2021-05-26T14:44:28-05:00 2020-12-31 381357951 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2020-01-01 521305909 WILLIAMSBURG LANDING INC WILL 7575656504 5700 WILLIAMSBURG LANDING DRIVE WILLIAMSBURG VA 23185 GREGORY T STORER PRESIDENT & CEO 7575656504 2021-05-20 1 GREGORY STORER 999009999 AMY CIMINELLO P00796388 6148493000 2021-05-20 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z GREGORY T STORER 5700 WILLIAMSBURG LANDING DRIVE WILLIAMSBURG VA 23185 46328606 0 X WWW.WILLIAMSBURGLANDING.ORG X 1982 VA WILLIAMSBURG LANDING THE SENIOR COMMUNITY OF CHOICE: CELEBRATING EXCELLENCE, VALUING DIVERSITY, PURSUING INNOVATION, AND CARING FOR EACH OTHER. 17 17 542 58 0 0 825241 1936809 37875699 39302994 4607475 857996 0 0 43308415 42097799 167853 239033 0 0 17747611 17567816 0 0 124403 24312276 24366931 42227740 42173780 1080675 -75981 181661223 179284386 238393308 234464850 -56732085 -55180464 AS AN INNOVATIVE, NONPROFIT, LIFE PLAN COMMUNITY, WILLIAMSBURG LANDING OFFERS A FULL SPECTRUM OF OPPORTUNITIES TO FOSTER INDEPENDENCE, CONNECTION AND SECURITY. 0 0 10212397 0 23288106 INDEPENDENT LIVING:FULL SERVICE ACCREDITED CONTINUING CARE COMMUNITY APPROPRIATE ACTIVITIES AND A HEALTHY LIFESTYLE PROGRAM PROVIDED IN THE 24,000 SQFT DOIG HEALTH CLUB AND ELSEWHERE ON CAMPUS. FINE DINING IS AVAILABLE IN THE MAIN DINING ROOM WITH INFORMAL DINING IN THE COVE CAFE. WILLIAMSBURG LANDING PROVIDES FOR ACCESS TO AN ONSITE CLINIC SERVED BY A DOCTOR AND NURSE PRACTITIONER. TRANSPORTATION AND OTHER SERVICES PROVIDED AS NEEDED. 24805933 0 15682858 HEALTH AND REHABILITATION SERVICES AT WILLIAMSBURG LANDING ENCOMPASSES ALL HIGHER LEVEL OF CARE INCLUDING SKILLED NURSING (MEDICARE), LONG TERM CARE, RESPITE CARE, ASSISTED LIVING AND CARE FOR THOSE WITH MEMORY PROBLEMS. SERVICES ARE PROVIDED PRIMARILY FOR RESIDENTS, NON-RESIDENTS MAY BE ACCEPTED ON A SPACE AVAILABLE BASIS. SERVICES INCLUDE ACCESS TO A DOCTOR AND NURSE PRACTITIONER AND PHYSICAL REHAB, A DIETITIAN, ACTIVITIES AND OTHER SERVICES AND A COMPREHENSIVE PROGRAM FOR RESIDENTS WITH MEMORY ISSUES ARE ALSO PROVIDED BY THE STAFF OF HEALTH AND REHABILITATION CENTER. MEMORY SUPPORT IS FOR THOSE WITH MORE ADVANCED MEMORY ISSUES. 332030 239033 332030 WILLIAMSBURG LANDING HAS A BENEVOLENCE PROGRAM TO PROVIDE FINANCIAL ASSISTANCE FOR THOSE RESIDENTS WHO OUTLIVE THEIR RESOURCES. THE RESIDENT MUST PROVIDE CONCLUSIVELY THAT THE INABILITY TO PAY IS DUE TO FINANCIAL REVERSES OVER WHICH THE RESIDENT HAS NO CONTROL OR IS DUE TO DEPLETION OF THE RESIDENT'S ASSETS IN A REASONABLE MANNER BY THE PASSAGE OF TIME. THE BENEVOLENCE FUND CURRENTLY HAS A BALANCE OF 3.88 MILLION 35350360 1 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 69 0 1 542 1 0 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 1 0 VA X JUANITA M PARKS CFO 7575656511 5700 WILLIAMSBURG LANDING DRIVE WILLIAMSBURG VA 23185 GREGORY STORER PRESIDENT AND CEO 54.00 1.00 X 311939 0 38477 VERNON BAKER COO 54.00 1.00 X 232991 0 24739 BRANDY DAY CHIEF TALENT OFFICER 45.00 1.00 X 149801 0 42530 JUANITA PARKS CFO 54.00 1.00 X 151690 0 17696 NANCY BARHITE SENIOR DIRECTOR OF INDEPENDENT LIVING HEALTH SERVI 45.00 1.00 X 135874 0 25591 LISA BATES CHIEF MARKETING OFFICER 45.00 1.00 X 123815 0 25236 NATHAN YOWELL HEALTH CARE ADMINISTRATOR 45.00 1.00 X 118489 0 23798 SHELLY DIGGS DIRECTOR OF NURSING 45.00 1.00 X 114243 0 18888 ROBERT SINGLEY CHAIR 3.00 0.10 X X 0 0 0 ALFRED WOODS TREASURER AND CHAIR OF FINANCE 3.00 0.10 X X 0 0 0 ALISON BRODY VICE CHAIR & GOVERNANCE CHAIR 3.00 0.10 X X 0 0 0 VIRGINIA MCLAUGHIN DIRECTOR (THROUGH 06/2020) 3.00 0.10 X 0 0 0 TED JURASCHEK CHAIR OF HEALTH AND WELLNESS 3.00 0.10 X 0 0 0 RICHARD COSTELLO CHAIR OF PLANT OPERATIONS 3.00 0.10 X 0 0 0 JAMES EASTON CHAIR OF MARKETING (THROUGH 06/2020) 3.00 0.10 X 0 0 0 DR CARLENE PITTMAN DIRECTOR 3.00 0.10 X 0 0 0 LOUISE CANSFIELD CHAIR OF DEVELOPMENT 3.00 0.10 X 0 0 0 LARRY FOSTER CHAIR OF EXECUTIVE COMP 3.00 0.10 X 0 0 0 JOHN SADLER ESQ DIRECTOR 3.00 0.10 X 0 0 0 JEANNE ZEIDLER DIRECTOR 3.00 0.10 X 0 0 0 ED SCHUMACHER DIRECTOR (THROUGH 06/2020) 3.00 0.10 X 0 0 0 LINDA TAYLOR-STALLINGS DIRECTOR 3.00 0.10 X 0 0 0 MICHAEL FOX DIRECTOR 3.00 0.10 X 0 0 0 ELIZABETH DAVIS DIRECTOR 3.00 0.10 X 0 0 0 WILLIAM KAUFMANN DIRECTOR 3.00 0.10 X 0 0 0 TIMOTHY WRIGHT DIRECTOR 3.00 0.10 X 0 0 0 VERNON GEDDY III ESQ DIRECTOR (BEGAN 06/2020) 3.00 0.10 X 0 0 0 TIMOTHY MILLS DIRECTOR (BEGAN 06/2020) 3.00 0.10 X 0 0 0 PAUL GERHARDT SECRETARY 3.00 0.10 X 0 0 0 1338842 0 216955 10 0 1 0 SODEXO 10 EARHART DRIVE WILLIAMSVILLE NY 14221 DINING SERVICES 3856876 HENDERSON INC PO BOX BM WILLIAMSBURG VA 23187 CONSTRUCTION 1988811 HEALTH PRO HERITAGE LLC 536 OLD HOWELL RD GREENVILLE NC 29615 CONSULTING/THERAPY 959962 MILLER FLOORING 163 NORMAN DAVIS DRIVE TOANO VA 23168 CONSTRUCTION 320445 HAMPTON ROADS LAWN 12 HOLLINGSWORTH WAY POQUOSON VA 23662 LANDSCAPING SERVICES 305492 21 X 869826 1066983 1936809 RESIDENTIAL SERVICES 623000 29201724 29201724 HEALTH CARE SERVICES 623000 8802309 8802309 TELEPHONE AND CABLE SERVICES 623000 222712 222712 ADULT DAY REVENUE 623000 133230 133230 MEALS AND CATERING 623000 59474 59474 883545 883545 39302994 532739 532739 4554619 1445 4228519 2288 326100 -843 325257 325257 42097799 39302994 0 857996 X 239033 239033 777531 194383 583148 12255662 10800817 1377363 77482 3438468 2952603 466635 19230 1096155 943599 146441 6115 224070 61627 162443 81504 81504 3651958 2641403 1003615 6940 101497 2870 90033 8594 7489 7489 2122829 1843287 279542 49140 33048 15597 495 3444675 2927974 516701 8490162 7216638 1273524 445934 379044 66890 DIETARY COSTS 1787018 1784259 2759 SUPPLIES 1592356 1499185 90668 2503 REPAIRS 547605 547605 VEHICLE EXPENSES 59494 59494 1761200 1216002 542154 3044 42173780 35350360 6699017 124403 4431196 6652583 605450 580450 814156 510011 217782 176651 237107 248284 470076 732119 222045797 89976416 136477405 132069381 19281424 17202992 18959627 20937315 167000 174600 181661223 179284386 9746965 4833204 104199696 105216310 108002959 106072198 16443688 18343138 238393308 234464850 X -58810565 -57249205 2078480 2068741 -56732085 -55180464 181661223 179284386 X -75981 2771377 -1143775 X X 0 1 X 1 0 X 435391 453161 825241 1936809 3650602 29463338 30713095 34052739 37875699 39302994 171407865 29898729 31166256 34052739 38700940 41239803 175058467 0 0 0 175058467 494173 2609937 461436 406034 532739 4504319 494173 2609937 461436 406034 532739 4504319 30392902 33776193 34514175 39106974 41772542 179562786 0.97490 0.97370 0.02510 0.02630 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 7114165 7114165 164256756 59075202 105181554 36059544 21365159 14694385 14615332 9536055 5079277 132069381 ASSETS LIMITED AS TO USE 17202992 F 17202992 INVESTMENT 20937315 F 20937315 DEPOSITS 11389581 REFUNDABLE ADVANCE FEES 5200000 OTHER 1753557 18343138 X PART X, LINE 2: WILLIAMSBURG LANDING, INC. IS A NOT-FOR-PROFIT CORPORATION AND IS EXEMPT FROM TAX UNDER THE PROVISIONS OF INTERNAL REVENUE CODE SECTION 501(C)(3). ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ENTITY AND RECOGNIZE A TAX LIABILITY IF THE ENTITY HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ENTITY AND HAS CONCLUDED THAT, AS OF DECEMBER 31, 2020 AND 2019, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. BIRCHWOOD AND WILLIAMSBURG LANDING HOME HEALTH ARE SINGLE-MEMBER LIMITED LIABILITY COMPANIES SOLELY OWNED BY WILLIAMSBURG LANDING, INC. AS SUCH, THEY ARE CONSIDERED DISREGARDED ENTITIES FOR TAX PURPOSES. 1 BENEVOLENCE - PATIENT ASSISTANCE 5 193107 EDUCATION FUND 42 45926 PART I, LINE 2: GRANTS SUPPORT RESIDENTS OR EMPLOYEES THAT DEMONSTRATE NEED, AS WELL AS CERTAIN CHARITABLE ORGANIZATIONS IN THE LOCAL COMMUNITY. X X X X 0 0 0 0 0 0 0 1 0 GREGORY STORER PRESIDENT AND CEO 255553 0 56386 0 0 0 9293 0 29184 0 350416 0 0 0 VERNON BAKER COO 198811 0 34180 0 0 0 6952 0 17787 0 257730 0 0 0 BRANDY DAY CHIEF TALENT OFFICER 130892 0 18909 0 0 0 7393 0 35137 0 192331 0 0 0 JUANITA PARKS CFO 146630 0 5060 0 0 0 7923 0 9773 0 169386 0 0 0 NANCY BARHITE SENIOR DIRECTOR OF INDEPENDENT LIVIN 122189 0 13685 0 0 0 6149 0 19442 0 161465 0 0 0 PART I, LINE 7 EXECUTIVES OF WILLIAMSBURG LANDING ARE ELIGIBLE FOR A YEARLY BONUS. THE BONUS IS REVIEWED AND APPROVED BY THE BOARD EACH YEAR AND THE EXECUTIVES MUST ACCOMPLISH A LIST OF PRE-DETERMINED GOALS IN ORDER TO RECEIVE A PAYOUT. A EDA WILLIAMSBURG VA 541696911 999999999 2007-11-14 9000000 PREPAY PRIOR OBLIGATION-EW, DOIG HC 0 0 0 B IDA MATHEWS COUNTY VA 546001417 999999999 2007-12-12 5515000 REFUND 2003 B BONDS 0 0 0 C IDA MATHEWS COUNTY VA 546001417 999999999 2011-12-15 10000000 REFINANCE RENOVATIONS TO FACILITIES 0 0 0 D IDA OF ESSEX COUNTY (SERIES 2012B) 542033575 2012-12-19 3300000 REFINANCE/REFUND 2003 BONDS 0 0 0 A 8045000 9000000 2008 1 0 1 1 B 5515000 110300 2439 5404700 2008 1 0 1 1 C 9300000 100011 9899989 2013 0 0 1 1 D 1362500 35453 3264546 2013 1 0 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 D 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 1 0 0 0 0 0 B 1 0 0 0 0 0 C 0 1 0 0 1 0 0 0 0 D 0 1 1 0 0 0 0 0 0 A 1 B 1 C 1 D 1 A EDA OF THE CITY OF WILLIAMSBURG VA (SERIES 2012C) 541696911 2012-12-19 4820000 REFINANCE/REFUND 2003 BONDS 0 0 0 B EDA OF GLOUCESTER COUNTY VA (SERIES 2012D) 541189758 2012-12-19 10000000 REFINANCE/REFUND 2003 BONDS 0 0 0 C IDA OF MATHEWS COUNTY VA (SERIES 2012) 546001417 2012-01-26 7500000 REFINANCE RENOVATIONS TO FACILITIES 0 0 0 D IDA MATHEWS COUNTY VA 546001417 2013-01-10 9780000 REFINANCE/REFUND 2003 BONDS 0 0 0 A 4820000 75883 4744117 2013 1 0 1 1 B 7668011 153225 9846775 2013 1 0 1 1 C 6980000 60000 7440000 2013 0 0 1 1 D 9780000 138365 9641635 2013 1 0 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 D 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 1 0 0 0 0 0 0 B 0 1 1 0 0 0 0 0 0 C 0 1 0 0 1 0 0 0 0 D 0 1 1 0 0 0 0 0 0 A 1 B 1 C 1 D 1 A EDA JAMES CITY COUNTY 541139263 2013-01-10 3680000 REVENUE BOND 0 0 0 B IDA MATHEWS COUNTY VA 546001417 2015-06-04 10000000 REVENUE AND REFUNDING BOND 0 0 0 C IDA NORTHHAMPTON COUNTY 521298458 2015-06-04 10000000 REVENUE AND REFUNDING BOND 0 0 0 D EDA OF MATHEWS COUNTY VA 546001417 2016-10-18 10000000 CONSTRUCTION OF MEMORY CARE, ASST. LIVING, AND REHAB UNITS 0 0 0 A 3680000 64965 3615035 2013 0 0 1 1 B 9949603 142500 1346012 8511488 1 0 0 1 C 9949603 142500 1346012 8511488 0 0 0 1 D 10000000 193564 9806436 0 0 0 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 D 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 1 0 0 0 0 0 0 B 1 0 0 0 0 0 C 1 0 0 0 0 0 D 0 1 0 0 1 0 0 0 0 A 1 B 1 C 1 D 1 A EDA OF LANCASTER COUNTY VA 800232104 2016-10-18 10000000 CONSTRUCTION OF MEMORY CARE, ASST. LIVING, AND REHAB UNITS 0 0 0 B EDA OF THE CITY OF WILLIAMSBURG VA 541696911 2016-10-18 10000000 CONSTRUCTION OF MEMORY CARE, ASST. LIVING, AND REHAB UNITS 0 0 0 C EDA OF NORTHHAMPTON 521298458 2016-10-18 8758630 CONSTRUCTION OF MEMORY CARE, ASST. LIVING, AND REHAB UNITS 0 0 0 A 10000000 165497 9834503 0 0 0 1 B 10000000 186747 9813523 0 0 0 1 C 8758630 131815 8626815 0 0 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 0 1 0 0 0 0 B 0 0 0 1 1 0 0 0 0 C 0 0 0 0 1 0 0 1 A 1 B 1 C 1 FORM 990, PART VI, SECTION B, LINE 11B THE AUDIT, RISK, AND COMPLIANCE COMMITTEE COMPOSED OF BOARD MEMBERS WILL REVIEW THE 990 BEFORE IT IS FILED WITH THE IRS. THE COMMITTEE WILL REPORT THE RESULTS OF THE REVIEW TO THE FULL BOARD OF DIRECTORS. A COPY OF THE 990 IS PROVIDED TO ALL BOARD MEMBERS BEFORE THE RETURN IS FILED. FORM 990, PART VI, SECTION B, LINE 12C ALL MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS OF THE CORPORATION, SENIOR LEADERS AND DEPARTMENT LEADERS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST FORM. THE OFFICE OF THE CEO IS RESPONSIBLE FOR SENDING OUT THE FORM AND ENSURING THAT A SIGNED FORM IS RECEIVED EACH YEAR. BOARD MEMBERS ARE REQUIRED TO DISCLOSE ANY POTENTIAL CONFLICT OF INTERESTS ONCE PERSONALLY IDENTIFIED. DURING EACH COMMITTEE MEETING, BOARD MEMBERS ARE DIRECTLY ASKED ABOUT ANY POTENTIAL CONFLICTS OF INTERESTS. IF CONFLICT OCCURS, IT MUST BE DISCLOSED AND THE INDIVIDUAL IS EXCUSED FROM VOTING. FORM 990, PART VI, SECTION B, LINE 15 A REVIEW WAS PERFORMED FOR THE CEO, COO, CFO, CHIEF TALENT OFFICER, CHIEF MARKETING OFFICER, AND SENIOR DIRECTORS OF COMMUNITY SERVICES AND DEVELOPMENT IN 2019. THE REVIEW IS COMPLETED BY AN INDEPENDENT CONSULTANT AND INCLUDES USE OF A COMPENSATION SURVEY REVIEW AND COMPARABILITY DATA. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENTS ARE DISTRIBUTED QUARTERLY TO THE BOARD OF DIRECTORS, THE RESIDENTS' FINANCE COMMITTEE, AND THE ENTIRE RESIDENT BODY AT RESIDENTS' ASSOCIATIONS MEETINGS. GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICIES ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VIII, LINE 1H SCHEDULE B INCLUDES RESTRICTED CONTRIBUTIONS THAT WERE RECEIVED FOR THE YEAR BUT THAT ARE NOT LISTED ON PART VIII OF THE RETURN. THEREFORE, TOTAL CONTRIBUTIONS ON SCHEDULE B ARE LARGER THAN PART VIII, LINE 1H. FORM 990, PART IX (D) FUNDRAISING EFFORTS ARE FOCUSED ON RESTRICTED CONTRIBUTIONS. FORM 990, PART XI, LINE 9: CHANGE IN FAIR MARKET VALUE OF INTEREST RATE SWAP AGREEMENTS -1,136,101. CHANGE IN VALUE OF CHARITABLE GIFT ANNUITIES 6,668. INTEREST INCOME 6,360. NET ASSETS RELEASED FROM RESTRICTIONS FOR OPERATING PURPOSES -338,667. RESTRICTED CASH 317,965. PART XII, LINE 2C NO CHANGE FROM PRIOR YEAR. BIRCHWOOD LAND LLC 5700 WILLIAMSBURG LANDING DRIVE WILLIAMSBURG VA 23185 521305909 HOLD LAND AND BUILDINGS VA 15118 639798 WILLIAMSBURG LANDING INC WILLIAMSBURG LANDING HOME HEALTH LLC 5700 WILLIAMSBURG LANDING DRIVE WILLIAMSBURG VA 23185 473819400 HOME HEALTH CARE SERVICES VA -380779 0 WILLIAMSBURG LANDING INC WILLIAMSBURG LANDING CONTINUING CARE TRUST 5700 WILLIAMSBURG LANDING DRIVE WILLIAMSBURG VA 23185 546433122 TRUST FOR RESIDENT FINANCIAL SECURITY VA 501(C)(3) 509(A)(3) N/A 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0