2021-10-06T09:04:01-05:00 2020-12-31 410746749 CLIFTONLARSONALLEN LLP 610 W GERMANTOWN PIKE SUITE 400 PLYMOUTH MEETING PA 19462 990 2020-01-01 521761391 KESWICK PINES INC KESW 7328490400 509 ROUTE 530 WHITING NJ 08759 GEORGINA BAVAIS CFO 7328490400 2021-09-28 1 GEORGINA BAVAIS 999009999 SETH BRODY P01586423 2156433900 2021-09-28 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z THE PINES AT WHITING ERIC GHAUL 509 ROUTE 530 WHITING NJ 08759 18990311 0 X WWW.THEPINESATWHITING.ORG X 1989 NJ SERVES THE ELDERLY THROUGH APARTMENT LIVING, ASSISTED LIVING, AND NURSING HOME CARE. 11 11 306 51 0 0 73314 382481 17899339 17439478 207752 218991 527624 437414 18708029 18478364 37251 42850 0 0 10043257 10295797 0 0 4295 7060688 7091551 17141196 17430198 1566833 1048166 29621706 31781297 29866132 30352674 -244426 1428623 X GUIDED BY CHRISTIAN PRINCIPLES, THE PINES AT WHITING SEEKS TO BUILD A CARING AND RESPECTFUL COMMUNITY OF TRUSTEES, RESIDENTS AND STAFF THAT SERVES THE PHYSICAL, SOCIAL, EMOTIONAL AND SPIRITUAL NEEDS OF SENIOR ADULTS THROUGH RESIDENTIAL LIVING AND HEALTH CARE. 0 0 15274300 42850 17439478 KESWICK PINES, INC., DBA THE PINES AT WHITING (THE PINES) STRIVES TO FOLLOW THEIR MISSION BY SERVING THE BROADER COMMUNITY, PARTICULARLY IN OCEAN COUNTY. BOTH RESIDENTS AND STAFF JOIN IN THE PINE'S GOAL AND PARTICIPATE IN VARIOUS FUNDRAISERS, CHARITABLE EVENTS, VOLUNTEER WORK, AND SERVICE PROJECTS. OFTEN, RESIDENTS AND STAFF SPARK THE IDEAS AND EVEN HELP TO ORGANIZE THE PROJECTS. THE PINES HAS A CHARITABLE FUND FOR RESIDENTS WHO OUTLIVE THEIR RESOURCES. THIS ALLOWS THEM TO LIVE THE SAME QUALITY OF LIFE IN THE SAME QUALITY OF CARE. THE PINES IS COMMITTED TO PROVIDE RESOURCES THAT CAN SUPPORT A DIVERSE RANGE OF PEOPLE AND ORGANIZATIONS AND CONTINUES TO FIND NEW AND CREATIVE WAYS TO HELP OTHERS. IN 2020, THE PINES CONTAINED 234 INDEPENDENT LIVING UNITS, 87 ASSISTED LIVING UNITS, OF WHICH 20 ARE MEMORY CARE, AND 66 SKILLED NURSING CARE BEDS. IN 2020, THE PINES HAS SERVICED 200 INDEPENDENT LIVING RESIDENTS, 74 ASSISTED LIVING RESIDENTS, AND 52 NURSING HOME RESIDENTS FOR A TOTAL OF 326 RESIDENTS.DURING 2020, THE PINES MADE A SUBSTANTIAL CONTRIBUTION TO THE GREATER WHITING AREA COMMUNITY. THESE COMMUNITY OUTREACH ACTIVITIES RANGED FROM: 1.) DONATIONS FROM DRESS DOWN DAY AND MATCHED BY E. GHAUL TOTALING $500 TO POPCORN PARK ZOO.2.) AMERICA'S KESWICK ANNUAL DONATION OF $2,500.3.) $500 SPONSORSHIP OF AMERICA'S KESWICK FREEDOM WALK.4.) $500 DONATION TO AMERICAN DIABETES ASSOCIATION IN MEMORY OF MIKE KING, EMPLOYEE.5.) DONATION OF REFRIGERATOR TO A LOCAL RESIDENT IN NEED FOR A VALUE OF $300.6.) HOSTED THE MANCHESTER TOWNSHIP HIGH SCHOOL SENIOR PROM IN THE PARKING LOT FOR 150 PARTICIPANTS AFTER THE PROM WAS CANCELLED DUE TO COVID.7.) HOSTED THE AMERICAN RED CROSS BLOOD DRIVE WITH 42 PARTICIPANTS.8.) ALLOWED MEN FROM THE REHABILITATION AT AMERICA'S KESWICK TO USE LAUNDRY FACILITIES AFTER A MULTI-DAY POWER OUTAGE.9.) $300 DONATION TO ALWAYS SUPPORTING OUR MILITARY TO BUY POSTAGE TO MAIL PACKAGES TO MILITARY OVERSEAS.10.) $500 DONATION TO ALZHEIMER'S NJ THROUGH DONATION TO THE PINES TEAM/VIRTUAL WALK.11.) $500 DONATION TO ALZHEIMER'S ASSOCIATION VIA DONATION TO AMY LAGRANT'S (MARKETING COMPANY) VIRTUAL TEAM.12.) CROP WALK ANNUAL DONATION OF $100.13.) $500 CASH DONATION TO MANCHESTER BOARD OF SOCIAL SERVICES SINCE THE FOOD DRIVE WAS UNABLE TO BE HELD. FOR THE YEAR 2020, THE TOTAL AMOUNT OF FORGIVEN REVENUE WAS $231,750.THE STAFF AND RESIDENTS AT THE PINES WERE COURAGEOUS AND RESILIENT DURING THE PANDEMIC. MANY OF THEM RECEIVED COVID-19 TESTING AT LEAST ONCE PER WEEK. ADMISSIONS IN ALL LEVELS OF CARE WERE IMPACTED BECAUSE OF NATIONWIDE STAFFING ISSUES, THE INABILITY TO HOST ON-SITE MARKETING EVENTS, AND RESTRICTIONS ON OUTSIDE VISITORS. THE ORGANIZATION FOCUSED ON FULFILLING THE MISSION AND SAFELY DELIVERING QUALITY SERVICES TO RESIDENTS DURING CHALLENGING CIRCUMSTANCES. COVID-19 FUNDS WERE UTILIZED TO COVER PERMISSIBLE COSTS SUCH AS WAGES, PPE, COVID TESTING, AND VACCINATIONS. 15274300 1 1 0 1 0 0 1 0 0 0 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 10 0 1 306 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 NJ X GEORGINA BAVAIS CFO 7328490400 509 ROUTE 530 WHITING NJ 08759 ERIC GHAUL CEO 40.00 X 197948 0 16798 GEORGINA BAVAIS CFO 40.00 X 168272 0 24699 PATRICIA POLCHAK HEALTHCARE ADMINISTRATOR 40.00 X 153067 0 19056 ADRIANNE SOBOCINSKI PHYSICAL THERAPIST 40.00 X 140686 0 19908 GAIL SHEPARD DIRECTOR OF NURSING 40.00 X 126509 0 22781 WENDY HARSHAW DIRECTOR OF MARKETING 40.00 X 122049 0 13526 JAY KATZ CHAIRMAN 2.00 X X 0 0 0 MARK KOLCHIN VICE CHAIRMAN 2.00 X X 0 0 0 DOUGLAS BAUERBAND TREASURER 2.00 X X 0 0 0 WILLIAM COOK MEMBER 2.00 X 0 0 0 ALAN DINKFELT MEMBER 2.00 X 0 0 0 CAROLYN HIBBARD MEMBER 2.00 X 0 0 0 JOHN HOLLAND MEMBER 2.00 X 0 0 0 ROBERT HUBINGER MEMBER 2.00 X 0 0 0 OTTO MORCH MEMBER 2.00 X 0 0 0 JOSEPH OWSINSKI MEMBER 2.00 X 0 0 0 CHARITY ROSZEL MEMBER 2.00 X 0 0 0 908531 0 116768 6 0 1 0 SODEXO INC & AFFILIATES PO BOX 360170 PITTSBURGH PA 15251 FOOD SERVICE CONTRACT 1040349 C&C CONSTRUCTION MGMT INC 10063 SANDMEYER LANE PHILADELPHIA PA 19116 CONSTRUCTION CONTRACTOR 319264 BUSINESS FLOORING INC 9105 E WHISKEY BOTTOM ROAD LAUREL MD 20723 CONSTRUCTION CONTRACTOR 281163 R SOMERS CONSTRUCTION INC 3 S CHARLOTTEVILLE DR TOMS RIVER NJ 08757 CONSTRUCTION CONTRACTOR 267150 J W FINLEY INC P O BOX 409 TOMS RIVER NJ 08754 HVAC CONTRACTOR 197310 9 330006 52475 382481 RESIDENT MONTHLY FEES 623990 6846152 6846152 PRIVATE PAY 623990 6614753 6614753 MEDICAID AND MEDICARE REVENUE 623990 2842180 2842180 ENTRANCE FEES REVENUE 623990 1136393 1136393 17439478 188267 188267 542671 511947 30724 30724 30724 ANCILLARY SERVICES 900099 270053 270053 FOOD SERVICES 722514 119062 119062 BARBER AND BEAUTY 812900 46350 46350 1949 1949 437414 18478364 17439478 0 656405 7350 7350 35500 35500 407717 173734 229688 4295 7656703 6708698 948005 179992 136265 43727 1425076 1212365 212711 626309 539491 86818 154364 154364 28862 28862 40845 40845 398 398 41456 41456 355633 343688 11945 365685 364558 1127 285688 256378 29310 139626 29316 110310 1422934 1351729 71205 7314 6818 496 446947 446947 1803696 1579502 224194 323547 294235 29312 FOOD SERVICES 1161640 1158440 3200 SUPPLIES 213495 200007 13488 REPAIRS & MAINTENANCE 99370 99370 BAD DEBT EXPENSE 45000 45000 155051 130545 24506 17430198 15274300 2151603 4295 1765 1765 2232482 3782379 551536 488558 153268 174376 55250040 37155018 18177575 18095022 8307729 9094720 197351 144477 29621706 31781297 1184546 1100453 13089818 13355749 14897815 13610656 1750745 693953 535071 29866132 30352674 X -263310 1408450 18884 20173 -244426 1428623 29621706 31781297 X 1048166 634343 -9460 X 0 1 X 1 0 X 100137 56891 145814 73314 382481 758637 16984186 18262863 18325678 17899339 17439478 88911544 17084323 18319754 18471492 17972653 17821959 89670181 65865 100000 165865 0 65865 100000 165865 89504316 169766 174670 189463 199551 188267 921717 169766 174670 189463 199551 188267 921717 557620 548540 565689 527624 437414 2636887 17811709 19042964 19226644 18699828 18447640 93228785 0.96010 0.95790 0.00990 0.00970 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: ANCILLARY SERVICES - 2016 AMOUNT: $ 326,305. 2017 AMOUNT: $ 317,948. 2018 AMOUNT: $ 336,856. 2019 AMOUNT: $ 326,206. 2020 AMOUNT: $ 270,053. BARBER AND BEAUTY - 2016 AMOUNT: $ 87,185. 2017 AMOUNT: $ 90,083. 2018 AMOUNT: $ 91,844. 2019 AMOUNT: $ 86,206. 2020 AMOUNT: $ 46,350. FOOD SERVICES - 2016 AMOUNT: $ 144,130. 2017 AMOUNT: $ 140,509. 2018 AMOUNT: $ 135,271. 2019 AMOUNT: $ 112,245. 2020 AMOUNT: $ 119,062. OTHER INCOME - 2018 AMOUNT: $ 1,718. 2019 AMOUNT: $ 2,967. 2020 AMOUNT: $ 1,949. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 398 398 0 PART II-B, LINE 1: THE ORGANIZATION PAYS DUES TO LEADING AGE, NEW JERSEY. A PERCENTAGE OF THOSE DUES ARE USED BY LEADING AGE, NEW JERSEY FOR LOBBYING PURPOSES. THE AMOUNT OF LOBBYING EXPENSES REPORTED ARE THE PERCENTAGE OF THE ORGANIZATION'S DUES USED BY LEADING AGE, NEW JERSEY FOR LOBBYING. X X X 1 21.00 0 0 0 1 1 12.00 0 0 1 X 2748541 2748541 40618513 33601108 7017405 11490781 3352726 8138055 392205 201184 191021 18095022 CHARITABLE GIFT ANNUITIES 30473 DEPOSITS FROM RESIDENTS 504598 535071 X 19045211 634343 -26040 608303 18436908 41456 41456 18478364 17353242 0 17353242 41456 35500 76956 17430198 PART II, LINE 9: CONSERVATION EASEMENTS ARE REPORTED ON THE BALANCE SHEET AS PART OF LAND. THE CONSERVATION EASEMENT IS A PORTION OF THE TOTAL LAND, WHICH WAS PURCHASED AT $2.7 MILLION. PART IV, LINE 2B: AMOUNTS HELD IN ESCROW REPRESENT CASH DEPOSITS MADE BY PROSPECTIVE RESIDENTS OF INDEPENDENT LIVING UNITS. THE CASH HAS BEEN DEPOSITED INTO A SAVINGS ACCOUNT. IF THE PROSPECTIVE RESIDENT(S) SHOULD DECIDE NOT TO FULFILL THE CONTRACT THE DEPOSITS ARE REFUNDABLE. IN ADDITION, ENTRANCE FEES RECEIVED FROM RESIDENTS HAVE BEEN REPORTED AS A LONG-TERM LIABILITY. REFUNDABLE PORTIONS OF ENTRANCE FEES ARE FULLY REFUNDABLE TO THE RESIDENT(S), LESS CERTAIN COSTS OR CHARGES INCURRED. IF THE RESIDENT(S) TERMINATE(S) THE CONTRACT, THE REFUNDABLE PORTION OF ENTRANCE FEES IS REFUNDABLE FOLLOWING THE REOCCUPANCY OF THE UNIT FOR THIRTY DAYS. PART X, LINE 2: KESWICK HAS BEEN GRANTED EXEMPT STATUS RELATIVE TO FEDERAL AND STATE CORPORATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND APPLICABLE STATE CODES. KESWICK FOLLOWS THE GUIDANCE IN THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE GUIDANCE CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THE GUIDANCE FURTHER PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX PROVISIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE APPLICATION OF THIS STANDARD HAS NO IMPACT ON KESWICK'S FINANCIAL STATEMENTS. KESWICK'S TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL AND STATE AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN THE VALUE OF ANNUITY 9,460. SCHOLARSHIP EXPENSE -35,500. PART XII, LINE 4B - OTHER ADJUSTMENTS: SCHOLARSHIP EXPENSE 35,500. 1 SCHOLARSHIPS 11 35500 PART I, LINE 2: THE PINES PAYS SCHOLARSHIPS DIRECTLY TO SCHOOLS ON BEHALF OF THE RECIPIENT, THEREBY ENSURING THE FUNDS ARE USED FOR THEIR INTENDED PURPOSE. PART III, LINE 1: THE SCHOLARSHIP APPLICANT MUST HAVE BEEN EMPLOYED AT THE PINES AT WHITING AS A PART-TIME EMPLOYEE FOR AT LEAST ONE YEAR AND WORKED AT LEAST 300 HOURS PER YEAR. HOURS ARE BASED ON FISCAL YEAR MAY 1-APRIL 1. THE APPLICANT MUST PRESENT A LETTER OF ACCEPTANCE FROM EITHER A COLLEGE OR SPECIALTY SCHOOL AT THE TIME OF APPLICATION. THE APPLICANT MUST SUPPLY TWO LETTERS OF REFERENCE; ONE FROM SCHOOL (GUIDANCE COUNSELOR, TEACHER, COACH, ETC.) AND THE SECOND MUST COME FROM AN INDIVIDUAL UNRELATED TO SCHOOL OR FAMILY. IN ADDITION, EACH APPLICANT IS CAREFULLY REVIEWED BY THE STUDENT'S DIRECT SUPERVISOR. THE SUPERVISOR IS TO EXAMINE SPECIFIC CRITERIA SUCH AS SAFETY AND JOB PERFORMANCE. THE SUPERVISOR WILL INCLUDE HIS/HER RELATED REMARKS, SIGN THE APPLICATION, AND FORWARD THE APPLICATION IN ITS ENTIRETY TO THE SCHOLARSHIP COMMITTEE. APPLICANTS ALREADY IN COLLEGE, WHETHER APPLYING FOR THE FIRST TIME OR FOR RENEWAL OF THE SCHOLARSHIP MUST PRESENT A TRANSCRIPT OF FULL-TIME (12 OR MORE CREDIT HOURS) OF COLLEGE GRADES. THE APPLICANT WILL THEN NOT BE REQUIRED TO SUBMIT A LETTER OF ACCEPTANCE AND TWO LETTERS OF REFERENCE; HOWEVER, BOTH FIRST TIME APPLICANTS AND APPLICANT RENEWALS WILL BE ASKED ABOUT THEIR LEVEL OF PARTICIPATION BOTH IN THEIR SCHOOL AND THEIR COMMUNITY. X 1 1 X X X 0 0 0 0 0 0 0 1 0 ERIC GHAUL CEO 174326 0 19042 0 4580 0 7483 0 9315 0 214746 0 0 0 GEORGINA BAVAIS CFO 156571 0 0 0 11701 0 6425 0 18274 0 192971 0 0 0 PATRICIA POLCHAK HEALTHCARE ADMINISTRATOR 146137 0 0 0 6930 0 4310 0 14746 0 172123 0 0 0 ADRIANNE SOBOCINSKI PHYSICAL THERAPIST 120778 0 0 0 19908 0 5052 0 14856 0 160594 0 0 0 PART I, LINE 1A AS PART OF HIS 2020 COMPENSATION PACKAGE; ERIC GHAUL, CEO, WAS PAID A BOARD APPROVED TAKE-HOME TAX DEFERRAL BONUS, AND AS SUCH THE PINES PAID THE TAXES ON THE BONUS ON HIS BEHALF. THE $19,042 GROSS UP PAYMENT WAS INCLUDED IN THE CEO'S 2020 W-2 AND REPORTED ON SCHEDULE J, PART II, COLUMN B(III), LINE 1. PART I, LINE 7 THE PINES UTILIZES DISCRETION IN DETERMINING THE AMOUNT OF BONUSES. DISCRETION IS BASED ON THE PINE'S PERFORMANCE AND IS INCLUDED IN THE BUDGET WHICH IS APPROVED BY THE BOARD. THE FOLLOWING INDIVIDUALS RECEIVED A BONUS AS PART OF THEIR 2020 W-2 COMPENSATION: ERIC GHAUL, CEO - $19,042 A PUBLIC FINANCE AUTHORITY 273866124 NONEAVAIL 2014-11-13 21500000 SEE PART VI 0 0 0 A 7427151 21500000 894458 429999 85517 3447116 16642910 2014 1 0 1 1 A 0 0 0 0 0 0 1 A 0 0 0 1 0 0 0 0 1 A 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: PUBLIC FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/13/2019 SCHEDULE K, PART I, BOND ISSUES: (A) ISSUER NAME: PUBLIC FINANCE AUTHORTIY (F) DESCRIPTION OF PURPOSE: TO REFUND THE FIRST MORTGAGE REVENUE REFUNDING BONDS, SERIES 1998 AND TO FINANCE VARIOUS CAPITAL PROJECTS AND WORKING CAPITAL. FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE IS COMPRISED OF THE CHAIRPERSON, VICE CHAIRPERSON, SECRETARY, TREASURER, AND AN ADDITIONAL MEMBER OF THE BOARD OF DIRECTORS SELECTED BY THE CURRENT MEMBERS OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE HAS THE AUTHORITY OF THE BOARD OF DIRECTORS BETWEEN MEETINGS OF THE FULL BOARD; PROVIDED, THE EXECUTIVE COMMITTEE SHALL NOT HAVE THE AUTHORITY OF THE BOARD OF DIRECTORS IN REFERENCE TO: (A) AMENDING, ALTERING, OR REPEALING BYLAWS, (B) ELECTING, APPOINTING OR REMOVING ANY MEMBER OF THE EXECUTIVE COMMITTEE OR ANY DIRECTOR OR OFFICER OF THE CORPORATION, (C) AMENDING THE ARTICLES OF INCORPORATION, (D) ADOPTING A PLAN OF MERGER OR ADOPTING A PLAN OF CONSOLIDATION WITH ANOTHER CORPORATION, (E) AUTHORIZING THE SALE, LEASE, EXCHANGE OR MORTGAGE OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY AND ASSETS OF THE CORPORATION, (F) AUTHORIZING THE VOLUNTARY DISSOLUTION OF THE CORPORATION OR REVOKING PROCEEDINGS THEREFORE, (G) ADOPTING A PLAN FOR THE DISTRIBUTION OF THE ASSETS OF THE CORPORATION, (H) AMENDING, ALTERING, OR REPEALING ANY RESOLUTION OF THE BOARD OF DIRECTORS. THE DELEGATION OF AUTHORITY SHALL NOT OPERATE TO RELIEVE THE BOARD OF DIRECTORS, OR ANY INDIVIDUAL DIRECTOR, OF ANY RESPONSIBILITY IMPOSED UPON IT OR HIM BY LAW. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND THEN REVIEWED BY THE CFO. THE CFO WILL SHARE THE ENTIRE RETURN WITH ALL VOTING BOARD MEMBERS FOR THEIR REVIEW PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S BOARD MEMBERS AND OFFICERS ARE REQUIRED TO DISCLOSE CONFLICTS OF INTEREST TO THE MEMBERS OF THE BOARD. BOARD MEMBERS SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY, WHICH ARE REVIEWED BY THE CEO. THE ORGANIZATION ALSO HAS A CONFLICT OF INTEREST SECTION IN ITS EMPLOYEE HANDBOOK WHICH ALL EMPLOYEES ARE REQUIRED TO FOLLOW AT THE APRIL QUARTERLY MEETING. IF CONFLICTS OF INTEREST DO ARISE, THE INTERESTED PARTY OR PARTIES ARE PROHIBITED FROM VOTING ON BOARD MATTERS. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD'S EXECUTIVE COMMITTEE APPROVES WHAT THE CEO'S COMPENSATION WILL BE. IT IS SUBMITTED IN WRITING BY THE CHAIR OF THE BOARD TO THE CFO USING A BOARD APPROVED EMPLOYMENT CONTRACT. THE LATEST CONTRACT WAS SIGNED ON 8/16/2018 AND IS FOR A THREE YEAR PERIOD COVERING 2019-2021. COMPARABILITY DATA INCLUDED THE 2016-2017 CCRC SALARY AND BENEFIT REPORT ENDORSED BY LEADING AGE. DELIBERATION AND FINAL DECISION IS THEN DOCUMENTED TIMELY. THIS PROCESS WAS LAST COMPLETED IN 2018. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE ANNUAL DISCLOSURE STATEMENT INCLUDES THE MOST RECENT AUDITED FINANCIAL STATEMENTS. THIS IS GIVEN TO RESIDENTS AND/OR PROSPECTIVE RESIDENTS WHO INQUIRE ABOUT THE ORGANIZATION. FORM 990, PART XI, LINE 9: CHANGE IN THE VALUE OF ANNUITY -9,460.