2021-11-02T07:45:03-05:00 2020-12-31 410746749 CLIFTONLARSONALLEN LLP 610 W GERMANTOWN PIKE SUITE 400 PLYMOUTH MEETING PA 19462 990 2020-01-01 020280183 UNITED CHURCH OF CHRIST RETIREMENT COMMUNITY INC UNIT 6032245363 33 CHRISTIAN AVENUE CONCORD NH 033016128 TRACY J JUDD VP/CFO 6032245363 2021-11-01 1 TRACY JUDD 999009999 BERNADETTE O'TOOLE CPA P00229258 2156433900 2021-11-01 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z HAVENWOOD-HERITAGE HEIGHTS MICHAEL A PALMIERI 33 CHRISTIAN AVENUE CONCORD NH 033016128 29275805 0 X WWW.HHHINFO.COM X 1966 NH A FAITH-BASED RETIREMENT COMMUNITY PROVIDING SERVICE & CARE TO PEOPLE OF VARYING BACKGROUNDS 10 9 479 100 0 0 497884 1727936 24549677 24307459 745544 724622 0 0 25793105 26760017 3036 3036 0 0 16099485 17765930 0 0 57817 10755382 10641102 26857903 28410068 -1064798 -1650051 84379817 89852874 52745437 55408050 31634380 34444824 A FAITH-BASED RETIREMENT COMMUNITY, PROVIDING A CONTINUUM OF SERVICES AND LONG-TERM CARE, WHERE PEOPLE OF VARYING BACKGROUNDS, 62 YEARS AND OLDER, LIVE TOGETHER IN AN ATMOSPHERE OF INDEPENDENCE AND DIGNITY WITH A COMMON BOND OF COMPANIONSHIP AND A SENSE OF COMMUNITY. 0 0 24574875 3036 24307459 HOUSING PROGRAMS AND ANCILLARY SERVICES: CONTINUING CARE RETIREMENT COMMUNITY (CCRC) ON TWO CAMPUSES SERVING 518 OLDER ADULTS. SERVICES PROVIDED RANGE FROM ASSISTED LIVING TO SKILLED NURSING HOME CARE TO SERVICES FOR THOSE WHO LIVE INDEPENDENTLY. WE ARE A CCRC ENRICHED BY THE DIVERSITY OF ITS MEMBERS, LIVING TOGETHER IN A SPIRIT OF MUTUAL RESPECT AND ACCEPTANCE. WE OFFER SERVICES, FACILITIES AND PROGRAMS THAT ARE MEANINGFUL, PROMOTE WELL-BEING, AND MEET THE ENVIRONMENTAL, PHYSICAL, EMOTIONAL AND SPIRITUAL NEEDS OF SENIORS AGE 62 AND ABOVE. 24574875 1 1 0 0 0 0 0 0 1 1 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 41 0 479 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 X X TRACY J JUDD 6032291168 33 CHRISTIAN AVENUE CONCORD NH 033016128 MICHAEL A PALMIERI PRESIDENT/CEO, VOTING EX-OFFICIO 40.00 X X 330753 0 59602 ELLEN STIMPSON REGISTERED NURSE 40.00 X 156255 0 4002 JANE POITRAS VP HOUSING 40.00 X 126634 0 30276 TRACY J JUDD VP/CFO 40.00 X 149970 0 5767 JAIMIE WALTON REGISTERED NURSE 40.00 X 134143 0 12418 SCOTT DANICO DIRECTOR OF ANCILLARY SERVICES 40.00 X 138790 0 5146 AMY ZIRPOLO DIRECTOR OF REHAB 40.00 X 127267 0 7044 MARY SULLIVAN CHAIRPERSON 1.00 X X 0 0 0 ANNA MARIE SPARKS VICE CHAIR 1.00 X X 0 0 0 CLAYTON 'SKIP' POOLE TREASURER 1.00 X X 0 0 0 DOUGLAS S HATFIELD ESQ VOTING EX-OFFICIO 1.00 X 0 0 0 REV GORDON RANKIN VOTING EX-OFFICIO 1.00 X 0 0 0 LEO VAN BEAVER DIRECTOR 1.00 X 0 0 0 BETH SLEPIAN DIRECTOR 1.00 X 0 0 0 JOHN UDALOY DIRECTOR 1.00 X 0 0 0 LISA SNOW WADE DIRECTOR 1.00 X 0 0 0 1163812 0 124255 21 0 1 0 LAVALLEE BRENSINGER PLLC 155 DOW STREET SUITE 400 MANCHESTER NH 03101 ARCHITECTURAL SERVICES 362441 RJ KELLOGG CONSTRUCTION INC 4 MASON AVENUE HOOKSETT NH 03106 SNOW PLOWING 303054 CMG CIT ACQUISITION LLC 655 S WILLOW STREET SUITE 128 MANCHESTER NH 03103 NURSING STAFFING 131563 MAS MEDICAL STAFFING 156 HARVEY ROAD LONDONDERRY NH 03503 NURSING STAFFING 127108 4 659608 1019861 48467 357416 1727936 NET HEALTH SERVICES REVENUE 623000 11099946 11099946 NET RETIREMENT COMMUNITY REVENUE 623000 10569112 10569112 ENTRANCE FEES EARNED 623000 1991013 1991013 OTHER OPERATING REVENUE 623000 647388 647388 24307459 556785 556785 2681003 2622 2514258 1530 166745 1092 167837 167837 26760017 24307459 0 724622 3036 3036 547134 507994 39140 12618602 11208890 1400216 9496 247461 240920 6541 3285082 2898818 385761 503 1067651 918743 145905 3003 22538 22538 43991 43991 103939 103939 94318 94318 1179004 1077736 101268 243920 243920 1508217 1437469 70748 2636 1088 1548 4195 3278 917 1457045 1429611 27434 2993879 2861657 132222 288507 275391 13116 FOOD 819301 694244 124522 535 PURCHASED SERVICES 794330 527425 262686 4219 ANCILLARY AND OTHER EXP 621842 533129 87792 921 NURSING FACILITY ASSESS 463440 463440 28410068 24574875 3777376 57817 9722 9197 1184024 3101048 1243518 933009 40731 379281 271803 239075 83212379 51246837 32701684 31965542 24437786 25761550 24490549 27464172 84379817 89852874 2749506 2708289 11640485 11163222 35592721 34443218 8840 12241 213642 2897600 2753885 3969838 52745437 55408050 X 8174849 8092032 23459531 26352792 31634380 34444824 84379817 89852874 X -1650051 2386359 2074136 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 23140090 4240 3538277 804004 121046 25757557 19019232 27913 4710242 516405 100892 23140090 20440745 23389 -810344 542087 92471 19019232 17408684 20136 3431195 419270 20440745 17529268 10290450 1615549 12026583 17408684 0.29800 0.05100 0.65100 0 1 1 1461897 1461897 68821947 40507981 28313966 9086427 7842196 1244231 3842108 2896660 945448 31965542 RESIDENT FUNDS 12241 RESIDENT DEPOSITS 1178664 DUE FROM AFFILIATE 294991 CASH SURRENDER VALUE OF LIFE INSURANCE 235324 INTEREST IN HAVENWOOD-HERITAGE HEIGHTS TRUST FUND 25742952 27464172 RESIDENT DEPOSITS 1163659 OTHER LONG-TERM LIABILITIES 3099 INTEREST RATE SWAP AGREEMENTS 2140677 CAPITAL LEASE OBLIGATION 162403 REFUNDABLE ADVANCE - CARES ACT STIMULUS FUNDS 500000 3969838 X 32046812 2386359 826300 2074136 5286795 26760017 0 26760017 29236368 826300 826300 28410068 0 28410068 PART IV, LINE 2B: AS A LONG-TERM CARE FACILITY, HAVENWOOD-HERITAGE HEIGHTS IS REQUIRED BY LEGISLATION TO PROVIDE A TRUST ACCOUNT FOR RESIDENTS' PERSONAL NEEDS FUNDS, FOR THOSE RESIDENTS IN THE HEALTH SERVICES CENTER WHO MAY WISH TO USE THIS SERVICE. PART V, LINE 4: RESTRICTED ASSETS ARE INTENDED FOR CAPITAL IMPROVEMENTS TO THE HAVENWOOD-HERITAGE HEIGHTS COMMUNITY, FUNDING FOR DEBT SERVICE, AND GENERAL SUPPORT OF THE COMMUNITY AND ITS RESIDENTS. PART X, LINE 2: THE COMMUNITY IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. IT QUALIFIES AS A PUBLICLY SUPPORTED ORGANIZATION UNDER CODE SECTION 509 AND, THEREFORE, QUALIFIES AS A PUBLIC CHARITY. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN RECORDED IN THE ACCOMPANYING FINANCIAL STATEMENTS. THERE WAS NO UNRELATED BUSINESS INCOME TAX FOR THE YEARS ENDED DECEMBER 31, 2020 AND 2019. THE COMMUNITY FOLLOWS THE GUIDANCE IN THE INCOME TAX ACCOUNTING STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS, IF ANY. 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 POSITIONS 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 THE COMMUNITY'S FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN INTEREST IN HAVENWOOD-HERITAGE HEIGHTS TRUST FUND 2,617,464. LOSS ON FAIR VALUE OF INTEREST RATE SWAP AGREEMENT -543,328. X X X 0 0 0 0 0 0 0 1 0 MICHAEL A PALMIERI PRESIDENT/CEO, VOTING EX-OFFICIO 265483 0 18500 0 46770 0 26742 0 32860 0 390355 0 0 0 ELLEN STIMPSON REGISTERED NURSE 134467 0 0 0 21788 0 3749 0 253 0 160257 0 0 0 JANE POITRAS VP HOUSING 119846 0 0 0 6788 0 5306 0 24970 0 156910 0 0 0 TRACY J JUDD VP/CFO 144165 0 0 0 5805 0 5767 0 0 0 155737 0 0 0 PART I, LINE 7 IN 2020, THE HAVENWOOD-HERITAGE HEIGHTS BOARD OF DIRECTORS UNANIMOUSLY APPROVED A $18,500 BONUS FOR MICHAEL A. PALMIERI, PRESIDENT/CEO, AS A PART OF THEIR ANNUAL FORMAL EVALUATION PROCESS. THIS BONUS WAS AWARDED IN RECOGNITION OF THE ACHIEVEMENT OF PERFORMANCE GOALS, AND TAKES INTO CONSIDERATION THE OVERALL FINANCIAL POSITION OF THE ORGANIZATION, INNOVATIVE PROJECT AND OPERATIONAL WORK, LEADERSHIP OF DIRECT REPORTS, AND GENERAL INDUSTRY STANDARDS. A NEW HAMPSHIRE HEALTH AND EDUCATION FACILITIES AUTHORITY 020279866 NONEAVAIL 2009-09-16 15675000 REFUND SERIES 2006B BONDS AND PAY COSTS OF CAPITAL IMPROVEMENTS 0 0 0 B NEW HAMPSHIRE HEALTH AND EDUCATION FACILITIES AUTHORITY 020279866 NONEAVAIL 2013-11-01 17470000 PAY COSTS OF CAPITAL IMPROVEMENTS 0 0 0 C NEW HAMPSHIRE HEALTH AND EDUCATION FACILITIES AUTHORITY 020279866 NONEAVAIL 2016-08-25 11006000 REFINANCE SERIES 2006 BONDS AND PAY COSTS OF CAPITAL IMPROVEMENTS 0 0 0 A 3370000 15675000 15675000 2009 1 0 1 1 B 3122664 17470000 312728 277380 16879892 2014 0 0 1 1 C 2879910 11006000 265544 2354997 8385459 2017 1 0 1 1 A 0 0 0 0 0.04000 0.04000 0 0 1 B 0 0 0 0 0.04000 0.04000 0 0 1 C 0 0 0 0 0.04000 0.04000 0 0 1 A 0 0 0 1 1 1 CITIZENS BANK NA 20.000000000000 0 0 0 0 1 B 0 0 0 1 1 1 CITIZENS BANK NA 10.000000000000 0 0 0 0 1 C 0 0 0 1 1 1 CITIZENS BANK NA 11.000000000000 0 0 0 0 1 A 1 B 1 C 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: NEW HAMPSHIRE HEALTH AND EDUCATION FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 10/31/2019 ISSUER NAME: NEW HAMPSHIRE HEALTH AND EDUCATION FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 10/31/2019 ISSUER NAME: NEW HAMPSHIRE HEALTH AND EDUCATION FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/30/2019 SCHEDULE K, PART I, ROWS A AND B: THE SERIES 2009 AND 2013 BONDS ARE PRESENTED SEPARATELY ON THE SCHEDULE K TO BEST ALIGN WITH THE ORGANIZATION'S INTERNAL DESIGNATION AND TRACKING. FOR FEDERAL TAX PURPOSES THE BONDS ARE TECHNICALLY ONE ISSUE, SERIES 2013. THE SERIES 2009 BONDS WERE MODIFIED AND REISSUED ON 11/01/2013 WITH THE SERIES 2013 BONDS. X PERSONAL PROTECTIVE EQUIPMENT 1 349386 AVERAGE PURCHASE PRI X BATTERIES 1 8030 MARKET PRICE 0 0 1 0 PART I, COLUMN (B): THE NUMBER REPORTED IN THIS COLUMN IS THE NUMBER OF CONTRIBUTORS. FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE ELECTED OFFICERS OF THE BOARD: CHAIRPERSON, VICE CHAIRPERSON AND ALL COMMITTEE CHAIRPERSONS. IT SHALL ALSO CONSIST OF THE FOLLOWING OFFICERS: PRESIDENT, TREASURER AND SECRETARY. THE EXECUTIVE COMMITTEE SHALL, IN THE INTERIM BETWEEN REGULARLY SCHEDULED BOARD MEETINGS, EXERCISE ALL THE POWERS OF THE BOARD, EXCEPT THAT THE EXECUTIVE COMMITTEE DOES NOT HAVE THE RIGHT TO AMEND, REPEAL OR OTHERWISE CHANGE THE GOVERNING DOCUMENTS AND THE EXECUTIVE COMMITTEE CANNOT ELECT BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE VOTING MEMBER IS THE NEW HAMPSHIRE CONFERENCE OF THE UNITED CHURCH OF CHRIST (THE MEMBER), A RELATED PUBLIC CHARITY. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER SHALL ELECT THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER SHALL HAVE THE SOLE AUTHORITY TO ADOPT/APPROVE ANY PROPOSED AMENDMENTS TO THE GOVERNING DOCUMENTS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND THEN A DRAFT IS REVIEWED IN DETAIL BY KEY FINANCIAL SERVICES EMPLOYEES. THE FINAL FORM 990 IS DISTRIBUTED TO THE FULL BOARD OF DIRECTORS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C ANY POTENTIAL OR ACTUAL CONFLICT IS REQUIRED TO BE DISCLOSED TO THE BOARD IMMEDIATELY UPON DISCOVERY. ANY POTENTIAL CONFLICTS OF INTEREST ARE DISCLOSED AND REVIEWED AT BOARD MEETINGS, OR ARE DISCLOSED ON AN INDIVIDUAL BASIS TO THE CHAIRPERSON AND PRESIDENT/CEO. IN ADDITION, ROUTINE REVIEW OF BUSINESS TRANSACTIONS BY SENIOR MANAGEMENT STAFF HELPS TO ENSURE THAT POTENTIAL CONFLICTS OF INTEREST ARE IDENTIFIED AND ISSUES RESOLVED. THE BOARD OF DIRECTORS DETERMINE IF A POTENTIAL CONFLICT IS AN ACTUAL CONFLICT. IF A CONFLICT WERE TO ARISE, THE PERSON IN CONFLICT WOULD AT MINIMUM RECUSE THEMSELVES FROM ANY DELIBERATION OR VOTE RELATED TO THE MATTER IN CONFLICT. FORM 990, PART VI, SECTION B, LINE 15A THE PRESIDENT/CEO'S COMPENSATION IS REVIEWED AND APPROVED ON AN ANNUAL BASIS BY THE BOARD OF DIRECTORS. AS PART OF THE DELIBERATION PROCESS, THE BOARD REVIEWS INDUSTRY SALARY INFORMATION OBTAINED FROM LEADINGAGE AS WELL AS RECENT COMPENSATION SURVEYS FOR BENCHMARK STATISTICS. THE PRESIDENT/CEO REVIEWS AND APPROVES THE COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES ON AN ANNUAL BASIS. AS PART OF THIS REVIEW, THE PRESIDENT/CEO UTILIZES INDUSTRY SALARY INFORMATION FROM LEADINGAGE AND THE COUNCIL FOR HEALTH AND HUMAN SERVICE MINISTRIES OF THE UNITED CHURCH OF CHRIST (CHHSM). THE PRESIDENT/CEO, ON AN "AS NEEDED" BASIS, WILL CONSULT WITH THE BOARD OF DIRECTORS REGARDING SIGNIFICANT SALARY VARIANCES FROM INDUSTRY STANDARDS. THE DELIBERATION AND FINAL DECISION RELATED TO COMPENSATION OF OFFICERS AND KEY EMPLOYEES IS TIMELY DOCUMENTED AS PART OF APPLICABLE MINUTES AND EMPLOYMENT FILES. FORM 990, PART VI, SECTION C, LINE 19 COPIES OF THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE KEPT BY THE CHAIRPERSON OF THE BOARD OF DIRECTORS, THE PRESIDENT/CEO AND THE VICE PRESIDENT/CFO. COPIES OF SUCH DOCUMENTS WILL BE DISTRIBUTED BY THESE INDIVIDUALS AS APPROPRIATE UPON REQUEST. THE AUDITED FINANCIAL STATEMENTS ARE ALSO POSTED ON THE ORGANIZATION'S WEBSITE: WWW.HHHINFO.COM. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST IN HAVENWOOD-HERITAGE HEIGHTS TRUST FUND 2,617,464. LOSS ON FAIR VALUE OF INTEREST RATE SWAP AGREEMENT -543,328. HAVENWOOD-HERITAGE HEIGHTS TRUST FUND 33 CHRISTIAN AVENUE CONCORD NH 03301 020366556 SUPPORT OF UNITED CHURCH OF CHRIST RETIREMENT COMMUNITY AND RESIDENTS NH 501(C)(3) LINE 12B, II N/A 0 NEW HAMPSHIRE CONFERENCE OF THE UNITED CHURCH OF CHRIST 140 SHEEP DAVIS ROAD PEMBROKE NH 03275 020222165 TO WORSHIP, WORK, AND PRAY WITH THE CONGREGATIONS OF ITS CONFERENCE NH 501(C)(3) LINE 1 N/A 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1