2012-11-15T10:18:11-06:00 2011-12-31 420714325 MCGLADREY LLP 80 CITY SQUARE BOSTON MA 021293742 990 2011-01-01 042105844 CARLETON-WILLARD HOMES INC CARL 7812758700 100 OLD BILLERICA ROAD BEDFORD MA 01730 BARBARA A DOYLE 7812758700 2012-11-15 1 LYNNE JOHNSON P00757336 6179129000 2011 2016-02-24 21:20:13Z CARLETON-WILLARD VILLAGE BARBARA A DOYLE 100 OLD BILLERICA ROAD BEDFORD MA 01730 35520228 0 X WWW.CWVILLAGE.ORG X 1980 MA 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. 19 19 383 25 0 0 297015 218673 25042640 25394342 2313914 1662085 0 0 27653569 27275100 22925 23035 0 0 14786343 15147264 0 0 40619 10833885 11292400 25643153 26462699 2010416 812401 61830308 60477051 40555166 40310632 21275142 20166419 TO PROVIDE A COMMUNITY FOR PERSONS OVER THE AGE OF 65 WHO WISH TO MAINTAIN AND IMPROVE THEIR QUALITY OF LIFE AND SECURITY. 0 0 5793091 11150 9551941 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. 16301825 11885 15702715 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. 616888 139686 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. 22711804 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 84 0 1 383 1 0 0 0 0 0 0 0 0 0 0 X 19 19 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 X MORGAN K SMITH JR 2.00 X 0 0 0 WILLIAM W JACKSON 2.00 X 0 0 0 ANN MARIE TEUBER LMFT 2.00 X 0 0 0 BARBARA A CLIFFORD 2.00 X 0 0 0 JOHN E CUPPLES 8.00 X X 0 0 0 CATHERINE B DAMON 2.00 X 0 0 0 JUDITH D HOOD 2.00 X 0 0 0 WILLIAM W GALLAGHER III 2.00 X 0 0 0 WILLIAM C HAYS ESQ 2.00 X 0 0 0 MARY B JOHNSON 2.00 X 0 0 0 RUTH W PIPER 2.00 X 0 0 0 CHARLES A WELCH MD 8.00 X X 0 0 0 CHRISTOPHER F WOLF 2.00 X 0 0 0 PETER G BROWN 2.00 X 0 0 0 THOMAS WOODHOUSE 2.00 X 0 0 0 ADRIENNE SMITH 2.00 X 0 0 0 ROBERT G CROCKER 2.00 X 0 0 0 JAMES A SALTONSTALL 10.00 X X 0 0 0 GEORGE H STEPHENSON 2.00 X 0 0 0 REV JOHN C LOMBARD D MIN 2.00 X 0 0 0 PRISCILLA H MOTLEY 8.00 X X 0 0 0 BARBARA A DOYLE 60.00 X 343323 0 32900 JANET D SILVERMAN 50.00 X 139067 0 29060 VALERIE GINGRAS 50.00 X 151493 0 30574 GARY SAWIN 50.00 X 131706 0 27950 BRENDA MORGAN 40.00 X 128907 0 14975 PAUL LUND 40.00 X 115497 0 28355 BARBARA CHENOWETH 40.00 X 108870 0 27947 1118863 0 191761 7 0 1 0 NEHM CORP 1565 MAIN STREET TEWKSBURY MA 01876 HOUSEKEEPING/LAUNDRY 595628 PAGE AND ASSOCIATES INC PO BOX 64 BEDFORD MA 01730 BUILDING CONTRACTOR 563200 PHOENIX AIR SERVICES INC 4 KIDDER ROAD CHELMSFORD MA 02184 HVAC CONTRACTORS 355918 BUSINESS INTERIORS FLOOR COVERING INC 16 EVERBERG ROAD WOBURN MA 01804 FLOORING CONTRACTORS 321693 HEALTHCARE SERVICES GROUP 3220 TILLMAN DRIVE BENSALEM PA 19020 HOUSEKEEPING/LAUNDRY 296588 10 218673 218673 NURSING REV & CLIN SVS 623000 12637622 12637622 RESIDENTIAL FEES 623990 6254041 6254041 MEDICAID/MEDICARE PMTS 900099 3065089 3065089 ENTRANCE FEES 900099 2892301 2892301 REHAB SERVICES 624310 182476 182476 362813 362813 25394342 710172 710172 9197041 8128660 116468 1068381 -116468 951913 951913 27275100 25394342 0 1662085 11150 11150 11885 11885 732342 732342 11655547 10893211 736381 25955 318518 297814 20067 637 1576352 1473889 99310 3153 864505 808312 54464 1729 45599 45599 95398 95398 116789 116789 2402508 2181942 216566 4000 66537 65841 696 1467963 1344638 121042 2283 117435 117435 1640326 1640326 9547 1320 8227 28296 19832 7870 594 874528 874528 135000 135000 2852636 2852636 126427 126427 FOOD 1044283 1032022 12261 BAD DEBTS EXPENSES 95000 95000 PROVIDER TAX/USER FEE 59309 59309 UNIFORMS 41521 41521 73298 41997 29729 1572 26462699 22711804 3710276 40619 3850 3450 2823614 1961337 1263336 1609985 31 31 52866 52956 464406 450963 69670848 40447407 29763439 29223441 24531292 25210681 940779 1986695 1964207 61830308 60477051 2362518 2820437 20239595 20061139 17268068 16756590 684985 672466 40555166 40310632 X 18626886 17597876 1731354 1651336 916902 917207 21275142 20166419 61830308 60477051 X 812401 -1921124 X 0 1 1 X 0 X 77124 726436 233669 297015 218673 1552917 22708973 23578847 24606245 25042640 25394342 121331047 22786097 24305283 24839914 25339655 25613015 122883964 0 0 0 122883964 634508 639059 613162 593435 710172 3190336 634508 639059 613162 593435 710172 3190336 -9079 -6267 -15346 23411526 24938075 25453076 25933090 26323187 126058954 0.97480 0.97560 0.02530 0.02460 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 24914201 18973 -817732 5067 24110375 23609392 2724 2426468 1124383 24914201 19246393 502043 4351761 490805 23609392 25640040 454092 -6847739 19246393 0.91270 0.03800 0.04930 1 0 1436988 1436988 57676409 33625769 24050640 10227129 6821638 3405491 330322 330322 29223441 LIABILITY UNDER SWAP AGREEMENTS 375022 DUE TO CARLETON-WILLARD FOUNDATION, INC. 36244 REFUNDABLE ENTRANCE FEE DEPOSITS 261200 672466 27275100 26462699 812401 -1936440 15316 -1921124 -1108723 25353976 -1921124 -1921124 27275100 0 27275100 26462699 0 26462699 0 26462699 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: 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 2008. THE ORGANIZATION WILL ACCOUNT FOR INTEREST AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS, IF ANY, AS PART OF TAX EXPENSE. PART XI, LINE 8 - OTHER ADJUSTMENTS: GAIN ON SWAP AGREEMENTS STATED AT FAIR MARKET VALUE 15,316. PART XII, LINE 2D - OTHER ADJUSTMENTS: NET UNREALIZED LOSS ON INVESTMENTS -1,936,440. GAIN ON SWAP AGREEMENTS STATED AT FAIR MARKET VALUE 15,316. 1 X SCHOLARSHIPS 4 10800 FMV SCHOLARSHIPS FOR EMPLOYEES FURTHERING HEALTHCARE EDUCATION; DINING STAFF FINANCIAL ASSISTANCE 3 560 525 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 1 0 BARBARA A DOYLE 257425 0 85898 0 0 0 9800 0 23100 0 376223 0 0 0 JANET D SILVERMAN 137113 0 1954 0 0 0 5536 0 23524 0 168127 0 0 0 VALERIE GINGRAS 149262 0 2231 0 0 0 6274 0 24300 0 182067 0 0 0 GARY SAWIN 129591 0 2115 0 0 0 4450 0 23500 0 159656 0 0 0 PART I, LINE 7 IN 2011, BARBARA DOYLE RECEVIED $80,000 IN COMPENSATION CONSIDERED BY THE ORGANIZATION TO BE CATCH UP FOR RETIREMENT BENEFITS, BASED ON RESPONSIBILITY, LENGTH OF SERVICE AND COMPARISONS TO OTHER COMMUNITIES. MASSACHUSETTS DEVELOPMENT FINANCE AGENCY 043431814 57583RX26 2010-03-18 17800000 REFUND PRIOR ISSUE (5/25/2000) 0 0 0 515000 17730158 1386928 15899627 443603 1 0 1 1 0 0 0 0 1 0 0 1 MORGAN STANLEY 28.000000000000 0 0 0 0 0 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 2011, INCLUDING USING THE SERVICES OF A THIRD PARTY 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 VII SECTION (A): BARBARA DOYLE IS COMPENSATED FOR SERVICES PROVIDED TO CARLETON-WILLARD HOMES, INC. AND AFFILIATES AS PRESIDENT/CEO. BARBARA WORKS AN AVERAGE OF 60 HOURS PER WEEK IN HER POSITION AS PRESIDENT/CEO FOR CARLETON-WILLARD HOMES, INC. AND AFFILIATES. JANET D. SILVERMAN IS COMPENSATED FOR SERVICES PROVIDED TO CARLETON-WILLARD HOMES, INC. AND AFFILIATES AS CFO. JANET WORKS AN AVERAGE OF 50 HOURS PER WEEK IN HER POSITION AS CFO FOR CARLETON-WILLARD HOMES, INC. AND AFFILIATES. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -1,936,440. GAIN ON SWAP AGREEMENTS STATED AT FAIR MARKET VALUE 15,316. TOTAL TO FORM 990, PART XI, LINE 5: -1,921,124. CARLETON-WILLARD FOUNDATION INC 100 BILLERICA ROAD BEDFORD MA 01730 205785760 SUPPORTING ORGANIZATION MA 501(C)(3) LINE 11B, II N/A 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 N/A 1 0 1 0 0 0 0 0 0 0 0 1 0 1 1 0 0 1 1 CARLETON-WILLARD AT HOME INC B 135000 FAIR MARKET VALUE