2013-11-13T12:46:10-06:00 2012-12-31 420714325 MCGLADREY LLP 80 CITY SQUARE BOSTON MA 021293742 990 2012-01-01 042105844 CARLETON-WILLARD HOMES INC CARL 7812758700 100 OLD BILLERICA ROAD BEDFORD MA 01730 BARBARA A DOYLE 7812758700 2013-11-13 1 LYNNE JOHNSON P00757336 6179129000 2012 2016-02-24 21:20:13Z CARLETON-WILLARD VILLAGE BARBARA A DOYLE 100 OLD BILLERICA ROAD BEDFORD MA 01730 46537514 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. 19 19 397 25 0 0 218673 279082 25394342 25927002 1662085 1419888 0 0 27275100 27625972 23035 31002 0 0 15147264 15589402 0 0 5000 11292400 11683710 26462699 27304114 812401 321858 60477051 62620118 40310632 41015289 20166419 21604829 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 5685755 13650 8836556 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. 17141403 17352 16961623 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. 584150 128823 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. 23411308 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 98 0 1 397 1 0 0 0 0 0 0 0 0 0 0 X 19 19 0 0 1 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 ANN MARIE TEUBER LMFT 2.00 1.00 X 0 0 0 BARBARA A CLIFFORD 2.00 2.00 X 0 0 0 CATHERINE B DAMON 2.00 1.00 X 0 0 0 CHARLES A WELCH MD 2.00 1.00 X 0 0 0 CHRISTOPHER F WOLF 2.00 2.00 X 0 0 0 JUDITH D HOOD 2.00 1.00 X 0 0 0 MARY B JOHNSON 2.00 2.00 X 0 0 0 PETER G BROWN 2.00 0.00 X 0 0 0 REV JOHN C LOMBARD D MIN 2.00 2.00 X 0 0 0 ROBERT G CROCKER 2.00 2.00 X 0 0 0 RUTH W PIPER 2.00 2.00 X 0 0 0 THOMAS WOODHOUSE 2.00 0.00 X 0 0 0 WILLIAM C HAYS ESQ 2.00 2.00 X 0 0 0 WILLIAM W GALLAGHER III 2.00 2.00 X 0 0 0 WILLIAM W JACKSON 2.00 2.00 X 0 0 0 ADRIENNE SMITH 8.00 0.00 X X 0 0 0 JAMES A SALTONSTALL 8.00 2.00 X X 0 0 0 JOHN E CUPPLES 8.00 1.00 X X 0 0 0 PRISCILLA H MOTLEY 8.00 1.00 X X 0 0 0 JANET D SILVERMAN 50.00 4.00 X 151172 0 30816 BARBARA A DOYLE 60.00 7.00 X 290517 0 35160 VALERIE GINGRAS 50.00 0.00 X 158525 0 31841 BARBARA CHENOWETH 40.00 0.00 X 110948 0 29382 BRENDA MORGAN 40.00 0.00 X 130876 0 16043 PAUL LUND 40.00 0.00 X 119038 0 29358 GARY SAWIN 50.00 0.00 X 137677 0 29514 MICHAEL SAINATO 67.00 0.00 X 114164 0 26302 1212917 0 228416 8 0 1 0 HEALTHCARE SERVICES GROUP 3220 TILLMAN DRIVE SUITE 300 BENSALEM PA 19020 HOUSEKEEPING/LAUNDRY 892216 NORTON & ASSOCIATES 34 ELM STREET COHASSET MA 02025 REHABILITATION SERVICES 396991 BUSINESS INTERIORS FLOOR COVERING INC 16 EVERBERG ROAD WOBURN MA 01801 FLOORING CONTRACTOR 371235 PHOENIX AIR SERVICES 4 KIDDER ROAD CHELMSFORD MA 01824 HEATING/AC CONTRACTOR 209292 MORIN'S LANDSCAPING INC 301 DEPOT ROAD HOLLIS NH 03049 LANDSCAPING CONTRACTOR 162281 11 279082 279082 NURSING REV & CLIN SVS 623000 13293993 13293993 RESIDENTIAL FEES 623990 6245089 6245089 ENTRANCE FEES 900099 2917845 2917845 MEDICAID/MEDICARE PMTS 900099 2911155 2911155 REHAB SERVICES 624310 172000 172000 386920 386920 25927002 646114 646114 19685316 18836114 75428 849202 -75428 773774 773774 27625972 25927002 0 1419888 13650 13650 17352 17352 709191 709191 12119388 11342743 771645 5000 368912 346777 22135 1490477 1401048 89429 901434 847348 54086 47445 47445 91800 91800 118980 118980 2233449 1986226 247223 104634 104634 1931040 1817436 113604 142131 142131 1503391 1503391 7032 3030 4002 32536 19769 12767 851219 851219 75000 75000 2941667 2941667 118102 118102 FOOD 1050472 1036124 14348 BAD DEBTS EXPENSES 209518 209518 AMORTIZATION 78295 78295 PROVIDER TAX/USER FEE 58648 58648 88351 56452 31899 27304114 23411308 3887806 5000 3450 3800 1961337 3423455 1609985 1065741 31 0 52956 44361 450963 516334 71148481 43112129 29223441 28036352 25210681 27553763 1964207 1976312 60477051 62620118 2820437 2548219 20061139 21736060 16756590 16225052 672466 505958 40310632 41015289 X 17597876 18877141 1651336 1810218 917207 917470 20166419 21604829 60477051 62620118 X 321858 952458 164094 X 0 1 X 1 0 X 726436 233669 297015 218673 279082 1754875 23578847 24606245 25042640 25394342 25927002 124549076 24305283 24839914 25339655 25613015 26206084 126303951 0 0 0 126303951 639059 613162 593435 710172 646114 3201942 639059 613162 593435 710172 646114 3201942 -6267 -6267 24938075 25453076 25933090 26323187 26852198 129499626 0.97530 0.97480 0.02470 0.02530 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 24110375 23579 2211758 703911 25641801 24914201 18973 -817732 5067 24110375 23609392 2724 2426468 1124383 24914201 19246393 502043 4351761 490805 23609392 25640040 454092 -6847739 19246393 0.91360 0.03580 0.05060 1 0 1436988 1436988 58701201 35725571 22975630 10553093 7386558 3166535 457199 457199 28036352 LIABILITY UNDER SWAP AGREEMENTS 210928 DUE TO CARLETON-WILLARD FOUNDATION, INC. 51840 REFUNDABLE ENTRANCE FEE DEPOSITS 243190 505958 X 28742524 952458 164094 1116552 27625972 0 27625972 27304114 0 27304114 0 27304114 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: 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 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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. IT ALSO PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE, AND TRANSITION. MANAGEMENT BELIEVES THAT THE ORGANIZATION HAS NO MATERIAL UNCERTAINTIES IN INCOME TAXES. THE ORGANIZATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL, STATE, OR LOCAL TAX AUTHORITIES FOR THE YEARS BEFORE 2009. 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: GAIN ON SWAP AGREEMENTS STATED AT FAIR MARKET VALUE 164,094. 1 SCHOLARSHIPS 4 9200 FMV SCHOLARSHIPS FOR EMPLOYEES FURTHERING HEALTHCARE EDUCATION; DINING STAFF FINANCIAL ASSISTANCE 3 8152 FMV FINANCIAL ASSISTANCE TO RESIDENTS OF CARLETON-WILLARD HOMES PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, 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 JANET D SILVERMAN 145599 0 5072 0 501 0 5956 0 24860 0 181988 0 0 0 BARBARA A DOYLE 261536 0 19045 0 9936 0 9800 0 25360 0 325677 0 0 0 VALERIE GINGRAS 154179 0 3480 0 866 0 6481 0 25360 0 190366 0 0 0 GARY SAWIN 133684 0 3287 0 706 0 4594 0 24920 0 167191 0 0 0 PART I, LINE 1A THE ORGANIZATION PROVIDED BENEFITS RELATED TO PERSONAL SERVICES (TRANSPORTATION SERVICES) 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 1515000 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 SCHEDULE K PART IV, ARBITRAGE, LINE 2C DATE REBATE COMPUTATION PERFORMED ISSUER NAME: MASSACHUSETTS DEVELOPMENT FINANCE AGENCY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/31/2012 FORM 990, PART VI, SECTION A, LINE 4 IN 2012, THE ORGANIZATION CHANGED THE TERM LIMIT PROVISIONS IN ITS BY-LAWS FROM TWO 3-YEAR TERMS FOR TRUSTEES TO THREE 3-YEAR TERMS. 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 2012, 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: GAIN ON SWAP AGREEMENTS STATED AT FAIR MARKET VALUE 164,094. CARLETON-WILLARD FOUNDATION INC 100 BILLERICA ROAD BEDFORD MA 01730 205785760 SUPPORTING ORGANIZATION MA 501(C)(3) LINE 11B, II CARLETON-WILLARD HOMES INC 1 CARLETON-WILLARD AT HOME INC 100 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 75000 FAIR MARKET VALUE