2017-11-07T08:02:38-06:00 2016-12-31 390859910 baker tilly virchow krause llp 1650 Market Street Suite 4500 Philadelphia PA 19103 990 2016-01-01 202004162 KING FARM PRESBYTERIAN RETIREMENT COMMUNITY INC KING 2404999015 2275 RESEARCH BLVD STE 450 ROCKVILLE MD 20850 KEVIN DIUBALDO CONTROLLER 2404999015 2017-11-03 1 Julius Green CPA P00350393 2159720701 174.59.42.130 2017-11-03 20:17:10 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 41D52B76DFE0CA0C5E5ED141E25DBC48D8427C36 2016 2021-01-29 14:40:06Z X INGLESIDE AT KING FARM lYNN o'CONNOR 2275 Research Blvd Suite 450 Rockville MD 20850 45092326 0 X WWW.Inglesideatkingfarm.ORG X 2004 MD PROVIDE QUALITY CONTINUING CARE SERVICES TO OLDER ADULTS IN A PRESBYTERIAN-AFFILIATED ORGANIZATION. 12 12 279 150 0 0 5280 103874 20110803 21488606 324327 -68832 532475 658599 20972885 22182247 90329 113841 0 0 7541935 7609999 0 0 0 17498569 18522981 25130833 26246821 -4157948 -4064574 177373533 190793584 231953130 248715805 -54579597 -57922221 X Westminster Ingleside will excel in providing distinctive and sustainable residential settings where active seniors live in vibrant, caring, and spiritually rich communities, and where they can rely on continuing wellness and healthcare services for themselves and their neighbors. 0 0 23345165 113841 21488606 Charitable Purpose: Caring for SeniorsIngleside at King Farm (IKF) is a faith-based, not-for-profit continuing care retirement community located in Rockville, Maryland just north of Washington DC. IKF offers three levels of care to seniors over the age of 65 who are residents of Independent Living, Assisted Living, or Skilled Nursing, all of which are licensed and regulated by the state of Maryland.IKF enhances the lives of all residents through the Life-Enrichment programming performed daily. Over 4,000 programs are held annually, focusing on the nine dimensions of wellness. Overall the programs are directed toward achieving and maximizing an individual's highest potential, even as he or she experiences older adulthood. IKF has dedicated personnel for life enrichment in all three levels of care provided.The physical aspect of wellness centers on getting regular exercise, maintaining good nutrition, and avoiding risky behaviors. IKF promotes physical wellbeing through regular exercise and stretching programs and having a personal trainer on hand to give residents individual attention. A pool and swimming instruction are also available to residents as a means of helping them stay physically adept. In addition, IKF uses the services of a nutritionist to consult with residents concerning their diets. IKF encourages intellectual wellness for residents by offering conversations on current events, opportunities to listen to speakers on a wide variety of subjects, and a chance to participate in the Resident Council and other community organized Committees which offer advice to the administration. For those who are experiencing memory loss, IKF has a dedicated staff person to design and lead special activities to invigorate the mind. Emotional wellness incorporates the concept of believing in oneself, having the ability to cope and adjust to challenges in a healthy way, enjoying life, and staying optimistic. IKF promotes emotional wellness by engaging residents in decision making processes when appropriate, celebrating their lifetime milestones, and providing a wide variety of activities that appeal to diverse people. For example, residents are encouraged to take a leadership role in creating on-campus programs. Recently a resident sought to initiate a Science Club on campus, while another sought out collaboration between staff and residents to improve the services being offered through internal surveys and analysis. A third example of community involvement is exemplified through the group of residents who are career doctors. These persons sought administration to support the Skilled Nursing Facility by performing exit interviews so the services could be enhanced. Here residents took the initiative and volunteered to further support the culture at IKF.Continuing Care Retirement Communities (CCRCs) are by their very nature social entities enabling relationship development. Traditionally people who age in CCRCs live longer than those who do not, largely because of the social environment and the continuing health care. Residents dine together, attend events and activities together, and occupy the same common areas; they are not isolated as they would be if they lived alone. Morning Mingles and outreach by the Welcome Committee are important ways of keeping resident engagement vibrant at IKF. People at IKF come from a diverse background with a wide variety of beliefs and ideas, and feel free to share these interests with others. There are many dimensions to spiritual well-being, and IKF honors all of them. Protestant, catholic, and Jewish services are offered regularly, and all beliefs are honored on the World Day of Prayer. There is a spiritual life committee of members, led by the IKF Chaplain, focused on developing an inclusive sense of spirit at IKF. Through its programs, people find deeper purpose and meaning in their lives. IKF offers dance, Tai Chi, Chorus and a variety of activities that awaken the spiritual side of residents. From an environmental wellness perspective, IKF is a Leader in Energy and Environmental Design (LEED) because we are a (green) certified building. Residents recycle, and IKF has received recycling awards from the county. The building is also beautiful, providing residents with a calm and relaxing environment in which to live. Charitable Purpose: Health CareIKF provides 24 hour emergency support to all residents. For those who live in Independent Living, a 24 hour, 7 day a week concierge calls 911 for emergency service. For Assisted Living and Comprehensive Care 24 hour emergency care is provided. IKF also provides health care in our Assisted Living and Skilled Nursing environments. Residents who return from the hospital or whose health is declining often need additional care and so transfer to increasingly comprehensive levels of care - either short or long-term. A wellness center is staffed to provide residents with services of an on-site nurse, physician, and nurse practitioner. A rehabilitation company partners with IKF in the provision of those services. The nurse provides monthly health education to all residents. In addition, a podiatrist, optometrist, and dermatologist come regularly to see residents. The residents of IKF benefit from all the services and opportunities provided to them as they experience older adulthood with IKF. This allows them to have a carefree lifestyle, inspired by their own choices. The corporation extends charity care and other support to residents who meet certain criteria under its benevolent care policy and are unable to pay for services, at all levels of care as needed and when appropriate, without charge or at rates less than those established. This support is provided through a benevolence fund established at the outset of the community. 23345165 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 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 1 0 0 0 1 74 0 1 279 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MD X KEVIN DIUBALDO CONTROLLER 3014072082 2275 research blvd suite 450 rockville MD 20850 Morgan doOlittle III CHAIR (Term Exp. March '16) 2.00 4.00 X 0 0 0 pete willson director 1.00 2.00 X 0 0 0 BRUCE BARTELS vice chair 1.00 2.00 X 0 0 0 rudy cohen director 1.00 2.00 X 0 0 0 JAN FELDMAN director 0.50 1.00 X 0 0 0 robyn stone director 0.50 1.00 X 0 0 0 EDWARD KELLEY director 1.00 2.00 X 0 0 0 WILLIAM KING DIRECTOR 1.00 2.00 X 0 0 0 Shelley Jennings director 1.00 2.00 X 0 0 0 WILLIAM LEahY DIRECTOR 0.50 1.00 X 0 0 0 NANCY KUHN SECRETARY 1.00 2.00 X X 0 0 0 Richard Riegel ChAIR 2.00 2.00 X X 0 0 0 dr hugh hill director 1.00 3.00 X 0 0 0 lynn o'connor president/ CEO 10.00 30.00 X 0 400622 30084 TIM MYERS CFO 10.00 30.00 X 0 275071 13599 dusanka delovska-trakova cio 13.00 27.00 X 0 135186 17946 MONIQUE ELIEZER VP SALES MKTG & STRATEGY 13.00 27.00 X 0 470762 19998 christine podles executive director 40.00 X 193309 0 4170 Elizabeth Bush Chief Operating Officer 13.00 27.00 X 0 223724 8513 VICTORIA BAKLY DIRECTOR OF NURSING 40.00 X 124133 0 5549 adaeze ikeotuonye nursing home administrator 40.00 X 107887 0 20730 JIM HAEGER CONTROLLER (Departed July '16) 10.00 30.00 X 0 160431 10666 Kristina Pare Director of Sales 40.00 X 136501 0 11344 Lisa Hunter Sales Counselor 40.00 X 103820 0 6246 665650 1665796 148845 5 0 1 0 Flagship Rehabilitation 157 Baltimore St Cumberland MD 21502 Therapy Provider 789731 Greenbrier Development LLC 3232 McKinney Ave Ste 1160 Dallas TX 75204 Development Mgt 294414 2 103779 95 103874 Resident Revenue 623000 21488606 21488606 21488606 434936 434936 22406311 22910079 -503768 -503768 -503768 resident upgrades 623000 294548 294548 Catering, Cafe and Deli Income 623000 140309 140309 Beauty/Barber Shop Income 623000 100854 100854 122888 122888 658599 22182247 21488606 0 589767 113841 113841 197479 178748 18731 6137152 5555050 582102 56296 44918 11378 643754 541501 102253 575318 525814 49504 967333 967333 12813 12813 40783 40783 220 220 101857 101857 2132243 1706527 425716 8097 8097 318505 169025 149480 229889 148713 81176 4463630 4463630 16531 12397 4134 108978 82675 26303 7091818 7091818 135520 26037 109483 Dietary Expense 1477871 1477871 Therapy Expense 852940 852940 Medical Supplies 186197 186197 License, fees, Dues 183942 29885 154057 193814 129481 64333 26246821 23345165 2901656 0 604 600 4931221 920673 1791920 867936 201776 170904 193021298 46901868 137329318 146119430 27695891 31474286 1314502 4108301 11239755 177373533 190793584 8195879 5569101 5138401 9104050 54973474 68128530 532464 532464 163112912 165381660 231953130 248715805 X -55400306 -59018445 820709 1096224 -54579597 -57922221 177373533 190793584 X -4064574 1106025 -384075 X 0 1 X 1 0 X 21939 179209 145067 5280 103874 455369 15325769 17240046 18337032 20110803 21488606 92502256 310990 327574 394026 509444 634825 2176859 15658698 17746829 18876125 20625527 22227305 95134484 0 0 0 95134484 182100 47444 95418 383161 434936 1143059 182100 47444 95418 383161 434936 1143059 15496 17956 15071 23031 23774 95328 15856294 17812229 18986614 21031719 22686015 96372871 0.98720 0.99010 0.01190 0.00900 X Schedule A, Part III, Line 12, Explanation of Other Income: OTHER INCOME - 2012 Amount: $ 8,815. 2013 Amount: $ 15,594. 2014 Amount: $ 15,071. 2015 Amount: $ 23,031. 2016 Amount: $ 23,774. PAST DUE ACCOUNT INTEREST - 2012 Amount: $ 6,681. 2013 Amount: $ 2,362. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 220 220 0 Part II-B, Line 1: the filing organization is a member of various organizations that support senior living communities. a portion of the dues paid to these organizations is allocated to lobbying expenses. 23115317 23115317 146168146 37495803 108672343 16134041 9406065 6727976 7603794 7603794 146119430 Capitalized Marketing Costs 3573360 INTEREST IN NET ASSETS OF FOUNDATION 1096224 Due from Affiliates 287437 under trust indenture 6282734 11239755 Priority List Deposits 5075908 Refundable Entrance Fees 159646162 interest rate swap 659590 165381660 X 22802340 1106025 -485932 620093 22182247 0 22182247 26144964 0 26144964 101857 101857 26246821 Part X, Line 2: The Organization accounts for uncertainty in income taxes by prescribing 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 has been met. Management determined that there were no tax uncertainties that met the recognition threshold in 2016 and 2015. Part XI, Line 2d - Other Adjustments: Increase in interest in net assets of Foundation 275,515. INVESTMENT FEES -101,857. Change in Swap Value -659,590. Part XII, Line 4b - Other Adjustments: INVESTMENT FEES 101,857. Loss on Interest Rate Swap 1 WESTMINSTER INGLESIDE PRESBYTERIAN FOUNDATION 2275 RESEARCCH BLVD STE 450 ROCKVILLE MD 20850 541949766 501(C)(3) 113841 GENERAL OPERATING SUPPORT 1 Part I, Line 2: THE ASSISTANCE IS IN THE FORM OF REIMBURSED EXPENSES FOR A RELATED ENTITY. ALL ACCOUNTING FUNCTIONS ARE PERFORMED ON A CONSOLIDATED BASIS AND NO FURTHER MONITORING IS NECESSARY. X X X X 0 1 0 0 0 0 0 1 0 lynn o'connor president/ CEO 0 325622 0 75000 0 0 0 27926 0 2158 0 430706 0 0 TIM MYERS CFO 0 263083 0 11988 0 0 0 1610 0 11989 0 288670 0 0 dusanka delovska-trakova cio 0 128084 0 7102 0 0 0 3970 0 13976 0 153132 0 0 MONIQUE ELIEZER VP SALES MKTG & STRATEGY 0 456553 0 14209 0 0 0 12012 0 7986 0 490760 0 0 christine podles executive director 181260 0 12049 0 0 0 1919 0 2251 0 197479 0 0 0 Elizabeth Bush Chief Operating Officer 0 200599 0 23125 0 0 0 6638 0 1875 0 232237 0 0 JIM HAEGER CONTROLLER (Departed July '16) 0 141431 0 19000 0 0 0 2964 0 7702 0 171097 0 0 Part I, Line 4b LYNN O'CONNOR PARTICIPATED IN A NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR WHICH $15,936 WAS contributed IN 2016. Part I, Line 7 EXECUTIVE LYNN O'CONNOR, THE PRESIDENT AND CEO, RECEIVEd a BONUS AT THE DISCRETION OF THE BOARD OF DIRECTORS. THE BONUS Was BASED ON SET GOALS SUCH AS THE COMMUNITIES ACHIEVING THEIR BOND COVENANTS. Tim Myers, the CFO, Dusanka Delovsa-Trakova, the CIO, Elizabeth Bush, the COO, Monique Eliezer, The VP of Sales Marketing, Christine Podles, the Executive Director, and Jim Haegar, the controller also received bonuses based upon a similar set of goals during the year. A Maryland state health higher education facilities authority 520936091 574217c45 2007-01-11 174417700 FACILITY construction and refunding of prior issue 0 0 0 B Maryland state health higher education facilities authority 520936091 574217c45 2015-08-19 33000000 Pre/Early Construction for Phase 2 Expansion; Kitchen & Dining Remodel 0 0 0 A 123322700 174417700 19836337 3348207 14426799 105227613 25312705 2009 1 0 1 1 B 15383615 33000000 439202 17616484 14944314 2017 0 0 0 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 A 0 0 0 1 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 Date Rebate Computation Performed Issuer Name: Maryland state health higher education facilities authority Date the Rebate Computation was Performed: 04/17/2011 part iv, line 2c A REBATE CALCULATION WAS PERFORMED ON APRIL 17, 2011 BY AN OUTSIDE CONSULTANT SPECIALIZING IN THE CALCULATIONS. DOCUMENTATION WAS PROVIDED TO THE ORGANIZATION AND NO REBATE WAS DUE. Form 990, Part VI, Section A, line 1 the board delegates authority to the executive committee. The Executive Committee is comprised of the Chair, Vice Chair, Chair Emeritus, President/CEO, Secretary and Treasurer. All are members of the governing body. Form 990, Part VI, Section A, line 6 westminster ingleside king farm presbyterian retirement communities, inc. (45-3825159) is the sole member of the filing organization. Form 990, Part VI, Section A, line 7a the board of the parent, westminster ingleside king farm presbyterian retirement communities, inc. (45-3825159), holds the power to elect, appoint, and remove members of the organization's board of directors. Form 990, Part VI, Section A, line 7b Westminster Ingleside King Farm Presbyterian Retirement communities, inc., the parent organization, has the power to act on behalf of the organization as well as having the power to define the mission, policies, and retaining, evaluating, and setting compensation for the President/CEO. it also has the right to delegate any of its powers to the officers of the corporation. Form 990, Part VI, Section B, line 11b THE INITIAL REVIEW IS PERFORMED BY THE PRESIDENT, CHIEF FINANCIAL OFFICER, AND CONTROLLER. ONCE THE MANAGEMENT TEAM APPROVES THE DRAFT, All board members receive a copy OF THE RETURN FOR REVIEW. BOARD MEMBERS MAY DISCUSS CORRECTIONS, REVISIONS, AND QUESTIONS WITH MANAGEMENT. SUBSEQUENT TO BOARD REVIEW THE RETURN IS FILED with the IRS. Form 990, Part VI, Section B, line 12c THE WRITTEN CONFLICT OF INTEREST POLICY STATES THAT Directors, OFFICERS, AND ALL EMPLOYEES annually, OR AT ANY TIME THAT A SITUATION ARISES, declare conflicts of interesT. NOT ONLY ACTUAL CONFLICTS BUT TRANSACTIONS FROM WHICH A CONFLICT MAY APPEAR TO EXIST ARE TO BE DISCLOSED TO THE BOARD CHAIR OR the foundation director. the board chairman, director, and president/ceo of the organization monitor conflict disclosures. ANY DIRECTOR OR OFFICER FOR WHICH A CONFLICT MAY BE INVOLVED IS EXPECTED TO REMAIN REMOVED FROM ANY DISCUSSIONS OR DECISION-MAKING RELATED TO THE CONFLICT. BUSINESS AND FAMILY RELATIONSHIPS ARE SPECIFICALLY MENTIONED IN THE CONFLICT OF INTEREST STATEMENT AS PART OF THE DUE DILIGENCE THE ORGANIZATION FOLLOWS TO ENSURE CONFLICTS ARE HANDLED IN AN ETHICAL MANNER. Form 990, Part VI, Section B, line 15 The board executive committee serving as the compensation committee follows compensation best practice processes to evaluate and compensate the President/CEO. The processes include the following: The board executive committee serves as the compensation committee and uses two salary surveys to establish compensation within fair value range. one survey provides information on an industry-wide basis and the other provides comparables for the DC metropolitan area. THE BOARD ALSO USES AN INDEPENDENT COMPENSATION CONSULTANT, rODEGHERO CONSULTING GROUP, TO ASSIST IN THE COMPENSATION ANALYSIS AND DETERMINATION. TheSE METHODS PROVIDE additional benchmarking information to establish the compensation package for the President/CEO. The board executive committee, operating as the compensation committee, approves the president/CEO's compensation, which then goes to the Board of Directors for approval. all discussions on compensation are documented in the minutes of the executive session. SIMILAR PROCEDURES ARE ESTABLISHED FOR OTHER KEY EMPLOYEES AS WELL. Form 990, Part VI, Section C, line 19 Copies of the organizations' governing documents, financial statements, and conflict of interest policy are kept in the libraries at each community. They are also available upon request. Form 990, Part XI, line 9: Increase in interest in net assets of foundation 275,515. Change in Swap Value -659,590. Ingleside Presbyterian Retirement Community 3050 Military Road Washington DC 20015 530128590 Residential Health Care DC 501(c)(3) Line 10 WESTMINSTER INGLESIDE KING FARM PRESBYTERIAN RETIREMENT COMMUNITIES INC 0 Westminster Presbyterian Retirement Community 12191 Clipper Drive Lake Ridge VA 22192 530128590 residential Health Care VA 501(c)(3) Line 10 WESTMINSTER INGLESIDE KING FARM PRESBYTERIAN RETIREMENT COMMUNITIES INC 0 Westminster Ingleside Presbyterian Foundation 2275 RESEARCH BLVD STE 450 ROCKVILLE MD 20850 541949766 Provides Support to Related Organizations DC 501(c)(3) Line 12a, I WESTMINSTER INGLESIDE KING FARM PRESBYTERIAN RETIREMENT COMMUNITIES INC 0 westminster ingleside king farm retirement communities inc 2275 RESEARCH BLVD STE 450 ROCKVILLE MD 20850 453825159 supporting organization DC 501(c)(3) Line 12b, II N/A 0 INGLESIDE AT HOME LLC 2275 RESEARCH BLVD STE 450 ROCKVILLE MD 20850 474127765 HOME care SERVICES VA 501(c)(3) Line 10 WESTMINSTER INGLESIDE KING FARM PRESBYTERIAN RETIREMENT COMMUNITIES INC 0 THE WESTMINSTER INGLESIDE GROUP LLC 5121 BROAD BRANCH ROAD NW WASHINGTON DC 200081012 474479605 MANAGEMENT SVC. DE N/A C 0 0 1 1 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0