2017-11-10T13:29:07-06:00 2016-12-31 410746749 CLIFTONLARSONALLEN LLP 1966 GREENSPRING DRIVE SUITE 300 TIMONIUM MD 210934161 990 2016-01-01 520607956 ASBURY ATLANTIC INC ASBU 3012164100 5285 WESTVIEW DRIVE NO 200 FREDERICK MD 21703 KIM EHRENFRIED ASSISTANT TREASURER 3012164100 2017-11-09 1 JOHN NORMAN P01506766 4104530900 2017-11-09 67.137.57.251 2017-11-09 13:52:39 ES P 54D5E4BA1470F8C36BA6B05316F79CBB30854ABE BA538626596D3EF442D575632A9DFA3536DD11CA 2016 2017-02-10 21:41:12Z X DOUGLAS LEIDIG 5285 WESTVIEW DRIVE NO 200 FREDERICK MD 21703 151504045 0 X WWW.ASBURYMETHODISTVILLAGE.ORG X 1945 MD DOING ALL THE GOOD WE CAN BY CREATING EXCEPTIONAL LIFESTYLE OPPORTUNITIES TO THOSE WE SERVE. 11 7 1701 1073 -6992 -6992 972387 3186616 126342654 129444214 2825774 1311396 277773 318337 130418588 134260563 0 0 0 0 51735999 53683508 0 0 513883 80243990 79375464 131979989 133058972 -1561401 1201591 405854787 407553159 530417651 529032992 -124562864 -121479833 X OUR MISSION IS TO DO ALL THE GOOD WE CAN BY PROVIDING EXCEPTIONAL LIFESTYLE OPPORTUNITIES TO THOSE WE SERVE. 0 0 47723094 56235736 SKILLED NURSING FACILITIES: OPERATION OF 3 SKILLED NURSING FACILITIES (SNF'S) FOR OLDER ADULTS WITH 414 TOTAL BEDS PROVIDING 141,388 DAYS OF SERVICE IN 2016. THE ORGANIZATION PROVIDED $19,486,033 OF CONTRACTUAL ALLOWANCES TO RESIDENTS OF THE SNF IN 2016. 21982556 25903710 ASSISTED LIVING FACILITIES: OPERATION OF 3 ASSISTED LIVING FACILITIES FOR OLDER ADULTS WITH 268 TOTAL SUITES PROVIDING 95,010 RESIDENT DAYS IN 2016. THE ORGANIZATION PROVIDED $2,079,403 OF BENEVOLENT CARE AND $69,993 OF CONTRACTUAL ALLOWANCES TO THE ASSISTED LIVING RESIDENTS IN 2016. 40144044 47304768 RESIDENTIAL LIVING: OPERATION OF 1,385 RESIDENTIAL LIVING UNITS FOR OLDER ADULTS, PROVIDING 472,036 DAYS OF SERVICE IN 2016. THE ORGANIZATION PROVIDED $33,915 OF BENEVOLENT CARE AND $275,875 OF CONTRACTUAL ALLOWANCES TO RESIDENTIAL LIVING RESIDENTS DURING 2016. ALSO SUPPLIED WELLNESS. SEE SCHEDULE O FOR COMMUNITY BENEFITS INFORMATION. 109849694 1 1 0 1 0 0 1 0 0 1 1 0 0 1 1 1 1 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 0 1 0 0 0 1 146 0 1 1701 1 1 1 0 0 0 0 0 0 0 0 0 X 11 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X X ANDREW JEANNERET CFO 3012502100 5285 WESTVIEW DRIVE FREDERICK MD 21703 X NICK SERENYI CHAIR 2.00 X X 0 0 0 DENNIS HANSEN VICE CHAIR 2.00 X X 0 0 0 THOMAS ETTINGER DIRECTOR 2.00 X 0 0 0 RICHARD FINDLEY DIRECTOR 2.00 X 0 0 0 SANDRA HALBRUNER DIRECTOR 2.00 X 0 0 0 GORDON NAUGHTON DIRECTOR 2.00 X 0 0 0 CAROLINE KIM DIRECTOR 2.00 X 0 0 0 DAVID LINGRELL DIRECTOR 2.00 X 0 0 0 LORRAINE SEXTON DIRECTOR 2.00 X 0 0 0 DONALD TRISSLER DIRECTOR 2.00 X 0 0 0 NORMA TYLER DIRECTOR 2.00 X 0 0 0 SUE DACAMARA PRESIDENT 1.00 60.00 X X 0 434981 21001 DOUGLAS LEIDIG DIRECTOR 1.00 61.00 X X 0 552887 24765 ANDREW JOSEPH SECRETARY, ASST. TREASURER 1.00 62.00 X 0 230942 22239 ANDREW APPLEGATE VICE PRESIDENT 1.00 61.00 X 0 197770 18594 HENRY MOEHRING VICE PRESIDENT - END 4/22/16 60.00 2.00 X 149153 0 8892 MELISSA HADLEY VICE PRESIDENT 1.00 61.00 X 0 268920 22655 JIM SCHNEIDER VICE PRESIDENT 60.00 2.00 X 194151 0 17096 ROBIN STERN VICE PRESIDENT 1.00 58.00 X 0 214584 21561 KIM EHRENFRIED ASST. TREASURER 1.00 62.00 X 0 210699 22287 PEGGY CRESPI KAPLAN VP, ASST. SECRETARY 1.00 62.00 X 0 365436 21001 BRAD ANDRUS ASST. SECRETARY 60.00 2.00 X 124304 37215 19887 DEBBIE BARRIS ASST. SECRETARY 40.00 2.00 X 77114 0 4608 RENEE BROOKSBANK VICE PRESIDENT 1.00 61.00 X 0 98915 9418 RHONDA TERANTO TREASURER 1.00 60.00 X 0 226643 21986 BRIAN GRUNDUSKY VICE PRESIDENT 60.00 X 184443 0 11198 MICHAEL CONNELL TREASURER 1.00 61.00 X 0 433625 24268 SUSAN MOYER VICE PRESIDENT 1.00 57.00 X 0 177343 6976 DOUG MYERS PRESIDENT & CEO, FOUNDATION 0.00 60.00 X 243757 0 23189 BRENT BAYES DIRECTOR SALES & MKTG 40.00 X 165730 0 20996 JEREMIAH SHUMAN SR DIRECTOR DEVELOPMENT 40.00 X 157024 0 20751 DEBORAH HEDGES SNF ADMINISTRATOR 40.00 X 125874 0 14985 PEDRAG PETKOVIC RETIREMENT COUNSLEOR 40.00 X 125705 0 12978 1547255 3449960 391331 30 0 1 0 SODEXO INC & AFFILIATES PO BOX 536922 ATLANTA GA 30353 FOOD SERVICE 13107694 WAGMAN CONSTRUCTION INC 3290 SUSQUEHANNA TRAIL NORTH PO BO YORK PA 17405 CONSTRUCTION SERVICE 4379722 FLAGSHIP REHABILITATION SERVICES 157 BALTIMORE STREET CUMBERLAND MD 21502 REHABILITATION SERVICE 3922925 OMNICARE 9036 ANNAPOLIS JUNCTION DR ANNAPOLIS JUNCTION MD 20701 PHARMACY SERVICE 950104 TRADEMARK DESIGN AND BUILD 18404 BRIGHT PLUME TERRACE BOYDS MD 20841 CONSTRUCTION SERVICE 914474 33 3186616 3186616 NET RESIDENT REVENUE 623312 86824477 86824477 MEDICARE/MEDICAID PAYMENTS 623312 25241027 25241027 AMORTIZATION OF ENTRANCE FEES 623312 15823040 15823040 OTHER OPERATING REVENUE 623312 1555670 1555670 129444214 1575808 1575808 347742 29405 318337 318337 -6992 325329 16949665 17214077 -264412 -264412 -264412 134260563 129444214 -6992 1636725 786731 786731 42300752 39178654 2650873 471225 1327999 1221907 89663 16429 6083063 4331169 1725665 26229 3184963 2920953 264010 6076397 6076397 228198 228198 91983 91983 8236062 7949118 286944 977150 944682 32468 3338884 2885046 453838 4117875 9593 4108282 8237531 5430651 2806880 88615 65008 23607 14117001 13896635 220366 20728445 20404874 323571 656885 656885 FOOD 5056469 5054446 2023 REPAIRS & MAINTENANCE 3439104 3371977 67127 MEDICAL SUPPLIES & PHAR 1845682 1845682 BAD DEBT 339299 339299 1799884 1799884 133058972 109849694 22695395 513883 1562469 1540346 43025421 46088509 4819685 4494677 11599963 8659002 151874 171583 1376247 1557507 525136292 275516385 252668123 249619907 37965696 32558242 52685309 62863386 405854787 407553159 9625574 9229742 113519361 118831270 218680452 214944787 46325 40239 188545939 185986954 530417651 529032992 X -152210754 -148370326 2817951 2025623 24829939 24864870 -124562864 -121479833 405854787 407553159 X 1201591 1536852 344588 X X 0 1 X 1 0 X 1344207 4305710 2070731 972387 3186616 11879651 114931119 116579022 121138341 126342656 129444214 608435352 116275326 120884732 123209072 127315043 132630830 620315003 0 0 0 620315003 1868032 2003195 2053937 2302257 1923550 10150971 1868032 2003195 2053937 2302257 1923550 10150971 118143358 122887927 125263009 129617300 134554380 630465974 0.98390 0.98320 0.01610 0.01680 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1440 1440 0 PART II-B, LINE 1: A PORTION OF ASBURY ATLANTIC'S DUES TO LEADINGAGE WERE USED FOR LOBBYING ACTIVITIES. X 1 15.00 0 0 1 0 0.00 0 0 1 X 24829939 34931 24864870 24174363 655576 24829939 23389624 784739 24174363 22763584 626040 23389624 22833100 -69516 22763584 1.00000 0 1 1 14233422 14233422 437714543 220742043 216972500 21921341 10746846 11174495 50443603 44027496 6416107 823383 823383 249619907 INTEREST IN NET ASSETS OF FOUNDATION 19249548 DEFERRED MARKETING COSTS 1251632 OTHER RECEIVABLE 391646 INTEREST RECEIVABLE 161589 DUE FROM ACOMM 41231396 DEPOSITS AND OTHER ASSETS 443383 INVESTMENT IN LAND 134192 62863386 VALUATION SWAP AGREEMENTS 20089619 REFUNDABLE FEES 1487437 OBLIGATION-DEFERRED GIVING 426269 CONTINGENT REFUNDABLE ENTRANCE FEE LIABILITY 157813121 PROJECTED REFUND OF STANDARD ENTRANCE FEES 3097456 DEPOSITS FROM PROSPECTIVE RESIDENTS 3073052 185986954 X 138550249 1536852 2752834 4289686 134260563 0 134260563 135467218 2408246 2408246 133058972 0 133058972 PART II, LINE 3: ASBURY ATLANTIC, INC. HAS A 15 ACRE FOREST CONSERVATION EASEMENT AGREEMENT WITH THE CITY OF GAITHERSBURG, MD THAT PRESERVES TREES, TREE CANOPY AND FORESTS. ASBURY ATLANTIC, INC. DOES NOT REPORT CONSERVATION EASEMENTS IN ITS FINANCIAL STATEMENTS. THERE ARE NO REVENUES, EXPENSES OR ASSETS, OTHER THAN THE LAND, RELATED TO THIS CONSERVATION EASEMENT. PART IV, LINE 2B: ASBURY ATLANTIC, INC. HOLDS AND MANAGES RESIDENT TRUST FUND ACCOUNTS THAT ARE USED FOR PERSONAL ITEMS FOR THE RESIDENTS. ASBURY ATLANTIC, INC. IS ACTING IN A FIDUCIARY ROLE AND IS LIABLE FOR THE FUNDS IN THE RESIDENT TRUST FUND. PART V, LINE 4: THE INTENDED USE OF THE ENDOWNMENT FUND IS TO SUPPORT BENEVOLENT CARE. PART X, LINE 2: ASBURY ATLANTIC MEMBERS ARE EACH EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC); ACCORDINGLY NO PROVISION FOR INCOME TAXES IS REQUIRED AS THERE ARE NO UNRELATED TRADES OR BUSINESSES. ACOMM HAS IMPLEMENTED PROCESSES TO ENSURE COMPLIANCE WITH THE INTERNAL REVENUE SERVICE'S INTERMEDIATE SANCTIONS PROVISIONS FOR ALL ITS SUPPORTED ORGANIZATIONS, INCLUDING ASBURY ATLANTIC. THIS INCLUDES AN INDEPENDENT REVIEW BY THE COMPENSATION COMMITTEE OF THE BOARD OF ALL COMPENSATION ARRANGEMENTS WITH DISQUALIFIED PERSONS AND OUTSIDE COMPENSATION CONSULTANTS TO PROVIDE INDEPENDENT THIRD-PARTY REVIEW AND ADVISEMENT, AND THE IMPLEMENTATION OF A DETAILED CONFLICT-OF-INTEREST POLICY AND ANNUAL DISCLOSURE PROCESS FOR ALL DISQUALIFIED PERSONS. THE COMPENSATION COMMITTEE ALSO HIRES OUTSIDE COUNSEL TO ADVISE THE COMPANY ON COMPLIANCE. THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION MUST BE RECOGNIZED ONLY IF IT IS MORE-LIKELY-THAN-NOT THAT THE TAX POSITION WILL BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE RESOLUTION. THE COMPANY'S REASSESSMENT OF ITS TAX POSITIONS DID NOT HAVE A MATERIAL IMPACT ON THE COMPANY'S RESULTS OF OPERATIONS OR FINANCIAL POSITION. THE COMPANY'S INCOME TAX RETURN IS SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE AND LOCAL AUTHORITIES. THE COMPANY IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. PART XI, LINE 2D - RECONCILING ITEMS: VALUE CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF ASBURY FOUNDATION 1,173,154 RENT EXPENSE 29,405 VALUE CHANGES IN DERIVATIVE INSTRUMENTS 1,421,032 VALUE CHANGE UNDER CHARITABLE GIFT ANNUITIES -43,267 NET ASSETS RELEASED FOR PURCHASE OF CAPITAL ITEMS 172,510 TOTAL TO SCHEDULE D, PART XI, LINE 2D 2,752,834 PART XII, LINE 2D - RECONCILING ITEMS: RENTAL EXPENSES 29,405 TRANSFER TO ACOMM 2,378,841 TOTAL TO SCHEDULE D, PART XII, LINE 2D 2,408,246 X X X X X X 1 0 0 0 0 0 0 0 0 SUE DACAMARA PRESIDENT 0 388747 0 27771 0 18463 0 10600 0 10401 0 455982 0 0 DOUGLAS LEIDIG DIRECTOR 0 471909 0 66422 0 14556 0 10600 0 14165 0 577652 0 0 ANDREW JOSEPH SECRETARY, ASST. TREASURER 0 206990 0 15290 0 8662 0 8074 0 14165 0 253181 0 0 ANDREW APPLEGATE VICE PRESIDENT 0 181577 0 7488 0 8705 0 7751 0 10843 0 216364 0 0 HENRY MOEHRING VICE PRESIDENT - END 4/22/16 132167 0 11212 0 5774 0 4394 0 4498 0 158045 0 0 0 MELISSA HADLEY VICE PRESIDENT 0 248971 0 9654 0 10295 0 9490 0 13165 0 291575 0 0 JIM SCHNEIDER VICE PRESIDENT 173610 0 8615 0 11926 0 5604 0 11492 0 211247 0 0 0 ROBIN STERN VICE PRESIDENT 0 197393 0 7360 0 9831 0 7973 0 13588 0 236145 0 0 KIM EHRENFRIED ASST. TREASURER 0 192068 0 14523 0 4108 0 8122 0 14165 0 232986 0 0 PEGGY CRESPI KAPLAN VP, ASST. SECRETARY 0 327885 0 26685 0 10866 0 10600 0 10401 0 386437 0 0 BRAD ANDRUS ASST. SECRETARY 118556 37093 5370 0 378 122 5183 1539 10589 2576 140076 41330 0 0 RHONDA TERANTO TREASURER 0 190288 0 14454 0 21901 0 8506 0 13480 0 248629 0 0 BRIAN GRUNDUSKY VICE PRESIDENT 175663 0 5913 0 2867 0 5599 0 5599 0 195641 0 0 0 MICHAEL CONNELL TREASURER 0 281488 0 26428 0 125709 0 10103 0 14165 0 457893 0 0 SUSAN MOYER VICE PRESIDENT 0 170597 0 3667 0 3079 0 6976 0 0 0 184319 0 0 DOUG MYERS PRESIDENT & CEO, FOUNDATION 225145 0 8885 0 9727 0 9447 0 13742 0 266946 0 0 0 BRENT BAYES DIRECTOR SALES & MKTG 127738 0 37600 0 392 0 6831 0 14165 0 186726 0 0 0 JEREMIAH SHUMAN SR DIRECTOR DEVELOPMENT 144749 0 7500 0 4775 0 6242 0 14509 0 177775 0 0 0 PART I, LINE 3 THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR IS APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF ASBURY COMMUNITIES, INC. FOR 2016, THE BOARD DELEGATED AUTHORITY FOR ALL DISQUALIFIED PERSONS COMPENSATION, INCLUDING THE CEO, TO THE COMPENSATION COMMITTEE. PART I, LINE 4A MICHAEL CONNELL RECEIVED $116,918 UPON SEPARATING FROM ASBURY COMMUNITIES, INC., A RELATED ORGANIZATION. A CITY OF GAITHERSBURG (MD) 526000792 363128BL2 2006-11-30 73400702 CURRENT REFUNDING 0 0 1 B CITY OF GAITHERSBURG (MD) 526000792 363128CB3 2009-12-16 18837005 CURRENT REFUNDING 0 0 1 C CUMBERLAND COUNTY MUNICIPAL AUTHORITY (PA) 236003119 230614FK0 2010-11-10 73542289 CURRENT REFUNDING 0 0 0 D CUMBERLAND COUNTY MUNICIPAL AUTHORITY (PA) 236003119 230614GK9 2012-10-31 52585767 CURRENT REFUNDING 0 0 0 A 73400702 6768263 1416958 65215481 2006 1 0 1 1 B 7446306 11390699 576770 376740 17883495 2009 1 0 1 1 C 4602290 68939999 6498922 1470845 65572522 2010 1 0 1 1 D 2380767 50205000 2339434 1051715 49194618 2012 1 0 1 1 A 0 1 1 1 0 0.00470 0.00470 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 D 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: CITY OF GAITHERSBURG (MD) DATE THE REBATE COMPUTATION WAS PERFORMED: 12/31/2016 SCHEDULE K, PART I, ROW A, COLUMN (E): THE ORGANIZATION IS A MEMBER OF AN OBLIGATED GROUP. THE ENTRIES SHOWN IN COLUMN (E) REPRESENTS THE PORTION OF THE TOTAL ISSUE PRICE ALLOCATED TO THE ORGANIZATION. SCHEDULE K, PART II, ROW A, LINES 4 AND 7: THESE AMOUNTS REPRESENT A PRO RATA PORTION OF THE TOTAL BASED ON THE PORTION OF THE TOTAL ISSUE PRICE ALLOCATED TO THE ORGANIZATION. A CITY OF GAITHERSBURG (MD) 526000792 363128CF4 2014-04-09 15945241 CURRENT REFUNDING 0 0 0 A 1030241 14915000 15945241 1 0 1 1 A 0 1 0 0 0 0 0 0 1 A 1 FORM 990, PART III, LINE 4 AS PART OF ASBURY COMMUNITIES, ASBURY ATLANTIC PLEDGES EACH DAY TO MAKE A DIFFERENCE IN THE LIVES OF THOSE WE SERVE AND TO SERVE AS A PARTNER FOR GOOD IN THE COMMUNITY AT LARGE. WE HONOR OUR LEGACY THROUGH SUPPORTING AND PARTNERING WITH CHARITABLE AND COMMUNITY ORGANIZATIONS, EDUCATIONAL INSTITUTIONS, AND AGING SERVICES AND HEALTH PROVIDERS. AT ASBURY ATLANTIC, OUR CONTRIBUTIONS ARE PRIMARILY FOCUSED ON: - SUPPORTING SENIOR WELLNESS IN THE REGIONS WHERE WE OPERATE; AND - TRAINING THE NEXT GENERATION OF AGING SERVICES PROFESSIONALS. PROVIDING PEACE OF MIND FOR RESIDENTS - BENEVOLENT CARE A CORNERSTONE OF LIVING OUR MISSION IS ENSURING THAT RESIDENTS WHO OUTLIVE THEIR FINANCIAL RESOURCES CAN REMAIN IN THEIR HOME AT ASBURY. THE ASBURY FOUNDATION, A 501(C)(3) NOT-FOR-PROFIT ORGANIZATION THAT SECURES PHILANTHROPIC SUPPORT TO SUPPORT THE MISSION AND ENHANCE QUALITY OF LIFE FOR OLDER ADULTS SERVED BY THE ASBURY SYSTEM, WAS ESTABLISHED TO SUPPORT THESE EFFORTS. ASBURY PROVIDES FINANCIAL SUPPORT TO RESIDENTS WHO OUTLIVE THEIR RESOURCES THROUGH NO FAULT OF THEIR OWN. HIGHLIGHTS OF THIS YEAR'S COMMUNITY BENEFIT ACCOMPLISHMENTS AT EACH ASBURY ATLANTIC COMMUNITY INCLUDE THE FOLLOWING: ASBURY METHODIST VILLAGE IN THE AREA OF TRAINING FUTURE GENERATIONS OF CAREGIVERS, ASBURY METHODIST VILLAGE(AMV) PROVIDED MENTORING AND TRAINING IN ADMINISTRATIVE, SOCIAL WORK AND PASTORAL CARE SERVICES FOR STUDENTS AT MONTGOMERY COLLEGE, LOYOLA, AND THE UNIVERSITY OF MARYLAND. AMV HOSTED 14 HOWARD UNIVERSITY DOCTORAL PHYSICAL THERAPY STUDENTS AND PROVIDED SEMINAR ON WELLNESS SERVICES AND HOW IT PARTNERS WITH PHYSICAL THERAPY SERVICES ON CAMPUS. AMV DONATED MEETING SPACE FOR MORE THAN 20 NON-PROFIT, COMMUNITY ORGANIZATIONS THROUGHOUT THE YEAR. THOUGH THE MAJORITY OF THIS GROUP'S EFFORTS BENEFIT YOUTH, THIS RESIDENT-CREATED AND RUN COLLABORATION WITH GAITHERSBURG AND MONTGOMERY COUNTY(GAITHERSBURG BELOVED COMMUNITY INITIATIVE) DEVOTED HUNDREDS OF HOURS TO MENTORING AREA AT RISK CHILDREN, HOSTING PARTIES AT ASBURY'S POOL AND OTHER STRUCTURED FITNESS ACTIVITIES. THIS INTERGENERATIONAL MENTORING PROGRAM IS FOCUSED ON THE DEVELOPMENT OF CHARACTER IN THE YOUNG PEOPLE. ASBURY METHODIST VILLAGE HOSTED A CONVERSATIONAL ENGLISH GROUP WITH 15 LATINO MOTHERS FROM THE GAITHERSBURG AREA WHEREBY THEY MET WEEKLY TO STUDY THEIR ENGLISH WITH ASBURY RESIDENTS. STUDENTS FROM GAITHERSBURG ELEMENTARY SCHOOL WERE TRANSPORTED TO AMV TO PARTICIPATE IN AN INTER-GENERATIONAL MENTORING PROGRAM WHOSE FOCUS IS THE DEVELOPMENT OF CHARACTER IN THE YOUNG PEOPLE. SUPPORTED MEALS ON WHEELS AND THE MONTGOMERY COUNTY COALITION FOR THE HOMELESS SHELTER WITH FOOD PREPARATION AND STRATEGIC PLANNING SPACE. AMV ASSOCIATES VOLUNTEERED 2 TIMES DURING 2016 AT THE MANNA FOOD BANK WHERE THEY HELPED SORT DONATED FOOD. AMV DONATED $5,000 TO THE GAITHERSBURG-WASHINGTON GROVE VOLUNTEER FIRE DEPARTMENT. AMV ASSOCIATES COLLECTED SCHOOL SUPPLIES AND BACKPACKS FOR STUDENTS THAT ATTEND SUMMIT HALL ELEMENTARY SCHOOL IN GAITHERSBURG. COLLECTED ENOUGH TO FILL 150 BACKPACKS AND DONATED 48 CHRISTMAS GIFTS FOR CHILDREN IN THE PROGRAM. ASBURY METHODIST VILLAGE EARNED A GOLD LEVEL CITY OF GAITHERSBURG ENVIRONMENTAL AWARD FOR THE SECOND YEAR IN A ROW FOR ITS ROBUST RECYCLING PROGRAM AND ONGOING WILDLIFE HABITAT COUNCIL CERTIFICATION. BETHANY VILLAGE IN THE AREA OF TRAINING THE NEXT GENERATION OF PROFESSIONALS, THE FOLLOWING OCCURRED. PROVIDED TRAINING FOR CERTIFIED NURSING ASSISTANTS, LICENSED PRACTICAL NURSES, REGISTERED NURSES, MARKETING, SOCIAL WORK AND HEALTHCARE MANAGEMENT STUDENTS AT BLOOMSBURG, HARRISBURG AREA COMMUNITY COLLEGE, MESSIAH COLLEGE AND PENN STATE AND SLIPPERY ROCK AND TEMPLE UNIVERSITIES. ORGANIZED AND RAISED $6,891 FOR THE AREA CHAPTER OF THE ALZHEIMER'S ASSOCIATION THOUGH A ROCK-A-THON AND DONATED $2,000 FOR THE ASSOCIATION'S WALK TO END ALZHEIMER'S. HOSTED SUPPORT GROUPS FOR FAMILY MEMBERS AND OTHER CAREGIVERS OF PEOPLE WITH ALZHEIMER'S DISEASE. BETHANY VILLAGE DONATED MEETING SPACE FOR MORE THAN 20 NON-PROFIT, COMMUNITY ORGANIZATIONS THROUGHOUT THE YEAR. IN CONJUNCTION WITH VOLUNTEERS OF AMERICA AND COMMUNITY AID, BETHANY VILLAGE ASSOCIATES COLLECTED, STORED AND ARRANGED FOR PICK-UP OF DONATED CLOTHING. THE EXECUTIVE DIRECTOR OF BETHANY VILLAGE SERVES ON THE LEADING AGE PA BOARD OF DIRECTORS.LEADING AGE IS A NOT-FOR-PROFIT ENTITY THAT REPRESENTS NOT-FOR-PROFIT SENIOR LIVING PROVIDERS ACROSS THE STATE OF PA. BETHANY VILLAGE HOSTED A FOOD DRIVE TO COLLECT FOOD AND MONETARY GIFTS TO BENEFIT THE UNDERPRIVILEGED SERVED BY NEW HOPE MINISTRIES. BETHANY VILLAGE DONATED 361 POUNDS OF FOOD. IN ADDITION TO DONATIONS FROM STAFF AND RESIDENTS. A BETHANY VILLAGE ASSOCIATE VOLUNTEERED AT NEW HOPE MINISTRIES FOOD PANTRY THROUGHOUT THE YEAR. FINALLY, IN THE AREA OF ENVIRONMENTAL SUSTAINABILITY, BETHANY VILLAGE CONTINUED THEIR COMMUNITY-WIDE RECYCLING PROGRAM INVOLVING THE DAILY COLLECTION OF SODA CAN TABS, PAPER, GLASS, METAL AND PLASTIC THROUGHOUT THE YEAR. BETHANY VILLAGE CONTINUES TO REDUCE ITS KILOWATTS PER HOUR BY CONVERTING TO LED LIGHTING AND AUTOMATING TEMPERATURE CONTROL FOR ITS MAIN KITCHEN REFRIGERATION. SPRINGHILL PROVIDED TRAINING AND RESEARCH ASSISTANCE FOR NURSING AND REHABILITATIVE THERAPY STUDENTS AT GANNON, MERCYHURST, AND EDINBORO UNIVERSITIES. SPRINGHILL ASSOCIATES PARTICIPATED IN THE ADOPT-A-HIGHWAY HIGHWAY CLEAN- UP PROJECT. SPRINGHILL ASSOCIATES WERE ALSO ACTIVE MEMBER OF THE ALZHEIMER'S ASSOCIATION AND ALZHEIMER'S ASSOCIATION SUPPORT GROUP. ADDITIONALLY, $2,368 WAS RAISED FOR AND ASSOCIATES HELPED ORGANIZE WALK TO END ALZHEIMER'S. PLANNED, ORGANIZED, INVITED, AND SET UP PARKINSON'S PARTNERS HEALTH FAIR THAT SUPPORTS RESIDENTS IN THE COMMUNITY AND INDIVIDUALS OUTSIDE THE COMMUNITY THAT CARE FOR OR HAVE PARKINSON'S. SNF ADMINISTRATOR VOLUNTEERED AS A SURVEYOR FOR A CARF/CCAC SURVEYS AT A CCRC'S IN MARYLAND, FLORIDA AND NORTH CAROLINA. SPRINGHILL ASSOCIATE VOLUNTEERS AT THE LOCAL FIRE DEPARTMENT PROVIDING FIRE FIGHTING, RESCUE, AND EMS RESPONSES. 10 SPRINGHILL ASSOCIATES ASSISTED WITH THE PREPARATION AND FOOD COLLECTION FOR A FOOD DRIVE FOR THE HARVEST FOOD BANK BY MANNING STATIONS THROUGHOUT THE ERIE COMMUNITY TO COLLECT FOOD AT THE DROP OFF STATIONS. AN ASSOCIATE PARTICIPATED IN THE WEST COUNTY PARAMEDIC BOARD MEETINGS AND SERVED ON THE ERIE PUBLIC SAFETY ADVISORY COMMITTEE. SPRINGHILL ASSOCIATES WERE ALSO ACTIVE MEMBERS OF THE HEALTHCARE VENTURES ALLIANCE AND THE AMERICAN HEART ASSOCIATION. SPRINGHILL REDUCED ITS LAWN FERTILIZATION BY 20 PERCENT TO LOWER THE AMOUNT OF NITROGEN INTO LOCAL WATERWAYS AND REPLACED ITS USE OF STYROFOAM TO-GO CONTAINERS WITH USABLES. FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS CAN ACT IN PLACE OF THE BOARD BETWEEN MEETINGS. ALL MEMBERS OF THE EXECUTIVE COMMITTEE ARE MEMBERS OF THE BOARD OF DIRECTORS. WE HAVE REPORTED SEVEN INDEPENDENT VOTING MEMBERS OF THE GOVERNING BODY. THE NON-INDEPENDENT BOARD MEMBERS CONSIST OF ONE EMPLOYEE OF ASBURY COMMUNITIES, INC., AND INVESTMENT ADVISORY TO THE ASBURY COMMUNITIES, INC. 401(K) PLAN, ONE RESIDENT OF ASBURY SOLOMONS, INC., ONE RESIDENT OF BETHANY VILLAGE AND ONE RESIDENT OF ASBURY METHODIST VILLAGE. FORM 990, PART VI, SECTION A, LINE 6 ASBURY ATLANTIC HAS ONE MEMBER. THE SOLE MEMBER IS ASBURY COMMUNITIES, INC. FORM 990, PART VI, SECTION A, LINE 7A ASBURY COMMUNITIES, INC IS THE SOLE MEMBER OF ASBURY ATLANTIC AND ELECTS THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B ONLY CERTAIN DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO ASBURY COMMUNITY INC'S APPROVAL. THESE DECISIONS INCLUDE: (1) MANAGEMENT SERVICES RELATIONSHIPS AND CONTRACTS; (2) ANY ORGANIZATIONAL CHANGE IN GENERAL, INCLUDING MERGERS, SALES, LEASES, ETC, OF SUBSTANTIALLY ALL OF THE ASSETS AND THE CREATION OF NEW ENTITIES; (3) AMENDMENTS TO MISSION OR VISION STATEMENTS; (4) AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B ASBURY COMMUNITIES, INC. IS THE SOLE MEMBER OF ASBURY ATLANTIC, INC., ASBURY-SOLOMONS, INC., INVERNESS VILLAGE, AN OKLAHOMA NOT FOR PROFIT CORPORATION, CALVERT COUNTY NURSING CENTER, INC., ASBURY, INC., AND ASBURY HCBS, INC. ASBURY COMMUNITIES, INC. HAS A SYSTEM WIDE AUDIT COMMITTEE. THE ASBURY COMMUNITIES, INC. BOARD OF DIRECTORS HAS DELEGATED A REVIEW OF THE FORM 990 TO THE SYSTEM AUDIT COMMITTEE WHICH PERFORMED THEIR REVIEW ON 10/25/17. THE ASBURY COMMUNITIES, INC., FOUNDATION, ASBURY ATLANTIC, ASBURY SOLOMONS, ASBURY COMMUNITIES HCBS, CALVERT COUNTY NURSING CENTER, ASBURY, INC., AND INVERNESS VILLAGE BOARD OF DIRECTORS WERE FORWARDED A COPY OF THEIR RESPECTIVE DRAFT FORM 990 FOR THEIR REVIEW AND PROVIDED A LINK TO A RECORDING OF THE AUDIT COMMITTEE MEETING IF MEMBERS CHOSE TO LISTEN TO THE MEETINGS AS THEY REVIEWED ANY OF THE FORM 990S. ALL DIRECTORS MAY POSE QUESTIONS OR ASK FOR CLARIFICATION FROM STAFF AND AUDIT COMMITTEE. FORM 990, PART VI, SECTION B, LINE 12C THE ASBURY COMMUNITIES CONFLICT OF INTEREST POLICY WAS APPROVED BY THE BOARD OF DIRECTORS. THE COMPLIANCE OFFICER IS RESPONSIBLE FOR THE POLICY AND OVERSEES THE IMPLEMENTATION OF THE PROCESS. ALL THE ENTITIES WITHIN THE ASBURY COMMUNITIES SYSTEM ARE SUBJECT TO THE POLICY. ANNUALLY, THE COMPLIANCE OFFICER CONDUCTS A COMPREHENSIVE CONFLICT DISCLOSURE PROCESS COVERING ALL MEMBERS OF THE GOVERNING BOARDS, SYSTEM WIDE COMMITTEES, AND INDIVIDUALS IN MANAGEMENT POSITIONS. EACH PERSON COMPLETES A CONFLICT OF INTEREST DISCLOSURE FORM AND IS ADVISED OF THEIR FIDUCIARY OBLIGATIONS. THE COMPLIANCE OFFICER, WHO HAD A DIRECT REPORTING LINE TO THE CHAIR OF THE AUDIT AND COMPLIANCE COMMITTEE AND REPORTS QUARTERLY TO THE AUDIT AND COMPLIANCE COMMITTEE, ANALYZES ALL DISCLOSURE FORMS FOR POTENTIAL CONFLICTS, AND PREPARES A REPORT FOR THE SYSTEM-WIDE AUDIT AND COMPLIANCE COMMITTEE. A REPORT WAS MADE TO THE BOARD THAT THERE WERE NO CONFLICTS DURING 2016. WHEN AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ARISES INVOLVING A BOARD OR COMMITTEE MEMBER, THE AUDIT AND COMPLIANCE COMMITTEE IS INFORMED AND WILL FOLLOW SPECIFIC PROTOCAL OUTLINED IN THE CONFLICT OF INTEREST POLICIES AND PROCEDURES. FORM 990, PART VI, SECTION B, LINE 15 THE SYSTEM WIDE COMPENSATION COMMITTEE MEETS WITH THE INDEPENDENT COMPENSATION CONSULTANT, AND BASED ON INFORMATION PROVIDED TO THE COMMITTEE MAKES RECOMMENDATIONS REGARDING COMPENSATION AND BENEFITS TO THE EXECUTIVE COMMITTEE WHICH IS CHARGED BY THE FULL BOARD WITH DECISIONS REGARDING COMPENSATION. THE INDEPENDENT COMPENSATION CONSULTANTS AND ATTORNEY ARE ALSO PRESENT AT THE MEETING OF THE EXECUTIVE COMMITTEE AT WHICH THE EXECUTIVE COMMITTEE CONSIDERS THE RECOMMENDATION OF THE COMPENSATION COMMITTEE. AT THIS MEETING THE EXECUTIVE COMMITTEE RECEIVES ALL OF THE SAME INFORMATION WHICH WAS PRESENTED TO THE COMPENSATION COMMITTEE AND HAS THE OPPORTUNITY TO ASK QUESTIONS AND EVALUATE THE MATERIALS. THE FULL BOARD(S) OF ASBURY COMMUNITIES HAS A PRESENTATION ONCE A YEAR ON EXECUTIVE COMPENSATION AND BENEFITS. THE PRESIDENT IS PRESENT TO GIVE BOARD MEMBERS AN OPPORTUNITY TO ASK QUESTIONS AND TO PROVIDE SALARIES AND GRADE LEVELS FOR THEIR REVIEW. THE SYSTEM WIDE COMPENSATION COMMITTEE IS COMPOSED OF 5 VOTING MEMBERS, THE VICE-PRESIDENT OF HUMAN RESOURCES (NON-VOTING), A RETAINED ATTORNEY (NON-VOTING; RECORDS PROCEEDINGS IN MINUTES), AND IS ADVISED BY SULLIVAN COTTER (A COMPENSATION CONSULTING FIRM). THE SYSTEM WIDE COMPENSATION COMMITTEE HAS DEVELOPED AND USES A COMPENSATION PHILOSOPHY DOCUMENT WHICH ESTABLISHES GUIDELINES FOR COMPENSATION AND IDENTIFIES COMPARABLE DATA. THE COMMITTEE HOLDS A MINIMUM OF 4 MEETINGS EACH YEAR. AT THE FALL MEETING THEY REVIEW SULLIVAN COTTER DATA AND REPORTS IN ORDER TO MAKE RECOMMENDATIONS REGARDING SALARIES AND BENEFITS. THIS ANNUAL REVIEW ALSO ENSURES COMPLIANCE WITH IRS INTERMEDIATE SANCTIONS REQUIREMENTS. THE BOARD OF DIRECTORS ULTIMATELY REVIEWS/APPROVES/ AND OR ADJUSTS RECOMMENDATIONS FROM THE SYSTEM-WIDE COMPENSATION COMMITTEE AND SETS COMPENSATION. THE PROCESS WAS LAST REVIEWED IN 2016. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS ARE AVAILABLE IN THE RESIDENT LIBRARIES. THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST. THE AUDITED FINANCIAL STATEMENTS ARE AVAILABLE FOR PUBLIC VIEWING ON OUR WEBSITE. FORM 990, PART VII, SECTION A THE OFFICERS THAT HAVE COMPENSATION FROM RELATED ORGANIZATIONS REPORTED IN PART VII, SECTION A, COLUMN E OF THE FORM 990 PROVIDE EXECUTIVE MANAGEMENT SUPPORT AND OVERALL GUIDANCE TO ASBURY ATLANTIC, INC. AS WELL AS THE OTHER RELATED AND SUPPORTED ORGANIZATIONS OF ASBURY COMMUNITIES, INC. THERE ARE OVER 2,200 TOTAL EMPLOYEES IN THE ASBURY COMMUNITIES, INC. SYSTEM. THE 2016 CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR ASBURY COMMUNITIES, INC. HAD TOTAL REVENUES OF $212.4 MILLION AND TOTAL ASSETS IN EXCESS OF $642 MILLION. FORM 990, PART VII, SECTION A BEGINNING WITH YEAR 2014, FOUNDATION ASSOCIATE SALARIES AND BENEFITS, WHICH WERE PREVIOUSLY REPORTED ON THE ASBURY FOUNDATION IRS FORM 990, WILL BE REPORTED BY THE ASBURY ENTITY WHERE THEY DEDICATED THEIR TIME. ASBURY FOUNDATION ASSISTS WITH THE MISSION OF THE NON PROFIT ENTITIES WITHIN THE ASBURY COMMUNITIES SYSTEM. FORM 990, PART XI, LINE 9: NET UNREALIZED LOSS ON CHANGE IN MARKET VALUE OF DERIVATIVE INSTRUMENTS 1,421,032. CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF ASBURY FOUNDATION, INC 1,173,154. CHANGE IN VALUE OF OBLIGATIONS UNDER CHARITABLE GIFT ANNUITIES -43,267. TRANSFER TO ACOMM -2,378,841. NET ASSETS RELEASED FROM RESTRICTIONS USED FOR PURCHASE OF CAPITAL ITEMS 172,510. FORM 990, PART XII, LINE 2C THERE HAS BEEN NO CHANGE IN OVERSIGHT PROCESS FROM THE PRIOR YEAR. ASBURY COMMUNITIES INC 5285 WESTVIEW DRIVE 200 FREDERICK MD 21703 521862677 MANAGEMENT SERVICES MD 501(C)(3) LINE 12C, III-FI 0 INVERNESS VILLAGE 5285 WESTVIEW DRIVE 200 FREDERICK MD 21703 731539802 HOUSING AND HEALTHCARE FOR OLDER ADULTS OK 501(C)(3) LINE 10 ASBURY COMMUNITIES INC 0 ASBURY SOLOMONS INC 5285 WESTVIEW DRIVE 200 FREDERICK MD 21703 521862675 HOUSING AND HEALTHCARE FOR OLDER ADULTS MD 501(C)(3) LINE 10 ASBURY COMMUNITIES INC 0 ASBURY FOUNDATION INC 5285 WESTVIEW DRIVE 200 FREDERICK MD 21703 521862674 RAISING FUNDS FOR CHARITY CARE MD 501(C)(3) LINE 7 ASBURY COMMUNITIES INC 0 AFFILIATED ASSOCIATES INC 5285 WESTVIEW DRIVE 200 FREDERICK MD 21703 510426078 EMPLOYEE PAYMASTER COMPANY MD 501(C)(3) LINE 12C, III-FI ASBURY COMMUNITIES INC 0 ASBURY COMMUNITIES HCBS INC 5285 WESTVIEW DRIVE 200 FREDERICK MD 21703 450634490 HOME CARE FOR OLDER ADULTS MD 501(C)(3) LINE 10 ASBURY COMMUNITIES INC 0 CALVERT COUNTY NURSING CENTER INC 5285 WESTVIEW DRIVE 200 FREDERICK MD 21703 520890928 HOUSING AND HEALTHCARE FOR OLDER ADULTS MD 501(C)(3) LINE 10 ASBURY COMMUNITIES INC 0 ASBURY INC 5285 WESTVIEW DRIVE 200 FREDERICK MD 21703 620630670 HOUSING AND HEALTHCARE FOR OLDER ADULTS TN 501(C)(3) LINE 10 ASBURY COMMUNITIES INC 0 THE ASBURY GROUP INC 5285 WESTVIEW DRIVE 200 FREDERICK MD 21703 205038820 MANAGEMENT SERVICES DE ASBURY COMMUNITIES INC C 0 TAG MARKETING LLC 5285 WESTVIEW DRIVE 200 FREDERICK MD 21703 262896006 MARKETING SRVCS DE ASBURY COMMUNITIES INC C 0 THE ASBURY GROUP INTEGRATED TECHNOLOGIES LLC 5285 WESTVIEW DRIVE 200 FREDERICK MD 21703 262896175 INFOR & CNSLT SVCS DE ASBURY COMMUNITIES INC C 0 0 0 1 1 0 0 0 0 0 1 0 0 1 0 0 1 0 1 0 SCHEDULE R, PART IV TAG MARKETING, LLC WAS DISSOLVED ON JUNE 1, 2016.