... | ||||
| d Excess from 2021..... | ||||
| e Excess from 2022..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| Schedule A, Part I Additional Supplemental Information | Masonicare Corporation provides services to its supported organizations to enable them to accomplish their charitable missions. Financial support is provided on an as needed basis. |
| Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name | FIVE OF THE SEVEN SUPPORTED ORGANIZATIONS ARE NAMED IN MASONICARE CORPORATION'S GOVERNING DOCUMENTS. MASONICARE CORPORATION HAS A HISTORIC AND CONTINUING RELATIONSHIP WITH THE OTHER TWO SUPPORTED ORGANIZATIONS-MASONICARE AT MYSTIC, INC. AND MASONICARE AT CHESTER VILLAGE, INC. MASONICARE AT MYSTIC, INC. WAS FORMED IN 2014 AND MASONICARE AT CHESTER VILLAGE, INC. WAS FORMED IN 2017 BOTH ARE PART OF THE MASONICARE CONTINUUM OF CARE. THERE IS A SUBSTANTIAL IDENTITY OF INTERESTS BETWEEN MASONICARE CORPORATION AND MASONICARE AT MYSTIC, INC. AND MASONICARE AT CHESTER VILLAGE, INC. NOT ONLY DO THE ORGANIZATIONS SHARE COMMON GOVERNANCE (AS FURTHER DESCRIBED BELOW), BUT THE ORGANIZATIONS CONNECTED THROUGH THE MASONICARE NAME, WHICH HAS BEEN TRUSTED IN CONNECTICUT FOR MORE THAN 100 YEARS. |
| Schedule A, Part IV, Section D, Line 3 Supp. Org. Have Significant Voice In Investment Policies | THE SUPPORTED ORGANIZATIONS HAD A SIGNIFICANT VOICE IN MASONICARE CORPORATION'S INVESTMENT POLICIES AND IN DIRECTING THE USE OF MASONICARE CORPORATION'S INCOME AND ASSETS AT ALL TIMES DURING THE TAX YEAR. SPECIFICALLY, DURING THE TAX YEAR THE MEMBERS OF THE BOARD OF TRUSTEES OF MASONICARE CORPORATION WERE ALSO ON THE BOARD OF DIRECTORS OF THE SUPPORTED ORGANIZATIONS. BECAUSE OF THE BOARD OF TRUSTEES OF MASONICARE CORPORATION HAS CHARGE, CONTROL AND MANAGEMENT OF THE PROPERTY, AFFAIRS, AND FUNDS OF MASONICARE CORPORATION, THE SIGNIFICANT BOARD OVERLAP ASSURED THAT EACH OF THE SUPPORTED ORGANIZATIONS HAD A SIGNIFICANT VOICE IN THE INVESTMENT POLICIES, THE TIMING AND MAKING OF GRANTS, AND IN OTHERWISE DIRECTING THE USE OF THE INCOME AND ASSETS OF MASONICARE CORPORATION. |
| Schedule A, Part IV, Section E, Line 3a Power To Appoint/Elect Majority of Officer/Director/Trustee | MASONICARE CORPORATION HAS THE POWER TO APPOINT OR ELECT A MAJORITY OF THE OFFICERS AND DIRECTORS OF EACH OF ITS SUPPORTED ORGANIZATIONS. |
| Schedule A, Part IV, Section E, Line 3b Substantial Direction Over Policies/Programs/Activities | MASONICARE CORPORATION EXERCISES A SUBSTANTIAL DEGREE OF DIRECTION OVER THE POLICIES, PROGRAMS, AND ACTIVITIES OF EACH OF ITS SUPPORTED ORGANIZATIONS. SPECIFICALLY, MASONICARE CORPORATION SERVES AS THE PARENT ORGANIZATION (SOLE CORPORATE MEMBER) OF EACH OF THE SUPPORTED ORGANIZATIONS AND, IN ADDITION TO HAVING THE POWER TO APPOINT AND REMOVE THE DIRECTORS, ALSO HAS RESERVED POWERS THAT INCLUDE APPROVAL OF ALL LONG RANGE PLANS, APPROVAL OF THE ANNUAL BUDGET, APPROVAL OF THE WRITTEN INVESTMENT POLICY AND INVESTMENT MANAGERS OF ALL SIGNIFICANT INVESTMENTS, APPROVAL OF ALL WRITTEN POLICIES AND PROCEDURES WHICH ARE RELEVANT TO MISSION, VISION AND VALUES, AND APPROVAL OF SIGNIFICANT CORPORATE TRANSACTIONS WITH RESPECT TO EACH OF THE SUPPORTED ORGANIZATIONS. |
| Software ID: | 22016089 |
| Software Version: | 2022v5.0 |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Form 990, Part VI, Line 1a Delegate broad authority to a committee | THE ORGANIZATION HAS AN EXECUTIVE COMMITTEE OF THE BOARD, THAT SHALL HAVE THE POWER TO TRANSACT ALL BUSINESS OF THE GOVERNING BODY WHEN THE BOARD IS NOT IN SESSION. THE EXECUTIVE COMMITTEE MEMBERS ARE THE OFFICERS OF THE GOVERNING BODY, THE GRANDMASTER OF THE MASONIC GRAND LODGE A.F.& A.M. OF CONNECTICUT, AND AN ADDITIONAL TRUSTEE APPOINTED BY THE GOVERNING BODY. THE EXECUTIVE COMMITTEE INTERPRETS POLICY, ADVISES ON ISSUES RELATING TO OPERATIONAL NEEDS AND REVIEWS THE CONDUCT OF GOVERNING BODY MEMBERS AS WELL AS CARRIES OUT THE WORK OF THE GOVERNING BODY WITH RESPECT TO STAFF COMPENSATION AND HUMAN RESOURCES ISSUES AND GOVERNING BODY SELF EVALUATION. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | MASONICARE MANAGEMENT AND OUR EXTERNAL ACCOUNTANTS REVIEW THE FORM 990 AND SUPPLEMENTAL SCHEDULES FOR COMPLETENESS AND ACCURACY. IT IS REVIEWED BY THE CHIEF EXECUTIVE OFFICER AND CHAIRMAN OF THE BOARD. THE FORM 990 AND SUPPLEMENTAL SCHEDULES IS ALSO PLACED ON A SECURED WEBSITE THAT CAN BE ACCESSED BY ALL BOARD MEMBERS FOR THEIR REVIEW. AT A FULL BOARD MEETING A DISCUSSION IS HELD REGARDING COMMENTS/QUESTIONS FROM BOARD MEMBERS. THE FORM 990 AND SUPPLEMENTAL SCHEDULES IS THEN FINALIZED AND FILED. |
| Form 990, Part VI, Line 12c Conflict of interest policy | ANNUALLY, OFFICERS, DIRECTORS AND SENIOR EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE QUESTIONNAIRE. THE CORPORATE COMPLIANCE OFFICER ANNOTATES THE RESULTS TO DETERMINE IF, AND TO WHAT EXTENT, A CONFLICT OF INTEREST EXISTS. THE RESULTS OF THE OFFICER AND BOARD MEMBER DISCLOSURES ARE FIRST REVIEWED BY THE BOARD CHAIRMAN AND THEN REPORTED AT THE BOARD MEETINGS. ANY OFFICER OR BOARD MEMBER SHALL NOT MAKE OR SECOND MOTIONS OR VOTE (OTHER THAN ABSTAIN) ON MATTERS IF A CONFLICT OF INTEREST EXISTS, WHETHER OR NOT THE OFFICER OR BOARD MEMBER HAD AN OPPORTUNITY TO MAKE A WRITTEN DISCLOSURE THROUGH THE FORMALIZED PROCESS. SENIOR EMPLOYEE DISCLOSURES ARE REPORTED TO THE PRESIDENT AND CHIEF EXECUTIVE OFFICER. THE ENTIRE PROCESS IS COORDINATED BY THE CORPORATE COMPLIANCE OFFICER. ALL RESPONDENTS ARE ADVISED OF THEIR CONTINUING DUTY TO DISCLOSE ANY POSSIBLE CONFLICT OF INTEREST THAT MAY ARISE DURING THE COURSE OF THEIR SERVICE |
| Form 990, Part VI, Line 15a Process to establish compensation of top management official | THE COMPENSATION COMMITTEE OF THE BOARD ENGAGES AN INDEPENDENT FIRM TO CERTIFY THE REASONABLENESS OF THE COMPENSATION OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION ANNUALLY. THE COMPENSATION COMMITTEE APPROVES COMPENSATION BASED ON MARKET DATA ANALYSIS. THE COMMITTEES DELIBERATIONS ARE REFLECTED IN ITS MINUTES. THE PROCESS WAS COMPLETED IN MAY 2023. |
| Form 990, Part VI, Line 19 Required documents available to the public | THE ORGANIZATION PROVIDES GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS TO TO THE PUBLIC UPON REQUEST. |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | CAPITAL DISTRIBUTED TO RELATED ENTITIES - -591376; MINIMUM PENSION LIABILITY - 3675858; TRANSFERS FROM MASONIC CHARITY FOUNDATION - 2500000; |
| FORM 990, PART VI, LINE 15B - COMPENSATION OF ORGANIZATION'S OFFICERS AND KEY EMPLOYEES | THE CEO RECOMMENDS ANY SALARY ADJUSTMENTS OF THE EXECUTIVE LEADERSHIP, USING THE RESULTS OF THE VALUATION STUDY AND HIS ASSESSMENT OF INDIVIDUAL PERFORMANCE OR OTHER PERTINENT INFORMATION. THE PROPOSED EXECUTIVE SALARY CHANGES ARE PROVIDED TO THE COMPENSATION COMMITTEE. THE PROCESS WAS COMPLETED IN MAY 2023 FOR THE FOLLOWING POSITIONS: CHIEF FINANCIAL OFFICER, CHIEF INFORMATION OFFICER, CHIEF OF HEALTHCARE SERVICES, CHIEF OF STRATEGY, VICE PRESIDENT OF HUMAN RESOURSES, VICE PRESIDENT OF MISSION EFFECTIVENESS, EXECUTIVE DIRECTOR OF MASONICARE AT MYSTIC, EXECUTIVE DIRECTOR OF MASONICARE AT CHESTER VILLAGE, EXECUTIVE DIRECTOR OF MASONIC CHARITY FOUNDATION, EXECUTIVE DIRECTOR OF MASONICARE AT HOME, HEALTH AND HOSPICE, EXECUTIVE DIRECTOR OF MASONICARE AT HOME, LTC ADMINISTRATOR OF MASONICARE HEALTH CENTER. |
| FORM 990, PART VII, SECTION A, LINE 1A - TRUSTEES | HOURS RELATED FOR VOLUNTEER TRUSTEES (COLUMN B) ARE THE ESTIMATED HOURS PER WEEK THAT THE VOLUNTEER TRUSTEES CONTRIBUTE TO THIS AND ALL OTHER RELATED ORGANIZATIONS, NOT NECESSARILY EQUALLY BUT IN THE PROPORTION REQUIRED FOR EACH OF THEM, FOR WHICH THEY RECEIVE NO COMPENSATION. RELATED ORGANIZATIONS INCLUDE, MASONIC CHARITY FOUNDATION OF CT, MASONICARE HEALTH CENTER, INC., MASONICARE AT ASHLAR VILLAGE INC., MASONICARE HOME HEALTH AND HOSPICE INC., MASONICARE AT HOME INC., MASONICARE AT MYSTIC INC., MASONICARE AT CHESTER VILLAGE INC. AND KEYSTONE INDEMNITY COMPANY LTD. |
| FORM 990, PART X, LINE 20 - TE BOND LIABILITIES | THE MASONICARE OBLIGATED GROUP IS RESPONSIBLE FOR THE REPAYMENT OF THE SERIES F BONDS ISSUED BY MASONICARE CORPORATION ON NOVEMBER 15, 2016. THE MEMBERS OF THE OBLIGATED GROUP ARE MASONICARE CORPORATION, MASONIC CHARITY FOUNDATION OF CT, MASONICARE HEALTH CENTER, INC., MASONICARE AT ASHLAR VILLAGE, INC., MASONICARE AT HOME, INC., MASONICARE HOME, HEALTH AND HOSPICE, INC. AND MASONICARE AT CHESTER VILLAGE (EFFECTIVE 09/30/2021) THE CURRENT OUTSTANDING BOND BALANCE IS $93,470,000. |
| Software ID: | 22016089 |
| Software Version: | 2022v5.0 |