2024-08-15T12:51:43-05:00 2023-09-30 410746749 CLIFTONLARSONALLEN LLP TWO INTERNATIONAL PLACE 22ND FLOOR BOSTON MA 02110 990 2022-10-01 821367321 MARY WADE RESIDENCE INC MARY 2035627222 138 CLINTON AVENUE NEW HAVEN CT 06513 DAVID V HUNTER CEO 2035627222 2024-08-14 1 0 LAURA J KENNEY P00202198 6177170831 2024-08-13 2022 2024-08-08 14:25:15Z CHATHAM PLACE AT MARY WADE DAVID V HUNTER 138 CLINTON AVENUE NEW HAVEN CT 06513 6840699 0 X HTTPS://CHATHAMPLACE.ORG X 2017 CT TO PROVIDE THOSE IN NEED WITH HIGH QUALITY ASSISTED LIVING AND MEMORY CARE SERVICES IN ORDER TO MAINTAIN THE RESIDENTS INDIVIDUALITY IN A DIGNIFIED, CARING AND THRIVING SENIOR COMMUNITY. CHATHAM PLACE AT MARY WADE HAS 64 ASSISTED LIVING AND 20 MEMORY CARE MIDDLE MARKET APARTMENTS. 17 17 0 17 0 0 2000000 2874000 1434059 3752388 0 25 -8984 14644 3425075 6641057 0 0 0 0 2205243 3689139 0 0 0 2763770 3876127 4969013 7565266 -1543938 -924209 34457731 32812938 36485283 35764699 -2027552 -2951761 CHATHAM PLACE AT MARY WADE(DBA) BEGAN OPERATIONS ON FEBRUARY 1, 2022. THE COMMUNITY WAS 60% OCCUPIED AT SEPTEMBER 30, 2023. 0 0 6775879 3752388 ASSISTED LIVING FACILITY: CHATHAM PLACE AT MARY WADE IS AN 84 UNIT ASSISTED LIVING FACILITY WITH 64 ASSISTED LIVING UNITS AND A SECURE 20 UNIT MEMORY CARE SECTION. IT OPENED FEBRUARY 1, 2022. THIS IS THE FIRST FULL FISCAL YEAR OF OPERATION AND IT IS RUNNING BELOW CAPACITY. 6775879 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 25 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 17 17 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X WILLIAM GINTER 2036727817 118 CLINTON AVENUE NEW HAVEN CT 06513 JOANNE MCGLOIN CHAIR 0.40 3.60 X X 0 0 0 BRUCE TOPOLOSKY VICE CHAIR 0.20 1.80 X X 0 0 0 BARBARA C ADAMS TREASURER 0.20 1.80 X X 0 0 0 JACQUELINE HENCHEL MD SECRETARY 0.20 1.80 X X 0 0 0 MARY BETH CANAVAN DIRECTOR 0.20 1.80 X 0 0 0 BERNADETTE DIGUILIAN DIRECTOR 0.20 1.80 X 0 0 0 MARJORIE FUNK DIRECTOR 0.20 0.80 X 0 0 0 PATRICIA A GANUN DIRECTOR 0.20 1.80 X 0 0 0 ALFRED GOLDBERG DIRECTOR (UNTIL 12/22) 0.20 0.80 X 0 0 0 REV THOMAS JACKSON DIRECTOR 0.20 0.80 X 0 0 0 ROBERT KESSLER DIRECTOR 0.20 1.30 X 0 0 0 BRANDON MCFARLANE DIRECTOR 0.20 0.80 X 0 0 0 MICHAEL MORAND DIRECTOR 0.20 0.80 X 0 0 0 NICHOLAS R NICHOLSON JR PHD DIRECTOR 0.20 0.80 X 0 0 0 MICHELLE LEE RODRIGUEZ DIRECTOR 0.20 0.80 X 0 0 0 HAROLD S SPITZER DIRECTOR 0.20 1.80 X 0 0 0 PAMELA STANTON DIRECTOR 0.20 0.80 X 0 0 0 LEN SUZIO DIRECTOR (UNTIL 12/22) 0.20 0.80 X 0 0 0 BRIAN WNEK DIRECTOR (UNTIL 12/22) 0.20 1.80 X 0 0 0 STEVE WOLFSON MD DIRECTOR 0.20 0.80 X 0 0 0 DAVID V HUNTER PRESIDENT & CEO 5.00 35.00 X 37667 263669 50182 WILLIAM GINTER CFO 5.00 35.00 X 19636 137448 22990 57303 401117 73172 0 0 1 0 0 2874000 2874000 ASSISTED LIVING 623000 3752388 3752388 3752388 25 25 154087 199642 -45555 -45555 -45555 MISC INCOME 900099 60199 60199 60199 6641057 3752388 0 14669 66449 66449 2967840 2778196 189644 36257 33197 3060 405488 375626 29862 213105 199133 13972 8015 8015 5450 5450 135811 135811 56092 21754 34338 60621 48497 12124 186626 181027 5599 470 470 1613195 1613195 1056953 1056953 94872 94872 CONSULT. & PUR. SERVICE 270160 136234 133926 PATIENT CARE 237195 237195 150667 150667 7565266 6775879 789387 0 86260 178905 4331 35411347 2781645 33806572 32629702 564899 0 34457731 32812938 131420 160821 116707 95512 36237156 35508366 36485283 35764699 X -2027552 -2951761 -2027552 -2951761 34457731 32812938 -924209 0 X 0 1 X 1 0 X 2000000 2874000 4874000 1434059 3752388 5186447 3434059 6626388 10060447 2000000 2874000 4874000 352640 352640 2000000 3226640 5226640 4833807 115178 154112 269290 115178 154112 269290 100006 60199 160205 3649243 6840699 10489942 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: ENERGY REBATES - 2021 AMOUNT: $ 100,006. MISC INCOME - 2022 AMOUNT: $ 60,199. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3061084 3061084 27619337 1795630 25823707 1394045 135347 1258698 1449130 814667 634463 1887751 36001 1851750 32629702 INTERCOMPANY/OBLIGATED GROUP DEBT 35101166 DUE TO RELATED PARTIES 407200 35508366 X PART X, LINE 2: THE COMPANY HAS ADOPTED THE ACCOUNTING INTERPRETATION REGARDING ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES THAT PRESCRIBES HOW AN ENTITY SHOULD MEASURE, RECOGNIZE, PRESENT AND DISCLOSE POSITIONS THAT IT HAS TAKEN OR EXPECTS TO TAKE ON ITS TAX OR INFORMATION RETURNS. THE COMPANY ASSESSED THE IMPACT OF THIS INTERPRETATION AND DETERMINED THAT IT DOES NOT HAVE A MATERIAL IMPACT ON ITS CONSOLIDATED FINANCIAL STATEMENTS. AT SEPTEMBER 30, 2023, THE COMPANY BELIEVES THAT NO SUCH ACCRUALS ARE REQUIRED. 0 0 0 0 0 0 0 0 0 DAVID V HUNTER PRESIDENT & CEO 37667 263669 0 0 0 0 3977 27839 2296 16070 43940 307578 0 0 WILLIAM GINTER CFO 19636 137448 0 0 0 0 620 4339 2254 15777 22510 157564 0 0 PART I, LINE 3 THE CEO IS COMPENSATED BY A RELATED ORGANIZATION. THE RELATED ORGANIZATION USES THE FOLLOWING METHODS TO ESTABLISH HIS COMPENSATION: A COMPENSATION COMMITTEE, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE SHALL HAVE THE POWER AND AUTHORITY TO ACT FOR THE BOARD WITHIN THE LIMITS OF THE ACT AND THE CORPORATE PURPOSES SET FORTH IN THE AMENDED AND RESTATED CERTIFICATE OF INCORPORATION. WHENEVER IT HAS EXERCISED ANY SUCH POWERS AND AUTHORITY, IT SHALL REPORT THEREON TO THE BOARD AT THE NEXT MEETING OF THE BOARD. NOTWITHSTANDING ANY OTHER PROVISION, THE EXECUTIVE COMMITTEE MAY NOT (I) APPROVE OR RECOMMEND TO THE MEMBER ANY ACTION THAT THE ACT REQUIRES TO BE APPROVED BY THE MEMBER; FILL VACANCIES ON THE BOARD OR ANY OF ITS COMMITTEES; (III) ADOPT, AMEND OR REPEAL THE AMENDED AND RESTATED CERTIFICATE OF INCORPORATION OR THE AMENDED AND RESTATED BY-LAWS; (IV) APPROVE A PLAN OF MERGER; (V) APPROVE A SALE, LEASE, EXCHANGE OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, OF THE PROPERTY OF MARY WADE, OTHER THAN A MORTGAGE, PLEDGE OR OTHER ENCUMBRANCE OR (VI) APPROVE A PROPOSAL TO DISSOLVE. FORM 990, PART VI, SECTION A, LINE 6 MW HEALTHCARE, INC. IS THE SOLE MEMBER OF MARY WADE RESIDENCE, 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 STOCK CORPORATION ARE AFFORDED THE RIGHT TO VOTE. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH INFORMATION PROVIDED BY MANAGEMENT. A COMPLETE COPY OF FORM 990 IS PROVIDED TO ALL BOARD MEMBERS FOR REVIEW AND INQUIRIES PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. 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 GOVERNANCE COMMITTEE TO REVIEW PERFORMANCES AND ANSWER QUESTIONS, AND SUBMITS RECOMMENDATIONS FOR SALARY INCREASES, AND/OR REASONS FOR NOT INCREASING SALARIES. THE GOVERNANCE COMMITTEE MEETS SEPARATELY WITHOUT STAFF TO DISCUSS THE EVALUATIONS AND RECOMMENDATIONS. TO ASSIST MANAGEMENT AND MEMBERS OF THE GOVERNANCE 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, 2021-2022, PUBLISHED BY HOSPITAL & HEALTHCARE COMPENSATION SERVICE IN COOPERATION WITH LEADING AGE, PUBLISHED JULY 2022, EFFECTIVE DATE OF DATA: MARCH 2022. 2.) CONTINUING CARE RETIREMENT COMMUNITY SALARY & BENEFITS REPORT2.) CONTINUING CARE RETIREMENT COMMUNITY SALARY & BENEFITS REPORT, 2021-2022, PUBLISHED BY HOSPITAL & HEALTHCARE COMPENSATION SERVICE IN COOPERATION WITH LEADINGAGE, PUBLISHED JULY 2022, EFFECTIVE DATE OF DATA: MARCH 2022. 3.) COMPENSATION & BENEFITS SURVEY, CONDUCTED BY KARDASLARSON, LLC, A HUMAN RESOURCE CONSULTING FIRM HEADQUARTERED IN GLASTONBURY, 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 2022. THE ANNUAL PERFORMANCE EVALUATIONS AND RECOMMENDATIONS FOR COMPENSATION PACKAGES (INCLUDING BONUSES) ARE PRESENTED TO THE BOARD OF MANAGERS BY THE GOVERNANCE COMMITTEE IN SPECIAL SESSION. FOLLOWING BOARD ACTION, A REPRESENTATIVE OF THE GOVERNANCE 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. THE CEO COMPENSATION IS DELIBERATED BY AND THE RESULTING DECISION IS DOCUMENTED BY THE GOVERNANCE COMMITTEE OF THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 AT THIS TIME, THE ORGANIZATION HAS NOT HAD ANY REQUEST TO REVIEW THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS. HOWEVER, THIS INFORMATION IS AVAILABLE UPON REQUEST. MW HEALTHCARE INC 118 CLINTON AVENUE NEW HAVEN CT 06513 270268085 OPERATES FOR THE BENEFIT OF THE MARY WADE HOME, INC. AND RESIDENCE CT 501(C)(3) LINE 12B, TYPE II N/A 0 THE MARY WADE HOME INC 118 CLINTON AVENUE NEW HAVEN CT 06513 060662192 PROVIDES LONG TERM CARE TO THE FRAIL ELDERLY CT 501(C)(3) LINE 10 MW HEALTHCARE INC 1 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 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 MW HEALTHCARE INC C 2874000 COST THE MARY WADE HOME INC S 35101166 COST THE MARY WADE HOME INC E 407200 COST