2020-11-13T06:53:56-06:00 2019-12-31 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2019-01-01 231382402 FREDERICK MENNONITE COMMUNITY FRED 6107547878 2849 BIG ROAD ZIEGLERVILLE PA 19492 BRIAN FALLON V.P. FINANCE 6107547878 2020-11-11 1 KERRI N BOGDA CPA P00760402 7177404863 2019 2022-09-23 18:48:47Z X FREDERICK LIVING JOHN HENDRICKSON 2849 BIG ROAD ZIEGLERVILLE PA 19492 24333199 0 X WWW.FREDERICKLIVING.ORG X 1973 PA A WELCOMING, FAITH-BASED CONTINUING CARE RETIREMENT COMMUNITY OFFERING VARIOUS SERVICES. 9 9 470 169 0 0 269313 642766 21440169 22387468 322656 687613 260968 248597 22293106 23966444 17502 20291 0 0 10971777 12439018 0 0 220883 11200765 11823834 22190044 24283143 103062 -316699 57524568 55625000 46541341 46105511 10983227 9519489 X IN THE SPIRIT OF CHRISTIAN LOVE, FREDERICK LIVING CARES FOR AND ENRICHES THE LIVES OF OLDER ADULTS, WHILE VALUING THE STAFF, VOLUNTEERS AND COMMUNITY THAT SERVE THEM. 0 0 20905379 20291 22387468 FREDERICK LIVING OPERATES A CONTINUING CARE RETIREMENT COMMUNITY (LIFE PLAN COMMUNITY), WHICH PROVIDES HOUSING, HEALTH CARE, AND OTHER RELATED SERVICES TO PRIMARILY OLDER ADULTS THROUGH THE OPERATION OF A 61-BED NURSING FACILITY, A 104-BED PERSONAL CARE FACILITY, 31 PERSONAL CARE DEMENTIA UNITS, AND 166 RESIDENTIAL LIVING APARTMENTS AND COTTAGES.FREDERICK LIVING ALSO PROVIDES CHARITY CARE TO RESIDENTS WHO MEET CERTAIN CRITERIA WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. CHARGES FORGONE FOR SERVICES RENDERED AND SUPPLIES FURNISHED UNDER THE CHARITY CARE POLICY AMOUNTED TO APPROXIMATELY $602,000 IN 2019.IN 2019, FREDERICK LIVING PROVIDED APPROXIMATELY $1,486,000 TOWARD DIRECT BENEVOLENT CARE AND SUBSIDIZED ALLOWANCES TO RESIDENTS. IN ADDITION, FREDERICK LIVING CONTRIBUTED FINANCIALLY TO MANY NON-PROFIT ORGANIZATIONS INCLUDING THE ALZHEIMER'S ASSOCIATION, LOCAL AMBULANCE AND FIRE COMPANIES, AND A VARIETY OF MINISTRIES LOCATED THROUGHOUT THE AREA. FREDERICK LIVING ALSO ALLOWS LOCAL ORGANIZATIONS/GROUPS TO MEET ON CAMPUS AT NO CHARGE. THESE GROUPS HAVE INCLUDED THE ALZHEIMER'S SUPPORT GROUP, UPPER PERKIOMEN CHAMBER OF COMMERCE, BOYERTOWN SCHOOL DISTRICT ATHLETIC CLUBS, AND CHURCH RELATED MINISTRIES. FREDERICK LIVING IS COMMITTED TO PARTNERING WITH OUR LOCAL COMMUNITY AND HAVING A POSITIVE IMPACT THROUGH COLLABORATION AND ACTIVE PARTICIPATION. FOR CALENDAR YEAR 2019, THE AVERAGE OCCUPANCY PERCENTAGE IS 99% FOR RESIDENTIAL LIVING, 93% FOR PERSONAL CARE AND 87% FOR SKILLED BEDS. 20905379 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 25 0 470 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X BRIAN FALLON VP FINANCE 6107547878 2849 BIG ROAD ZIEGLERVILLE PA 19492 JOHN HENDRICKSON CEO 40.00 0.00 X 214066 0 28659 BRIAN FALLON VP FINANCIAL SERVICES 40.00 0.00 X 130847 0 20564 ANN M MARKS VP HEALTH & WELLNESS 40.00 0.00 X 138998 0 9572 MIKE A SCHEUREN VP TALENT & CULTURE 40.00 0.00 X 107276 0 16010 WARREN TYSON CHAIR 1.00 0.00 X X 0 0 0 NATHAN YORGEY VICE CHAIR 1.00 0.00 X X 0 0 0 MICHELLE FORSELL SECRETARY 1.00 0.00 X X 0 0 0 NATHAN WEAVER TREASURER 1.00 0.00 X X 0 0 0 REBECCA CAMPBELL DIRECTOR 1.00 0.00 X 0 0 0 JAMES LONGACRE DIRECTOR 1.00 0.00 X 0 0 0 ROBERT NASE DIRECTOR 1.00 0.00 X 0 0 0 DEAN STOESZ DIRECTOR 1.00 0.00 X 0 0 0 STEVEN WEIDNER DIRECTOR 1.00 0.00 X 0 0 0 591187 0 74805 4 0 1 0 SODEXO INC & AFFILIATES PO BOX 360170 PITTSBURGH PA 15251 FOOD SERVICE 1971691 SYMBRIA REHAB 28100 TOURCH PARKWAY WARRENVILLE PA 60555 PHYSICAL THERAPY 1025145 MOREFIELD COMMUNICATIONS 35 N 35TH STREET CAMP HILL PA 17011 INFORMATION TECHNOLOGY SERVICES 874682 MEYER DESIGN INC 227 E LANCASTER AVE ARDMORE PA 19003 ARCHITECTURAL SERVICES 671507 RGS ASSOCIATES 53 W JAMES STREET LANCASTER PA 17603 LAND DEVELOPMENT ENGINEERS 344533 28 642766 642766 NET RESIDENT SVC REV 623000 22275928 22275928 PA NURSING HM ASSESSMT 623000 111540 111540 22387468 141005 141005 3000 310 2690 2690 2690 755279 157774 366445 0 388834 157774 546608 546608 MEAL REVENUE 722210 124163 10730 113433 BARBER/BEAUTY SHOP REVENUE 812900 87750 87750 CHA OF PA REBATE 900099 13310 13310 20684 20684 245907 23966444 22398198 0 925480 X 20291 20291 394137 394137 9212489 7872984 1252303 87202 142020 142020 1996420 1764711 231709 693952 587360 100125 6467 29335 29335 78425 78425 42151 42151 3755428 3573836 181376 216 91235 74062 17173 605405 499289 103619 2497 239181 11337 224688 3156 1348905 1348905 13734 7109 4266 2359 62800 38157 21822 2821 740615 740615 3007584 3007584 227219 227219 REPAIRS & MAINTENANCE 318920 318920 PHARMACY 234119 234119 FOOD, ENTERTAINMENT & A 204218 142740 59762 1716 PA NURSING HOME ASSESSM 132579 132579 691981 377624 217081 97276 24283143 20905379 3156881 220883 867518 1411816 4073514 2020690 186599 1235438 1250408 405075 401737 83238885 40981767 42243229 42257118 6981420 7304061 1718374 792571 57524568 55625000 1850260 1805972 14270378 12879034 18688644 18023223 11732059 13397282 46541341 46105511 X 9915985 8101586 1067242 1417903 10983227 9519489 57524568 55625000 X -316699 429426 -1150963 -425502 X 0 1 X 1 0 X 376569 369814 443845 269313 642766 2102307 18861481 19460273 20904129 21448127 22398198 103072208 19238050 19830087 21347974 21717440 23040964 105174515 5480 20000 25480 0 5480 20000 25480 105149035 79679 94253 97935 128477 144005 544349 79679 94253 97935 128477 144005 544349 3081 960 628 4669 192486 207121 256309 252000 245907 1153823 19513296 20131461 21703178 22098545 23430876 106877356 0.98380 0.98250 0.00510 0.00610 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: ALL OTHER REV - 2015 AMOUNT: $ 17,894. 2016 AMOUNT: $ 3,710. 2017 AMOUNT: $ 4,037. 2018 AMOUNT: $ 2,546. 2019 AMOUNT: $ 1,564. BARBER/BEAUTY SHOP REVENUE - 2015 AMOUNT: $ 83,855. 2016 AMOUNT: $ 75,502. 2017 AMOUNT: $ 79,236. 2018 AMOUNT: $ 79,546. 2019 AMOUNT: $ 87,750. MEAL REVENUE - 2015 AMOUNT: $ 78,415. 2016 AMOUNT: $ 100,334. 2017 AMOUNT: $ 115,632. 2018 AMOUNT: $ 111,538. 2019 AMOUNT: $ 124,163. IN-HOUSE CATERING - 2015 AMOUNT: $ 12,322. 2016 AMOUNT: $ 15,298. 2017 AMOUNT: $ 18,111. 2018 AMOUNT: $ 12,370. 2019 AMOUNT: $ 12,417. REBATE - 2016 AMOUNT: $ 7,538. 2017 AMOUNT: $ 15,866. SALES TAX REFUND - 2016 AMOUNT: $ 4,739. PCRRG POLICYHOLDER DIST - 2017 AMOUNT: $ 23,427. 2018 AMOUNT: $ 9,894. 2019 AMOUNT: $ 6,703. COVENANT HEALTH ALLIANCE OF PA REBATE - 2018 AMOUNT: $ 22,904. 2019 AMOUNT: $ 13,310. STERICYCLE SETTLEMENT - 2018 AMOUNT: $ 8,202. REFUND OF PRIOR YEAR DEPOSIT SFCS - 2018 AMOUNT: $ 5,000. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3999762 220000 581116 41256 4759622 3900398 239476 -100038 40074 3999762 3482144 87822 352818 22386 3900398 3037894 232432 231729 19911 3482144 3058358 -1001 19463 3037894 0.90240 0.09760 0.00000 0 0 930877 930877 71835327 34615486 37219841 7706450 6052721 1653729 2766231 313560 2452671 42257118 REFUNDABLE FEES AND DEPOSITS 12974340 RESIDENT TRUST FUNDS AND OTHER 30733 HEALTHCARE RESERVE 392209 13397282 23812904 429426 -425502 3924 23808980 157464 157464 23966444 24125679 -157464 -157464 24283143 0 24283143 PART V, LINE 4: THE PRINCIPAL GIFTS ARE TO BE HELD IN PERPETUITY, WHILE INCOME FROM THE FUND CAN BE USED TO SUPPORT FREDERICK LIVING'S OPERATIONS. PART XI, LINE 2D - OTHER ADJUSTMENTS: VALUATION GAIN, BENEFICIAL INTEREST IN PERPETUAL TRUSTS 127,154. DISTRIBUTION FROM BENEFICIAL INTEREST IN PERPETUAL TRUSTS -33,504. VALUATION GAIN, TERM ENDOWMENT RECEIVABLE 9,585. LOSS ON ABANDONMENT OF PROJECT -528,737. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -310. GAIN ON DISPOSAL OF ASSETS NETTED AGAINST EXPENSES 157,774. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 310. GAIN ON DISPOSAL OF ASSETS NETTED AGAINST EXPENSES -157,774. 1 UPPER FREDERICK FIRE COMPANY PO BOX 29 PERKIOMENVILLE PA 18074 232536883 501(C)(3) 6000 715 FMV DINNER TO HONOR FIRE CO. FINANCIAL SUPPORT 1 0 PART I, LINE 2: THE ORGANIZATION PROVIDES FUNDS TO LOCAL CHARITABLE ORGANIZATIONS, SUCH AS THE FIRE DEPARTMENT, TO PROVIDE THEM WITH FINANCIAL SUPPORT. FREDERICK LIVING DOES NOT DIRECTLY MONITOR THE USE OF THESE GIFTS BY THE ORGANIZATIONS BUT IS AWARE OF THEIR REPUTATION WITHIN THE COMMUNITY. X X X 0 1 0 0 0 0 0 0 0 JOHN HENDRICKSON CEO 214066 0 0 0 0 0 25000 0 3659 0 242725 0 0 0 BRIAN FALLON VP FINANCIAL SERVICES 130847 0 0 0 0 0 2969 0 17595 0 151411 0 0 0 PART I, LINE 3 CEO COMPENSATION IS REVIEWED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. OFFICERS AND KEY EMPLOYEE COMPENSATION ARE REVIEWED BY THE CEO ANNUALLY DURING BUDGET DISCUSSION. SALARIES ARE COMPARED TO THE MOST RECENT LEADINGAGE SALARY SURVEY AS WELL AS REVIEWED AGAINST LOCAL COMPETITORS. THE FINANCE COMMITTEE REVIEWS AND APPROVES THE BUDGET ON AN ANNUAL BASIS. REVIEW AND APPROVAL PROCESS IS DOCUMENTED VIA COMMITTEE MINUTES. PART I, LINE 4B JOHN HENDRICKSON -- $5,000 CONTRIBUTION A FRANCONIA TWP INDUSTRIAL DEVELOPMENT AUTHORITY 232268091 2017-12-28 19551492 REFINANCE 05, 07, 09 & 15 BONDS 0 0 0 A 1289356 19551492 237116 3788365 15526011 2017 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 1 0 0 0 0 0 0 A 0 SCHEDULE K, PART III LINE 9; PART IV LINE 7; AND PART V FREDERICK MENNONITE COMMUNITY IS IN THE PROCESS OF PUTTING FORMAL WRITTEN POLICIES IN PLACE TO MONITOR AND COMPLY WITH ALL BOND REQUIREMENTS, INCLUDING ANY POTENTIAL VIOLATIONS OF FEDERAL TAX REQUIREMENTS. FORM 990, PART VI, SECTION A, LINE 3 DIETARY SERVICES ARE MANAGED BY SODEXO INC. AND AFFILIATES. FORM 990, PART VI, SECTION B, LINE 11B THE VP OF FINANCIAL SERVICES AND CEO REVIEWED THE 990 IN DETAIL. PRIOR TO THE SUBMISSION OF FORM 990, THE BOARD RECEIVED FORM 990 FOR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS LOOKS AT THE SELF-MONITORING CONFLICT OF INTEREST POLICY AND EACH MEMBER IS REQUIRED TO DECLARE IF HE OR SHE NEEDS TO ABSTAIN FROM A VOTE WHERE THERE IS A POTENTIAL CONFLICT OF INTEREST. EACH DIRECTOR PROVIDES A SIGNED ANNUAL CONFLICT OF INTEREST STATEMENT TO THE EXECUTIVE SECRETARY WHO MONITORS COMPLIANCE WITH THE POLICY. AS FOR COMPLIANCE, FREDERICK LIVING CONTRACTS WITH FRIENDS SERVICE ALLIANCE WHICH PROVIDES OVERSIGHT OF OUR COMPLIANCE PROGRAM WHICH INCLUDES QUARTERLY LIAISON MEETINGS, QUARTERLY ON-SIGHT VISITS, AND A 24 HOUR HOTLINE. ALSO THE INTERNAL CORPORATE COMPLIANCE LIAISON PRESENTS A CORPORATE COMPLIANCE REVIEW AT THE MONTHLY EMPLOYEE/NEW EMPLOYEE ORIENTATION. FORM 990, PART VI, SECTION B, LINE 15 CEO COMPENSATION IS REVIEWED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. OFFICERS AND KEY EMPLOYEE COMPENSATION IS REVIEWED BY THE CEO ANNUALLY DURING BUDGET DISCUSSION. SALARIES ARE COMPARED TO THE MOST RECENT LEADINGAGE SALARY SURVEY AS WELL AS REVIEWED AGAINST LOCAL COMPETITORS. THE FINANCE COMMITTEE REVIEWS AND APPROVES THE BUDGET ON AN ANNUAL BASIS. REVIEW AND APPROVAL PROCESS IS DOCUMENTED VIA COMMITTEE MINUTES. 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 IX, LINE 11G CONSULTANT FEES: PROGRAM SERVICE EXPENSES 54,252. MANAGEMENT AND GENERAL EXPENSES 119,856. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 174,108. CONTRACTED DINING SERVICES: PROGRAM SERVICE EXPENSES 1,965,560. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 216. TOTAL EXPENSES 1,965,776. CONTRACTED THERAPY SERVICES: PROGRAM SERVICE EXPENSES 1,218,308. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,218,308. MEDICAL PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 55,369. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 55,369. OTHER CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 1,413. MANAGEMENT AND GENERAL EXPENSES 3,847. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,260. OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 278,934. MANAGEMENT AND GENERAL EXPENSES 57,673. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 336,607. FORM 990, PART XI, LINE 9: VALUATION GAIN, BENEFICIAL INTEREST IN PERPETUAL TRUSTS 127,154. DISTRIBUTION FROM BENEFICIAL INTEREST IN PERPETUAL TRUSTS -33,504. VALUATION GAIN, TERM ENDOWMENT RECEIVABLE 9,585. LOSS ON ABANDONMENT OF PROJECT -528,737.