2020-08-17T10:14:52-05:00 2019-09-30 111986323 MARCUM LLP 555 LONG WHARF DRIVE NEW HAVEN CT 06511 990 2018-10-01 223068632 LIVEWELL ALLIANCE INC LIVE 8606289000 1261 S MAIN STREET PLANTSVILLE CT 06479 MICHAEL SMITH PRESIDENT AND CEO 8606289000 2020-08-14 1 MARY-EVELYN ANTONETTI P00431862 2037819600 47.19.127.190 2020-08-14 11:43:57 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 7762B97206E3734BD08A74DC9FF4B9CADC651293 2018 2020-09-23 17:36:50Z MICHAEL SMITH 1261 S MAIN STREET PLANTSVILLE CT 06479 19504858 0 X WWW.LIVEWELL.ORG X 1990 CT PROVIDE CARE, EDUCATION & COUNSELING TO INDIVIDUALS WITH DEMENTIA AND THEIR FAMILIES. 6 6 284 0 0 0 191136 607529 16448119 17299509 88560 457399 51038 27546 16778853 18391983 0 0 0 0 11911587 12754396 0 0 0 4415422 4846626 16327009 17601022 451844 790961 13368640 13186335 13120402 12990556 248238 195779 THE ORGANIZATION OPERATES SKILLED NURSING, ASSISTED LIVING AND ADULT DAY SERVICES. IT ALSO PROVIDES EDUCATION, COUNSELING, RESEARCH, AND COMMUNITY SERVICES FOR INDIVIDUALS WITH DEMENTIA AND THEIR FAMILIES 0 0 12622304 15289021 THE ORGANIZATION PROVIDED PATIENT CARE SERVICES TO NUMEROUS RESIDENTS DURING THE YEAR ENDED SEPTEMBER 30, 2019 THROUGH ITS SKILLED NURSING FACILITY. THEY ALSO, PROVIDED EDUCATION, COUNSELING AND RESEARCH PROGRAMS FOR INDIVIDUALS AND FAMILIES IMPACTED BY DEMENTIA AND MADE EDUCATION AND RESOURCES TO THE COMMUNITY AND TO PROFESSIONAL PROVIDERS WHO SERVE INDIVIDUALS WITH DEMENTIA. 1382671 1717886 THE ORGANIZATION PROVIDED ASSISTED LIVING SERVICES TO RESIDENTS THROUGH ITS ASSISTED LIVING CENTER. THE ASSISTED LIVING COMMUNITY IS EXCLUSIVELY FOR INDIVIDUALS LIVING WITH DEMENTIA. IT OFFERS A STIMULATING, RESPECTFUL AND SECURE ENVIRONMENT THAT PROMOTES AUTONOMY, CONNECTION, DIGNITY, MEANING, GROWTH AND JOY. 397850 292602 THE ORGANIZATION PROVIDED DAY SERVICES THROUGH ITS ADULT DAY PROGRAM. THE DAY PROGRAM IS EXCLUSIVELY FOR INDIVIDUALS IN EARLY AND MODERATE STAGES OF DEMENTIA. IT OFFERS A STIMULATING, RESPECTFUL AND SECURE ENVIRONMENT THAT PROMOTES AUTONOMY, CONNECTION, DIGNITY, MEANING, GROWTH AND JOY. 14402825 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 19 0 1 284 1 0 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CT X MICHAEL SMITH 8606289000 1261 S MAIN STREET PLANTSVILLE CT 06479 WALDO KLEIN BOARD CHAIR 1.00 X X 0 0 0 JULIE THOMPSON ROBISON SECRETARY 1.00 X X 0 0 0 MICHAEL LENKIEWICZ TREASURER 1.00 X X 0 0 0 ELIZABETH REESE DIRECTOR 1.00 X 0 0 0 SARA TINNESZ DIRECTOR 1.00 X 0 0 0 MICHAEL SMITH PRESIDENT/CEO 40.00 X 289801 0 37776 EILEEN O'CONNOR VP OF NURSING 40.00 X 156042 0 17450 PATRICIA BOWEN COO RESIDENTIAL ADMINISTRA 40.00 X 110453 0 27398 STEPHANI SHIVERS COO COMMUNITY SERVICES 40.00 X 114036 0 8223 CARLTON DESCHAINE NURSE 60.00 X 138909 0 7559 JENNIFER TERRAY ASSISTED DIRECTOR OF NURSI 40.00 X 104000 0 3440 913241 0 101846 6 0 1 0 HARTFORD PROVISIONS PO BOX 1228 SOUTH WINDSOR CT 06074 FOOD DISTRIBUTION 471908 MEDLINE INDUSTRIES PO BOX 382075 PITTSBURGE PA 152518075 MEDICAL SUPPLIES 350134 HEALTHPRO MANAGEMENT SERVICES 536 OLD HOWELL ROAD GREENVILLE SC 29615 THERAPY 229872 H&H LINEN SERVICES INC 60 BELAMOSE AVENUE ROCKYHILL CT 06057 LINEN SERVICES 196425 4 239868 367661 607529 SKILLED NURSING 623000 15289021 15289021 ASSISTED LIVING 623000 1717886 1717886 ADULT DAY CARE 623000 292602 292602 17299509 139180 139180 1431094 1112875 318219 318219 318219 MISCELLANEOUS 623000 11640 11640 CONSULTING 623000 8757 8757 BARBER/BEAUTY 623000 7149 7149 27546 18391983 17645274 0 139180 306538 306538 9566324 8429656 1136668 349000 286180 62820 1746059 1431768 314291 786475 644909 141566 35540 29143 6397 51409 42155 9254 25914 25914 603746 556580 47166 18895 1316 17579 578289 330848 247441 226089 5190 220899 64302 39814 24488 76492 29531 46961 275778 226138 49640 593811 486925 106886 117174 96083 21091 PATIENT/MED SUPPLIES 552491 552491 0 DIETARY 537105 528997 8108 BAD DEBT EXPENSE 366790 366790 MAINTENANCE 214995 177295 37700 507806 507806 17601022 14402825 3198197 0 1634818 2112390 1138045 998476 528 8351 65681 47910 20880904 16392287 4807216 4488617 4585617 4788414 1136735 742177 13368640 13186335 1703248 1765000 406593 529064 11010561 10496209 0 200283 13120402 12990556 X -380608 -385531 628846 581310 248238 195779 13368640 13186335 X 790961 -198579 -644841 X 0 1 X 1 0 X 178222 201721 163828 191136 607529 1342436 15999477 16270766 16492978 16448119 17299509 82510849 16177699 16472487 16656806 16639255 17907038 83853285 0 0 0 83853285 202753 135385 117245 88560 139180 683123 202753 135385 117245 88560 139180 683123 12781 26974 94575 51038 27546 212914 16393233 16634846 16868626 16778853 18073764 84749322 0.98940 0.98840 0.00810 0.00910 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1645529 1645529 13947027 11629441 2317586 864264 825222 39042 4329172 3842712 486460 94912 94912 0 4488617 BENEFICIAL INTEREST IN CHARITABLE REMAINDER UNITRUST 581310 DUE FROM AFFILIATE 160867 742177 INTEREST RATE SWAP 200283 200283 X PART X, LINE 2: THE CENTER IS A NOT-FOR-PROFIT ORGANIZATION AND IS EXEMPT FROM FEDERAL INCOME TAXES ON EXEMPT FUNCTION INCOME AS A PUBLIC CHARITY UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE). ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE CENTER ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH CERTAIN PROVISIONS OF FASB ASC 740, INCOME TAXES, WHICH PROVIDES A FRAMEWORK FOR HOW COMPANIES SHOULD RECOGNIZE, MEASURE, PRESENT AND DISCLOSE UNCERTAIN TAX POSITIONS IN THEIR CONSOLIDATED FINANCIAL STATEMENTS. THE CENTER MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE CENTER DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS AS OF SEPTEMBER 30, 2019. THE CENTER RECOGNIZES INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS WITHIN OTHER EXPENSES. AS OF SEPTEMBER 30, 2019 AND 2018, THE CENTER DID NOT RECORD ANY PENALTIES OR INTEREST ASSOCIATED WITH UNCERTAIN TAX POSITIONS. THE CENTER'S PRIOR THREE TAX YEARS ARE OPEN AND SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. MANAGEMENT HAS STATED THAT THERE ARE CURRENTLY NO EXAMINATIONS PENDING OR IN PROGRESS. X X X 0 0 0 0 0 0 0 1 0 MICHAEL SMITH PRESIDENT/CEO 289801 0 0 0 0 0 12250 0 25526 0 327577 0 0 0 EILEEN O'CONNOR VP OF NURSING 156042 0 0 0 0 0 7681 0 9769 0 173492 0 0 0 PART I, LINE 7 FISCAL YEAR COMPENSATION FOR PRESIDENT/CEO INCLUDED A DISCRETIONARY FIXED AMOUNT BONUS. A STATE OF CONNECTICUT HEALTH AND EDUCATIONAL FACILITIES AUTHORITY 060806186 2017-11-01 11635983 REFINANCE EXISTING MORTGAGE 0 0 0 A 998698 11635983 11635983 2017 0 0 0 0 A 0 0 0 0 0 0 0 A 0 1 0 0 1 1 KEY BANK REAL ESTATE CAPITAL 8.000000000000 0 0 0 0 0 A 0 SCHEDULE K PART II LINE 11 THE PROCEEDS OF THE ISSUE WAS SUED TO REFINANCE A 2015 LOAN FROM KEY BANK N.A. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS FIRST REVIEWED BY THE FINANCE AND AUDIT COMMITTEE AND PRESIDENT & CEO. IT IS THEN PROVIDED TO THE ENTIRE BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES ALL MEMBERS OF THE BOARD OF DIRECTORS TO SIGN THE CONFLICT OF INTEREST POLICY. IF AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ARISES, IT MUST BE DISCLOSED TO THE BOARD. IF THERE IS AN ACTUAL OR POTENTIAL CONFLICT, THE INDIVIDUAL WOULD RECUSE THEMSELVES ON ANY DISCUSSION ON THE MATTER FORM 990, PART VI, SECTION B, LINE 15 LINE 15A: A COMMITTEE OF THE BOARD WORKS WITH THE PRESIDENT/CEO TO DEVELOP A REALISTIC AND MEASURABLE SET OF GOALS AND OBJECTIVES FOR THE UPCOMING REVIEW PERIOD. THESE GOALS AND OBJECTIVES ARE LINKED DIRECTLY TO THE MAJOR COMPONENTS OF THE ORGANIZATION'S STRATEGIC PLAN. AT THE END OF THE PERFORMANCE EVALUATION PERIOD, THE COMMITTEE WILL MEET WITH THE PRESIDENT/CEO TO REVIEW PERFORMANCE AGAINST THESE OBJECTIVES. THE COMMITTEE PREPARES A REPORT TO THE BOARD THAT WILL INCLUDE: 1) A NARRATIVE REVIEW OF THE PRESIDENT/CEO PERFORMANCE; 2) MEASUREMENT (IN QUANTITATIVE TERMS) OF ACTUAL PERFORMANCE COMPARED WITH PLAN OBJECTIVES; AND 3) RECOMMENDATIONS FOR ANNUAL SALARY ADJUSTMENTS, AS WELL AS YEAR-END PERFORMANCE ACHIEVEMENT PAYMENTS. THE COMMITTEE THEN PRESENTS ITS REPORT TO THE BOARD FOR CONSIDERATION AND ACTION. DURING THE FISCAL YEAR ENDING SEPTEMBER 30, 2019,THIS PROCESS OCCURRED IN DECEMBER 2018. LINE 15B: EACH YEAR THE ORGANIZATION COMPARES AND ANALYZES AVERAGE AND STARTING WAGE RATES WITH COMPARABLE POSITIONS IN OTHER NOT-FOR PROFIT SKILLED NURSING, ASSISTED LIVING AND ADULT DAY CENTERS. THE ORGANIZATION'S PHILOSOPHY RELATED TO DETERMINING COMPENSATION AND BENEFITS IS TO STRIVE TO: 1. CREATE COMPENSATION LEVELS AND OFFER BENEFITS THAT ARE AFFORDABLE TO THE ORGANIZATION. 2. CREATE COMPENSATION AND BENEFITS AT LEVELS THAT ARE ABOVE AVERAGE OR EQUAL TO THE AVERAGE COMPENSATION AT OTHER COMPARABLE ORGANIZATIONS. 3. BE MINDFUL AND RESPONSIVE TO COMPETITIVE PRESSURES IN THE MARKETPLACE RELATED TO SALARY AND BENEFIT EXPECTATIONS. 4. CREATE LEVELS OF COMPENSATION THAT REFLECT OR ACCOUNT FOR THE YEARS OF SERVICE THAT EMPLOYEES HAVE WITH THE ORGANIZATION. 5. ALLOW FOR FINANCIAL FLEXIBILITY IN DETERMINING COMPENSATION TO RECRUIT AND RETAIN SPECIAL TALENT THAT THE ORGANIZATION MAY NEED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT -597,305. CHANGE IN FAIR VALUE OF BENEFICIAL INTEREST -CHARITABLE REMAINDER UNITRUST -47,536.