2022-11-15T14:28:47-06:00 2021-12-31 420714325 RSM US LLP 80 CITY SQUARE BOSTON MA 021293742 990 2021-01-01 042105844 CARLETON-WILLARD HOMES INC CARL 7812758700 100 OLD BILLERICA ROAD BEDFORD MA 01730 BARBARA A DOYLE PRESIDENT & CEO 7812758700 2022-11-15 1 BARBARA DOYLE 999009999 KAREN LO P01434915 6179129000 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z CARLETON-WILLARD VILLAGE BARBARA A DOYLE 100 OLD BILLERICA ROAD BEDFORD MA 01730 64451021 0 X WWW.CWVILLAGE.ORG X 1980 MA CARLETON-WILLARD VILLAGE IS A CONTINUING CARE RETIREMENT COMMUNITY OFFERING A COMPLETE RANGE OF SERVICES FROM RESIDENTIAL LIVING APARTMENTS AND CLUSTER HOMES TO SUPPORTIVE CARE, SKILLED NURSING AND REHABILITATION SERVICES IN A COMMUNITY OF OVER 300 RESIDENTS. 15 15 395 50 0 0 2436449 5110267 30722203 32672733 2607250 864048 0 0 35765902 38647048 433503 598304 0 0 20199559 20274015 0 0 49704 15757997 16906612 36391059 37778931 -625157 868117 78162573 84483009 54870209 57036834 23292364 27446175 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 9419640 28852 12738068 OPERATES A COMMUNITY WITH 155 INDEPENDENT LIVING UNITS SERVICING APPROXIMATELY 181 INDIVIDUALS. 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. 23204220 392452 19808411 OPERATING A 100 BED SKILLED NURSING FACILITY AND A 79 BED REST HOME FOR APPROXIMATELY 141 RESIDENTS. SKILLED NURSING PROVIDES LONG TERM CARE, SHORT TERM STAYS/REHABILITATION AND DEMENTIA/ALZHEIMER CARE IN A DISTINCT, AWARD WINNING UNIT. SUPPORTIVE 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 SUPPORTIVE CARE SERVICES ARE AVAILABLE TO INDEPENDENT RESIDENTS OF CARLETON-WILLARD AND TO SENIORS FROM SURROUNDING COMMUNITIES. 1351647 126254 OPERATES AN ON-SITE OUTPATIENT CLINIC SERVING APPROXIMATELY 215 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. 177000 177000 ANNUAL FUNDING TO MEET THE OPERATIONAL NEEDS OF ITS AFFILIATE, CW AT HOME, AN ORGANIZATION PROVIDING SUPPORTIVE SERVICE TO SENIORS LIVING IN SURROUNDING COMMUNITIES. 177000 177000 34152507 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 1 0 0 1 50 0 1 395 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 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 7812758700 100 OLD BILLERICA ROAD BEDFORD MA 01730 CHRISTOPHER ANDERSON TRUSTEE 0.90 0.00 X 0 0 0 BARBARA CLIFFORD TRUSTEE (UNTIL 6/1/21) 0.90 0.20 X 0 0 0 MALCOM CREIGHTON MD TRUSTEE 0.90 0.00 X 0 0 0 ROBERT G CROCKER TRUSTEE (UNTIL 9/1/21) 0.90 0.30 X 0 0 0 THERESE CUNNINGHAM TRUSTEE 0.90 0.00 X 0 0 0 WILLIAM W GALLAGHER III TRUSTEE 0.90 0.30 X 0 0 0 JOHN GLASER TRUSTEE 0.90 0.00 X 0 0 0 PAUL HARRISON JR TRUSTEE 0.90 0.10 X 0 0 0 WILLIAM C HAYS ESQ TRUSTEE (UNTIL 9/21/21) 0.90 0.30 X 0 0 0 REV JOHN C LOMBARD D MIN TRUSTEE 0.90 0.30 X 0 0 0 RUTH W PIPER TRUSTEE 0.90 0.30 X 0 0 0 JAMES A SALTONSTALL TRUSTEE 0.90 0.80 X 0 0 0 ANN MARIE TEUBER LMFT TRUSTEE 0.90 0.30 X 0 0 0 CHRISTOPHER F WOLF TRUSTEE 0.90 0.10 X 0 0 0 JOHN E CUPPLES CHAIRMAN 3.00 0.10 X X 0 0 0 TOM WOODHOUSE VICE-CHAIRMAN 1.00 0.10 X X 0 0 0 WILLIAM W JACKSON TREASURER 1.00 0.30 X X 0 0 0 ADRIENNE SMITH CLERK 1.00 0.10 X X 0 0 0 BARBARA A DOYLE PRESIDENT & CEO 60.00 5.50 X 411239 0 50468 JANET D SILVERMAN CFO 50.00 2.50 X 258076 0 23673 GARY SAWIN DIRECTOR OF HUMAN RESOURCES 50.00 0.00 X 205675 0 36319 PAUL A LUND DIRRECTOR OF FACILITIES 50.00 0.00 X 171856 0 37509 SUSAN CUSSON CLINIC DIRECTOR 40.00 0.00 X 168946 0 9976 KATHLEEN CROSBY DIRECTOR OF MARKETING 40.00 0.00 X 151847 0 35817 CHRISTINE CHAMBERS NURSE MANAGER 60.00 0.00 X 155116 0 20165 1522755 0 213927 29 0 1 0 C E FLOYD 135 SOUTH STREET BEDFORD AL 01730 BUILDING CONTRACTORS 1963323 HEALTHCARE SERVICES GROUP INC PO BOX 829677 PHILADELPHIA PA 19182 HOUSEKEEPING/LAUNDRY 1186197 MF ALLEN PLUMBING PO BOX 1353 MANSFIELD MA 02048 PLUMBING CONTRACTORS 838545 BEDFORD RESEARCH FOUNDATION PO BOX 1028 BEDFORD AL 01730 LAB SERVICES 677635 PHOENIX AIR SERVICES 4 KIDDER ROAD CHELMSFORD MA 01824 HVAC CONTRACTORS 577239 19 4815299 294968 5110267 NURSING REV & CLIN SVS 623000 15769700 15769700 RESIDENTIAL FEES 623990 8854292 8854292 MEDICAID/MEDICARE PMTS 900099 3816269 3816269 ENTRANCE FEES 900099 3711530 3711530 REHAB SERVICES 624310 67022 67022 453920 453920 32672733 383456 383456 26284565 25777435 26538 507130 -26538 480592 480592 38647048 32672733 0 864048 X 187730 187730 410574 410574 741798 741798 15961468 14549359 1362405 49704 495113 455504 39609 1966690 1809355 157335 1108946 1020230 88716 47613 47613 111525 111525 156871 156871 4865343 4629219 236124 24167 24167 2446314 2096857 349457 334076 254538 79538 1920723 1896157 24566 101295 100592 703 7828 7391 437 526186 510941 15245 4158933 4038523 120410 225248 218727 6521 FOOD 1423964 1423916 48 BAD DEBT EXPENSE 436665 436665 PROVIDER TAX 65868 65868 DUES & SUBSCRIPTIONS 14900 14900 39093 1294 37799 37778931 34152507 3576720 49704 3300 3300 3455221 4811451 1450933 1980569 84455 82693 1085248 763762 111448881 69562673 42085647 41886208 29560728 34513238 147585 159103 289456 282685 78162573 84483009 5956994 4971419 29453911 36578235 15651992 15146734 3807312 340446 54870209 57036834 X 19829289 23728511 3463075 3717664 23292364 27446175 78162573 84483009 X 868117 3274176 11518 X 0 1 X 1 0 X 332549 295286 482978 2436449 5110267 8657529 29853570 30638119 31872132 30722203 32672733 155758757 30186119 30933405 32355110 33158652 37783000 164416286 5000 6000 11000 0 5000 6000 11000 164405286 689428 716516 720840 476656 383456 2986896 689428 716516 720840 476656 383456 2986896 30875547 31649921 33075950 33635308 38166456 167403182 0.98210 0.97930 0.01780 0.02060 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 29156460 2252350 3950628 1276598 34082840 26012024 1460267 2975342 1291173 29156460 23724160 14039 3476970 1203145 26012024 25199166 -13829 -638998 822179 23724160 24602732 128522 3327469 2859557 25199166 0.91000 0.03000 0.06000 1 0 2027354 2027354 94183508 57805589 36377919 14755357 11757084 2998273 482662 482662 41886208 REFUNDABLE ENTRANCE FEE DEPOSITS 265310 DUE TO CARLETON-WILLARD FOUNDATION, INC. 75136 340446 X 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, 2021 AND 2020. THE ORGANIZATION WILL ACCOUNT FOR INTEREST AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS, IF ANY, AS PART OF TAX EXPENSE. WITH FEW EXCEPTIONS, THE ORGANIZATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL, STATE, OR LOCAL TAX AUTHORITIES FOR THREE YEARS AFTER THE FILING DATE. 1 CARLETON-WILLARD AT HOME INC 100 OLD BILLERCIA ROAD BEDFORD MA 01730 264153105 501(C)(3) 177000 0 CARLETON-WILLARD HOMES INC. PROVIDES ANNUAL FUNDING TO MEET THE OPERATIONAL NEEDS OF ITS AFFILIATE, CW AT HOME, AN ORGANIZATION PROVIDING SUPPORTIVE SERVICE TO SENIORS LIVING IN SURROUNDING COMMUNITIES. 1 SCHOLARSHIPS 6 19800 SCHOLARSHIPS FOR EMPLOYEES FURTHERING HEALTHCARE EDUCATION; DINING STAFF FINANCIAL ASSISTANCE 5 390774 FMV FINANCIAL ASSISTANCE TO RESIDENTS OF CARLETON-WILLARD HOMES. MONTHLY FEE REDUCTION. 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 OR IN SUPPORT OF THE LOCAL COMMUNITY. MOST GRANTS ARE VIEWED AS A PART OF OUR COMMUNITY OUTREACH/SOCIAL ACCOUNTABILITY PROGRAM. GRANTS TO RESIDENTS ARE BASED ON AN APPLICATION PROCESS DEMONSTRATING FINANCIAL NEED. X X X X X 0 0 0 0 0 0 0 1 0 BARBARA A DOYLE PRESIDENT & CEO 360752 0 20000 0 30487 0 11400 0 39068 0 461707 0 0 0 JANET D SILVERMAN CFO 250239 0 5551 0 2286 0 10634 0 13039 0 281749 0 0 0 GARY SAWIN DIRECTOR OF HUMAN RESOURCES 200001 0 4438 0 1236 0 6950 0 29369 0 241994 0 0 0 PAUL A LUND DIRRECTOR OF FACILITIES 168236 0 2677 0 943 0 7140 0 30369 0 209365 0 0 0 KATHLEEN CROSBY DIRECTOR OF MARKETING 145874 0 5449 0 524 0 6448 0 29369 0 187664 0 0 0 SUSAN CUSSON CLINIC DIRECTOR 167186 0 1156 0 604 0 6724 0 3252 0 178922 0 0 0 CHRISTINE CHAMBERS NURSE MANAGER 95476 0 59640 0 0 0 6667 0 13498 0 175281 0 0 0 PART I, LINE 7 BONUSES FOR THE CFO, DIRECTOR OF HUMAN RESOURCES, DIRECTOR OF FACILITIES, DIRECTOR OF MARKETING, CLINIC DIRECTOR AND NURSE MANAGER ARE AT THE DISCRETION OF THE PRESIDENT AND CEO. FOR THE PRESIDENT AND CEO'S BONUS, A PORTION OF THE BONUS IS AT THE DISCRETION OF THE BOARD OF TRUSTEES AND THE REMAINING PORTION IS A FIXED FORMULA PER CONTRACT. A MASSACHUSETTS DEVELOPMENT FINANCE AGENCY 043431814 57584YWGO 2019-12-12 16605478 REFINANCE DEBT 0 0 0 A 395000 16605478 332109 38213 16235156 1 1 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 0 1 0 0 0 0 0 A 0 SCHEDULE K, PART II, LINE 11, 14, 15: REVENUE BONDS, CARLETON-WILLARD VILLAGE ISSUE, SERIES 2019 WAS ISSUED IN DECEMBER 2019 TO REFUND A PRIOR SERIES 2019 BONDS IN FULL IN THE AMOUNT OF $10,506,401 AND TO PAY OFF A PRIVATE NOTE WITH A BANK IN THE AMOUNT OF $5,728,755. FORM 990, PART I, ITEM C DBA: CARLETON-WILLARD VILLAGE FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS PREPARED BY THE ORGANIZATION'S ACCOUNTING FIRM BASED ON INFORMATION PROVIDED BY THE MANAGEMENT. A DRAFT IS REVIEWED BY THE PRESIDENT & CEO AND CFO AND NECESSARY CHANGES ARE MADE. A FINAL DRAFT, COMPLETE WITH SUPPORTING SCHEDULES, IS REVIEWED BY THE FINANCE COMMITTEE OR TREASURER OF THE BOARD OF TRUSTEES. AFTER APPROVAL BY THE FINANCE COMMITTEE, THE FORM 990 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) 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 2021. 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 REVIEW OF COMPENSATION IS COMPRISED OF A PERFORMANCE EVALUATION AND SALARY COMPARISON TO LIKE ORGANIZATIONS. THE EMPLOYEE EXPERIENCE AND LONGEVITY IS ALSO TAKEN INTO CONSIDERATION. FINAL COMPENSATION FOR THESE POSITIONS IS DETERMINED BY THE PRESIDENT & 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 FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). IN ADDITION, THE FORM 990 WITHOUT SCHEDULE B CAN BE ACCESSED VIA GUIDESTAR AND THE MASSACHUSETTS ATTORNEY GENERAL WEBSITE. FORM 990, PART IX, LINE 11G HOUSE KEEPING: PROGRAM SERVICE EXPENSES 1,187,688. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,187,688. LAB SVCS - COVID: PROGRAM SERVICE EXPENSES 1,033,251. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,033,251. NURSING TEMP STAFF: PROGRAM SERVICE EXPENSES 731,304. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 731,304. REHAB THERAPISTS: PROGRAM SERVICE EXPENSES 465,988. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 465,988. LANDSCAPING: PROGRAM SERVICE EXPENSES 320,200. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 320,200. FACILITY CONTRACTORS: PROGRAM SERVICE EXPENSES 394,034. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 394,034. OTHER TEMPORARY STAFFING: PROGRAM SERVICE EXPENSES 188,069. MANAGEMENT AND GENERAL EXPENSES 15,723. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 203,792. OTHER FEES: PROGRAM SERVICE EXPENSES 308,685. MANAGEMENT AND GENERAL EXPENSES 220,401. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 529,086. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST 11,518. CARLETON-WILLARD FOUNDATION INC 100 OLD BILLERICA ROAD BEDFORD MA 01730 205785760 SUPPORTING ORGANIZATION MA 501(C)(3) LINE 12B, II 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 10 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 177000 FAIR MARKET VALUE