SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
MULBERRY GARDENS OF SOUTHINGTON LLC
 
Employer identification number

82-0586577
Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 3 MULBERRY GARDENS RECEIVES MANAGEMENT OVERSIGHT FROM CENTRAL CONNECTICUT SENIOR HEALTH SERVICES (CCSHS) WHICH IS A MEMBER OF HARTFORD HEALTHCARE. MANAGEMENT FEES ARE PAID TO CCSHS AS DISCLOSED IN SCHEDULE R.
FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED IN DETAIL BY THE CFO AND PRESIDENT OF MULBERRY GARDENS. THE FINAL FORM 990 IS THEN PROVIDED TO ALL MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO IT BEING FILED. THE BOARD MEMBERS ARE REQUESTED TO REVIEW THE 990 AND CONTACT THE CFO WITH ANY QUESTIONS OR COMMENTS.
FORM 990, PART VI, SECTION B, LINE 12C A CONFLICT OF INTEREST DISCLOSURE STATEMENT IS SIGNED ANNUALLY BY BOARD MEMBERS. THE POLICY IS MONITORED AND ENFORCED BY HARTFORD HEALTHCARE OFFICE OF COMPLIANCE AUDIT AND PRIVACY.
FORM 990, PART VI, SECTION B, LINE 15 MULBERRY GARDENS OF SOUTHINGTON PARTICIPATES IN AN ANNUAL EXECUTIVE WAGE SURVEY WITH THE NON PROFIT NURSING ASSOCIATION (LEADING AGE). THIS SURVEY IS USED AS A BENCHMARK ALONG WITH INQUIRIES INTO INDUSTRY STANDARDS. THE WAGES OF THE EXECUTIVE DIRECTOR ARE DISCUSSED WITH AND APPROVED BY THE PRESIDENT. THE WAGES OF OTHER KEY EXECUTIVE STAFF ARE DETERMINED BY THE EXECUTIVE DIRECTOR AFTER A REVIEW OF THE LEADING AGE WAGE SURVEY AND INQUIRIES INTO INDUSTRY STANDARDS. IN FISCAL YEAR 2014 AN EXECUTIVE COMPENSATION REVIEW WAS PREPARED BY THE HARTFORD HEALTHCARE COMPENSATION TEAM AND PRESENTED TO THE BOARD FOR DISCUSSION AND APPROVAL.
FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9: NET ASSETS RELEASED FROM RESTRICTIONS USED FOR OPERATIONS -3,748. TEMPORARILY RESTRICTED CONTRIBUTIONS 2,954.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2013

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