2018-08-14T12:56:56-05:00 2017-09-30 061009205 BLUM SHAPIRO & COMPANY PC ONE INTERNATIONAL PLACE 16TH FLOOR BOSTON MA 02110 990 2016-10-01 060662192 THE MARY WADE HOME INCORPORATED MARY 2035627222 118 CLINTON AVENUE NEW HAVEN CT 06513 DAVID HUNTER PRESIDENT & CEO 2035627222 2018-08-08 1 LAURA J KENNEY P00202198 6172211944 2018-07-24 2016 2022-09-23 18:48:47Z DAVID HUNTER 118 CLINTON AVENUE NEW HAVEN CT 06513 14746365 0 X WWW.MARYWADE.ORG X 1982 CT TO PROVIDE THOSE IN NEED WITH THE HIGHEST QUALITY OF SUPERVISED SKILLED NURSING, RESIDENTIAL SERVICES, HOME CARE, SOCIAL AND MEDICAL PROGRAMS IN ORDER TO MAINTAIN THE RESIDENT'S INDIVIDUALITY IN OUR DIGNIFIED, CARING, AND CONTINUALLY GROWING COMMUNITY. 16 16 363 90 0 0 599471 62578 14681688 14501663 9137 9253 95787 115158 15386083 14688652 0 0 0 0 9251389 9237294 0 0 178579 6141116 6356868 15392505 15594162 -6422 -905510 20515272 19940162 14800263 15118280 5715009 4821882 X TO PROVIDE THOSE IN NEED WITH THE HIGHEST QUALITY OF SUPERVISED SKILLED NURSING, RESIDENTIAL SERVICES, HOME CARE, SOCIAL AND MEDICAL PROGRAMS IN ORDER TO MAINTAIN THE RESIDENT'S INDIVIDUALITY IN OUR DIGNIFIED, CARING, AND CONTINUALLY GROWING COMMUNITY. 0 0 10008235 10866340 PROVIDES LONG TERM CARE TO THE ELDERLY. THE PROGRAMS OFFER SKILLED NURSING SERVICES, FULL REHABILITATIVE THERAPY, AS WELL AS FOOD AND SHELTER. APPROXIMATELY 71% OF THE SERVICES ARE PROVIDED TO THE ELDERLY THAT PARTICIPATE IN THE MEDICARE AND MEDICAID PROGRAMS. 1129873 1163690 ADULT DAY CARE - PROVIDES ADULT DAY CARE PROGRAMS AND TRANSPORTATION SERVICES TO A DIVERSE GROUP OF ELDERLY CONSUMERS. THE DYNAMIC NEEDS OF EACH PERSON ARE MET WITH CONTINUOUSLY EVOLVING CARE AND SERVICE. 1562550 2258237 OPERATES A RESIDENTIAL CARE FACILITY. THIS SERVICE PROVIDES FOOD AND SHELTER TO THE ELDERLY WHO CANNOT LIVE INDEPENDENTLY BUT ARE NOT IN NEED OF SKILLED NURSING CARE. 404834 217158 PROVIDES NON-MEDICAL HOME CARE SERVICES TO SENIORS AND INDIVIDUALS WITH DISABILITIES. 404834 217158 13105492 1 1 0 0 0 0 0 0 1 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 1 0 0 1 38 0 1 363 1 0 0 0 0 0 1 1 0 0 0 0 X 16 16 1 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X CHERYL SHIRLEY 2036727817 118 CLINTON AVENUE NEW HAVEN CT 06513 HAROLD S SPITZER BOARD OF TRUSTEES - CHAIR 4.00 1.00 X X 0 0 0 LUIS A PAGAN BOARD OF TRUSTEES - TREASURER 0.40 1.00 X X 0 0 0 MARYBETH CANAVAN BOARD OF TRUSTEES - SECRETARY 0.40 1.00 X X 0 0 0 PATRICIA A GANUN BOARD OF TRUSTEES - VICE CHAIR 0.40 1.00 X X 0 0 0 ALFRED J GOLDBERG BOARD OF TRUSTEES 0.40 1.00 X 0 0 0 BRIAN E WNEK BOARD OF TRUSTEES 0.40 2.00 X 0 0 0 DR BONNIE SCOTT BOARD OF TRUSTEES 0.40 1.00 X 0 0 0 GEORGE SURFACE BOARD OF TRUSTEES 0.40 1.00 X 0 0 0 JACQUELINE HENCHEL MD BOARD OF TRUSTEES 0.40 1.00 X 0 0 0 KEVIN TWOHIG MD BOARD OF TRUSTEES 0.40 1.00 X 0 0 0 LAWRENCE W IANNOTTI BOARD OF TRUSTEES 0.40 2.00 X 0 0 0 LUCIE H IANNOTTI BOARD OF TRUSTEES 0.40 2.00 X 0 0 0 MOIRA HAMBLETON BOARD OF TRUSTEES 0.40 1.00 X 0 0 0 RAYMOND PEACH BOARD OF TRUSTEES 0.40 1.00 X 0 0 0 RICHARD A HUTCHINSON BOARD OF TRUSTEES 0.40 1.00 X 0 0 0 WILLIAM H PLACKE BOARD OF TRUSTEES 0.40 1.00 X 0 0 0 DAVID STAHELSKI BOARD OF TRUSTEES 0.40 1.00 X 0 0 0 CHERYL SHIRLEY CFO 30.00 10.00 X 103620 32722 9983 DAVID HUNTER PRESIDENT & CEO 26.00 14.00 X 155920 80322 37816 259540 113044 47799 2 0 1 0 OR&L CONSTRUCTION 2 SUMMIT PLACE BRANFORD CT 06405 EXPANSION AND RENOVATIONS 1218072 FOREMOST REHAB OF CT 1157 HIGHLAND AVENUE SUITE 101 CHESHIRE CT 06410 PHYSICAL, OCCUPATIONAL, & SPEECH THERAPY 585165 MURTHA CULLINA LLP 185 ASYLUM STREET HARTFORD CT 06103 LEGAL SERVICES 166102 TECHNICAL GAS PRODUCTS 101 NORTH PLAINS INDUSTRIAL ROAD 1B WALLINGFORD CT 06492 PULMONARY REHAB SERVICES 154190 EXECUTIVE COMPUTER SYSTEMS 365 WILLARD AVENUE SUITE 2K NEWINGTON CT 06111 SOFTWARE AND HARDWARE MAINTENANCE SERVIC 110948 5 17467 1927 43184 10000 62578 NET RESIDENT REVENUES 623000 11079736 11079736 RESIDENT CARE REVENUES 623000 2258237 2258237 ADULT DAY CARE REVENUES 623000 1163690 1163690 14501663 8147 8147 1106 0 1106 1106 1106 169109 17467 57713 111396 111396 MISCELLANEOUS INCOME 900099 3762 3762 3762 14688652 14505425 0 120649 339282 22525 199705 117052 7376438 6643024 705851 27563 94942 85502 9085 355 908880 821583 87297 517752 466273 49544 1935 15021 15021 64962 64962 271 271 82763 82763 278542 86730 190279 1533 199081 199081 326560 326560 78564 61766 16798 627984 627984 811699 780653 31046 177814 7645 170169 PATIENT CARE 1342243 1312102 30141 CONSULTANTS & PURCHASED 985429 918176 67253 PROVIDER TAX 577293 577293 CONSTRUCTION COSTS 461357 360173 101184 327285 7503 319782 15594162 13105492 2310091 178579 425755 252254 91634 95971 1459357 1566986 46184 53444 91384 86410 20350489 9541360 11524836 10809129 372698 357017 3864 13500 6499560 6705451 20515272 19940162 889948 818779 234820 156064 60463 59553 11644026 11287347 1971006 2796537 14800263 15118280 X 5635339 4732576 11064 20700 68606 68606 5715009 4821882 20515272 19940162 X -905510 5500 6883 X 0 1 X 1 1 1 X 89305 231454 336741 599471 62578 1319549 13681333 13955578 14450602 14681688 14501663 71270864 13770638 14187032 14787343 15281159 14564241 72590413 7446 10620 10707 10000 17225 55998 22162 94097 39811 126208 68669 350947 29608 104717 50518 136208 85894 406945 72183468 17032 13841 9746 9339 8147 58105 17032 13841 9746 9339 8147 58105 2662 8677 5115 4995 3812 25261 13790332 14209550 14802204 15295493 14576200 72673779 0.99330 0.99330 0.00080 0.00070 X SCHEDULE A, PART III, LINE 12, EXPLANATION FOR OTHER INCOME: MISCELLANEOUS INCOME RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 18726796 1784001 96436 20414361 17962825 853724 89753 18726796 17822735 211167 71077 17962825 16020495 11882 1888660 98302 17822735 14831975 1282268 93748 16020495 0.99990 0.00010 0.00000 0 1 1 320191 320191 15592913 7823786 7769127 4437385 1717574 2719811 10809129 DUE TO/FROM RELATED PARTIES 6249582 ESCROW 135 START-UP COSTS 448816 SUNDRY 6918 6705451 DEFERRED COMPENSATION 300162 LINE OF CREDIT 2292683 OTHER 203692 2796537 X PART IV, LINE 2B: AT THE OPTION OF EACH RESIDENT, THE ORGANIZATION HOLDS FUNDS FOR RESIDENTS IN A SEPARATE ACCOUNT. THE RESIDENTS FUNDS ARE POOLED TOGETHER INTO ONE ACCOUNT BUT ARE NOT COMMINGLED WITH THE ORGANIZATION'S OPERATING ACCOUNT. RESIDENTS CAN REQUEST THEIR FUNDS AT ANY TIME. PART V, LINE 4: $20,332,255 OF THE ENDOWMENT IS HELD BY MW HEALTHCARE, INC., FOR THE PURPOSE OF SUPPORTING THE MARY WADE HOME, INC. THE REMAINING $82,106 IS HELD BY THE MARY WADE HOME, INC. AND IS USED TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO THE ORGANIZATION'S PROGRAMS WHILE ALSO MAINTAINING THE PURCHASING POWER OF THOSE ENDOWMENT ASSETS OVER THE LONG-TERM. PART X, LINE 2: THE COMPANY HAS ADOPTED THE ACCOUNTING INTERPRETATION REGARDING ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES THAT PRESCRIBES HOW AN ENTITY SHOULD MEASURE, RECOGNIZE, PRESENT AND DISCLOSE POSITIONS THAT IT HAS TAKEN OR EXPECTS TO TAKE ON ITS TAX OR INFORMATION RETURNS. THE COMPANY ASSESSED THE IMPACT OF THIS INTERPRETATION AND DETERMINED THAT IT DOES NOT HAVE A MATERIAL IMPACT ON ITS CONSOLIDATED FINANCIAL STATEMENTS. AT SEPTEMBER 30, 2017, THE COMPANY BELIEVES THAT NO SUCH ACCRUALS ARE REQUIRED. WINE DINNER 157485 15000 142485 35655 18839 FAMILY FUN CONCERT 9256 2467 6789 3219 1 19835 19835 186576 17467 169109 35655 22058 57713 111396 X X X 0 0 0 0 0 0 0 0 0 DAVID HUNTER PRESIDENT & CEO 155920 80322 0 0 0 0 0 0 37816 0 193736 80322 0 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 115684 FEE FOR SERVICES PROVIDED 0 FORM 990, PART VI, SECTION A, LINE 2 LAWRENCE IANNOTTI AND LUCIE IANNOTTI ARE HUSBAND AND WIFE. FORM 990, PART VI, SECTION A, LINE 3 MW HEALTHCARE, INC. PROVIDES MANAGEMENT SERVICES TO THE MARY WADE HOME, INC. AND HOLDS AND MANAGES THE ENDOWMENT ASSETS FOR THE BENEFIT OF THE MARY WADE HOME, INC. FORM 990, PART VI, SECTION A, LINE 6 MW HEALTHCARE, INC. IS THE SOLE MEMBER OF THE MARY WADE HOME, INC. AND IS EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF TRUSTEES OF MARY WADE HOME ELECTS NEW TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER, MW HEALTHCARE, INC., HAS THE RIGHT TO VOTE ON ALL MATTERS UPON WHICH MEMBERS OF A CONNECTICUT NONSTOCK CORPORATION ARE AFFORDED THE RIGHT TO VOTE. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND THEN REVIEWED BY THE CHIEF EXECUTIVE OFFICER AND THE CHIEF FINANCIAL OFFICER OF THE ORGANIZATION AND THE MEMBERS OF THE FINANCE COMMITTEE AND PRESENTED TO THE FULL BOARD OF TRUSTEES. A COMPLETE COPY IS THEN PROVIDED TO ALL MEMBERS OF THE BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S PARENT ORGANIZATION HAS A CORPORATE COMPLIANCE OFFICER WHO SENDS OUT CONFLICT OF INTEREST STATEMENTS TO ALL OFFICERS, DIRECTORS, AND KEY EMPLOYEES. ANY POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED BY THE CORPORATE COMPLIANCE COMMITTEE OF THE BOARD OF MANAGERS. CERTAIN RESTRICTIONS ARE PLACED ON PERSONS WITH A CONFLICT. THEY ARE PROHIBITED FROM PARTICIPATING IN THE GOVERNING BODY'S DISCUSSIONS AND DECISIONS REGARDING THE TRANSACTIONS. FORM 990, PART VI, SECTION B, LINE 15 ANNUALLY, THE PRESIDENT & CEO PREPARES PERFORMANCE EVALUATIONS ON SENIOR STAFF, INCLUDING A SELF EVALUATION. THE PERFORMANCE EVALUATIONS ARE BASED ON DUTIES THAT ARE STATED WITHIN THE JOB DESCRIPTIONS, BENCHMARKS THAT ARE USED IN QUARTERLY DASHBOARD REPORTS (I.E. CENSUS, PAYOR MIX, STAFF TURNOVER, FINANCIAL INDICATORS, ETC.) AND ANNUAL GOALS. THE EVALUATIONS INCLUDE CURRENT ANNUAL SALARY (INCLUDING BONUSES), AND INCREASES THAT ARE RECOMMENDED TO THE COMMITTEE BY THE PRESIDENT & CEO. THE PRESIDENT & CEO MEETS WITH THE GOVERNANCE COMMITTEE TO REVIEW PERFORMANCES AND ANSWER QUESTIONS, AND SUBMITS RECOMMENDATIONS FOR SALARY INCREASES, AND/OR REASONS FOR NOT INCREASING SALARIES. THE GOVERNANCE COMMITTEE MEETS SEPARATELY WITHOUT STAFF TO DISCUSS THE EVALUATIONS AND RECOMMENDATIONS. TO ASSIST MANAGEMENT AND MEMBERS OF THE GOVERNANCE COMMITTEE IN PROVIDING A COMPARISON ANALYSIS FOR EACH POSITION, THREE HUMAN RESOURCE WAGE AND BENEFIT RESOURCES ARE UTILIZED, AS LISTED BELOW: 1.) NURSING HOME SALARY & BENEFITS REPORT, 2016-2017, PUBLISHED BY HOSPITAL & HEALTHCARE COMPENSATION SERVICE IN COOPERATION WITH LEADINGAGE, PUBLISHED JULY 2017, EFFECTIVE DATE OF DATA: MARCH 2017. 2.) CONTINUING CARE RETIREMENT COMMUNITY SALARY & BENEFITS REPORT, 2016-2017, PUBLISHED BY HOSPITAL & HEALTHCARE COMPENSATION SERVICE IN COOPERATION WITH LEADINGAGE, PUBLISHED JULY 2017, EFFECTIVE DATE OF DATA: MARCH 2017. 3.) COMPENSATION & BENEFITS SURVEY, CONDUCTED BY KARDASLARSON, LLC, A HUMAN RESOURCE CONSULTING FIRM HEADQUARTERED IN AVON, CT. THIS REPORT WAS SPONSORED BY LEADINGAGE CONNECTICUT AND LEADINGAGE MASSACHUSETTS AND THE SURVEY INCLUDES RESULTS FROM ORGANIZATIONS IN CT AND MA. THE SURVEY WAS PUBLISHED AUGUST 2017. THE ANNUAL PERFORMANCE EVALUATIONS AND RECOMMENDATIONS FOR COMPENSATION PACKAGES (INCLUDING BONUSES) ARE PRESENTED TO THE BOARD OF TRUSTEES BY THE GOVERNANCE COMMITTEE IN SPECIAL SESSION. FOLLOWING BOARD ACTION, A REPRESENTATIVE OF THE GOVERNANCE COMMITTEE MEETS WITH THE PRESIDENT & CEO TO COMMUNICATE THE ACTIONS THAT WERE TAKEN. THE PRESIDENT & CEO MEETS SEPARATELY WITH SENIOR STAFF MEMBERS TO REVIEW THEIR EVALUATIONS AND COMPENSATION PACKAGE FOR THE COMING YEAR. FORM 990, PART VI, SECTION C, LINE 19 AT THIS TIME, THE ORGANIZATION HAS NOT HAD ANY REQUEST TO REVIEW THIS INFORMATION. HOWEVER, THIS INFORMATION IS AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: FUND TRANSFER 6,886. ROUNDING -3. MARY WADE AT HOME LLC 118 CLINTON AVENUE NEW HAVEN CT 06513 474030778 TO PROVIDE NON-MEDICAL HOME CARE SERVICES TO SENIORS CT 217158 30877 MARY WADE HOME INC MW HEALTHCARE INC 118 CLINTON AVENUE NEW HAVEN CT 06513 270268085 OPERATES EXCLUSIVELY FOR THE BENEFIT OF THE MARY WADE HOME, INC. CT 501(C)(3) LINE 12B, TYPE II N/A 0 MWH HOLDINGS INC 118 CLINTON AVENUE NEW HAVEN CT 06513 611403583 TITLE HOLDING CORPORATION FOR A NON-FOR-PROFIT CORPORATION CT 501(C)(2) N/A MW HEALTHCARE INC 1 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 MWH HOLDINGS INC D 3600000 COST MWH HOLDINGS INC R 88479 COST MWH HOLDINGS INC O 69324 COST