2022-05-16T09:01:55-05:00 2021-06-30 410746749 CLIFTONLARSONALLEN LLP 610 W GERMANTOWN PIKE SUITE 400 PLYMOUTH MEETING PA 19462 990 2020-07-01 521381348 ANNAPOLIS LIFE CARE INC ANNA 4102667300 4000 RIVER CRESCENT DRIVE ANNAPOLIS MD 21401 D RAY FISHER CEO 4102667300 2022-05-12 1 D RAY FISHER 999009999 CONNIE M LIRA P00481097 2156433900 2022-05-12 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z GINGER COVE D RAY FISHER 4000 RIVER CRESCENT DRIVE ANNAPOLIS MD 21401 45304154 0 X WWW.GINGERCOVE.COM X 1988 MD TO OWN AND OPERATE A CONTINUING CARE COMMUNITY FOR CONTRACT HOLDERS OF THE AGE OF 60 AND OLDER 17 17 334 50 -2270 0 1384281 106200 21020734 19983190 2688692 1906038 173921 95927 25267628 22091355 0 0 0 0 12540433 11252973 0 0 0 12975146 13697603 25515579 24950576 -247951 -2859221 102167949 111044100 162972946 166660399 -60804997 -55616299 X OUR VISION - A PREMIER LIFE-CARE COMMUNITY COMMITTED TO QUALITY. OUR MISSION - TO PROVIDE RESIDENTS AN ABUNDANT LIFE. OUR VALUES - RESIDENT INDEPENDENCE, DIGNITY, SECURITY, STAFF EXCELLENCE, BUSINESS INTEGRITY, AND FISCAL PRUDENCE. 1 0 14677179 0 14060464 ANNAPOLIS LIFE CARE, INC. OPERATES A LIFE-CARE COMMUNITY WHICH OFFERS THREE LEVELS OF CARE. THESE CONSIST OF INDEPENDENT LIVING, ASSISTED LIVING, AND NURSING.INDEPENDENT LIVING - THE ORGANIZATION PROVIDES HOUSING FOR CERTAIN CONTRACT HOLDERS, HEALTH CARE, AND RECREATIONAL ACTIVITIES FOR SENIOR CITIZENS WHO ARE STILL ABLE TO MAINTAIN AN ACTIVE LIFESTYLE. THERE WERE 231 INDEPENDENT LIVING UNITS AVAILABLE WITH AN AVERAGE OCCUPANCY RATE OF 84%. 4662237 0 4465882 SKILLED NURSING - THE ORGANIZATION HAS A 55-BED COMPREHENSIVE CARE COMMUNITY HEALTH CENTER FOR RESIDENTS WHO REQUIRE A HIGH LEVEL OF SKILLED NURSING ASSISTANCE. TEMPORARY AND PERMANENT CARE DAYS TOTALED 13,724. 1520703 0 1456844 ASSISTED LIVING - THIS PROGRAM IS FOR SENIOR CITIZENS WHO MAY NEED ADDITIONAL HELP TO MAINTAIN A HEALTHY LIFESTYLE BUT WHO DO NOT REQUIRE SKILLED NURSING. THE ORGANIZATION HAS 50 UNITS FOR ASSISTED LIVING, 15 MEMORY CARE UNITS, AND 6 BEDS IN THE HEALTH CENTER WHICH PROVIDED A TOTAL OF 11,946 LIFE CARE DAYS. 20860119 1 1 0 1 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 51 0 334 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 17 17 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 MD X MARY BETH HOLLY 4102667300 4000 RIVER CRESCENT DRIVE ANNAPOLIS MD 21401 WILLIAM M HOLMAN CEO 40.00 0.00 X 276811 0 23628 PHYLLIS BOULDEN ADMINISTRATOR 40.00 0.00 X 182650 0 15840 TIMOTHY ELLIOTT CFO TO OCT 2020 40.00 0.00 X 164388 0 15757 MASERAY BAYOH-SENSIE DIRECTOR OF NURSING 40.00 0.00 X 142681 0 17924 VICKY MIRANDA SR. DIR. HUMAN RESOURCES 40.00 0.00 X 141791 0 18418 JOAN WILLIAMS MARKETING DIRECTOR 40.00 0.00 X 128651 0 24393 MAJID MAFI DIRECTOR OF PLANT OPERATIONS 40.00 0.00 X 125066 0 19084 VIRGINIA KAMAU PSYCHIATRIST 40.00 0.00 X 117198 0 22688 WILLIAM STUDEMAN PRESIDENT 5.00 0.00 X X 0 0 0 DANIEL BOWLER VICE PRESIDENT 5.00 2.00 X X 0 0 0 SUSAN WARD TREASURER 5.00 0.00 X X 0 0 0 KATHLEEN MORRISON SECRETARY 5.00 0.00 X X 0 0 0 PATRICIA BERTSCHE DIRECTOR 2.00 0.00 X 0 0 0 KAREN COFFMAN DIRECTOR 2.00 0.00 X 0 0 0 FREDERICK FRANKE DIRECTOR 2.00 0.00 X 0 0 0 CHERYL KAMINSKA DIRECTOR 2.00 0.00 X 0 0 0 JIM KOEHR DIRECTOR 2.00 0.00 X 0 0 0 MICHAEL LORD DIRECTOR 2.00 0.00 X 0 0 0 SANDRA MAYO DIRECTOR 2.00 0.00 X 0 0 0 EDWARD MCDEVITT DIRECTOR 2.00 0.00 X 0 0 0 ROY PATTERSON DIRECTOR 2.00 5.00 X 0 0 0 ROBERT PETTY DIRECTOR 2.00 2.00 X 0 0 0 LISA SANCHEZ DIRECTOR 2.00 0.00 X 0 0 0 ROBERT SHERER DIRECTOR 2.00 2.00 X 0 0 0 PAULA WIDERLITE DIRECTOR 2.00 0.00 X 0 0 0 VALENTINE LYNCH DIRECTOR TO SEP 2020 2.00 2.00 X 0 0 0 1279236 0 157732 12 0 1 0 WAVERLY CONSTRUCTION & MANAGEMENT INC 1515 SULPHUR SPRING RD BALTIMORE MD 21227 CONSTRUCTION 10756961 NICHOLS CONTRACTING INC 508 OLNEY SANDY SPRING ROAD SANDY SPRING MD 20860 CONSTRUCTION 2140991 FLIK LIFESTYLES LLC 2400 YORKMONT ROAD CHARLOTTE NC 28217 DINING SERVICES 1961937 SELECT REHABILITATION INC PO BOX 71985 CHICAGO IL 606941985 THERAPY SERVICES 1212185 BRIGHTVIEW LANDSCAPES LLC PO BOX 740655 ATLANTA GA 303740655 LANDSCAPING 398157 13 18569 87631 106200 RESIDENT SERVICE FEES 621610 16743639 16743639 HEALTH CENTER FEES 621610 2033193 2033193 ENTRANCE FEES EARNED 621610 1206358 1206358 19983190 614723 -2270 616993 2716 100 2616 2616 2616 24456799 23165484 1291315 1291315 1291315 29573 47215 -17642 -17642 BEAUTY/BARBER SHOP 621610 109334 109334 CATERING INCOME 621610 1357 1357 GUEST MEALS 621610 262 262 110953 22091355 19983190 -2270 2004235 679074 679074 8506222 7477589 1028633 120787 96409 24378 1221418 1107541 113877 725472 608311 117161 94926 94926 49319 49319 2335 2335 73976 73976 2177449 2076063 101386 379837 379837 1000537 859267 141270 7822 7822 1418757 912492 506265 43 43 1761660 1761660 3396555 3225886 170669 FOOD 1171346 1171346 MAINTENANCE AND REPAIR 1133355 909541 223814 MEDICAL SUPPLIES 611700 611700 UBI TAX 21405 21405 396581 42271 354310 24950576 20860119 4090457 0 4199429 3534387 788732 1083016 520 4034557 212915 237523 706218 796335 124988958 56510720 65631374 68478238 1114628 20074694 27450383 10349360 1950097 2342337 113653 113653 102167949 111044100 2815016 3237934 95595610 93870591 42720699 46682030 2071800 2071800 19769821 20798044 162972946 166660399 X -62354044 -57352773 1549047 1736474 -60804997 -55616299 102167949 111044100 X -2859221 4342620 3705299 X 0 1 X 1 0 X 439610 772688 385592 1384281 106200 3088371 19419255 19610281 20923250 21020734 19983190 100956710 251424 246012 205694 213840 140526 1057496 20110289 20628981 21514536 22618855 20229916 105102577 555710 814112 437340 1192458 413849 3413469 0 555710 814112 437340 1192458 413849 3413469 101689108 1415095 989972 565771 718779 619709 4309326 1991 20618 37218 59827 1417086 989972 586389 755997 619709 4369153 21527375 21618953 22100925 23374852 20849625 109471730 0.92890 0.92330 0.03990 0.04480 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 2335 2335 0 PART II-B, LINE 1: ANNAPOLIS LIFE CARE INC. IS A MEMBER OF THE INDUSTRY GROUPS LEADING AGE AND LIFE SPAN. THE ORGANIZATION PAID $14,775 IN MEMBERSHIP DUES TO LEADING AGE, OF WHICH 12.3% IS ALLOCATED TO LOBBYING EXPENSES, AND $9,092 IN MEMBERSHIP DUES TO LIFE SPAN, OF WHICH 5.7% IS ALLOCATED TO LOBBYING EXPENSES. 3735917 3735917 88342580 38074731 50267849 22505953 10644930 11861023 9912911 7791059 2121852 491597 491597 68478238 COLLINS CAPITAL LOW VOLATILITY PERFORMANCE LTD. II SPECIAL INVESTMENTS 35460 F WMS PARTNERS INCOME OPPORTUNITY FUND B, LLC 43603 F IRONSIDES PARTNERSHIP FUND II LP 6035 F MERCER STRATEGIC SOLUTIONS LLC INTERNATIONAL EQUITIES SERIES 7460267 F CLARION LION PROPERTIES FUND LP 1085979 F HARVEST EDGE GLOBAL RISK PREMIA EQUITY, LP 1718016 F 10349360 DUE TO AFFILIATES 117303 WAIT LIST AND ENTRANCE FEE DEPOSITS 4884985 INTEREST RATE SWAP AGREEMENTS 8207919 ESTIMATED OBLIGATION TO PROVIDE FUTURE SERVICES 7587837 20798044 X 30139374 4342620 3705299 8047919 22091455 -100 -100 22091355 24950676 100 100 24950576 0 24950576 PART X, LINE 2: THE CORPORATION IS A NONPROFIT ENTITY AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM INCOME TAXES ON RELATED ACTIVITIES PURSUANT TO SECTION 509(A) OF THE INTERNAL REVENUE CODE. THE CORPORATION FOLLOWS THE PROVISIONS OF ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA THAT CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN A COMPANY'S FINANCIAL STATEMENTS, INCLUDING NONPROFIT CORPORATIONS, AND PRESCRIBES A RECOGNITION THRESHOLD OF MORE LIKELY THAN NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. THE STANDARDS ALSO PROVIDE GUIDANCE ON DE-RECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, AND DISCLOSURE. MANAGEMENT HAS DETERMINED THAT THIS STANDARD DOES NOT HAVE A MATERIAL IMPACT ON THE FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN INTEREST OF SUBSIDIARY 392,240. UNREALIZED GAIN ON INTEREST RATE SWAP 4,022,223. CHANGE IN FUTURE SERVICE OBLIGATION -709,164. PART XI, LINE 4B - OTHER ADJUSTMENTS: DIRECT RENTAL EXPENSES -100. PART XII, LINE 2D - OTHER ADJUSTMENTS: DIRECT RENTAL EXPENSES 100. X X X X 0 1 0 0 0 0 0 1 0 WILLIAM M HOLMAN CEO 252611 0 24200 0 0 0 7897 0 15731 0 300439 0 0 0 PHYLLIS BOULDEN ADMINISTRATOR 170647 0 12003 0 0 0 5447 0 10393 0 198490 0 0 0 TIMOTHY ELLIOTT CFO TO OCT 2020 158362 0 6026 0 0 0 5118 0 10639 0 180145 0 0 0 MASERAY BAYOH-SENSIE DIRECTOR OF NURSING 131256 0 11425 0 0 0 4136 0 13788 0 160605 0 0 0 VICKY MIRANDA SR. DIR. HUMAN RESOURCES 131941 0 9850 0 0 0 3448 0 14970 0 160209 0 0 0 JOAN WILLIAMS MARKETING DIRECTOR 120537 0 8114 0 0 0 2910 0 21483 0 153044 0 0 0 SCHEDULE J, PART I, LINE 4B: THE FOLLOWING EMPLOYEES PARTICIPATED IN A 457(F) SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: WILLIAM M. HOLMAN, CEO - $13,500 EMPLOYEE CONTRIBUTION TIMOTHY ELLIOTT, CFO - $4,600 EMPLOYEE CONTRIBUTION PHYLLIS BOULDEN, ADMINISTRATOR - $6,750 EMPLOYEE CONTRIBUTION SCHEDULE J, PART I, LINE 7: THE CEO AND OTHER KEY EMPLOYEES ESTABLISH GOALS AND OBJECTIVES FOR THE UPCOMING YEAR. THESE GOALS AND OBJECTIVES ARE REVIEWED ANNUALLY BY THE BOARD FOR THE CEO AND BY EACH KEY EMPLOYEES' DIRECT SUPERVISOR. THE ACCOMPLISHMENT OF THESE GOALS IS TAKEN INTO CONSIDERATION WHEN DETERMINING BONUSES. THE BONUS RANGE IS 3% TO 7% OF SALARY FOR DIRECTORS. THERE IS NOT A RANGE FOR THE CEO AS THE AMOUNT IS NEGOTIATED IN THE ANNUAL CONTRACT AND DEPENDS ON GOALS MET. ALL COMPENSATION ADJUSTMENTS ARE MEASURED AGAINST INDUSTRY STANDARDS TO ENSURE COMPENSATION IS SET WITHIN FAIR MARKET RANGE FOR THE INDUSTRY. (CONTINUED ON NEXT PAGE) FOR EACH EMPLOYEE LISTED ON FORM 990, PART VII, THE BONUS IS INCLUDED IN THE 2020 W-2 AS FOLLOWS: WILLIAM M. HOLMAN, CEO - $24,200 PHYLLIS BOULDEN, ADMINISTRATOR - $12,003 TIMOTHY ELLIOTT, CFO TO OCTOBER 2020 - $6,026 MASERAY BAYOH-SENSIE, DIRECTOR OF NURSING - $11,425 VICKY MIRANDA, SR. DIR. HUMAN RESOURCES - $9,850 JOAN WILILAMS, MARKETING DIRECTOR - $8,114 MAJID MAFI, DIRECTOR OF PLANT OPERATIONS - $9,032 VIRGINIA KAMAU, PSYCHIATRIST - $17,800 A MARYLAND HEALTH AND HIGHER EDUCATION FACILITIES AUTHORITY 520936091 2018-08-21 38981000 REFUND 9/17/2014 BONDS 0 0 0 B MARYLAND HEALTH AND HIGHER EDUCATION FACILITIES AUTHORITY 520936091 2018-08-21 10000000 NEW CONSTRUCTION 0 0 0 A 1894000 38981000 331211 38649789 2019 1 0 1 1 B 105960 10000000 10000000 2020 1 0 1 1 A 0 1 1 1 0 0.00000 0.00000 0.00000 1 0 1 B 0 1 1 1 0 0.00000 0.00000 0.00000 1 0 1 A 0 1 0 0 1 0 0 0 1 B 0 1 0 0 1 0 0 0 1 A 1 B 1 SCHEDULE K, PART II, LINE 14: THE 8/21/2018 TAX-EXEMPT BOND WAS ISSUED IN PART TO REFUND THE 9/17/2014 BOND. FORM 990, PART III, LINE 2 DURING THE FISCAL YEAR, GINGER COVE EXPANDED THE PROGRAM OFFERINGS OF THE EXISTING ASSISTED LIVING PROGRAM TO INCLUDE MEMORY CARE SERVICES. GINGER COVE'S NEW MEMORY CARE SERVICE OFFERS PERSON-CENTERED AND STRENGTHS-BASED PROGRAMMING BUILT AROUND A WELLNESS MODEL AND A STATE-OF-THE-ART ENVIRONMENT TO HELP IMPROVE AN INDIVIDUAL'S PHYSICAL, MENTAL, AND SOCIAL WELL-BEING. WE OFFER SPECIALIZED SERVICES TO HELP RESIDENTS HAVE, MAINTAIN OR EXPERIENCE AN IMPROVED AND DIGNIFIED QUALITY OF LIFE. THE KEY ELEMENTS OF OUR MEMORY CARE COMMUNITY ARE: 1. A SINGULAR FOCUS ON DEMENTIA CARE 2. A HIGHLY QUALIFIED TEAM 3. SPECIALIZED PROGRAMMING, CARE AND THERAPY 4. FAMILY PARTNERSHIP FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE CONSISTS OF THE ELECTED OFFICERS OF THE BOARD OF DIRECTORS PLUS THE DIRECTORS SERVING AS CHAIRPERSONS OF THE FINANCE AND AUDIT COMMITTEE, THE COMMITTEE ON GOVERNANCE AND DIRECTORS, AND THE PLANNING OVERSIGHT COMMITTEE. THE EXECUTIVE COMMITTEE SHALL BE FULLY AUTHORIZED TO CARRY OUT ALL POWERS OF THE BOARD OF DIRECTORS BETWEEN MEETINGS OF THE BOARD, PROVIDED THEIR ACTIONS AND DECISIONS COULD NOT REASONABLY HAVE BEEN DEFERRED UNTIL THE NEXT MEETING OF THE BOARD. ACTIONS OF THE EXECUTIVE COMMITTEE SHALL BE REPORTED TO THE NEXT REGULAR OR SPECIAL MEETING OF THE BOARD OF DIRECTORS. ACTIONS OF THE EXECUTIVE COMMITTEE WHICH ARE WITHIN THE AUTHORITY OF THE EXECUTIVE COMMITTEE SHALL NOT REQUIRE RATIFICATION BY THE BOARD OF DIRECTORS, BUT ANY ACTIONS OF THE EXECUTIVE COMMITTEE MAY BE MODIFIED AT A MEETING OF THE BOARD OF DIRECTORS BY VOTE OF A MAJORITY OF THE MEMBERS OF THE BOARD OF DIRECTORS PRESENT AND CONSTITUTING AT LEAST A QUORUM. HOWEVER, ANY SUCH MODIFICATIONS SHALL NOT AFFECT THE RIGHTS OF ANY THIRD PERSONS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. THE CEO AND DIRECTOR OF FINANCIAL SERVICES PERFORM AN INITIAL REVIEW. THE FORM 990 IS THEN DISTRIBUTED TO ALL BOARD MEMBERS PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C ANNAPOLIS LIFE CARE INC. HAS A CONFLICT OF INTEREST POLICY FOR ALL BOARD MEMBERS AND ADVISORY MEMBERS OF BOARD COMMITTEES. A CONFLICT OF INTEREST STATEMENT MUST BE UPDATED ANNUALLY. ANY ACTUAL OR POTENTIAL CONFLICTS ARE EXPECTED TO BE DISCLOSED. THE PRESIDENT AND SECRETARY OF THE BOARD AND ALL CHAIRMEN OF STANDING BOARD COMMITTEES WILL RECEIVE ALL ANNUAL CONFLICT OF INTEREST STATEMENTS. IF AN ACTUAL OR POTENTIAL CONFLICT WERE TO EXIST, THE INTERESTED PARTY WOULD ABSTAIN FROM ALL DISCUSSIONS AND DECISIONS ON THE CONFLICT. ANY TRANSACTIONS OR EVENTS THAT VIOLATE THE CONFLICT OF INTEREST POLICY MAY ALSO BE REVIEWED BY LEGAL COUNSEL. FAMILY AND BUSINESS RELATIONSHIPS WHICH MAY POSE A CONFLICT ARE EXPRESSLY CONSIDERED IN THE POLICY AND THE ANNUAL STATEMENT. FORM 990, PART VI, SECTION B, LINE 15A FOR THE CEO, A THREE-MEMBER COMMITTEE FROM THE ANNAPOLIS LIFE CARE INC. BOARD OF DIRECTORS COMPILES RESULTS OF PERFORMANCE EVALUATIONS COMPLETED BY EACH BOARD MEMBER, REVIEWS THE CURRENT COMPENSATION STRUCTURE, REVIEWS INDUSTRY SALARY SURVEY DATA FOR THE REGION AND NATIONALLY AND MAKES RECOMMENDATIONS TO BOTH THE EXECUTIVE COMMITTEE AND THE FULL BOARD OF DIRECTORS FOR A ONE-YEAR CONTRACT EXTENSION. THIS PROCESS IS DOCUMENTED IN THE MINUTES AND IN THE CONTRACT. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE LOCATED IN THE GINGER COVE LIBRARY FOR PUBLIC REVIEW AND THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST OF SUBSIDIARY 392,240. UNREALIZED GAIN ON INTEREST RATE SWAP 4,022,223. CHANGE IN FUTURE SERVICE OBLIGATION -709,164. GINGER COVE HOME HEALTH CARE LLC 4000 RIVER CRESCENT DRIVE ANNAPOLIS MD 21401 521381348 HOME HEALTH CARE SERVICES MD 0 0 ANNAPOLIS LIFE CARE INC GINGER COVE FOUNDATION INC 4000 RIVER CRESCENT DRIVE ANNAPOLIS MD 21401 113656031 TO SUPPORT AFFILIATED ORGANIZATIONS MD 501(C)(3) LINE 12C, III-FI ANNAPOLIS LIFE CARE INC 1 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0