2021-10-22T09:35:23-05:00 2020-12-31 410746749 CLIFTONLARSONALLEN LLP 610 W GERMANTOWN PIKE SUITE 400 PLYMOUTH MEETING PA 19462 990 2020-01-01 232212842 WAVERLY HEIGHTS LTD WAVE 6106458600 1400 WAVERLY ROAD GLADWYNE PA 190351254 ROBERT L SUPPER SENIOR VP & CFO 6106458600 2021-10-20 1 ROBERT SUPPER 999009999 SETH BRODY P01586423 2156433900 2021-10-18 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z THOMAS P GARVIN 1400 WAVERLY ROAD GLADWYNE PA 190351254 42603073 0 X WWW.WAVERLYHEIGHTSLTD.ORG X 1982 PA TO PROVIDE SENIORS AN EXCEPTIONAL LIFESTYLE WITHIN A COMPASSIONATE & RESPECTFUL COMMUNITY 19 19 435 25 1943873 1069117 680812 1611628 30846387 29872677 3665662 4855787 908537 945578 36101398 37285670 69276 78103 0 0 16721897 18110705 0 0 0 17986588 17829323 34777761 36018131 1323637 1267539 158618595 163972958 178323301 177581411 -19704706 -13608453 X WAVERLY HEIGHTS IS A NOT FOR PROFIT CORPORATION ESTABLISHED TO PROVIDE SENIORS AN EXCEPTIONAL LIFESTYLE WITHIN A COMPASSIONATE AND RESPECTFUL COMMUNITY. 0 0 17764750 78103 29872677 A LIFE PLAN COMMUNITY PROVIDING QUALITY LIFECARE SERVICES TO ITS RESIDENTS WHILE SERVING THEIR PHYSICAL, EMOTIONAL, RECREATIONAL, SOCIAL, RELIGIOUS AND HEALTH NEEDS. THESE SERVICES ARE PROVIDED TO RESIDENTS THROUGH THE OPERATION OF 220 INDEPENDENT LIVING UNITS, A 49 PRIVATE ROOMS SKILLED NURSING FACILITY AND A 49 PRIVATE ROOMS PERSONAL CARE FACILITY. OF THE 49 PRIVATE PERSONAL CARE ROOMS, 16 ARE PRIVATE MEMORY SUPPORT ROOMS.(CONTINUED ON SCHEDULE O.)COVID-19 HAS IMPACTED THE FACILITY, CAUSING ADDITIONAL COSTS FOR EMERGENCY PREPARDNESS, DISEASE CONTROL AND CONTAINMENT, POTENTIAL SHORTAGES OF HEALTH CARE AND OTHER PERSONNEL, AND LOSS OF REVENUE DUE TO REDUCTIONS IN CERTAIN REVENUE STREAMS. FUNDING MADE AVAILABLE THROUGH THE CARES ACT WAS UTILIZED FOR PAYROLL AND NONPAYROLL RELATED EXPENDITURES AS WELL AS TO HELP WITH LOST REVENUES. 17764750 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 1 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 98 0 435 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 19 19 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X ROBERT L SUPPER 6106458600 1400 WAVERLY ROAD GLADWYNE PA 190351254 THOMAS P GARVIN PRESIDENT & CEO 45.00 0.25 X 600626 0 31247 ROBERT L SUPPER SENIOR VP & CFO 45.00 0.00 X 326348 0 25030 MEREDITH FEHER SENIOR VP OF HEALTH CARE SVCS 45.00 0.00 X 267691 0 30288 PATRICIA RODGERS VP & DIRECTOR OF WCA OPERATIONS 45.00 0.00 X 240506 0 24683 JANET THOMPSON VP OF MARKETING 45.00 0.00 X 207001 0 24416 JACQUELINE DONNELLY DIRECTOR OF NURSING 45.00 0.00 X 182645 0 11038 LAUREN KELLEY VP OF HUMAN RESOURCES 45.00 0.00 X 158373 0 29882 MARC HEIL VP OF BUILDING SERVICES 45.00 0.00 X 160165 0 27437 SCOTT M JENKINS CHAIR 1.50 0.25 X X 0 0 0 ROBERT ROBINSON VICE CHAIR 1.50 0.25 X X 0 0 0 ANNE N CONROY TREASURER 1.50 0.25 X X 0 0 0 RICHARD E BAUER SECRETARY 1.50 0.25 X X 0 0 0 ROBERT K BARRY TRUSTEE 1.50 0.00 X 0 0 0 GARY L BRAGG TRUSTEE 1.50 0.00 X 0 0 0 R MICHAEL BUCKLEY TRUSTEE 1.50 0.00 X 0 0 0 LILLIAN N CASSEL TRUSTEE 1.50 0.00 X 0 0 0 ELEANOR L DAVIS TRUSTEE 1.50 0.00 X 0 0 0 DONALD R FLEISCHER TRUSTEE 1.50 0.00 X 0 0 0 STEPHEN W FUGALE TRUSTEE 1.50 0.00 X 0 0 0 ANDREA GILBERT TRUSTEE 1.50 0.00 X 0 0 0 WILLIAM Y GILES TRUSTEE 1.50 0.00 X 0 0 0 GERALD J HANSEN TRUSTEE 1.50 0.00 X 0 0 0 EDWIN B MAHONEY TRUSTEE 1.50 0.00 X 0 0 0 KATHLEEN A MCENDY TRUSTEE 1.50 0.00 X 0 0 0 ELIZABETH P MCLEAN TRUSTEE 1.50 0.00 X 0 0 0 HOWARD L MEYERS TRUSTEE 1.50 0.00 X 0 0 0 AMBASSADOR KATHERINE SHIRLEY TRUSTEE 1.50 0.00 X 0 0 0 STEVE KIRKPATRICK TRUSTEE TO OCT 2020 1.50 0.00 X 0 0 0 A GERALD RENTHAL TRUSTEE TO OCT 2020 1.50 0.00 X 0 0 0 2143355 0 204021 16 0 1 0 UNIDINE 1000 WASHINGTON STREET SUITE 510 BOSTON MA 02118 FOOD SERVICE 2021076 LIBERTY BUILDERS 619 ELLIS ROAD HAVERTOWN PA 19083 CONSTRUCTION 1041103 SELECT REHABILITATION LLC PO BOX 71985 CHICAGO IL 60694 THERAPY 814975 INTERIOR FLOORING PLUS 56 SPROUL ROAD SUITE 100 FRAZER PA 19355 FLOORING 188004 LANKENAU MEDICAL CENTER PO BOX 786680 PHILADELPHIA PA 19178 MEDICAL SERVICES 156492 13 808173 803455 4951 1611628 RESIDENT CARE FEES 623990 17873993 17873993 SKILLED NURSING FACILITY 623990 4443489 4443489 PERSONAL CARE 623990 2991033 2991033 AMORTIZATION OF DEFERRED REVENUE 623990 1754774 1754774 MEMORY SERVICES 623990 1626216 1626216 1183172 1183172 29872677 2665581 1078778 1586803 73103 0 73103 73103 73103 7507609 5317403 2190206 2190206 2190206 MANAGEMENT FEE 561000 865095 865095 OTHER INCOME 900099 7380 7380 872475 37285670 29872677 1943873 3857492 6775 6775 71328 71328 1281230 1281230 12651631 10349517 2302114 1036604 1036604 2129809 36118 2093691 1011431 796823 214608 19119 19119 73661 73661 75594 75594 1582721 1477022 105699 52429 52429 349466 56060 293406 266066 266066 2987087 1237445 1749642 10145 3642 6503 43678 15205 28473 1835343 1835343 6061603 6061603 360355 360355 DINING SERVICES 1568865 1567095 1770 SUPPLIES 1506850 1390076 116774 MAINTENANCE & REPAIRS 758644 757644 1000 UBIT 277697 277697 36018131 17764750 18253381 0 1558990 1956772 2991748 4892006 683253 1100156 5948063 3728765 83824 81890 1221898 879725 142726838 51175977 95166126 91550861 49013334 57564679 1836870 2055877 114489 162227 158618595 163972958 4099099 4781746 125174648 124675014 47987704 47023226 1061850 1101425 178323301 177581411 X -21076338 -15471982 1371632 1863529 -19704706 -13608453 158618595 163972958 1267539 4828714 0 X 0 1 X 1 0 X 233624 456942 494615 680812 1611628 3477621 29932240 29587105 31657732 30846387 29872677 151896141 30165864 30044047 32152347 31527199 31484305 155373762 25000 288825 140500 1093923 1548248 0 25000 288825 140500 1093923 1548248 153825514 47314 339002 1679615 1741359 1659906 5467196 806222 908256 1310117 1703137 1069117 5796849 853536 1247258 2989732 3444496 2729023 11264045 4197 7380 11577 31019400 31291305 35142079 34975892 34220708 166649384 0.92300 0.93800 0.06760 0.05860 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2019 AMOUNT: $ 4,197. 2020 AMOUNT: $ 7,380. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1371632 803456 311559 1863529 954669 680812 263849 1371632 677997 494615 217943 954669 457763 456942 236708 677997 480639 233624 256500 457763 0.00000 0.03800 0.96200 0 0 11505208 11505208 61151155 18287145 42864010 42024960 18591244 23433716 27106020 13832130 13273890 939495 465458 474037 91550861 RESIDENT DEPOSITS 1031887 DUE TO RELATED PARTY 69538 1101425 X PART V, LINE 4: THE ENDOWMENT FUNDS ARE INTENDED TO BE USED FOR: RESIDENTS' ASSISTANCE, EMPLOYEES' ASSISTANCE, AND CAPITAL IMPROVEMENTS. PART X, LINE 2: WAVERLY HEIGHTS IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM STATE INCOME TAXES UNDER THE COMMONWEALTH OF PENNSYLVANIA STATUTES. WAVERLY HEIGHTS FOLLOWS THE PROVISIONS OF THE INCOME TAX ACCOUNTING STANDARDS REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. IT IS WAVERLY HEIGHTS' POLICY TO ACCOUNT FOR ANY INTEREST OR PENALTIES ASSESSED RELATING TO UNCERTAIN TAX POSITIONS, IF ANY, AS GENERAL AND ADMINISTRATIVE EXPENSES. WAVERLY HEIGHTS DID NOT INCUR ANY INTEREST OR PENALTIES FOR THE YEARS ENDED DECEMBER 31, 2020 OR 2019. THE APPLICATION OF THESE PROVISIONS HAS NO IMPACT ON THE WAVERLY HEIGHTS CONSOLIDATED FINANCIAL STATEMENTS. CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 0 INVESTMENTS 247110 0 0 0 0 0 0 247110 0 247110 0 0 1 0 0 0 PART III ACCOUNTING METHOD: 1 RISE AGAINST HUNGER 4801 GLENWOOD AVENUE SUITE 200 RALEIGH NC 27612 161541024 501(C)(3) 6775 0 OPERATING SUPPORT 1 0 MONTHLY MAINTENANCE FEE ASSISTANCE 1 71328 0 PART I, LINE 2: WAVERLY HEIGHTS FOLLOWED ITS INTERNAL APPROVAL PROCESSES TO ISSUE A CHECK DIRECTLY TO A REPUTABLE 501(C)(3) EXEMPT ORGANIATION. AS SUCH, NO SPECIFIC MONITORING OF THE USE OF THE GRANT FUNDS WAS DEEMED NECESSARY. WAVERLY HEIGHTS MAINTAINS COMPLETE CONTROL OVER THE APPLICATION OF THE ASSISTANCE TO RESIDENTS ACCOUNTS AND IS THEREFORE ABLE TO CONFIRM ALL ASSISTANCE IS USED FOR ITS INTENDED PURPOSE. NO FUNDS ARE DIRECTLY RELEASED TO ANY RECIPIENT. X 1 1 X X X X X 0 0 0 0 0 0 0 1 0 THOMAS P GARVIN PRESIDENT & CEO 376105 0 206426 0 18095 0 0 0 31247 0 631873 0 0 0 ROBERT L SUPPER SENIOR VP & CFO 229658 0 84150 0 12540 0 0 0 25030 0 351378 0 0 0 MEREDITH FEHER SENIOR VP OF HEALTH CARE SVCS 183861 0 83790 0 40 0 0 0 30288 0 297979 0 0 0 PATRICIA RODGERS VP & DIRECTOR OF WCA OPERATIONS 157410 0 83056 0 40 0 0 0 24683 0 265189 0 0 0 JANET THOMPSON VP OF MARKETING 140469 0 66492 0 40 0 0 0 24416 0 231417 0 0 0 JACQUELINE DONNELLY DIRECTOR OF NURSING 133951 0 48654 0 40 0 0 0 11038 0 193683 0 0 0 LAUREN KELLEY VP OF HUMAN RESOURCES 131200 0 27133 0 40 0 0 0 29882 0 188255 0 0 0 MARC HEIL VP OF BUILDING SERVICES 138098 0 22027 0 40 0 0 0 27437 0 187602 0 0 0 PART I, LINE 1A THOMAS P. GARVIN, CEO: HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES TOTALED $6,698. THESE PAYMENTS ARE TREATED AS TAXABLE INCOME TO THE CEO. PART I, LINE 7 THE BONUS/INCENTIVE PAYMENTS MADE BY THE ORGANIZATION ARE CONSIDERED NON-FIXED PAYMENTS BECAUSE THE DETERMINATION OF THE AMOUNT RECEIVED INVOLVES DISCRETION. BONUSES/INCENTIVES ARE CALCULATED AS A PERCENTAGE OF THE EMPLOYEE'S BASE SALARY. THIS PERCENTAGE IS NOT FIXED, BUT IT IS LIMITED TO A NARROW PRE-SET RANGE. THE BOARD HUMAN RESOURCES COMMITTEE TAKES INTO ACCOUNT MANY FACTORS IN DETERMINING IF A BONUS/INCENTIVE WILL BE PAID AND IF SO AT WHAT PERCENTAGE. THESE FACTORS INCLUDE BUT ARE NOT LIMITED TO: USE OF COMPARABILITY DATA FROM AN INDEPENDENT COMPENSATION CONSULTANT, EMPLOYEE PERFORMANCE, FINANCIAL STATUS OF THE ORGANIZATION, ETC. THE BONUS/INCENTIVE IS NOT CONTINGENT ON NET EARNINGS OR REVENUE. BONUS/INCENTIVE PAYMENTS FOR ALL THOSE LISTED ON FORM 990, PART VII, SECTION A, LINE 1 ARE NOTED ON SCHEDULE J, PART II, COLUMN B(II). A MONTGOMERY COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY 232245125 613609K62 2019-06-06 48860710 TO REFINANCE 2006, 2013, 2015 AND 2016 BONDS ISSUED 0 0 0 A 1025064 48860710 854155 48006555 2019 1 0 1 1 A 0 0 0 0 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIR OF THE BOARD, VICE-CHAIRS, SECRETARY, TREASURER, AND ONE ADDITIONAL TRUSTEE WHO IS NOT AN OFFICER WHO SHALL BE ELECTED BY THE BOARD AT THE ANNUAL MEETING FOR A TERM OF ONE YEAR. AT LEAST ONE MEMBER OF THE EXECUTIVE COMMITTEE SHALL BE A TRUSTEE WHO IS A RESIDENT OF WAVERLY HEIGHTS, LTD. THE EXECUTIVE COMMITTEE SHALL HAVE FULL AUTHORITY TO MANAGE AND CONTROL THE BUSINESS AND AFFAIRS OF THE WAVERLY HEIGHTS, LTD. BETWEEN MEETINGS OF THE BOARD, WITH ALL OF THE POWERS OF THE BOARD ITSELF, EXCEPT THAT IT SHALL NOT HAVE THE POWER OR AUTHORITY AS TO THE FOLLOWING: (A) THE CREATION OF OR FILLING OF VACANCIES IN THE BOARD; (B) THE ADOPTION, AMENDMENT OR REPEAL OF THESE BYLAWS; (C) THE AMENDMENT OR REPEAL OF ANY RESOLUTION OF THE BOARD; AND (D) ACTION ON MATTERS COMMITTED BY A RESOLUTION OF THE BOARD TO ANOTHER COMMITTEE OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND THEN REVIEWED BY THE CFO AND CONTROLLER. THE AUDIT COMMITTEE OF THE BOARD PERFORMS A FINAL REVIEW AND A THEN A COPY IS PROVIDED TO ALL MEMBERS OF THE BOARD OF TRUSTEES BEFORE FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C WAVERLY HEIGHTS, LTD.'S CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY TO PROVIDE GUIDANCE TO GOVERNING BOARD MEMBERS. ALL NEW MEMBERS SIGN OFF ON THIS POLICY UPON APPOINTMENT TO THE BOARD. ANY POSSIBLE CONFLICT OF INTEREST ON THE PART OF THE GOVERNING BOARD MEMBERS IS REQUIRED TO BE TIMELY DISCLOSED UPON REALIZATION OF THE POTENTIAL CONFLICT TO THE OTHER MEMBERS OF THE BOARD AND MADE A MATTER OF RECORD WHEN THE CONFLICT BECOMES A MATTER OF BOARD ACTION. THE BOARD MAKES THE DECISION AS TO WHETHER A POTENTIAL CONFLICT IS AN ACTUAL CONFLICT. ANY GOVERNING BOARD MEMBERS HAVING A CONFLICT OF INTEREST SHALL NOT VOTE OR USE THEIR PERSONAL INFLUENCE ON THE MATTER, EVEN WHERE PERMITTED BY LAW. THE MINUTES OF THE MEETING SHALL REFLECT THE DISCLOSURE, ABSTENTION AND THE QUORUM. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR THE CEO, OTHER OFFICERS AND KEY EMPLOYEES OF WAVERLY HEIGHTS, LTD. IS DETERMINED BY THE BOARD HUMAN RESOURCES COMMITTEE BASED ON THE RECOMMENDATIONS FROM AN INDEPENDENT CONSULTANT. THE CONSULTANT BASES THEIR INFORMATION ON SURVEY DATA FROM SIMILAR LIFE PLAN COMMUNITIES AND EXTERNAL DATA. ADDITIONALLY, ANY SIGNIFICANT ADJUSTMENTS FOR CHANGE AND ANNUAL ADJUSTMENTS ARE REVIEWED AND RECOMMENDED BY THE BOARD HUMAN RESOURCES COMMITTEE TO THE BOARD OF TRUSTEES. THIS PROCESS WAS REVIEWED AND APPROVED IN 2020. THE DELIBERATION AND FINAL DECISION WERE DOCUMENTED IN THE BOARD AND COMMITTEE MINUTES WITH SPECIFIC DETAILS DOCUMENTED IN CONFIDENTIAL EMPLOYEE FILES. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE ALL MADE AVAILABLE TO THE PUBLIC UPON REQUEST. WAVERLY CARE ASSOCIATES 1400 WAVERLY ROAD GLADWYNE PA 190351254 232655145 COMPANION SERVICES PA WAVERLY HEIGHTS LTD S 1078778 2350858 1.00000 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 WAVERLY CARE ASSOCIATES L 865095 FAIR MARKET VALUE WAVERLY CARE ASSOCIATES O 61752 FAIR MARKET VALUE WAVERLY CARE ASSOCIATES S 1076312 FAIR MARKET VALUE