2014-11-13T12:02:05-06:00 2013-12-31 420714325 MCGLADREY LLP 80 CITY SQUARE BOSTON MA 021293742 990 2013-01-01 042105844 CARLETON-WILLARD HOMES INC CARL 7812758700 100 OLD BILLERICA ROAD BEDFORD MA 01730 BARBARA A DOYLE PRESIDENT & CEO 7812758700 2014-11-13 1 LYNNE JOHNSON P00757336 6179129000 2013 2015-11-30 17:44:51Z CARLETON-WILLARD VILLAGE BARBARA A DOYLE 100 OLD BILLERICA ROAD BEDFORD MA 01730 48459888 0 X WWW.CWVILLAGE.ORG X 1980 MA CARLETON-WILLARD VILLAGE IS A CONTINUING CARE RETIREMENT COMMUNITY OFFERING A COMPLETE RANGE OF SERVICES FROM INDEPENDENT LIVING APARTMENTS AND CLUSTER HOMES TO ASSISTANCE IN LIVING, SKILLED NURSING AND REHABILITATION SERVICES IN A COMMUNITY OF 350 RESIDENTS. 20 20 418 25 0 0 279082 226041 25927002 26866264 1419888 1048487 0 0 27625972 28140792 31002 72284 0 0 15589402 16324908 0 0 5000 11683710 12038295 27304114 28435487 321858 -294695 62620118 65479830 41015289 42348664 21604829 23131166 X CONTINUING THE LEGACY FROM 1884, CARLETON-WILLARD HAS BEEN A RESPECTED AND PROGRESSIVE LEADER IN PROVIDING COMPREHENSIVE SERVICES AND SUPPORT FOR OLDER ADULTS. WE PROVIDE OUTSTANDING FACILITIES AND SERVICES, A CARING AND DEDICATED STAFF AND AN ACTIVE AND VIBRANT COMMUNITY BUILT IN COLLABORATION WITH THOSE WE SERVE. 0 0 6047838 50600 9986348 OPERATES A COMMUNITY WITH 148 INDEPENDENT LIVING UNITS SERVICING APPROXIMATELY 189 RESIDENTS. ACCOMMODATIONS INCLUDE DAILY MEALS, WEEKLY HOUSEKEEPING AND LINEN SERVICES, TRANSPORTATION TO MEDICAL APPOINTMENTS, LOCAL SHOPPING AND ONSITE ACTIVITIES, MOST UTILITIES, TRASH REMOVAL AND RECYCLING, PARKING, 24/7 SECURITY, IN-UNIT EMERGENCY MONITORING SYSTEM, FITNESS CENTER, CRAFT STUDIO, WOODWORKING SHOP, COMPUTER CENTER, LIBRARY AND AN EXTENSIVE ACTIVITY PROGRAM. ADDITIONALLY, RESIDENTS HAVE THE CONVENIENCE OF ON-SITE BANKING, AN INDOOR POOL, GENERAL STORE/GIFT SHOP, FLORIST, BEAUTY SALON AND ACCESS TO ORGANIZED ACTIVITIES BEYOND THE COMMUNITY. 17718784 21684 16743256 OPERATING A 100 BED SKILLED NURSING FACILITY AND A 79 BED REST HOME FOR APPROXIMATELY 161 RESIDENTS. SKILLED NURSING PROVIDES LONG TERM CARE, SHORT TERM STAYS/REHABILITATION AND DEMENTIA/ALZHEIMER CARE IN A DISTINCT, AWARD WINNING UNIT. ASSISTANCE IN LIVING CARE IS PROVIDED IN THE REST HOME AREA OF THE VILLAGE TO THOSE REQUIRING VARIOUS SUPPORTIVE SERVICES WHILE NOT INFRINGING ON RESIDENT'S CAPABILITIES. BOTH SKILLED NURSING AND ASSISTANCE IN LIVING SERVICES ARE AVAILABLE TO INDEPENDENT RESIDENTS OF CARLETON-WILLARD AND TO SENIORS FROM SURROUNDING COMMUNITIES. 604842 136663 OPERATES AN ON-SITE OUTPATIENT CLINIC SERVING APPROXIMATELY 250 RESIDENTS FROM CARLETON-WILLARD'S INDEPENDENT AND ASSISTANCE IN LIVING PROGRAMS. COMPREHENSIVE SERVICES AVAILABLE THROUGH THE CLINIC INCLUDE ROUTINE AND URGENT OUTPATIENT CARE, SCHEDULED APPOINTMENTS IN A VARIETY OF SPECIALTIES INCLUDING OPHTHALMOLOGY, PODIATRY, DERMATOLOGY, PSYCHIATRY, AUDIOLOGY AND PHYSICAL, SPEECH AND OCCUPATIONAL THERAPIES. STAFFED BY A FULLTIME NURSE PRACTITIONER AND OTHER CLINIC STAFF. 24371464 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 94 0 1 418 1 0 0 0 0 0 0 0 0 0 0 X 20 20 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 MA X JANET D SILVERMAN CFO 7812758700 100 OLD BILLERICA ROAD BEDFORD MA 01730 ADRIENNE SMITH TREASURER 8.00 0.00 X X 0 0 0 ANN MARIE TEUBER LMFT TRUSTEE 2.00 1.00 X 0 0 0 BARBARA A CLIFFORD TRUSTEE 2.00 2.00 X 0 0 0 CATHERINE B DAMON TRUSTEE 2.00 1.00 X 0 0 0 CHARLES A WELCH MD TRUSTEE 2.00 1.00 X 0 0 0 CHRISTOPHER F WOLF TRUSTEE 2.00 2.00 X 0 0 0 JAMES A SALTONSTALL CHAIRMAN 8.00 2.00 X X 0 0 0 JOHN E CUPPLES VICE-CHAIRMAN 8.00 1.00 X X 0 0 0 JUDITH D HOOD TRUSTEE 2.00 1.00 X 0 0 0 MARY B JOHNSON TRUSTEE 2.00 2.00 X 0 0 0 PETER G BROWN TRUSTEE 2.00 0.00 X 0 0 0 PRISCILLA H MOTLEY CLERK 8.00 1.00 X X 0 0 0 REV JOHN C LOMBARD D MIN TRUSTEE 2.00 2.00 X 0 0 0 ROBERT G CROCKER TRUSTEE 2.00 2.00 X 0 0 0 RUTH W PIPER TRUSTEE 2.00 2.00 X 0 0 0 THOMAS WOODHOUSE TRUSTEE 2.00 0.00 X 0 0 0 WILLIAM C HAYS ESQ TRUSTEE 2.00 2.00 X 0 0 0 WILLIAM W GALLAGHER III TRUSTEE 2.00 2.00 X 0 0 0 WILLIAM W JACKSON TRUSTEE 2.00 2.00 X 0 0 0 PAUL HARRISON JR TRUSTEE 2.00 0.00 X 0 0 0 BARBARA A DOYLE PRESIDENT & CEO 60.00 6.00 X 306305 0 40036 JANET D SILVERMAN CFO 50.00 4.00 X 159861 0 30549 GARY SAWIN DIRECTOR OF HR 50.00 0.00 X 153615 0 28898 VALERIE GINGRAS ADMINISTRATOR 50.00 0.00 X 168016 0 30863 BARBARA CHENOWETH DIRECTOR OF CLINIC 40.00 0.00 X 114268 0 28927 BRENDA MORGAN DIRECTOR OF NURSING 40.00 0.00 X 134491 0 14604 PEGGY WHITELEY DIRECTOR OF MARKETING 40.00 0.00 X 106351 0 13172 PAUL LUND DIRECTOR OF FACILITIES 40.00 0.00 X 123646 0 29244 1266553 0 216293 8 0 1 0 HEALTHCARE SERVICES GROUP 3220 TILLMAN DRIVE SUITE 300 BENSALEM PA 19020 HOUSEKEEPING/LAUNDRY 900182 CE FLOYD COMPANY INC 135 SOUTH ROAD BEDFORD MA 01730 CONSTRUCTION CONTRACTOR 429150 NORTON & ASSOCIATES 34 ELM STREET COHASSET MA 02025 REHABILITATION SERVICES 387227 PHOENIX AIR SERVICES 4 KIDDER ROAD CHELMSFORD MA 01824 HEATING/AC CONTRACTOR 377982 BUSINESS INTERIORS FLOOR COVERING INC 16 EVERBERG ROAD WOBURN MA 01801 FLOORING CONTRACTOR 279601 11 226041 226041 NURSING REV & CLIN SVS 623000 13307152 13307152 RESIDENTIAL FEES 623990 6572993 6572993 ENTRANCE FEES 900099 3293875 3293875 MEDICAID/MEDICARE PMTS 900099 3075818 3075818 REHAB SERVICES 624310 208220 208220 408206 408206 26866264 567651 567651 20799932 20258876 60220 541056 -60220 480836 480836 28140792 26866264 0 1048487 12682 12682 59602 59602 736575 736575 12595229 11796634 793595 5000 397226 373392 23834 1659250 1559695 99555 936628 880430 56198 29323 29323 95908 95908 127298 127298 2523624 2193102 330522 55724 55724 1801220 1625794 175426 162811 162811 1638296 1638296 3757 1022 2735 24474 3238 21236 830611 830611 125000 125000 3099231 3099231 131370 131370 FOOD 1085511 1072829 12682 BAD DEBTS EXPENSES 159933 159933 PROVIDER TAX/USER FEE 56994 56994 UNIFORMS 55517 55517 31693 31693 28435487 24371464 4059023 5000 3800 3800 3423455 1343010 1065741 1626818 1119 44361 51046 516334 482347 73410396 45831157 28036352 27579239 27553763 32375766 1976312 2016685 62620118 65479830 2548219 2903142 21736060 23221391 16225052 15678544 505958 545587 41015289 42348664 X 18877141 20304012 1810218 1909466 917470 917688 21604829 23131166 62620118 65479830 X -294695 1845778 -24746 X 0 1 X 1 0 X 233669 297015 218673 279082 226041 1254480 24606245 25042640 25394342 25927002 26866264 127836493 24839914 25339655 25613015 26206084 27092305 129090973 0 0 0 129090973 613162 593435 710172 646114 567651 3130534 613162 593435 710172 646114 567651 3130534 25453076 25933090 26323187 26852198 27659956 132221507 0.97630 0.97530 0.02370 0.02470 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 25641801 2066555 2660024 727099 29641281 24110375 23579 2211758 703911 25641801 24914201 18973 -817732 5067 24110375 23609392 2724 2426468 1124383 24914201 19246393 502043 4351761 490805 23609392 0.92150 0.03100 0.04750 1 0 1436988 1436988 60211613 37934668 22276945 11244018 7896489 3347529 517777 517777 27579239 LIABILITY UNDER SWAP AGREEMENTS 235674 DUE TO CARLETON-WILLARD FOUNDATION, INC. 73613 REFUNDABLE ENTRANCE FEE DEPOSITS 236300 545587 X 29961824 1845778 -24746 1821032 28140792 0 28140792 28435487 0 28435487 0 28435487 PART V, LINE 4: THE ORGANIZATION INTENDS TO USE THE ENDOWMENT FUNDS FOR THE FOLLOWING ACTIVITIES: 1) PROVIDING ASSISTANCE TO RESIDENTS WITH FINANCIAL NEED 2) COMMUNITY OUTREACH PROGRAMS 3) REALIZATION OF THE ORGANIZATION'S GOALS/MISSION PART X, LINE 2: THE ORGANIZATION FOLLOWS FASB ASC 740, "INCOME TAXES", WHICH CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES BY PRESCRIBING THE RECOGNITION THRESHOLD A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. THE ORGANIZATION RECOGNIZES A 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. MANAGEMENT EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAD NO MATERIAL UNCERTAINTIES IN INCOME TAXES AS OF DECEMBER 31, 2013 AND 2012. THE ORGANIZATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL, STATE, OR LOCAL TAX AUTHORITIES FOR THE YEARS BEFORE 2010. THE ORGANIZATION WILL ACCOUNT FOR INTEREST AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS, IF ANY, AS PART OF TAX EXPENSE. PART XI, LINE 2D - OTHER ADJUSTMENTS: LOSS ON SWAP AGREEMENT -24,746. 1 SCHOLARSHIPS 4 11400 FMV SCHOLARSHIPS FOR EMPLOYEES FURTHERING HEALTHCARE EDUCATION; DINING STAFF FINANCIAL ASSISTANCE 6 48202 FMV FINANCIAL ASSISTANCE TO RESIDENTS OF CARLETON-WILLARD HOMES PART I, LINE 2: GRANTS AND DONATIONS ARE MADE BASED ON WRITTEN REQUESTS AND EVALUATION BY THE PRESIDENT/CEO OF THE ORGANIZATION. GRANTS ARE GENERALLY TO ORGANIZATIONS WITH MISSIONS SIMILAR OR RELATED TO CARLETON-WILLARD AND MOST GRANTS ARE VIEWED AS A PART OF OUR COMMUNITY OUTREACH/SOCIAL ACCOUNTABILITY PROGRAMS. GRANTS TO RESIDENTS ARE BASED ON AN APPLICATION PROCESS DEMONSTRATING FINANCIAL NEED. X 1 1 X X X X X 0 0 0 0 0 0 0 0 0 BARBARA A DOYLE PRESIDENT & CEO 280436 0 20171 0 5698 0 10000 0 30036 0 346341 0 0 0 JANET D SILVERMAN CFO 155009 0 4299 0 553 0 6459 0 24090 0 190410 0 0 0 GARY SAWIN DIRECTOR OF HR 149829 0 3035 0 751 0 4808 0 24090 0 182513 0 0 0 VALERIE GINGRAS ADMINISTRATOR 163827 0 3273 0 916 0 6773 0 24090 0 198879 0 0 0 PAUL LUND DIRECTOR OF FACILITIES 121620 0 1639 0 387 0 5154 0 24090 0 152890 0 0 0 PART I, LINE 1A THE ORGANIZATION PROVIDED BENEFITS RELATED TO TRAVEL FOR COMPANIONS TO THE PRESIDENT. THE AMOUNT IS TAXABLE AND IS REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III). A MASSACHUSETTS DEVELOPMENT FINANCE AGENCY 043431814 57583RX26 2010-03-18 17800000 REFUND PRIOR ISSUE (5/25/2000) 0 0 0 A 2065000 17730158 1386928 15899627 443603 1 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 1 0 1 MORGAN STANLEY 28.000000000000 0 0 0 0 0 A 0 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: MASSACHUSETTS DEVELOPMENT FINANCE AGENCY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/31/2012 FORM 990, PART VI, SECTION B, LINE 11 THE 990 IS PREPARED BY THE ORGANIZATION'S ACCOUNTING FIRM BASED ON INFORMATION PROVIDED BY THE ORGANIZATION'S MANAGEMENT. A DRAFT IS REVIEWED BY THE CFO AND PRESIDENT/CEO AND NECESSARY CHANGES ARE MADE. A FINAL DRAFT IS REVIEWED BY THE FINANCE COMMITTEE OF THE BOARD OF TRUSTEES. AFTER REVIEW BY THE FINANCE COMMITTEE, THE FORM 990 WITH SUPPORTING SCHEDULES, IS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD OF TRUSTEES PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ON AN ANNUAL BASIS, TRUSTEES AND KEY EMPLOYEES (PRESIDENT/CEO, CFO, ADMINISTRATOR AND HR DIRECTOR) ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM. THE DISCLOSURES ARE REVIEWED BY THE PRESIDENT/CEO AND ANY CONFLICT OF INTEREST IS REPORTED TO THE BOARD OF TRUSTEES. PERSONS WITH A CONFLICT OF INTEREST ARE PROHIBITED FROM PARTICIPATING IN THE GOVERNING BODY'S DELIBERATIONS AND DECISIONS IN THE RELATED TRANSACTION. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE, COMPRISED OF INDEPENDENT TRUSTEES, HAS THE RESPONSIBILITY OF OVERSEEING THE PROCESS OF ESTABLISHING COMPENSATION FOR THE PRESIDENT/CEO ON AN ANNUAL BASIS. ALONG WITH A REVIEW OF PERFORMANCE, THE COMMITTEE PERIODICALLY (EVERY 2-3 YEARS) UTILIZES THE SERVICES OF AN INDEPENDENT, THIRD PARTY EMPLOYMENT SPECIALIST IN DETERMINING APPROPRIATE COMPENSATION COMPARABILITY DATA CONSIDERING THE INDIVIDUAL'S RESPONSIBILITIES, EDUCATION BACKGROUND, EXPERIENCE, LONGEVITY AND INDUSTRY STANDING. THE COMPENSATION COMMITTEE PRESENTS THE COMPENSATION RECOMMENDATION TO THE BOARD OF TRUSTEES FOR APPROVAL. THIS PROCESS WAS LAST UNDERTAKEN IN 2013, EXCEPT FOR USING SERVICES OF AN EMPLOYMENT SPECIALIST. FORM 990, PART VI, SECTION B, LINE 15B: COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION IS BASED ON AN ANNUAL EVALUATION. THIS ANNUAL EVALUATION OF COMPENSATION IS COMPRISED OF A PERFORMANCE EVALUATION AND SALARY COMPARISON TO LIKE ORGANIZATIONS. THE EMPLOYEES EXPERIENCE AND LONGEVITY IS ALSO TAKEN INTO CONSIDERATION. FINAL COMPENSATION FOR THESE EMPLOYEES IS DETERMINED BY THE CEO. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FORM 990 AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. IN ADDITION, THE FORM 990 CAN BE ACCESSED VIA GUIDESTAR AND THE MASSACHUSETTS ATTORNY GENERAL WEBSITE. FORM 990, PART XI, LINE 9: LOSS ON SWAP AGREEMENT -24,746. CARLETON-WILLARD FOUNDATION INC 100 OLD BILLERICA ROAD BEDFORD MA 01730 205785760 SUPPORTING ORGANIZATION MA 501(C)(3) LINE 11A, I CARLETON-WILLARD HOMES INC 1 CARLETON-WILLARD AT HOME INC 100 OLD BILLERICA ROAD BEDFORD MA 01730 264153105 PROVIDING SERVICES TO ELDERS LIVING AT HOME MA 501(C)(3) LINE 9 CARLETON-WILLARD HOMES INC 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 1 1 1 CARLETON-WILLARD AT HOME INC B 125000 FAIR MARKET VALUE