2019-04-29T10:48:52-05:00 2018-12-31 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 191037341 990 2018-01-01 020446675 PETERBOROUGH RETIREMENT COMMUNITY AT UPLAND FARM INC PETE 6039240062 150 RIVERMEAD ROAD PETERBOROUGH NH 03458 MARTIN J CONLEY III CFO 6039240062 2019-04-22 1 JULIUS C GREEN CPA P00350393 2159720701 96.89.178.154 2019-04-22 13:50:13 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 9D0D8DD59390B7764A3ECE0F40BBFE3618018605 2018 2019-02-21 02:37:17Z RIVERMEAD WILLIAM H JAMES JR 150 RIVERMEAD ROAD PETERBOROUGH NH 03458 42465911 0 X WWW.RIVERMEAD.ORG X 1991 NH TO PROVIDE EXCELLENT HOUSING AND HEALTH CARE SERVICES TO ITS RESIDENTS. 15 15 378 123 0 0 32009 55537 18847158 19328355 1966902 641344 264361 293929 21110430 20319165 92112 84945 0 0 9899416 10551477 0 0 0 10240998 10781201 20232526 21417623 877904 -1098458 77763145 87809247 97251861 110102366 -19488716 -22293119 X RIVERMEAD IS A PROGRESSIVE NOT-FOR-PROFIT CONTINUING CARE RETIREMENT COMMUNITY THAT ADVOCATES FOR AN ENRICHED LIFESTYLE WITH CULTURAL AND EDUCATIONAL OPPORTUNITIES. CONTINUED ON SCHEDULE "O".WE CONTINUOUSLY STRIVE TO PROVIDE HIGH-QUALITY, HOLISTIC LIFECARE PROGRAMS, AND HEALTHCARE SERVICES IN A FINANCIALLY RESPONSIBLE MANNER. IN SERVING THIS COMMITMENT, WE SEEK TO PROVIDE A POSITIVE AND SUPPORTIVE WORK ENVIRONMENT. 0 0 19358574 84945 19328355 INDEPENDENT LIVING:RIVERMEAD HAS 157 INDEPENDENT LIVING RESIDENCES AVAILABLE FOR INDIVIDUALS AGED 62 AND OLDER. THESE RESIDENCES ARE AVAILABLE UNDER A LIFECARE CONTRACT, WHICH GUARANTEES RESIDENTS ACCESS TO ASSISTED LIVING, MEMORY SUPPORT, AND SKILLED NURSING CARE WITH NO SIGNIFICANT CHANGE IN THEIR MONTHLY FEES AS THEY MOVE BETWEEN LEVELS OF CARE. RIVERMEAD HAS NEVER TERMINATED A RESIDENCE AND SERVICES AGREEMENT SOLELY BASED UPON A RESIDENT'S INABILITY TO PAY HIS OR HER MONTHLY FEE IN FULL. RIVERMEAD PROVIDED $72,736 IN CHARITABLE ASSISTANCE TO RESIDENTS IN 2018.CONTINUED ON SCHEDULE "O".HEALTH CARE SERVICES: RIVERMEAD HAS 49 ASSISTED LIVING RESIDENCES, 17 MEMORY SUPPORT RESIDENCES, 33 SKILLED NURSING RESIDENCES, AND A HOME HEALTH PROGRAM.PROGRAMS & AMENITIES:RIVERMEAD IS COMMITTED TO PROVIDING QUALITY PROGRAMS, SERVICES, AND AMENITIES TO ENRICH RESIDENTS' LIVES INCLUDING: EXCEPTIONAL DINING EXPERIENCES, THERAPY SERVICES, HOUSEKEEPING, MAINTENANCE SERVICES, A WELLNESS CENTER, AN INDOOR POOL, TRANSPORTATION, TWO LIBRARIES, A MOVIE THEATER, A WOODWORKING SHOP, A GREEN HOUSE, AN ART GALLERY, WALKING TRAILS, CROQUET COURTS, BOCCE COURTS, AND RAISED GARDEN BEDS. 19358574 1 1 0 1 0 0 0 0 1 1 1 0 0 0 1 1 1 0 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 0 0 0 0 0 1 74 0 378 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NH X MARTIN J CONLEY III CFO 6033710431 150 RIVERMEAD RD PETERBOROUGH NH 03458 CHRISTOPHER J FLYNN CHAIR 1.00 X X 0 0 0 GEORGE FOOTE VICE CHAIR 1.00 X X 0 0 0 SUSAN PETERS SECRETARY 1.00 X X 0 0 0 J RODERICK FALBY JR ASST. SECRETARY 1.00 X X 0 0 0 CARL JOHNSON TREASURER 1.00 X X 0 0 0 CHRISTOPHER BROWN TRUSTEE 1.00 X 0 0 0 ANDREW MANNS TRUSTEE 1.00 X 0 0 0 ANNE PEIRCE TRUSTEE 1.00 X 0 0 0 JANET S GRANT TRUSTEE 1.00 X 0 0 0 RICHARD HANCE TRUSTEE 1.00 X 0 0 0 DEBORAH ROODY TRUSTEE 1.00 X 0 0 0 JOHN H MORISON III TRUSTEE 1.00 X 0 0 0 CONSTANCE CONNIE G OLIVER TRUSTEE 1.00 X 0 0 0 PETER W LEBERMAN TRUSTEE 1.00 X 0 0 0 JOHN ROUND TRUSTEE 1.00 X 0 0 0 CALVIN SHOLL TRUSTEE (UNTIL 12/13/2018) 1.00 X 0 0 0 MICHAEL J RAFFERTY TRUSTEE (UNTIL 12/13/2018) 1.00 X 0 0 0 RICHARD P CHURCH TRUSTEE (UNTIL 12/13/2018) 1.00 X 0 0 0 WILLIAM H JAMES JR CHIEF EXECUTIVE OFFICER 40.00 X 251630 0 39042 MARTIN J CONLEY III CHIEF FINANCIAL OFFICER 40.00 X 152295 0 32952 JAN D EATON DIR. MARKETING/RESIDENT SVC 40.00 X 162294 0 28286 ERIN JABOLONSKI DIRECTOR OF HEALTH SERVICES 40.00 X 121902 0 29119 ANN E NUNN HEALTH SVCS. ADMINISTRATOR 40.00 X 118742 0 472 DOUGLAS SHARP DIRECTOR OF FACILITIES 40.00 X 114909 0 34871 DIANNE TISDALE DIRECTOR OF HUMAN RESOURCES 40.00 X 104955 0 27592 1026727 0 192334 7 0 1 0 HUTTER CONSTRUCTION CORPORATION 810 TURNPIKE RD NEW IPSWICH NH 03071 CONSTRUCTION SERVICES 8932764 EVENTUS STRATEGIC LLC 1600 MARKET ST STE 1702 PHILADELPHIA PA 19103 DEVELOPMENT CONSULTANTS 633543 UNIDINE CORPORATION 1000 WASHINGTON ST STE 510 BOSTON MA 021182798 DINING SERVICES MANAGEMENT 503688 RLPS ARCHITECTS 250 VALLEYBROOK DR LANCASTER PA 17601 ARCHITECTURE SERVICES 410497 HUNTER NORTH ASSOCIATES LLC PO BOX 56346 ATLANTA GA 30343 SECURITY SERVICES 213340 8 55537 55537 RESIDENT SERVICE FEES 623000 10696112 10696112 EARNED ENTRANCE FEES 623000 3257264 3257264 ASSISTED LIVING FEES 623000 2989786 2989786 HEALTH CENTER FEES 623000 1440866 1440866 SPECIAL CARE UNIT FEES 623000 944327 944327 19328355 547516 547516 29363 27021 2342 2342 2342 22213553 22119725 93828 93828 93828 GUEST MEALS REVENUE 900099 100501 100501 NURSING SERVICES 900099 52149 52149 GUEST ROOM RENTAL 900099 50411 50411 88526 88526 291587 20319165 19328355 0 935273 4380 4380 80565 80565 475919 475919 7964680 7321358 643322 218437 205802 12635 1300946 1225244 75702 591495 524822 66673 12733 12733 89765 89765 2017 2017 62695 62695 1137516 1087075 50441 28614 28614 636871 494685 142186 254369 254369 2208284 2208284 49503 37541 11962 1830169 1814454 15715 2755271 2731524 23747 142791 128247 14544 FOOD 948228 948228 REPAIRS & MAINTENANCE 331268 331268 RESIDENT ACTIVITIES 101331 101331 MEDICAL SUPPLIES 62787 62787 126989 50979 76010 21417623 19358574 2059049 0 8238 5586 2253068 1938670 273731 441180 44571 59589 445641 455649 92360687 31860189 51220889 60500498 21774261 23371502 1742746 1036573 77763145 87809247 2706670 6705009 60867053 64880163 33056286 38331425 6836 10784 82143 39286 532873 135699 97251861 110102366 X -19892839 -22702518 176207 155160 227916 254239 -19488716 -22293119 77763145 87809247 X -1098458 -1417285 -668519 379859 X 0 1 X 1 0 X 122747 9530 40637 32009 55537 260460 15823703 17012462 18274091 18847158 19328355 89285769 15946450 17021992 18314728 18879167 19383892 89546229 0 0 0 89546229 381179 371090 390114 442023 576879 2161285 381179 371090 390114 442023 576879 2161285 344347 488925 290740 260582 291587 1676181 16671976 17882007 18995582 19581772 20252358 93383695 0.95890 0.95900 0.02310 0.02250 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: BEAUTY SHOP REVENUE - 2015 AMOUNT: $ 11,465. 2016 AMOUNT: $ 13,801. CABLE TELEVISION REVENUE - 2014 AMOUNT: $ 95,577. 2015 AMOUNT: $ 99,604. COUNTRY STORE REVENUE - 2015 AMOUNT: $ 9,287. 2016 AMOUNT: $ 7,983. 2017 AMOUNT: $ 7,504. 2018 AMOUNT: $ 7,059. COVERED PARKING - 2016 AMOUNT: $ 24,115. 2017 AMOUNT: $ 29,865. 2018 AMOUNT: $ 29,503. GUEST MEAL REVENUE - 2014 AMOUNT: $ 65,172. 2015 AMOUNT: $ 76,047. 2016 AMOUNT: $ 79,386. 2017 AMOUNT: $ 87,215. 2018 AMOUNT: $ 100,501. GUEST ROOM RENTAL - 2014 AMOUNT: $ 29,356. 2015 AMOUNT: $ 44,004. 2016 AMOUNT: $ 47,307. 2017 AMOUNT: $ 51,531. 2018 AMOUNT: $ 50,411. HOUSEKEEPING AND MAINTANENCE - 2015 AMOUNT: $ 242,776. 2016 AMOUNT: $ 26,821. 2017 AMOUNT: $ 14,565. 2018 AMOUNT: $ 16,429. MEMBER FUNCTIONS - 2016 AMOUNT: $ 29,987. 2017 AMOUNT: $ 26,788. 2018 AMOUNT: $ 32,713. MISCELLANEOUS REVENUE - 2014 AMOUNT: $ 154,242. 2015 AMOUNT: $ 5,742. 2016 AMOUNT: $ 3,477. 2017 AMOUNT: $ 2,605. 2018 AMOUNT: $ 2,822. NURSING SERVICES - 2016 AMOUNT: $ 57,863. 2017 AMOUNT: $ 40,509. 2018 AMOUNT: $ 52,149. 0 0 0 0 0 0 0 0 1 2017 2017 0 PART II-B, LINE 1: RIVERMEAD IS A MEMBER OF THE LEADINGAGE MAINE AND NEW HAMPSHIRE AND THE LEADINGAGE NATIONAL ASSOCIATIONS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS ARE AVAILABLE FOR LOBBYING EXPENDITURES ON BEHALF OF RIVERMEAD TO FURTHER OUR EXEMPT PURPOSE. RIVERMEAD DOES NOT DIRECTLY PERFORM ANY LOBBYING ACTIVITIES. 0 1 X 2376673 55535 -78561 113497 1914 2238236 2165132 33366 268856 90231 450 2376673 2121461 26390 109414 88632 3501 2165132 2203281 6030 -40245 45104 2501 2121461 2012677 95740 107514 12650 2203281 0.82000 0.11000 0.07000 0 0 2295263 2295263 63302078 21971795 41330283 9281965 5654716 3627249 17481381 4233678 13247703 60500498 GIFT ANNUITIES PAYABLE 54200 INTEREST RATE SWAP PAYABLE 81499 135699 X 19173329 -1417285 244428 -1172857 20346186 -27021 -27021 20319165 21309213 27021 27021 21282192 135431 135431 21417623 PART IV, LINE 2B: RIVERMEAD MAINTAINS A RESIDENT TRUST ACCOUNT FOR RESIDENTS IN ITS ASSISTED LIVING AND SKILLED NURSING TO UTILIZE FOR PERSONAL EXPENSES. PART V, LINE 4: RIVERMEAD MAINTAINS TEMPORARILY RESTRICTED FUNDS, WHICH HAVE BEEN CONTRIBUTED WITH DONOR SPECIFIC RESTRICTIONS THAT ARE REASONABLY EXPECTED TO BE MET IN THE NEAR TO MID-TERM. THESE RESTRICTIONS ARE OUTLINED BY THE DONOR AT THE TIME OF THE GIFT. PRINCIPAL AND EARNINGS OF THESE GIFTS ARE RESTRICTED TO THE PURPOSE OUTLINED BY THE DONOR. RIVERMEAD MAINTAINS PERMANENTLY RESTRICTED FUNDS, THE PRINCIPAL OF WHICH SHALL BE MAINTAINED IN PERPETUITY, WHILE INCOME IS AVAILABLE TO PROVIDE CHARITABLE ASSISTANCE TO RIVERMEAD RESIDENTS. PART X, LINE 2: RIVERMEAD ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING 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 IS MET. MANAGEMENT DETERMINED THAT THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2018 OR 2017. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENTS 26,323. CHANGE IN FAIR VALUE OF DERIVATIVES 353,536. CHARITABLE ASSISTANCE TO RESIDENTS NETTED AGAINST REVENUE ON F/S -72,736. INVESTMENT FEES NETTED AGAINST REVENUE ON F/S -62,695. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -27,021. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 27,021. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHARITABLE ASSISTANCE TO RESIDENTS NETTED AGAINST REVENUE ON F/S 72,736. INVESTMENT FEES NETTED AGAINST REVENUE ON F/S 62,695. 1 CHARITABLE ASSISTANCE WITH RESIDENT MONTHLY FEES 1 72736 0 N/A N/A EMPLOYEE EDUCATIONAL ASSISTANCE GRANTS 7 7829 0 N/A N/A PART I, LINE 2: MANAGEMENT IDENTIFIES RESIDENTS WHO MAY NEED CHARITABLE ASSISTANCE TO PAY THEIR MONTHLY FEES. ONCE IDENTIFIED, A REVIEW IS CONDUCTED OF THE RESIDENT'S FINANCES AND, IF THE RESIDENT TRULY HAS AN INABILITY TO PAY HIS OR HER MONTHLY FEE IN FULL, THEN THE REQUEST IS SENT TO THE CEO FOR APPROVAL. EMPLOYEES MAY REQUEST EDUCATIONAL ASSISTANCE UP TO CERTAIN LIMITS ESTABLISHED BY VARIOUS PROGRAMS ADMINISTERED BY RIVERMEAD. MANAGEMENT REVIEWS EACH REQUEST TO ENSURE IT IS COVERED UNDER THE PROGRAM AND THE EMPLOYEE MEETS CERTAIN ELIGIBILITY REQUIREMENTS. ONCE MANAGEMENT HAS REVIEWED AND APPROVED A REQUEST FOR EDUCATIONAL ASSISTANCE, A GRANT IS PROVIDED TO THE EMPLOYEE PER THE GUIDELINES OF THE PROGRAM. X X X X 1 0 0 0 0 0 0 1 0 WILLIAM H JAMES JR CHIEF EXECUTIVE OFFICER 224823 0 26610 0 197 0 12240 0 26802 0 290672 0 0 0 MARTIN J CONLEY III CHIEF FINANCIAL OFFICER 150728 0 1502 0 65 0 8851 0 24101 0 185247 0 0 0 JAN D EATON DIR. MARKETING/RESIDENT SVC 160727 0 1502 0 65 0 9290 0 18996 0 190580 0 0 0 ERIN JABOLONSKI DIRECTOR OF HEALTH SERVICES 121794 0 108 0 0 0 6283 0 22836 0 151021 0 0 0 PART I, LINE 4A KARYN MINER, THE HEALTH SERVICES ADMINISTRATOR, RECEIVED $21,051 IN SEVERANCE PAY IN 2018. PART I, LINE 7 THE MANAGEMENT BONUS IS CONTINGENT UPON MULTIPLE FACTORS INCLUDING OCCUPANCY, ACTUAL VS. BUDGETED RESULTS, RESIDENT SATISFACTION SURVEYS, STAFFING LEVELS, ETC. A NEW HAMPSHIRE HEALTH AND EDUCATION FACILITIES AUTHORITY 020279866 644614Q36 2011-12-15 31184378 SEE PART VI 0 0 0 B NEW HAMPSHIRE HEALTH AND EDUCATION FACILITIES AUTHORITY 020279866 2017-12-28 44882000 SEE PART VI 0 0 0 A 9540000 31184378 2198160 3752370 623688 24128462 2013 0 0 1 1 B 862000 17940700 28795 63941 7465965 10382000 1 0 0 1 A 0 1 0 0 0.00180 0.00000 0.00180 0 0 1 B 0 1 0 0 0.00290 0.00000 0.00290 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 1 0 0 1 0 0 0 1 A 1 B 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: NEW HAMPSHIRE HEALTH AND EDUCATION FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/15/2016 SCHEDULE K, PART I, BOND ISSUES: (A) ISSUER NAME: NEW HAMPSHIRE HEALTH AND EDUCATON FACILITIES AUTHORITY (A) DESCRIPTION OF PURPOSES: EXPANSION OF FACILITY (B) ISSUER NAME: NEW HAMPSHIRE HEALTH AND EDUCATON FACILITIES AUTHORITY (B) DESCRIPTION OF PURPOSES: EXPANSION & RENOVATION OF COMMUNITY & REFUNDING OF SERIES 2013 BONDS PART II, LINE 3 TOTAL PROCEEDS REPORTED IN PART I, COLUMN (E) FOR THE 2017 BONDS IS THE TOTAL ISSUE PRICE. THE PROCEEDS REPORTED IN PART II, LINE 3 REPRESENT THE AMOUNT DRAWN DOWN AS OF 12/31/18. FORM 990, PART VI, SECTION B, LINE 11B MANAGEMENT, INCLUDING THE CEO AND CFO WILL REVIEW INITIAL DRAFT VERSIONS OF THE 990. AFTER THEIR INITAL REVIEW AND ANY CHANGES RESULTING FROM THEIR REVIEW HAVE BEEN MADE TO THE 990, THE 990 WILL BE REVIEWED BY THE AUDIT COMMITTEE. AFTER AUDIT COMMITTEE REVIEW AND UPON RECOMMENDATION FOR ACCEPTANCE BY THE AUDIT COMMITTEE, THE 990 WILL BE PROVIDED TO THE ENTIRE BOARD FOR THEIR FINAL REVIEW AND ACCEPTANCE. CONTACT INFORMATION FOR THE CEO, CFO, AUDIT COMMITTEE, AND 990 PREPARER (BAKER TILLY) WILL BE PROVIDED TO ALL BOARD MEMBERS SHOULD THEY HAVE ANY QUESTIONS OR CONCERNS. FORM 990, PART VI, SECTION B, LINE 12C EACH TRUSTEE AND OFFICER OF RIVERMEAD MUST BE EVER COGNIZANT AND AWARE OF POSSIBLE CONFLICT OF INTEREST SITUATIONS. ANY SUCH POSSIBLE CONFLICT MUST BE FULLY DISCLOSED IN WRITING TO THE BOARD OF TRUSTEES, AND WILL BE CONSIDERED BY THE BOARD FOR DISCUSSION, APPROVAL, OR ANY OTHER APPROPRIATE ACTION IN ACCORDANCE WITH THE REQUIREMENTS OF APPLICABLE LAW, AND ONLY IF THE MATTER SERVES THE BEST INTERESTS OF RIVERMEAD. RIVERMEAD IDENTIFIES POSSIBLE CONFLICTS OF INTEREST BY HAVING ALL TRUSTEES AND OFFICERS COMPLETE THE CONFLICT OF INTEREST QUESTIONNAIRES ANNUALLY. THE CEO IS RESPONSIBLE FOR ENSURING ALL QUESTIONNAIRES ARE COMPLETED. THE BOARD OF TRUSTEES REVIEWS EACH POTENTIAL CONFLICT OF INTEREST. BOARD MEMBERS WITH A CONFLICT ARE REQUIRED TO ABSTAIN FROM VOTING ON THE MATTER. NEW HAMPSHIRE AND FEDERAL LAWS REGARDING DISCLOSURE OF CONFLICTS OF INTEREST ARE FOLLOWED. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION OF THE CEO IS DETERMINED BY THE BOARD OF TRUSTEES USING DATA FROM THE LEADINGAGE NATIONAL SALARY SURVEY AND FROM FORM 990 DATA FROM COMPARABLE REGIONAL ORGANIZATIONS. THE CEO'S ANNUAL PERFORMANCE REVIEW IS ALSO CONSIDERED IN DETERMINING HIS ANNUAL COMPENSATION PACKAGE. COMPENSATION OF OTHER MANAGEMENT STAFF IS DETERMINED BY THE CEO AND HR DIRECTOR. A COMPENSATION STUDY HAS BEEN CONDUCTED TO DEVELOP WAGE GRADES FOR EACH POSITION WITHIN THE ORGANIZATION. WAGE GRADES ARE REVIEWED ANNUALLY, UPDATED AS NEEDED AND ARE AN INTEGRAL PART OF DETERMINING COMPENSATION FOR NEW HIRES AND ADJUSTMENTS TO COMPENSATION FOR CURRENT EMPLOYEES. SALARY BENCHMARKING INFORMATION IS ALSO REVIEWED ANNUALLY TO DETERMINE THE APPROPRIATENESS OF COMPENSATION LEVELS. FORM 990, PART VI, SECTION C, LINE 19 AUDITED FINANCIAL STATEMENTS ARE INCLUDED IN RIVERMEAD'S DISCLOSURE STATEMENT AND UPON REQUEST. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF DERIVATIVES 353,536. CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENTS 26,323.