2015-05-08T06:57:47-05:00 2014-09-30 061009205 BLUM SHAPIRO & COMPANY PC CPA'S 29 S MAIN STREET PO BOX 272000 WEST HARTFORD CT 061272000 990 2013-10-01 060662192 THE MARY WADE HOME INCORPORATED MARY 2035627222 118 CLINTON AVENUE NEW HAVEN CT 06513 DAVID HUNTER CEO 2035627222 2015-05-02 1 ELIZABETH SOLECKI P00235171 8605614000 2015-05-02 2013 2016-02-25 16:41:14Z DAVID HUNTER 118 CLINTON AVENUE NEW HAVEN CT 06513 14313040 0 X WWW.MARYWADE.ORG X 1982 CT TO PROVIDE THOSE IN NEED WITH THE HIGHEST QUALITY MEDICAL AND SOCIAL PROGRAMS, AND SUPERVISED SKILLED NURSING AND RESIDENTIAL SERVICES IN ORDER TO PROMOTE THE RESIDENT'S INDIVIDUAL ABILITIES IN OUR TRADITIONAL, DIGNIFIED, AND COMFORTABLE COMMUNITY OF CARING. 15 15 297 40 0 0 89305 231454 13681333 13955578 17032 15752 49616 58164 13837286 14260948 0 0 0 0 7951223 8095877 0 0 291160 5728360 5604779 13679583 13700656 157703 560292 20186546 20292293 15085539 14593633 5101007 5698660 TO PROVIDE THOSE IN NEED WITH THE HIGHEST QUALITY MEDICAL AND SOCIAL PROGRAMS, AND SUPERVISED SKILLED NURSING AND RESIDENTIAL SERVICES IN ORDER TO PROMOTE THE RESIDENT'S INDIVIDUAL ABILITIES IN OUR TRADITIONAL, DIGNIFIED, AND COMFORTABLE COMMUNITY OF CARING. 0 0 8979550 10557092 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. 1108701 1139380 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. 1479753 2267783 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. 11568004 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 38 0 1 297 1 0 0 0 0 0 1 1 0 0 0 0 X 15 15 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 ALFRED J GOLDBERG BOARD OF MANAGERS - PRESIDENT 0.40 1.00 X X 0 0 0 HAROLD S SPITZER BOARD OF MANAGERS - VICE PRES. 0.40 1.00 X X 0 0 0 LUIS A PAGAN BOARD OF MANAGERS - TREASURER 0.40 1.00 X X 0 0 0 DAVID H STAHELSKI BOARD OF MANAGERS - SECRETARY 0.40 1.00 X X 0 0 0 MOIRA HAMBLETON BOARD OF MANAGERS 0.40 1.00 X 0 0 0 PATRICIA A GANUN BOARD OF MANAGERS 0.40 1.00 X 0 0 0 RICHARD A HUTCHINSON BOARD OF MANAGERS 0.40 1.00 X 0 0 0 LAWRENCE W IANNOTTI BOARD OF MANAGERS 0.40 2.00 X 0 0 0 WILLIAM H PLACKE BOARD OF MANAGERS 0.40 1.00 X 0 0 0 JOHN J MOONEY BOARD OF MANAGERS 0.40 1.00 X 0 0 0 BRIAN E WNEK BOARD OF MANAGERS 0.40 1.00 X 0 0 0 RAYMOND PEACH BOARD OF MANAGERS 0.40 1.00 X 0 0 0 LUCIE IANNOTTI BOARD OF MANAGERS 0.40 1.00 X 0 0 0 MARYBETH CANAVAN BOARD OF MANAGERS 0.40 1.00 X 0 0 0 MARY E DAVIS BOARD OF MANAGERS 0.40 1.00 X 0 0 0 KEVIN TWOHIG MD BOARD OF MANAGERS 0.40 1.00 X 0 0 0 DAVID HUNTER CEO 26.00 14.00 X 152053 78330 25146 CHERYL SHIRLEY CFO (HIRED 9/23/13) 30.00 10.00 X 24700 7800 0 SUSAN REDMAN CFO (RETIRED 9/30/13) 30.00 10.00 X 127607 40297 13021 304360 126427 38167 2 1 1 0 FOREMOST REHAB OF CT 1157 HIGHLAND AVENUE SUITE 101 CHESHIRE CT 06410 PHYSICAL, OCCUPATIONAL, AND SPEECH THERA 444760 KEY PERSONNEL INC PO BOX 404 NORTH HAVEN CT 06473 STAFFING SERVICES 223760 2 45778 164774 20902 9600 231454 NET RESIDENT REVENUES 623000 12816198 12816198 ADULT DAY CARE REVENUES 623000 1139380 1139380 13955578 13841 13841 1911 0 1911 1911 1911 101579 45778 52092 49487 49487 MISCELLANEOUS INCOME 900099 8677 8677 8677 14260948 13964255 0 65239 306882 20374 180634 105874 6481302 5729389 659577 92336 63211 55877 6433 901 813628 729632 83996 430854 380870 43846 6138 13661 13661 66201 66201 87 87 47055 47055 247016 95457 150121 1438 93175 93175 339326 339326 92757 79726 13031 566647 566647 913290 882813 30477 142880 6291 136589 PATIENT CARE 1342975 1258502 84473 CONSULTANTS & PURCHASED 912667 818965 93702 PROVIDER TAX 596506 596506 BAD DEBTS 208936 208936 21600 7629 13971 13700656 11568004 1841492 291160 647926 827551 86342 92830 125000 40000 1529061 1647640 34785 46940 67044 104039 18002473 7357554 11096952 10644919 749468 705840 -441 1383 5850409 6181151 20186546 20292293 1095651 998229 287135 323402 12690975 12355457 1011778 916545 15085539 14593633 X 5025201 5622854 7200 7200 68606 68606 5101007 5698660 20186546 20292293 560292 37361 0 X 0 1 X 1 0 X 186879 180651 302258 89305 231454 990547 9010838 9645739 12781684 13681333 13955578 59075172 9197717 9826390 13083942 13770638 14187032 60065719 13625 7446 10620 31691 43145 22162 94097 159404 56770 29608 104717 191095 59874624 361823 24191 5 17032 13841 416892 361823 24191 5 17032 13841 416892 3194 2475 27749 2662 8677 44757 9562734 9853056 13111696 13790332 14209550 60527368 0.98920 0.98400 0.00690 0.01230 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 16020495 11882 1888660 98302 17822735 14831975 1282268 93748 16020495 12538174 2379447 85646 14831975 13397129 -396068 -369440 93447 12538174 11553062 784057 1541389 414592 66787 13397129 0.99990 0.00010 0.00000 0 1 1 320191 320191 15464490 6228734 9235756 2217792 1128820 1088972 10644919 DEFERRED COSTS 1090165 ESCROW 135 DUE FROM RELATED PARTIES 5090851 6181151 DEFERRED COMPENSATION 650257 OTHER CURRENT LIABILITY 150017 DUE TO RESIDENT TRUST ACCOUNT 51533 LINE OF CREDIT 64738 916545 PART V, LINE 4: $17,711,449 OF THE ENDOWMENT IS HELD BY MW HEALTHCARE, INC., FOR THE PURPOSE OF SUPPORTING THE MARY WADE HOME, INC. THE REMAINING $111,286 IS HELD BY THE MARY WADE HOME, INC. THIS ENDOWMENT HELD BY THE MARY WADE HOME, INC. CONSISTS OF DONOR RESTRICTED DONATIONS AS WELL AS A FUND FOR THE BENEFIT OF RESIDENTS. WINE DINNER 115081 38606 76475 31006 13482 FAMILY FUN CONCERT 13077 7172 5905 4244 1 19199 19199 3360 147357 45778 101579 31006 21086 52092 49487 X X X X 0 0 0 0 0 0 0 1 0 DAVID HUNTER CEO 108311 78330 43742 0 0 0 0 0 25146 0 177199 78330 0 0 SUSAN REDMAN CFO (RETIRED 9/30/13) 62657 40297 64950 0 0 0 0 0 13021 0 140628 40297 0 0 PART I, LINE 7 THE CEO AND CFO RECEIVE BONUSES BASED ON ANNUAL PERFORMANCE ACCOMPLISHMENTS. THE AMOUNTS OF THE BONUSES ARE DETERMINED IN ACCORDANCE WITH THE COMPENSATION POLICY AS DESCRIBED ON SCHEDULE O OF FORM 990, PART VI, SECTION B, LINE 15. 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 SOLE MEMBER, MW HEALTHCARE, INC., ELECTS THE BOARD OF DIRECTORS FOR THE UPCOMING YEAR. THIS IS DONE AT THE ANNUAL MEETING OF THE BOARD OF MANAGERS OF MW HEALTHCARE, INC. 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 UNDER. FORM 990, PART VI, SECTION B, LINE 11 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 COMPANY AND THE MEMBERS OF THE FINANCE COMMITTEE AND PRESENTED TO THE FULL BOARD OF MANAGERS. 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 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 CEO. THE CEO MEETS WITH THE PERSONNEL COMMITTEE TO REVIEW PERFORMANCES AND ANSWER QUESTIONS, AND SUBMITS RECOMMENDATIONS FOR SALARY INCREASES, AND/OR REASONS FOR NOT INCREASING SALARIES. THE PERSONNEL COMMITTEE MEETS SEPARATELY WITHOUT STAFF TO DISCUSS THE EVALUATIONS AND RECOMMENDATIONS. TO ASSIST MANAGEMENT AND MEMBERS OF THE PERSONNEL 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, 2013-2014, PUBLISHED BY HOSPITAL & HEALTHCARE COMPENSATION SERVICE IN COOPERATION WITH LEADINGAGE, PUBLISHED JULY 2014, EFFECTIVE DATE OF DATA: MARCH 2014. 2.) CONTINUING CARE RETIREMENT COMMUNITY SALARY & BENEFITS REPORT, 2013-2014, PUBLISHED BY HOSPITAL & HEALTHCARE COMPENSATION SERVICE IN COOPERATION WITH LEADINGAGE, PUBLISHED JULY 2014, EFFECTIVE DATE OF DATA: MARCH 2014. 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 2014. THE ANNUAL PERFORMANCE EVALUATIONS AND RECOMMENDATIONS FOR COMPENSATION PACKAGES (INCLUDING BONUSES) ARE PRESENTED TO THE BOARD OF MANAGERS BY THE PERSONNEL COMMITTEE IN SPECIAL SESSION. FOLLOWING BOARD ACTION, A REPRESENTATIVE OF THE PERSONNEL COMMITTEE MEETS WITH THE CEO TO COMMUNICATE THE ACTIONS THAT WERE TAKEN. THE 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. 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 11B, 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 0 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 80397 COST MWH HOLDINGS INC O 109141 COST