2013-02-01T10:43:46-06:00 2012-09-30 061009205 BLUM SHAPIRO & COMPANY PC CPA'S 29 S MAIN STREET PO BOX 272000 WEST HARTFORD CT 061272000 990 2011-10-01 060662192 THE MARY WADE HOME INCORPORATED MARY 2035627222 118 CLINTON AVENUE NEW HAVEN CT 06513 DAVID HUNTER 2035627222 2013-01-24 1 ELIZABETH SOLECKI P00235171 8605614000 2011 2016-02-25 16:41:14Z DAVID HUNTER 118 CLINTON AVENUE NEW HAVEN CT 06513 13212017 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. 16 16 229 11 0 0 180651 302258 9645739 12781684 24191 5 2475 54974 9853056 13138921 0 0 0 0 6606379 7302479 0 0 326154 3835036 5514782 10441415 12817261 -588359 321660 19551816 20335927 14710009 15392623 4841807 4943304 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 8088527 9520355 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. 1097454 1077783 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. 1499599 2211295 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. 10685580 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 1 1 0 0 0 0 0 0 1 0 0 0 0 1 39 0 1 229 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 CT X SUSAN REDMAN 2035627222 118 CLINTON AVENUE NEW HAVEN CT 06513 ALFRED J GOLDBERG 0.40 X X 0 0 0 HAROLD S SPITZER 0.40 X X 0 0 0 LUCIE H IANNOTTI 0.60 X X 0 0 0 DAVID H STAHELSKI 0.40 X X 0 0 0 CHRISTINA CIOCIOLA 0.60 X 0 0 0 MOIRA HAMBLETON 0.40 X 0 0 0 PATRICIA A GANUN 0.40 X 0 0 0 RICHARD A HUTCHINSON 0.40 X 0 0 0 LAWRENCE W IANNOTTI 0.40 X 0 0 0 MARILYN TOLAND 0.40 X 0 0 0 JOHN J MOONEY 0.40 X 0 0 0 BRIAN E WNEK 0.40 X 0 0 0 RAYMOND PEACH 0.40 X 0 0 0 LUIS A PAGAN 0.40 X 0 0 0 MARIANNE W PROKOP 0.40 X 0 0 0 MARYBETH CANAVAN 0.40 X 0 0 0 MARY E DAVIS 0.40 X 0 0 0 DAVID HUNTER 40.00 X 142895 64863 19809 SUSAN REDMAN 40.00 X 110173 29729 12832 253068 94592 32641 2 0 1 0 BARR & BARR INC 260 COCHITUATE ROAD FRAMINGHAM MA 01701 CONSTRUCTION 2135809 FOREMOST REHAB OF CT 1157 HIGHLAND AVENUE CHESHIRE CT 06410 PHYSICAL, SPEECH & OCCUPATIONAL THERAPY 157267 DYNAMIC MECHANICAL PO BOX 877 BRISTOL CT 06011 HEATING & COOLING 127655 KEY PERSONNEL INC PO BOX 404 NEW HAVEN CT 06473 NURSING AGENCY 100916 4 39353 206000 56905 302258 NET RESIDENT REVENUES 623000 11703901 11703901 ADULT DAY CARE REVENUE 623000 1077783 1077783 12781684 5 5 100321 39353 73096 27225 27225 MISCELLANEOUS INCOME 900099 27749 27749 27749 13138921 12809433 0 27230 234131 15544 137812 80775 5876166 5130999 627531 117636 51978 45387 5550 1041 743051 613363 75015 54673 397153 346789 42413 7951 25466 25466 65020 65020 49764 722 49042 216842 72445 141513 2884 85239 85239 315510 315510 113140 107990 5150 557984 557984 841802 811626 30176 128159 6828 121331 PATIENT CARE 1462280 1462280 CONSULTANTS & PURCHASED 635687 600574 35113 PROVIDER TAX 592848 592848 BAD DEBTS 253455 253455 171586 4691 105701 61194 12817261 10685580 1805527 326154 234090 383586 73133 84669 80000 120000 1490029 2074002 42390 39174 73165 76163 17553210 5809968 12026329 11743242 489489 621252 5043191 5193839 19551816 20335927 934376 1095857 0 242051 12188844 13013280 1586789 1041435 14710009 15392623 X 4678010 4865388 95191 9310 68606 68606 4841807 4943304 19551816 20335927 X 321660 -220163 X 0 1 1 X 0 X 239386 97105 186879 180651 302258 1006279 8793827 9056328 9010838 9645739 12781684 49288416 9033213 9153433 9197717 9826390 13083942 50294695 13625 13625 43145 43145 56770 56770 50237925 434283 283803 361823 24191 5 1104105 434283 283803 361823 24191 5 1104105 448872 82418 3194 2475 27749 564708 9916368 9519654 9562734 9853056 13111696 51963508 0.96680 0.93490 0.02120 0.03100 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 12538174 2379447 85646 14831975 13397129 -396068 -369440 93447 12538174 11553062 784057 1541389 414592 66787 13397129 12858732 4041 -546953 694930 67828 11553062 0.99990 0.00010 0.00000 0 1 1 320191 320191 15286721 5099688 10187033 1946298 710280 1236018 11743242 DEFERRED COSTS 903815 ESCROW 135 DUE FROM RELATED PARTIES 4289889 5193839 DEFERRED COMPENSATION 622808 OTHER CURRENT LIABILITY 183154 DUE TO RESIDENT TRUST ACCOUNT 55756 LINE OF CREDIT 179717 1041435 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: $14,734,456 OF THE ENDOWMENT IS HELD BY MW HEALTHCARE, INC., FOR THE PURPOSE OF SUPPORTING THE MARY WADE HOME, INC. THE REMAINING $97,519 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. WINE TASTING EVENT 97796 15000 82796 32063 25678 GOLF TOURNAMENT 30715 16425 14290 8500 2068 1 11163 7928 3235 4787 139674 39353 100321 40563 32533 73096 27225 X X X X 0 0 0 0 0 0 0 1 0 DAVID HUNTER 102895 64863 40000 0 0 0 0 0 6226 13583 149121 78446 0 0 SUSAN REDMAN 72673 29729 37500 0 0 0 0 0 8799 4033 118972 33762 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. MR RAYMOND PEACH BOARD MEMBER 134280 MR. RAYMOND PEACH IS A RETIRED OFFICER OF HUDSON UNITED BANK WHICH WAS PURCHASED BY TD BANKNORTH. MR. PEACH HAS A CONSULTANT AGREEMENT WITH TD BANKNORTH. MR. PEACH IS NOT AN OFFICER OR EMPLOYEE OF TD BANKNORTH AND DOES NOT VOTE ON ITEMS RELATED TO TD BANKNORTH THAT COME BEFORE THE BOARD OF MANAGERS OF THE MARY WADE HOME, INC. 0 MR DAVID V HUNTER CHIEF EXECUTIVE OFFICER 16130 DAVID HUNTER IS THE BROTHER OF THE PRESIDENT OF HUNTERS AMBULANCE. HUNTERS AMBULANCE PROVIDES LIVERY SERVICES TO THE ADULT DAY CARE CLIENTS OF THE MARY WADE HOME INCORPORATED. MR. HUNTER DOES NOT VOTE ON ANY MATTERS RELATED TO HUNTERS AMBULANCE NOR NEGOTIATE ANY CONTRACTS WITH HUNTERS AMBULANCE. 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 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, 2012-2013, PUBLISHED BY HOSPITAL & HEALTHCARE COMPENSATION SERVICE IN COOPERATION WITH LEADINGAGE, PUBLISHED JULY 2012, EFFECTIVE DATE OF DATA: MARCH 2012. 2.) CONTINUING CARE RETIREMENT COMMUNITY SALARY & BENEFITS REPORT, 2012-2013, PUBLISHED BY HOSPITAL & HEALTHCARE COMPENSATION SERVICE IN COOPERATION WITH LEADINGAGE, PUBLISHED JULY 2012, EFFECTIVE DATE OF DATA: MARCH 2012. 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 2012. 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 14,541. PRIOR PERIOD ADJUSTMENTS: -227,352. FUNDS TRANSFER -7,352. TOTAL TO FORM 990, PART XI, LINE 5: -220,163. 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 1 0 0 0 1 0 0 1 0 MWH HOLDINGS INC D 3600000 COST MWH HOLDINGS INC Q 68644 COST MWH HOLDINGS INC N 110072 COST