2020-11-16T10:13:03-06:00 2019-12-31 420714325 RSM US LLP 80 CITY SQUARE BOSTON MA 021293742 990 2019-01-01 042105844 CARLETON-WILLARD HOMES INC CARL 7812758700 100 OLD BILLERICA ROAD BEDFORD MA 01730 BARBARA A DOYLE PRESIDENT & CEO 7812758700 2020-11-16 1 KAREN LO P01434915 6179129000 73.226.132.236 2020-11-16 09:50:37 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 AECF77219117B6B1EC9B6AE33341583F740A001D 2019 2021-01-29 14:40:06Z CARLETON-WILLARD VILLAGE BARBARA A DOYLE 100 OLD BILLERICA ROAD BEDFORD MA 01730 63518801 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. 18 18 408 50 0 0 295286 482978 30638119 31872132 1728959 914666 0 0 32662364 33269776 188013 353315 0 0 19097196 19373144 0 0 44769 14572006 14989309 33857215 34715768 -1194851 -1445992 72807721 74802826 51511459 51770323 21296262 23032503 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 7753838 46908 11966723 OPERATES A COMMUNITY WITH 148 INDEPENDENT LIVING UNITS SERVICING APPROXIMATELY 165 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. 21853770 161407 19666503 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. 1087106 238906 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. 145000 145000 ANNUAL FUNDING TO MEET THE OPERATIONAL NEEDS OF ITS AFFILIATE, CW AT HOME, AN ORGANIZATION PROVIDING SUPPORTIVE SERVICE TO SENIORS LIVING IN SURROUNDING COMMUNITIES. 145000 145000 30839714 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 90 0 408 1 0 0 0 0 0 0 0 0 0 0 0 0 X 18 18 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 BARBARA A DOYLE PRESIDENT & CEO 60.00 5.50 X 390237 0 47322 JANET D SILVERMAN CFO 50.00 2.50 X 231580 0 22539 VALERIE GINGRAS ADMINISTRATOR 50.00 0.00 X 220922 0 20780 GARY SAWIN DIRECTOR OF HR 50.00 0.00 X 187181 0 32888 PAUL A LUND DIR. OF FACILITIES 40.00 0.00 X 160122 0 34320 MARY WOODS UNTIL 122119 DIRECTOR OF NURSING 40.00 0.00 X 153668 0 10081 SUSAN CUSSON CLINIC DIRECTOR 40.00 0.00 X 153597 0 10141 CHRIS CHAMBERS NURSE MANAGER 63.00 0.00 X 143962 0 18498 WILLIAM C HAYS ESQ TRUSTEE 0.90 0.30 X 0 0 0 TOM WOODHOUSE VICE-CHAIRMAN 1.00 0.10 X X 0 0 0 JEFFERY J SKERRY ESQ TRUSTEE 1.00 0.10 X 0 0 0 ADRIENNE SMITH CLERK 1.00 0.10 X X 0 0 0 ROBERT G CROCKER TRUSTEE 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 DALE R RYDER TRUSTEE 0.90 0.20 X 0 0 0 WILLIAM W JACKSON TREASURER 0.90 0.30 X X 0 0 0 RUTH W PIPER TRUSTEE 0.90 0.30 X 0 0 0 REV JOHN C LOMBARD D MIN TRUSTEE 0.90 0.30 X 0 0 0 ANN MARIE TEUBER LMFT TRUSTEE 0.90 0.10 X 0 0 0 CHRISTOPHER F WOLF TRUSTEE 0.90 0.10 X 0 0 0 MALCOM CREIGHTON MD TRUSTEE 0.90 0.00 X 0 0 0 JAMES A SALTONSTALL TRUSTEE 0.90 0.80 X 0 0 0 JOHN E CUPPLES CHAIRMAN 3.00 0.10 X X 0 0 0 1641269 0 196569 14 0 1 0 HEALTHCARE SERVICES GROUP INC PO BOX 829677 PHILADELPHIA PA 19182 HOUSEKEEPING/LAUNDRY 1083209 MF ALLEN PLUMBING PO BOX 1353 MANSFIELD MA 02048 PLUMBING CONTRACTORS 1015952 NORTON AND ASSOCIATES 34 ELM STREET COHASSET MA 02025 PT, OT, SPEECH THERAPISTS 603428 PHOENIX AIR SERVICES 4 KIDDER ROAD CHELMSFORD MA 01824 HVAC CONTRACTORS 317665 BUSINESS INTERIOR FLOORING 16 EVERBERG ROAD WOBURN MA 01801 FLOORING INSTALLERS 316686 14 482978 482978 NURSING REV & CLIN SVS 623000 15977683 15977683 RESIDENTIAL FEES 623990 8047488 8047488 ENTRANCE FEES 900099 3696399 3696399 MEDICAID/MEDICARE PMTS 900099 3392634 3392634 REHAB SERVICES 624310 96605 96605 661323 661323 31872132 720840 720840 30442851 30145725 103300 297126 -103300 193826 193826 33269776 31872132 0 914666 163425 163425 189890 189890 934455 889686 44769 15132130 13927649 1204481 468599 421603 46996 1696791 1486080 210711 1141169 951090 190079 65988 65988 121041 121041 161302 161302 3375578 3154548 221030 53336 26212 27124 2127403 1826368 301035 313304 233725 79579 1868020 1830110 37910 106266 103854 2412 17396 11984 5412 981433 951990 29443 3753387 3639248 114139 158377 153626 4751 FOOD 1465758 1454007 11751 BAD DEBT EXPENSE 301537 301537 PROVIDER TAX EXPENSE 67402 67402 51781 12768 39013 34715768 30839714 3831285 44769 2300 2300 2789995 3303527 1834236 1672265 40496 23765 433009 606311 98641562 62766559 36586809 35875003 29353467 32919709 117956 134776 1649453 265170 72807721 74802826 4335336 4598001 27775318 30690314 12347582 16123365 5770740 0 1282483 358643 51511459 51770323 X 18449353 19772030 2846909 3260473 21296262 23032503 72807721 74802826 X -1445992 3408375 -226142 X 0 1 X 1 0 X 404403 593470 332549 295286 482978 2108686 29081910 29123515 29853570 30638119 31872132 150569246 29486313 29716985 30186119 30933405 32355110 152677932 5047 5000 6000 16047 0 5047 5000 6000 16047 152661885 607111 645334 689428 716516 720840 3379229 607111 645334 689428 716516 720840 3379229 30093424 30362319 30875547 31649921 33075950 156057161 0.97820 0.97760 0.02170 0.02230 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 23724160 14039 3476970 1203145 26012024 25199166 -13829 -638998 822179 23724160 24602732 128522 3327469 2859557 25199166 28689367 52876 1234562 5374073 24602732 30006163 194786 -640246 871336 28689367 0.90190 0.03540 0.06270 1 0 2027354 2027354 81757584 51836180 29921404 13654594 10930379 2724215 1202030 1202030 35875003 REFUNDABLE ENTRANCE FEE DEPOSITS 285030 DUE TO CARLETON-WILLARD FOUNDATION, INC. 73613 358643 X 36290707 3408375 -387444 3020931 33269776 0 33269776 34554466 0 34554466 161302 161302 34715768 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, 2019 AND 2018. 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. PART XI, LINE 2D - OTHER ADJUSTMENTS: GAIN ON SWAP AGREEMENT 16,026. CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST 16,820. OTHER THAN TEMPORARY IMPAIRMENT OF INVESTMENTS -5,460. LOSS ON EXTINGUISHMENT OF DEBT -344,711. GAIN ON INVOLUNTARY CONVERSION OF NON-MONETARY ASSETS 91,183. INVESTMENT EXPENSES NETTED WITH REVENUE -161,302. 1 CARLETON-WILLARD AT HOME INC 100 OLD BILLERCIA ROAD BEDFORD MA 01730 264153105 501(C)(3) 145000 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 11791 SCHOLARSHIPS FOR EMPLOYEES FURTHERING HEALTHCARE EDUCATION; DINING STAFF FINANCIAL ASSISTANCE 5 178099 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 1 0 0 0 0 0 0 1 0 BARBARA A DOYLE PRESIDENT & CEO 343632 0 17759 0 28846 0 11200 0 36122 0 437559 0 0 0 JANET D SILVERMAN CFO 223747 0 6645 0 1188 0 9506 0 13033 0 254119 0 0 0 VALERIE GINGRAS ADMINISTRATOR 212293 0 7393 0 1236 0 9028 0 11752 0 241702 0 0 0 GARY SAWIN DIRECTOR OF HR 180382 0 4769 0 2030 0 6405 0 26483 0 220069 0 0 0 PAUL A LUND DIR. OF FACILITIES 152526 0 6761 0 835 0 6848 0 27472 0 194442 0 0 0 MARY WOODS UNTIL 122119 DIRECTOR OF NURSING 141461 0 250 0 11957 0 0 0 10081 0 163749 0 0 0 SUSAN CUSSON CLINIC DIRECTOR 151470 0 1598 0 529 0 6232 0 3909 0 163738 0 0 0 CHRIS CHAMBERS NURSE MANAGER 142674 0 1288 0 0 0 4552 0 13946 0 162460 0 0 0 PART I, LINE 4A MARY WOODS, DIRECTOR OF NURSING, LEFT THE POSITION IN DECEMBER 2019. SHE RECEIVED $11,200 IN SEVERANCE PAYMENT DURING THE CALENDAR YEAR 2019 AND IT IS REPORTED IN PART II, COLUMN (B)(III). PART 1, LINE 7 BONUSES FOR THE CFO, ADMINISTRATOR, DIRECTOR OF HR, DIRECTOR OF NURSING, CLINIC DIRECTOR, NURSE MANAGER AND DIRECTOR OF FACILITIES 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 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 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 VI, SECTION B, LINE 11B 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 PRESIDENT/CEO AND CFO AND NECESSARY CHANGES ARE MADE. A FINAL DRAFT IS REVIEWED BY THE FINANCE COMMITTEE 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 2019. 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 XI, LINE 9: GAIN ON INVOLUNTARY CONVERSION OF NON-MONETARY ASSETS 91,183. CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST 16,820. GAIN ON SWAP AGREEMENT 16,026. OTHER THAN TEMPORARY IMPAIRMENT OF INVESTMENTS -5,460. LOSS ON EXTINGUISHMENT OF DEBT -344,711. 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 145000 FAIR MARKET VALUE