2018-05-29T12:43:45-05:00 2017-09-30 593070669 MOORE STEPHENS LOVELACE PA 255 S ORANGE AVENUE SUITE 600 ORLANDO FL 32801 990 2016-10-01 592867652 WATERMAN COMMUNITIES INC D/B/A WATERMAN VILLAGE OF MT DORA WATE 3523830051 2250 BROOKFIELD AVENUE MOUNT DORA FL 32757 ANDREW DUJON PRESIDENT/CEO 3523830051 2018-05-29 1 KURT A ALTER CPA P00059492 7275314477 2016 2022-09-23 18:48:47Z WATERMAN VILLAGE OF MT DORA ANDREW DUJON 2250 BROOKFIELD AVENUE MOUNT DORA FL 32757 30533534 0 X WWW.WATERMANVILLAGE.COM X 1987 FL TO PROVIDE HOUSING, HEALTHCARE AND OTHER SERVICES TO THE ELDERLY. 7 7 571 10 0 0 118016 189634 28288552 29634852 -95991 -117800 705092 709048 29015669 30415734 0 0 0 0 13185416 15924377 0 0 0 15226969 13963366 28412385 29887743 603284 527991 30246000 32864186 39365680 40795225 -9119680 -7931039 X AS A COMMUNITY CENTERED ORGANIZATION, WATERMAN COMMUNITIES, INC. MAKES IT POSSIBLE FOR ALL RESIDENTS TO AGE SUCCESSFULLY, LIVING THEIR BEST LIFE WITH MAXIMUM WELLNESS AND INDEPENDENCE THROUGH A BROAD RANGE OF SERVICES DELIVERED IN A SPIRIT OF CARING, INTEGRITY AND PROFESSIONALISM. 0 0 12082668 14206261 EDGEWATER HEALTH CARE AND REHABILITATION CENTER: THIS SKILLED NURSING FACILITY SERVES APPROXIMATELY 104 RESIDENTS IN ITS REHABILITATION THERAPY SUB-ACUTE AND SECURED DEMENTIA UNITS, AND LONG-TERM CARE NURSING FACILITY BEDS. 9899564 11639464 INDEPENDENT LIVING RETIREMENT UNITS: THE INDEPENDENT LIVING UNITS SERVE APPROXIMATELY 241 ELDERLY RESIDENTS BY PROVIDING ONE MEAL PER DAY, TRANSPORTATION TO MEDICAL APPOINTMENTS, SHOPPING, ACTIVITIES, WEEKLY HOUSEKEEPING, MAINTENANCE, BASIC CABLE TELEVISION AND SOME UTILITIES. 3222717 3789127 BRIDGEWATER ASSISTED LIVING FACILITY: THE ASSISTED LIVING FACILITIES SERVE APPROXIMATELY 73 ELDERLY RESIDENTS WITH ASSISTANCE IN CERTAIN ACTIVITIES OF DAILY LIVING, INCLUDING A 24-HOUR NURSING STAFF; THREE MEALS DAILY; HOUSEKEEPING AND MAINTENANCE; TRANSPORTATION TO MEDICAL APPOINTMENTS AND SHOPPING ACTIVITIES; BASIC CABLE TELEVISION AND ALL UTILITIES. 603058 709048 GENERAL REVENUE AND EXPENSES 603058 709048 25808007 1 0 0 0 0 0 0 0 1 0 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 1 0 0 0 1 41 0 1 571 1 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 1 1 0 X HEARDLEY MURDOCK 3523830051 250 BROOKFIELD AVENUE MOUNT DORA FL 32757 KEVIN W MCEWEN CHAIRMAN 2.00 X X 0 0 0 JOHN J COFFEY VICE CHAIRMAN 2.00 X X 0 0 0 KIM Y STEWART TREASURER 2.00 X X 0 0 0 THOMAS POPIESKI SECRETARY 2.00 X X 0 0 0 RICHARD A LEIGH DIRECTOR 2.00 X 0 0 0 GUSTAV SCHEUNEMAN DIRECTOR 2.00 X 0 0 0 GARY SKILTON DIRECTOR 2.00 X 0 0 0 DAVID BURLINGAME RESIDENT LIAISON 2.00 X 0 0 0 ANDREW DUJON PRESIDENT/CEO 39.00 1.00 X 238798 0 7787 MICHAEL RAY VICE PRESIDENT & CHIEF OPERATING OFFICER 40.00 X 166908 0 6476 HEARDLEY MURDOCK CONTROLLER 40.00 X 118269 0 6891 SANDRA VAN SYCKEL RISK MANAGER 40.00 X 105905 0 0 THERESE KIRLEW ADMINISTRATOR 40.00 X 108640 0 0 738520 0 21154 5 0 1 0 SODEXO INC & AFFILIATES P O BOX 905374 CHARLOTTE NC 282905374 CULINARY MANAGEMENT 2939914 RICK TANNER BUILDERS INC 21502 PARADISE WAY EUSTIS FL 32736 CONSTRUCTION 1717481 HERITAGE HEALTHCARE LLC 536 OLD HOWELL ROAD GREENVILLE SC 29615 THERAPY MANAGEMENT 1614399 ZMG CONSTRUCTION INC 477 COMMERCE WAY SUITE 115 LONGWOOD FL 32750 CONSTRUCTION 567454 4 189634 188794 189634 SKILLED NURSING 623000 14206261 14206261 INDEPENDENT LIVING 623990 11639464 11639464 ASSISTED LIVING 623000 3789127 3789127 29634852 25036 92764 -25036 -92764 -117800 -117800 OTHER REVENUE 623000 709048 709048 709048 30415734 30343900 0 -117800 512599 512599 13980133 12553669 1426464 393805 222977 170828 1037840 901657 136183 985934 985934 38320 38320 48000 48000 469146 225152 243994 180672 9111 171561 677600 497615 179985 1002989 857780 145209 60752 25964 34788 626187 626187 2811148 2404161 406987 2806615 2400284 406331 FOOD AND DIETARY USAGE 1619427 1560161 59266 MEDICAL SUPPLIES 911309 911309 REPAIRS AND MAINTAINANC 850687 770158 80529 QUALITY ASSESSMENT FEE 501883 501883 372697 354005 18692 29887743 25808007 4079736 0 2363311 2604238 1818049 2433604 15672 15672 68994351 43863409 23830846 25130942 398976 407243 1819146 2272487 30246000 32864186 3851165 3003212 14227168 2727786 1973271 22006191 19314076 13058036 39365680 40795225 X -9119680 -7931039 -9119680 -7931039 30246000 32864186 X 527991 -4552 665202 X X 0 1 X 1 0 X 67601 160458 110587 118016 189634 646296 26756538 25833426 27622698 28288552 29634852 138136066 26824139 25993884 27733285 28406568 29824486 138782362 0 0 0 138782362 114207 95487 92579 49869 0 352142 114207 95487 92579 49869 352142 638687 625181 653165 705092 709048 3331173 27577033 26714552 28479029 29161529 30533534 142465677 0.97410 0.97390 0.00250 0.00330 X 1 4739 318 4421 0 3711303 3711303 42518024 28733693 13784331 15444655 10041005 5403650 7320369 5088711 2231658 25130942 LONG-TERM DEPOSITS 93960 TRADEMARK-PURA VIDA 3394 ASSETS WHOSE USE IS LIMITED 1152401 OTHER ASSETS 625125 BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION 109526 RENT DEPOSIT 96189 FAIR VALUE OF INTEREST RATE SWAP 191892 2272487 OTHER LIABILITIES 478580 RESERVATION DEPOSIT LIABILITIES 7327930 REFUNDABLE ENTRANCE FEES LIABILITY 5251526 13058036 31076384 -4552 -4552 31080936 -665202 -665202 30415734 29887743 0 29887743 0 29887743 PART IV, LINE 1B: THE ORGANIZATION PROVIDES A CASH MANAGEMENT SERVICE TO ITS RESIDENTS. THESE FUNDS REMAIN THE SOLE PROPERTY OF EACH RESIDENT, TO BE DISBURSED ONLY AS REQUESTED. THE ORGANIZATION HAS A FIDUCIARY DUTY OF ACCOUNTABILITY FOR THESE FUNDS. PART XI, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF WATERMAN VILLAGE FOUNDATION -71,398. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP -593,804. X X 0 1 0 0 0 1 0 0 0 ANDREW DUJON PRESIDENT/CEO 238798 0 0 0 0 0 0 0 7787 0 246585 0 0 0 MICHAEL RAY VICE PRESIDENT & CHIEF OPERATING OFF 166908 0 0 0 0 0 0 0 6476 0 173384 0 0 0 PART I, LINE 4B ALL MANAGING DIRECTORS ARE ELIGIBLE TO PARTICIPATE IN THE NON-QUALIFED DEFERRED COMPENSATION PLAN ESTABLISHED BY THE ORGANIZATION. ALL COMPENSATED INDIVIDUALS LISTED ON PART VII PARTICIPATE IN THE PLAN, AND NONE OF THESE INDIVIDUALS WITHDREW MONIES FROM THE PLAN DURING THE REPORTING YEAR. NO WITHDRAWALS CAN BE MADE FROM THE PLAN EXCEPT UNDER THE FOLLOWING CIRCUMSTANCES, (1) RETIREMENT - AGE 65, (2) TERMINATION OF EMPLOYMENT, (3) DEATH, (4) UNFORESEEABLE EMERGENCY, (5) DE MINIMIS EXCEPTION, OR (6) AGE 70 1/2 REQUIRED MINIMUM DISTRIBUTION. AFTER FIVE YEARS OF SERVICE, THE EARNED OWNERSHIP INTEREST (VESTING) OF THE EMPLOYER CONTRIBUTIONS BECOMES 100%. PART I, LINE 6 CEO, CFO AND COO BONUSES ARE BASED ON OPERATIONAL PROFIT, NOT INCLUDING EXTRAORDINARY ITEMS. A MOUNT DORA HEALTH FACILITIES AUTHORITY 2016-02-26 23000000 SEE SUPPLEMENTAL INFORMATION 0 0 0 A 1734500 1152401 9266859 459677 4748843 7372220 2005 1 0 1 1 A 0 0 0 0 0 0 0 A 0 1 0 0 0 0 0 0 1 A 1 SCHEDULE K, PART I (F) IN FEBRUARY 2016, THE COMMUNITY ISSUED THE MOUNT DORA HEALTH FACILITIES AUTHORITY SERIES 2016 TAX-EXEMPT BONDS CONSISTING OF $23,000,000 OF TAX-EXEMPT SERIES 2016A BONDS. THE PROCEEDS OF THE SERIES 2016 BONDS WERE USED TO: (1) REFUND THE SERIES 2002 AND 2004 BONDS, AS WELL AS A PROMISORY NOTE BALANCE OF APPROXIMATELY $836,000, (2) FUND A DEBT SERVICE RESERVE FUND FOR THE SERIES 2016 BONDS, (3) FUND CAPITAL EXPENDITURES, AND (4) PAY THE COSTS ASSOCIATED WITH THE ISSUANCE OF THE SERIES 2016 BONDS. HILLCREST INSURANCE OWNED BY BOARD MEMBER, KEVIN MCEWEN. 106446 INSURANCE 0 0 X LEASEHOLD IMPROVEMENT CONTRIBUTIONS 34 188794 COST 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S CHIEF FINANCIAL OFFICER CONDUCTS A COMPREHENSIVE REVIEW OF THE FORM 990 BEFORE IT IS FILED. A COPY OF THE RETURN, AS ULTIMATELY FILED, IS PROVIDED TO EACH VOTING MEMBER OF THE BOARD OF DIRECTORS BEFORE IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S BOARD OF DIRECTORS MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY ANNUALLY. THE BOARD REVIEWS ACTUAL CONFLICTS THAT ARE IDENTIFIED BY THE ANNUAL DISCLOSURE PROCESS AND PROHIBITS OFFICERS AND DIRECTORS FROM VOTING ON MATTERS WHERE ACTUAL CONFLICTS OF INTEREST EXIST. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS DETERMINES THE COMPENSATION AND BENEFITS OF THE CHIEF EXECUTIVE OFFICER. THE CEO DETERMINES THE COMPENSATION AND BENEFITS OF OTHER OFFICERS AND KEY EMPLOYEES. THE BOARD AND CEO ARE INDEPENDENT WITH RESPECT TO THE COMPENSATION ARRANGEMENTS BEING CONSIDERED. THE BOARD UTILIZES COMPARABILITY SURVEYS PROVIDED BY THE ORGANIZATION'S CPA FIRM. THE REVIEW AND APPROVAL PROCESS IS DOCUMENTED IN BOARD MEETING MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST IN NET ASSETS OF WATERMAN VILLAGE FOUNDATION 71,398. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 593,804. FORM 990, PART XII, LINE 2C THE BOARD OF DIRECTORS HAS RESPONSIBILITY FOR OVERSIGHT OF AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. WATERMAN COMMUNITIES FOUNDATION INC 250 BROOKFIELD AVENUE MOUNT DORA FL 32757 030386001 RAISES FUNDS FOR THE BENEFIT OF WATERMAN COMMUNITIES, INC. FL 501(C)(3) LINE 12A, I N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0