2022-11-14T16:20:10-06:00 2021-12-31 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2021-01-01 210455847 FRIENDS HOME AT WOODSTOWN INC FRIE 8567691500 ONE FRIENDS DRIVE WOODSTOWN NJ 08098 KELLI MILLS EXECUTIVE DIRECTOR 8567691500 2022-11-14 1 KELLI MILLS 999009999 KERRI N BOGDA CPA P00760402 7177404863 2022-11-14 X 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z FRIENDS VILLAGE AT WOODSTOWN KELLI MILLS ONE FRIENDS DRIVE WOODSTOWN NJ 08098 16895703 0 X WWW.FRIENDSVILLAGE.ORG X 1896 NJ FULL SERVICE CONTINUING CARE RETIREMENT COMMUNITY 12 12 210 12 0 0 684366 2840103 12785951 8805122 1439339 294627 53827 273627 14963483 12213479 0 0 0 0 10343699 8121460 0 0 0 7578311 6117079 17922010 14238539 -2958527 -2025060 25877558 21975067 30533180 28383495 -4655622 -6408428 THE MISSION OF FRIENDS VILLAGE IS TO PROVIDE COMPREHENSIVE SERVICES FOR SENIORS BASED ON THE QUAKER PRINCIPLES THAT PROMOTE INDEPENDENCE WITH CHOICE, RESPECT, AND SECURITY. 0 0 12093550 0 8805122 FRIENDS VILLAGE AT WOODSTOWN OPERATES A CONTINUING CARE RETIREMENT COMMUNITY WHICH CURRENTLY PROVIDES HOUSING, HEALTHCARE AND OTHER RELATED SERVICES TO ELDERLY RESIDENTS THROUGH THE OPERATION OF A 60 BED NURSING FACILITY, A 61 BED ASSISTED LIVING FACILITY, AND 75 INDEPENDENT LIVING APARTMENTS AND COTTAGES. FRIENDS VILLAGE AT WOODSTOWN PROVIDES CHARITY CARE TO RESIDENTS WHO MEET CERTAIN CRITERIA WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. FRIENDS VILLAGE AT WOODSTOWN ALSO ALLOWS LOCAL ORGANIZATIONS/GROUPS TO MEET ON CAMPUS AT NO CHARGE. WE ARE COMMITTED TO PARTNERING WITH OUR LOCAL COMMUNITY AND HAVING A POSITIVE IMPACT THROUGH COLLABORATION AND ACTIVE PARTICIPATION. 12093550 1 1 0 1 0 0 0 0 1 0 1 0 0 0 1 0 0 0 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 1 0 0 0 1 40 0 210 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NJ X KELLI MILLS EXECUTIVE DIRECTOR 8567691500 ONE FRIENDS DRIVE WOODSTOWN NJ 08093 SANDY RIDGWAY CLERK 3.00 1.00 X X 0 0 0 JOAN AYARS TREASURER 3.00 1.00 X X 0 0 0 RICHARD WARNER SECRETARY 3.00 1.00 X X 0 0 0 GLENN SHIRLEY RESIDENT MEMBER (UNTIL 7/21) 3.00 X 0 0 0 JOHN BOND ASSISTANT CLERK 3.00 1.00 X X 0 0 0 PENELOPE WATSON MEMBER 3.00 X 0 0 0 JEFF GIBSON MEMBER 3.00 X 0 0 0 ARLEY JOHNSON MEMBER (DEC. 7/21) 3.00 X 0 0 0 DANIEL MURRAY MEMBER 3.00 X 0 0 0 TACIE TRULL MEMBER 3.00 X 0 0 0 SUZANNE CULVER MEMBER 3.00 X 0 0 0 JACK MAHON MEMBER 3.00 X 0 0 0 RICHARD RIDGWAY MEMBER 3.00 X 0 0 0 STEVE WADDINGTON MEMBER 3.00 X 0 0 0 CRAIG PETRY CEO 40.00 X 171709 0 14095 TARA WOODSIDE DIRECTOR OF CLINICAL SERVICES 40.00 X 101162 0 404 272871 0 14499 2 0 1 0 COREWORKS PO BOX 102289 ATLANTA GA 30368 MAINT. & ENVIRONMENTAL SERVICES 2850690 UNIDINE INC 2400 YORKMONT ROAD CHARLOTTE NC 28217 DINING MANAGEMENT 1833066 BAYADA HOME HEALTH CARE PO BOX 536446 PITTSBURGH PA 15253 NURSE AGENCY 311070 CHRISTO CONSULTING LLC 314 RUTH ROAD HARLEYSVILLE PA 19438 IT SERVICES 133398 4 2826304 13799 2840103 ASSISTED LIVING 623000 3939358 3939358 NURSING CARE 623000 2453784 2453784 INDEPENDENT LIVING 623000 2231401 2231401 AMORTIZATION OF ENTR. FEES 623000 180579 180579 8805122 176197 176197 70654 33705 36949 36949 36949 4765849 1100 4648519 0 117330 1100 118430 118430 13048 0 13048 13048 UTILITY REFUNDS 900099 170636 170636 LAUNDRY REVENUE 623000 45957 45957 TELEPHONE REVENUE 623000 4045 4045 2992 2992 223630 12213479 8805122 0 568254 185804 185804 6053230 5383763 669467 20334 17743 2591 1420658 1194463 226195 441434 366940 74494 65633 65633 173811 173811 475 475 18428 18428 1217030 875187 341843 65732 65732 335307 305950 29357 135754 135754 1148678 1148678 2604 2590 14 14288 13452 836 484142 484142 1084196 1084196 219774 219774 FOOD 397633 397633 BAD DEBT 350512 350512 MEDICAL SUPPLIES 200699 200699 DUES, FEES, & LICENSES 172591 20126 152465 29792 27702 2090 14238539 12093550 2144989 0 3910 3646 1843937 2508538 486006 549090 106426 95627 34507144 19002825 16247278 15504319 7190001 3313847 25877558 21975067 968927 1107076 1308932 1559480 12883176 12345346 10446 41760 1991517 0 13370182 13329833 30533180 28383495 X -4666199 -6408428 10577 0 -4655622 -6408428 25877558 21975067 X -2025060 166215 -270531 376570 X 0 1 X 1 0 X 128855 26325 102259 684366 2840103 3781908 13409297 13996267 14127237 12785951 8805122 63123874 13538152 14022592 14229496 13470317 11645225 66905782 0 0 0 66905782 206403 263092 280326 352833 246851 1349505 206403 263092 280326 352833 246851 1349505 80541 97083 48840 29398 236678 492540 13825096 14382767 14558662 13852548 12128754 68747827 0.97320 0.97640 0.01960 0.01930 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: BEAUTY BARBER REVENUE - 2017 AMOUNT: $ 3,489. 2018 AMOUNT: $ 6,508. 2019 AMOUNT: $ 6,578. 2020 AMOUNT: $ 2,181. 2021 AMOUNT: $ -661. TELEPHONE REVENUE - 2017 AMOUNT: $ 9,558. 2018 AMOUNT: $ 7,443. 2019 AMOUNT: $ 5,724. 2020 AMOUNT: $ 4,137. 2021 AMOUNT: $ 4,045. LAUNDRY REVENUE - 2017 AMOUNT: $ 10,275. 2018 AMOUNT: $ 9,493. 2019 AMOUNT: $ 12,306. 2020 AMOUNT: $ 5,990. 2021 AMOUNT: $ 45,957. GIFT SHOP SALES - 2017 AMOUNT: $ 14,817. 2018 AMOUNT: $ 20,396. 2019 AMOUNT: $ 20,109. 2020 AMOUNT: $ 17,090. 2021 AMOUNT: $ 13,048. NONCHARITABLE FUNDRAISING RECEIPTS - 2017 AMOUNT: $ 42,402. 2018 AMOUNT: $ 53,243. 2019 AMOUNT: $ 4,123. MISCELLANEOUS INCOME - 2021 AMOUNT: $ 3,653. REFUNDS - 2021 AMOUNT: $ 170,636. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 475 475 0 PART II-B, LINE 1: FRIENDS HOME AT WOODSTOWN, INC. PAYS DUES TO LEADINGAGE NEW JERSEY WHICH ADVOCATES FOR NURSING HOMES AND OTHER CARE FACILITIES FOR THE AGED. SMALL PORTIONS OF THE DUES TO LEADINGAGE NEW JERSEY ARE USED FOR LOBBYING EXPENSES. 0 1 X 525752 525752 525752 525752 525752 525752 1 528638 528638 27325631 18576135 8749496 6646285 426690 6219595 6590 6590 15504319 RESIDENT DEPOSITS 101050 SWAP VALUATION DIFFERENCE 359402 REFUNDABLE ENTRANCE FEES 12869381 13329833 12770441 166215 358142 524357 12246084 -33705 -33705 12212379 14253816 33705 33705 14220111 18428 18428 14238539 PART IV, LINE 2B: SELECT PATIENTS HAVE FUNDS THAT ARE DEPOSITED INTO AN ACCOUNT EACH MONTH. FUNDS ARE USED TO PAY THEIR BILLS AND SOME RECEIVE $50/MONTH FROM THE FUNDS FOR OTHER PERSONAL EXPENSES. PART V, LINE 4: DURING THE 2016 AUDIT, DOCUMENTS RELATED TO THE ENDOWMENT WERE REVIEWED RESULTING IN A RECLASSIFICATION OF NET ASSETS FROM PERMANENTLY RESTRICTED TO AN UNRESTRICTED QUASI ENDOWMENT FUND AS THE FUNDS ARE BOARD DESIGNATED. DURING 2019, THE ORGANIZATION REVIEWED THE UNDERLYING DOCUMENTATION OF CERTAIN DONOR TRUST AGREEMENTS AND HAS CORRECTED THE RESTRICTION OF THE ENDOWMENT AND MOVED THESE AMOUNTS TO UNRESTRICTED. THE RECLASSIFICATION RELEASES THE ORGANIZATION FROM REPORTING THE FUNDS AS AN ENDOWMENT. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN SWAP VALUE 376,570. INVESTMENT FEES -18,428. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -33,705. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 33,705. PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT FEES 18,428. X X X X 0 0 0 0 0 0 0 0 0 CRAIG PETRY CEO 171709 0 0 0 0 0 1795 0 12300 0 185804 0 0 0 A NEW JERSEY ECONOMIC DEVELOPMENT AUTHORITY 222045817 NONEAVAIL 2009-12-23 17500000 REFUND OUTSTANDING 2004 BONDS, PAY PORTION ADJACENT PROPERTY'S ACQUIS. COSTS 0 0 0 A 5100081 17500000 21567 273015 17500000 2009 0 0 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 1 0 1 1 BRANCH BANKING & TRUST 4.000000000000 0 0 0 0 0 A 0 SCHEDULE K, POST BOND-ISSUANCE PROCEDURES THE ORGANIZATION RECOGNIZES THE NECESSITY TO CAREFULLY MONITOR ITS BOND PROCEEDS AND TAKES EXTREME CARE IN ENSURING THAT THE PROCEEDS MEET ALL SAFE HARBOR REQUIREMENTS. THE ORGANIZATION ALSO MONITORS FOR ARBITRAGE AND UNDERSTANDS THE IMPLICATIONS OF AND NECESSITY FOR REPORTING ANY ARBITRAGE TRANSACTIONS. THE ORGANIZATION HAS NOT, HOWEVER, DOCUMENTED ITS PROCEDURES IN WRITTEN FORM. FORM 990, PART VI, SECTION A, LINE 2 RICHARD AND SANDRA RIDGEWAY HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11B FOR THE CURRENT YEAR'S FILING, SENIOR MANAGEMENT HAS REVIEWED THE FORM 990 INTERNALLY PRIOR TO FILING THE RETURN WITH THE IRS. THE FORM 990 WAS PROVIDED TO THE FULL BOARD FOR REVIEW AND COMMENT. IN SUBSEQUENT YEARS, THE RETURN WILL BE DISTRIBUTED AND REVEIWED BY ALL BOARD MEMBERS AT A MEETING PRIOR TO FILING THE RETURN WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE ANNUALLY. THE DISCLOSURES ARE REVIEWED ANNUALLY BY THE BOARD AND AS NEW CONFLICTS ARISE. SHOULD THERE BE A CONFLICT OR AN APPEARANCE OF A CONFLICT, THE FOLLOWING PROCESS APPLIES: 1. ANY POSSIBLE CONFLICT OF INTEREST WITH THE INTERESTS OF FRIENDS HOME AT WOODSTOWN, DBA/ FRIENDS VILLAGE AT WOODSTOWN ON THE PART OF ANY BOARD MEMBER SHALL BE DISCLOSED TO THE OTHER MEMBERS OF THE BOARD AND MADE A MATTER OF RECORD, EITHER THROUGH AN ANNUAL PROCEDURE OR WHEN THE INTEREST BECOMES A MATERIAL ONE IN RELATION TO A MATTER BEFORE THE BOARD. 2. ANY BOARD MEMBER HAVING A POSSIBLE CONFLICT OF INTEREST ON A MATTER BEFORE THE BOARD SHALL DISCLOSE THE CONFLICT AND NOT PARTICIPATE IN THE DECISION-MAKING PROCESS OR USE HER/HIS PERSONAL INFLUENCE ON THE MATTER. SHE OR HE SHALL NOT BE COUNTED IN DETERMINING THE QUORUM FOR THE MEETING, EVEN WHERE PERMITTED BY LAW. THE MINUTES OF THE MEETING SHALL REFLECT THE DISCLOSURE, THE ABSTENTION FROM THE DECISION-MAKING PROCESS, AND THE QUORUM SITUATION. 3. THE FORGOING REQUIREMENTS SHALL NOT BE CONSTRUED AS PREVENTING THE BOARD MEMBER FROM BRIEFLY STATING HIS/HER POSITION ON THE MATTER OR FROM ANSWERING PERTINENT QUESTIONS FROM OTHER BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF THE CEO, OFFICERS, AND KEY EMPLOYEES ARE DETERMINED BY AN INDEPENDENT COMMITTEE OF THE BOARD WHICH BASES ITS DECISIONS ON OTHER 990'S AND A FAIR MARKET COMPENSATION STUDY. THE PROCESS SEEKS TO ENSURE THAT ALL COMPENSATION STAYS WITHIN FAIR MARKET VALUE FOR THE INDUSTRY. COMPENSATION IS THEN APPROVED BY THE BOARD AND DISCUSSIONS ARE DOCUMENTED IN THE BOARD MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION WILL PROVIDE UPON IN-PERSON, VERBAL, OR WRITTEN REQUEST DOCUMENTS RELATING TO THE GOVERNANCE, CONFLICTS OF INTEREST AND FINANCIAL STATEMENTS, ALL OF WHICH ARE AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9: CHANGE IN SWAP VALUE 376,570. WOODS COURT INC ONE FRIENDS DRIVE WOODSTOWN NJ 08098 222368168 INDEPENDENT LIVING HOUSING NJ 501(C)(3) LINE 12B, II FRIENDS HOME AT WOODSTOWN 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0