2020-11-13T15:36:19-06:00 2019-12-31 410746749 CLIFTONLARSONALLEN LLP 1966 GREENSPRING DRIVE SUITE 300 TIMONIUM MD 210934161 990 2019-01-01 520607956 ASBURY ATLANTIC INC ASBU 3012164100 5285 WESTVIEW DRIVE NO 200 FREDERICK MD 21703 ANDREW JEANNERET ASSISTANT TREASURER 3012164100 2020-11-10 1 JOHN NORMAN P01506766 4104530900 2020-11-10 67.137.57.251 2020-11-10 16:13:51 ES P 1CC97E19E024F450F17B6EFDB094B1F77DAAE223 D72093BDFC36259A78957D4C2CC1F8450D87A0C3 2019 2021-01-29 14:40:06Z DOUG LEIDIG 5285 WESTVIEW DRIVE NO 200 FREDERICK MD 21703 200474342 0 X WWW.ASBURYMETHODISTVILLAGE.ORG X 1945 MD DOING ALL THE GOOD WE CAN BY CREATING EXCEPTIONAL LIFESTYLE OPPORTUNITIES TO THOSE WE SERVE. 15 10 1899 1225 0 0 1232054 6369965 160712552 164912958 3314314 2849178 236838 263108 165495758 174395209 2281371 2493080 0 0 60646111 61776438 0 0 555413 94423136 94974267 157350618 159243785 8145140 15151424 480547177 494519761 608658491 600269213 -128111314 -105749452 X OUR MISSION IS TO DO ALL THE GOOD WE CAN BY PROVIDING EXCEPTIONAL LIFESTYLE OPPORTUNITIES TO THOSE WE SERVE. 0 0 46732503 560 60725551 SKILLED NURSING FACILITIES: OPERATION OF 4 SKILLED NURSING FACILITIES (SNF'S) FOR THE AGED WITH 454 TOTAL BEDS PROVIDING 152,122 DAYS OF SERVICE IN 2019. $560 OF BENEVOLENT CARE AND $22,173,012 OF CONTRACTUAL ALLOWANCES WERE PROVIDED TO RESIDENTS OF THE SNF IN 2019. 55861760 387788 72588366 RESIDENTIAL LIVING FACILITIES: OPERATION OF 1,675 RESIDENTIAL LIVING UNITS FOR THE AGED, PROVIDING 568,695 DAYS OF SERVICE IN 2019. $387,788 OF BENEVOLENT CARE AND $131,604 OF CONTRACTUAL ALLOWANCES WERE PROVIDED TO RESIDENTIAL LIVING RESIDENTS DURING 2019. ALSO SUPPLIED WELLNESS. 24317643 2104732 31599041 ASSISTED LIVING FACILITIES: OPERATION OF 4 ASSISTED LIVING FACILITIES FOR THE AGED WITH 292 TOTAL SUITES PROVIDING 103,877 RESIDENT DAYS IN 2019. $2,104,732 OF BENEVOLENT CARE AND $107,883 CONTRACTUAL ALLOWANCES WERE PROVIDED TO THE ASSISTED LIVING RESIDENTS IN 2019. 126911906 1 1 0 1 0 0 1 0 0 1 1 0 0 1 1 1 1 1 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 1 0 0 0 1 159 0 1899 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X ANDREW JEANNERET CFO 3012502100 5285 WESTVIEW DRIVE FREDERICK MD 21703 X ROBERT BOYD CHAIR 2.00 X X 0 0 0 THOMAS HOLETS VICE CHAIR 2.00 X X 0 0 0 NICK SERENYI TREASURER 2.00 X X 0 0 0 DAVID LINGRELL DIRECTOR 2.00 X 0 0 0 CAROLYN STAMATAKIS DIRECTOR 2.00 X 0 0 0 RICHARD FINDLEY DIRECTOR 2.00 X 0 0 0 DONALD TRISSLER DIRECTOR 2.00 X 0 0 0 ROBERT BURKE SECRETARY 2.00 X X 0 0 0 ANNICE CODY DIRECTOR 2.00 X 0 0 0 NELLIE COLE DIRECTOR 2.00 X 0 0 0 JEFF ENRICO DIRECTOR 2.00 X 0 0 0 LOU GRAMMMES DIRECTOR 2.00 X 0 0 0 LARRY PARKS DIRECTOR 2.00 X 0 0 0 DOUGLAS LEIDIG PRESIDENT/EX-OFFICIO 1.00 59.00 X X 0 590508 26525 SUE DACAMARA ASST. SECRETARY 1.00 59.00 X 0 490440 24046 ANDREW JEANNERET ASST. TREASURER 1.00 59.00 X 0 419727 23922 MANNY OCASIO COLON ASST. SECRETARY 1.00 59.00 X 0 316461 21845 ANDREW JOSEPH ASST. SECRETARY 1.00 59.00 X 0 278796 24265 BRIAN GRUNDUSKY EXECUTIVE DIRECTOR, BETHANY VILLAGE 50.00 X 238390 0 19925 JANE GIBSON EXECUTIVE DIRECTOR, SPRINGHILL 50.00 X 219790 0 7441 KELLY FRIEDMAN EXECUTIVE DIRECTOR, SOLOMONS 50.00 X 200656 0 3468 DEBORAH HEDGES ASSOC. EXECUTIVE DIRECTOR, AMV 50.00 X 187410 0 20061 SUSAN P MAYERNICK VP DEVELOPMENT- BV 40.00 X 159766 0 18932 OMOLARA POPOOLA DIRECTOR NURSING -HCC, AMV 40.00 X 148533 0 18651 RACHEL S KARISH ADMINISTRATOR, AMV 40.00 X 147381 0 16984 CYNTHIA R PEREZ SR. DIRECTOR ADMISSIONS, AMV 40.00 X 146474 0 11746 HENRI B LIVELY B-ADMINISTRATOR HEALTH, BV 40.00 X 143719 0 15357 1592119 2095932 253168 48 0 1 0 SODEXO INC & AFFILIATES PO BOX 360170 PITTSBURGH PA 15262 DINING, MAINT, HKP, LAUNDRY 17386158 FLAGSHIP REHABILITATION SERVICES 157 BALTIMORE STREET CUMBERLAND MD 21502 THERAPY 4371758 WAGMAN CONSTRUCTION INC 3290 SUSQUEHANNA TRAIL NORTH YORK PA 17406 CONSTRUCTION 3003731 TRADEMARK DESIGN & BUILD 18404 BRIGHT PLUME TERRACE BOYDS MD 20841 CONSTRUCTION 2116696 FREESTATE ELECTRICAL SERVICE 13335 MID ATLANTIC BLVD LAUREL MD 20708 ELECTRICAL CONTRACTOR 1906719 60 6369965 6369965 NET RESIDENT REVENUE 623312 110302024 110302024 MEDICARE/MEDICAID PAYM 623312 30743489 30743489 AMORTIZATION OF ENTRAN 623312 22303920 22303920 OTHER OPERATING REVENU 623312 1563525 1563525 164912958 3633719 3633719 370575 107467 263108 263108 263108 25187125 25845064 126602 -657939 -126602 -784541 -784541 174395209 164912958 0 3112286 2493080 2493080 2216535 2216535 49088934 43445820 5134089 509025 1810773 1528360 263946 18467 4713851 3185491 1528360 3946345 3397447 520977 27921 8446559 8446559 191517 191517 115671 115671 10532139 10316352 215787 1421523 1363423 58100 4502260 3530528 971732 5267462 13014 5254448 6714612 6217949 496663 165005 84148 80857 11970777 11759808 210969 24980692 24847989 132703 876649 876649 FOOD 5982790 5980350 2440 REPAIRS & MAINTENANCE 4494013 4424734 69279 TAXES(PROPERTY & OTHER) 3768455 18798 3749657 MEDICAL SUPPLIES/PHARMA 2723245 2719822 3423 2820898 1584793 1236105 159243785 126911906 31776466 555413 1936479 1880093 50299696 41039108 6487034 5607148 12305090 3606203 185496 192825 1935655 2718871 611955316 328004383 280556197 283950933 50404849 62262371 76436681 93262209 480547177 494519761 7898854 6474098 164742366 167681481 243144223 233962609 40162 42882 192832886 192108143 608658491 600269213 X -162588862 -139546832 34477548 33797380 -128111314 -105749452 480547177 494519761 X 15151424 9331889 -2121451 X X 0 1 X 1 0 X 972387 3186616 5128326 1232054 6369965 16889348 126342656 129444214 150180199 158431181 164912958 729311208 127315043 132630830 155308525 159663235 171282923 746200556 87385 152911 240296 0 87385 152911 240296 745960260 2302257 1923550 2333882 4582700 4004294 15146683 2302257 1923550 2333882 4582700 4004294 15146683 129617300 134554380 157642407 164245935 175287217 761347239 0.97980 0.98130 0.01990 0.01860 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 4679 4679 0 PART II-B, LINE 1: A PORTION OF ASBURY ATLANTIC'S DUES TO LEADINGAGE WERE FOR USED FOR ADVOCACY ISSUES RELATED TO RESIDENTIAL AND HEALTHCARE SERVICES FOR THE AGED. X 1 15.00 1 0 0 1 X 27416713 809077 28225790 25719301 1697412 27416713 24864870 854431 25719301 24829939 34931 24864870 24174363 655576 24829939 1.00000 0 1 1 19891482 19891482 409521526 223940645 185580881 23994568 13015416 10979152 149335068 91048322 58286746 9212672 9212672 283950933 INTEREST IN NET ASSETS OF FOUNDATION 26288527 DEFERRED MARKETING COSTS 826344 OTHER RECEIVABLE 470078 DUE FROM ACOMM 64347189 DEPOSITS AND OTHER ASSETS 42882 RIGHT OF USE ASSETS 1287189 93262209 REFUNDABLE FEES 4143941 OBLIGATION-DEFERRED GIVING 330394 CONTINGENT REFUNDABLE ENTRANCE FEE LIABILITY 177483955 PROJECTED REFUND OF STANDARD ENTRANCE FEES 4978019 DEPOSITS FROM PROSPECTIVE RESIDENTS 3817232 VALUATION OF SWAP AGREEMENTS 67413 LEASES PAYABLE 1287189 192108143 X 180404034 9331889 -3323064 6008825 174395209 0 174395209 156858172 107467 107467 156750705 2493080 2493080 159243785 PART II, LINE 3: ASBURY ATLANTIC, INC. HAS A 15 ACRE FOREST CONSERVATION EASEMENT WITH THE CITY OF GAITHERSBURG, MD THAT PRESERVES TREES, TREE CANOPY AND FORESTS. ASBURY ATLANTIC, INC. DOES NOT REPORT CONSERVATION EASEMENTS IN ITS FINANCIAL STATEMENTS. THERE ARE NO REVENUES, EXPENSES OR ASSETS RELATED TO THIS CONSERVATION EASEMENT. PART IV, LINE 2B: ASBURY ATLANTIC, INC. HOLDS AND MANAGES RESIDENT TRUST FUND ACCOUNTS THAT ARE USED FOR PERSONAL ITEMS FOR THE RESIDENTS. ASBURY ATLANTIC, INC. IS ACTING IN A FIDUCIARY ROLE AND IS LIABLE FOR THE FUNDS IN THE RESIDENT TRUST FUND. PART V, LINE 4: THE INTENDED USE OF THE ENDOWNMENT FUND IS TO SUPPORT BENEVOLENT CARE. PART X, LINE 2: ASBURY ATLANTIC IS EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC); ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS REQUIRED AS THERE ARE NO UNRELATED TRADES OR BUSINESSES. THE COMPANY HAS IMPLEMENTED PROCESSES TO ENSURE COMPLIANCE WITH THE INTERNAL REVENUE SERVICE INTERMEDIATE SANCTIONS PROVISIONS FOR ALL ITS SUPPORTED ORGANIZATIONS, INCLUDING THE COMPANY. THIS INCLUDES AN INDEPENDENT REVIEW BY THE BOARD'S COMPENSATION COMMITTEE OF ALL COMPENSATION ARRANGEMENTS WITH DISQUALIFIED PERSONS AND OUTSIDE COMPENSATION CONSULTANTS TO PROVIDE INDEPENDENT THIRD-PARTY REVIEW AND ADVISEMENT, AND THE IMPLEMENTATION OF A DETAILED CONFLICT-OF-INTEREST POLICY AND ANNUAL DISCLOSURE PROCESS FOR ALL DISQUALIFIED PERSONS. THE COMPENSATION COMMITTEE ALSO HIRES OUTSIDE COUNSEL TO ADVISE THE COMPANY ON COMPLIANCE. THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION MUST BE RECOGNIZED ONLY IF IT IS MORE-LIKELY-THAN-NOT THAT THE TAX POSITION WILL BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE RESOLUTION. THE COMPANY'S REASSESSMENT OF ITS TAX POSITIONS DID NOT HAVE A MATERIAL IMPACT ON THE COMPANY'S RESULTS OF OPERATIONS OR FINANCIAL POSITION. THE COMPANY'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE COMPANY IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENT EXPENSE 107,467. VALUE CHANGES IN DERIVATIVE INSTRUMENTS -67,413. CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION 1,427,992. CHANGE IN VALUE OF OBLIGATIONS UNDER CHARITABLE GIFT ANNUITIES -53,647. LOSS ON RETIREMENT OF DEBT -2,244,383. BENEVOLENT CARE -2,493,080. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 107,467. PART XII, LINE 4B - OTHER ADJUSTMENTS: BENEVOLENT CARE 2,493,080. 1 BENEVOLENT CARE FOR ASSISTED LIVING AND RESIDENTIAL LIVING RESIDENTS 49 2492520 PART I, LINE 2: ALL RESIDENTS INQUIRING ABOUT BENEVOLENT CARE MUST COMPLETE AND SIGN THE BENEVOLENT CARE APPLICATION WHICH SHALL BE REVIEWED FOR APPROVAL BY THE COMMUNITY REPRESENTATIVE RESPONSIBLE FOR BENEVOLENT CARE. ONCE THE APPLICATION IS REVIEWED, THE EXECUTIVE DIRECTOR WILL APPROVE OR DENY ELIGIBILITY. DOCUMENTS RELATED TO BENEVOLENT CARE APPLICATION/REDETERMINATION AND ON-GOING MANAGEMENT WILL BE MAINTAINED ON-SITE UNTIL THE END OF THE CALENDAR YEAR IN WHICH THE RESIDENT IS NO LONGER RECEIVING ASSISTANCE FROM BENEVOLENT CARE. THEREAFTER THE RECORDS WILL BE MAINTAINED FOR FIVE (5) YEARS, EITHER ON-SITE OR IN STORAGE IN ACCORDANCE WITH THE RECORDS MANAGEMENT PROGRAM. X X X X X X 0 1 0 0 0 1 0 0 0 DOUGLAS LEIDIG PRESIDENT/EX-OFFICIO 0 500165 0 0 0 90343 0 14000 0 12525 0 617033 0 0 SUE DACAMARA ASST. SECRETARY 0 402015 0 0 0 88425 0 13755 0 10291 0 514486 0 0 ANDREW JEANNERET ASST. TREASURER 0 360434 0 0 0 59293 0 14000 0 9922 0 443649 0 0 MANNY OCASIO COLON ASST. SECRETARY 0 265487 0 0 0 50974 0 10714 0 11131 0 338306 0 0 ANDREW JOSEPH ASST. SECRETARY 0 233701 0 0 0 45095 0 12302 0 11963 0 303061 0 0 BRIAN GRUNDUSKY EXECUTIVE DIRECTOR, BETHANY VILLAGE 185555 0 16342 0 36493 0 10131 0 9794 0 258315 0 0 0 JANE GIBSON EXECUTIVE DIRECTOR, SPRINGHILL 161632 0 29411 0 28747 0 6545 0 896 0 227231 0 0 0 KELLY FRIEDMAN EXECUTIVE DIRECTOR, SOLOMONS 176101 0 16743 0 7812 0 2581 0 887 0 204124 0 0 0 DEBORAH HEDGES ASSOC. EXECUTIVE DIRECTOR, AMV 157136 0 7200 0 23074 0 9244 0 10817 0 207471 0 0 0 SUSAN P MAYERNICK VP DEVELOPMENT- BV 128098 0 17904 0 13764 0 8194 0 10738 0 178698 0 0 0 OMOLARA POPOOLA DIRECTOR NURSING -HCC, AMV 135695 0 0 0 12838 0 7892 0 10759 0 167184 0 0 0 RACHEL S KARISH ADMINISTRATOR, AMV 142544 0 0 0 4837 0 7856 0 9128 0 164365 0 0 0 CYNTHIA R PEREZ SR. DIRECTOR ADMISSIONS, AMV 107191 0 0 0 39283 0 6970 0 4776 0 158220 0 0 0 HENRI B LIVELY B-ADMINISTRATOR HEALTH, BV 114012 0 6239 0 23468 0 5090 0 10267 0 159076 0 0 0 PART I, LINE 3 THE COMPENSATION OF THE ORGANIZATION'S CEO AND ALL PERSONS DEEMED POTENTIALLY DISQUALIFIED IS REVIEWED AND RECOMMENDED TO THE BOARD OF ASBURY COMMUNITIES, INC. BY THE COMPENSATION COMMITTEE OF THE BOARD. PART I, LINE 4B THE PRESIDENT PARTICIPATES IN A 457(F) PLAN. THERE WERE NO PLAN DISTRIBUTIONS IN 2019. PART I, LINE 6 THE EXECUTIVE DIRECTOR'S INCENTIVE COMPENSATION IS BASED IN PART UPON THE OPERATING RATIO OF THE FACILITY. THE OPERATING RATIO MEASURES WHETHER CURRENT YEAR CASH OPERATING REVENUES ARE SUFFICIENT TO COVER CURRENT YEAR OPERATING EXPENSES. A CUMBERLAND COUNTY MUNICIPAL AUTHORITY (PA) 236003119 230614GK9 2012-10-31 52585767 CURRENT REFUNDING 0 0 0 B CITY OF GAITHERSBURG (MD) 526000792 363128CUI 2018-10-01 105744965 CURRENT REFUNDING 0 0 0 C CITY OF GAITHERSBURG 526000792 2019-11-08 16009000 CURRENT REFUNDING 0 0 0 D CUMBERLAND COUNTY MUNICIPAL AUTHORITY 236003119 230614PE3 2019-12-31 63444415 CURRENT REFUNDING 0 0 0 A 3970767 52585767 2339434 1051715 49194618 2012 1 0 1 1 B 9649965 105744965 8469375 624780 7508636 89142174 2018 1 0 1 1 C 15000 16009000 5000000 11009000 1 0 1 1 D 63444415 5284147 1155121 57005147 2019 1 0 1 1 A 0 1 1 1 0 0 0 0 B 0 1 1 1 0 0.00400 0.00400 0 0 1 C 0 1 1 1 0 0.40000 0.40000 0 0 1 D 0 1 1 1 0 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 1 0 0 0 0 1 C 0 0 0 1 1 1 SUNTRUST BANK 4.000000000000 0 0 0 0 1 D 0 0 0 1 0 0 0 0 1 A 1 B 1 C 1 D 1 SCHEDULE K, PART I, ROW B THE AMOUNT OF BONDS BENEFITING THIS ORGANIZATION IS $105,744,965.90 (OF WHICH $24,713,017.75 COUNTS AGAINST THE $150 MILLION TEST LIMITATION FOR NON-HOSPITAL BONDS). BONDS IN THE AMOUNT OF $33,005,000 ARE OUTSTANDING THAT BENEFIT THIS ORGANIZATION (OF WHICH $11,086,500 COUNTS AGAINST THE $150 MILLION LIMITATION FOR NON-HOSPITAL BONDS). THE ISSUANCE OF THE BONDS WAS APPROVED BY THE MAYOR OF THE CITY OF GAITHERSBURG ON AUGUST 6, 2018, FOLLOWING A PUBLIC HEARING HELD BY THE ISSUER ON AUGUST 6, 2018 AND BY THE COUNTY OF COMMISSIONERS OF CALVERT COUNTY ON JULY 24, 2018, FOLLOWING A PUBLIC HEARING BY THE COUNTY COMMISSIONERS OF CALVERT COUNTY ON JULY 24, 2018. SCHEDULE K, PART I, ROW C THE AMOUNT OF BONDS BENEFITTING THIS ORGANIZATION IS $16,009,000 (OF WHICH $6,275,130 COUNTS AGAINST THE $150 MILLION LIMITATION FOR NON-HOSPITAL BONDS). THE AMOUNT OF OTHER NON-HOSPITAL BONDS SUBJECT TO THE $150 MILLION LIMITATION IS $27,993,095. THE ISSUANCE OF THE BONDS WAS APPROVED BY THE MAYOR AND CITY COUNCIL OF THE CITY OF GAITHERSBURG ON SEPTEMBER 16, 2019, FOLLOWING A PUBLIC HEARING HELD BY THE ISSUER ON SEPTEMBER 16, 2019 AND BY THE COUNTY COMMISSIONERS OF CALVERT COUNTY ON SEPTEMBER 17, 2019, FOLLOWING A PUBLIC HEARING HELD BY THE COUNTY COMMISSIONERS OF CALVERT COUNTY ON SEPTEMBER 17, 2019. SCHEDULE K, PART I, ROW D THE AMOUNT OF BONDS BENEFITTING THIS ORGANIZATION IS $63,444,415 (OF WHICH $3,280,077 COUNTS AS PART OF THE $150 MILLION LIMITATION FOR NON-HOSPITAL BONDS). THE AMOUNT OF OTHER NON-HOSPITAL BONDS SUBJECT TO THE $150 MILLION LIMITATION IS $30,988,148. THE ISSUANCE OF THE BONDS WAS APPROVED BY THE CUMBERLAND COUNTY MUNICIPAL AUTHORITY ON SEPTEMBER 5, 2019. NO TEFRA APPROVAL WAS NECESSARY PURSUANT TO SECTION 147(F)(2)(D) OF THE INTERNAL REVENUE CODE SINCE THE WEIGHTED AVERAGE MATURITY OF THE BONDS DID NOT EXCEED THE REMAINING WEIGHTED AVERAGE MATURITY OF THE BONDS BEING REFUNDED. FORM 990, PART III, LINE 4 AS PART OF ASBURY COMMUNITIES, ASBURY ATLANTIC PLEDGES EACH DAY TO MAKE A DIFFERENCE IN THE LIVES OF THOSE WE SERVE AND TO SERVE AS A PARTNER FOR GOOD IN THE COMMUNITY AT LARGE. WE HONOR OUR LEGACY THROUGH SUPPORTING AND PARTNERING WITH CHARITABLE AND COMMUNITY ORGANIZATIONS, EDUCATIONAL INSTITUTIONS, AND AGING SERVICES AND HEALTH PROVIDERS. AT ASBURY ATLANTIC, OUR EFFORTS ARE PRIMARILY FOCUSED ON: -SUPPORTING SENIOR WELLNESS IN THE REGIONS WHERE WE OPERATE -TRAINING THE NEXT GENERATION OF AGING SERVICES PROFESSIONALS -BENEVOLENT CARE PROVIDING PEACE OF MIND FOR RESIDENTS BENEVOLENT CARE: A CORNERSTONE OF LIVING OUR MISSION IS ENSURING THAT RESIDENTS WHO OUTLIVE THEIR FINANCIAL RESOURCES CAN REMAIN IN THEIR HOME AT ASBURY. THE ASBURY FOUNDATION, A 501(C)(3) NOT-FOR-PROFIT ORGANIZATION THAT SECURES PHILANTHROPIC SUPPORT TO SUPPORT THE MISSION AND ENHANCE QUALITY OF LIFE FOR OLDER ADULTS SERVED BY THE ASBURY SYSTEM, WAS ESTABLISHED TO SUPPORT THESE EFFORTS. ASBURY PROVIDES FINANCIAL SUPPORT TO RESIDENTS WHO OUTLIVE THEIR RESOURCES THROUGH NO FAULT OF THEIR OWN. HIGHLIGHTS OF THIS YEAR'S COMMUNITY BENEFIT ACCOMPLISHMENTS AT EACH ASBURY ATLANTIC COMMUNITY INCLUDE THE FOLLOWING: ASBURY METHODIST VILLAGE IN THE AREA OF TRAINING FUTURE GENERATIONS OF CAREGIVERS, ASBURY METHODIST VILLAGE (AMV) PROVIDED MENTORING AND TRAINING IN DIETETICS, SOCIAL WORK AND PASTORAL CARE SERVICES FOR STUDENTS AT LOYOLA UNIVERSITY OF MARYLAND AND THE UNIVERSITY OF MARYLAND BALTIMORE COUNTY. AMV ALSO DONATED THE USE OF WILSON HEALTH CARE CENTER'S LOWER LEVEL FOR MONTGOMERY COLLEGE TO USE FOR CNA TRAINING. AMV DONATED MEETING SPACE FOR MORE THAN 30 NON-PROFIT, COMMUNITY ORGANIZATIONS THROUGHOUT THE YEAR. THOUGH THE MAJORITY OF THIS GROUP'S EFFORTS BENEFIT YOUTH, THIS RESIDENT-CREATED AND RUN COLLABORATION WITH GAITHERSBURG AND MONTGOMERY COUNTY (GAITHERSBURG BELOVED COMMUNITY INITIATIVE) DEVOTED HUNDREDS OF HOURS TO MENTORING AREA AT RISK CHILDREN, HOSTING PARTIES AT ASBURY'S POOL AND OTHER STRUCTURED FITNESS ACTIVITIES. THIS INTERGENERATIONAL MENTORING PROGRAM IS FOCUSED ON THE DEVELOPMENT OF CHARACTER IN THE YOUNG PEOPLE. ASBURY METHODIST VILLAGE HOSTED A CONVERSATIONAL ENGLISH GROUP WITH 25 LATINO MOTHERS FROM THE GAITHERSBURG AREA WHEREBY THEY MET WEEKLY TO STUDY THEIR ENGLISH WITH ASBURY RESIDENTS. STUDENTS FROM GAITHERSBURG AND SOUTHLAKE ELEMENTARY SCHOOLS WERE TRANSPORTED TO AMV TO PARTICIPATE IN AN INTER-GENERATIONAL MENTORING PROGRAM WHOSE FOCUS IS THE DEVELOPMENT OF CHARACTER IN THE YOUNG PEOPLE. SUPPORTED MEALS ON WHEELS AND THE MONTGOMERY COUNTY COALITION FOR THE HOMELESS SHELTER WITH FOOD. ASBURY METHODIST VILLAGE OFFERS 4 PARKINSON'S EXERCISE CLASSES WEEKLY FOR PEOPLE IN THE SURROUNDING COMMUNITY. BETHANY VILLAGE IN THE AREA OF TRAINING THE NEXT GENERATION OF PROFESSIONALS, THE FOLLOWING OCCURRED. PROVIDED TRAINING FOR CERTIFIED NURSING ASSISTANTS, LICENSED PRACTICAL NURSES, REGISTERED NURSES STUDENTS AT BLOOMSBURG UNIVERSITY, SHIPPENSBURG UNIVERSITY, HARRISBURG AREA COMMUNITY COLLEGE, WELLSPAN HEALTH SYSTEM AND MESSIAH COLLEGE. ORGANIZED AND RAISED $4,500 FOR THE AREA CHAPTER OF THE ALZHEIMER'S ASSOCIATION THOUGH A ROCK-A-THON AND HOSTED SUPPORT GROUPS FOR FAMILY MEMBERS AND OTHER CAREGIVERS OF PEOPLE WITH ALZHEIMER'S DISEASE. BETHANY VILLAGE DONATED MEETING SPACE FOR MORE THAN 26 NON-PROFIT, COMMUNITY ORGANIZATIONS THROUGHOUT THE YEAR. IN CONJUNCTION WITH COMMUNITY AID, BETHANY VILLAGE ASSOCIATES COLLECTED, STORED AND ARRANGED FOR PICK-UP OF DONATED CLOTHING. THE EXECUTIVE DIRECTOR OF BETHANY VILLAGE SERVES ON THE LEADING AGE PA BOARD OF DIRECTORS. LEADING AGE IS A NOT-FOR-PROFIT ENTITY THAT REPRESENTS NOT-FOR-PROFIT SENIOR LIVING PROVIDERS ACROSS THE STATE OF PA. BETHANY VILLAGE ASSOCIATES SERVED AS VOLUNTEERS THROUGHOUT THE YEAR AT COMMUNITY BLOOD DRIVES, ETC. THE WELLNESS DEPARTMENT PROVIDED FREE MEMBERSHIP TO RESIDENTS OF BETHANY TOWERS FOR USE OF THE POOL, FITNESS ROOM OR FITNESS CLASSES. PARTNERING WITH THE UNITED CELEBRAL PALSY ORGANIZATION AND DONATED REFURBISHED EQUIPMENT TO PEOPLE IN NEED. ASSOCIATES VOLUNTEERED DURING THE UNITED WAY DAY OF CARING AT ANOTHER LOCAL NONPROFIT TO HELP WITH MANUAL LABOR AND ADMINISTRATIVE TASKS. SPRINGHILL IN THE AREA OF TRAINING THE NEXT GENERATION OF PROFESSIONALS, THE FOLLOWING OCCURRED. PROVIDED EDUCATION, TRAINING AND RESEARCH ASSISTANCE FOR NURSING AND REHABILITATIVE THERAPY STUDENTS AT GANNON AND MERCYHURST UNIVERSITIES AS WELL AS THE ERIE COUNTY TECHNOLOGY SCHOOL, AND ERIE HIGH SCHOOL. SPRINGHILL ASSOCIATES PARTICIPATED IN THE ADOPT-A-HIGHWAY HIGHWAY CLEAN- UP PROJECT. SPRINGHILL ASSOCIATES WERE ALSO ACTIVE MEMBER OF THE ALZHEIMER'S ASSOCIATION AND ALZHEIMER'S ASSOCIATION SUPPORT GROUP. HELD MONTHLY PARKINSON'S PARTNERS SUPPORT GROUP MEETINGS THAT SUPPORT RESIDENTS IN THE COMMUNITY AND INDIVIDUALS OUTSIDE THE COMMUNITY THAT CARE FOR OR HAVE PARKINSON'S. SNF ADMINISTRATOR VOLUNTEERED AS A SURVEYOR FOR A CARF/CCAC SURVEYS AT A CCRC'S IN VIRGINIA AND INDIANA. SPRINGHILL ASSOCIATE VOLUNTEERS AT THE LOCAL FIRE DEPARTMENT PROVIDING FIREFIGHTING, RESCUE, AND EMS RESPONSES. AN ASSOCIATE PARTICIPATED IN THE WEST COUNTY PARAMEDIC BOARD MEETINGS AND SERVED ON THE ERIE PUBLIC SAFETY ADVISORY COMMITTEE. SPRINGHILL ASSOCIATES WERE ALSO ACTIVE MEMBERS OF THE HEALTHCARE VENTURES ALLIANCE. DURING 2019, SPRINGHILL DONATED 1 WHEELCHAIR AND 5 PULMONARY WALKERS TO CHOSEN INTERNATIONAL. ASBURY SOLOMONS IN THE AREA OF SUPPORTING THE LOCAL COMMUNITY AND SENIOR SERVICES, ASBURY SOLOMON'S PROVIDED MORE THAN 133 VOLUNTEER HOURS TO THE AREA CHAPTER OF ALZHEIMER'S ASSOCIATION. SOLOMON'S DONATED SPACE TO VARIOUS COMMUNITY ORGANIZATIONS FOR THEIR MEETINGS AND REHEARSALS. SEVERAL ASSOCIATES PARTICIPATED IN MONTHLY PACCT (PARTNERS IN ACCOUNTABLE CARE COLLABORATION & TRANSITIONS) MEETINGS AT CALVERT COUNTY MEMORIAL HOSPITAL WHEREBY PROFESSIONALS MEET TO DISCERN BEST PRACTICES AND SEAMLESS TRANSITION OF RESIDENTS BETWEEN HOSPITAL AND HOME, DONATING 115 VOLUNTEER HOURS. IN THE AREA OF SUPPORTING THE NEXT GENERATION OF AGING SERVICES PROFESSIONALS ASBURY SOLOMON'S VOLUNTEERED OVER 1000 HOURS SUPPORTING THE SUPERVISION AND MENTORSHIP OF THE SALISBURY UNIVERSITY SOCIAL WORK INTERNSHIP PROGRAM AND THE WESLEY SEMINARY COLLAGE PASTORAL CARE INTERNSHIP PROGRAM. ASBURY SOLOMON'S ALSO PROVIDED ORIENTATION AND TRAINING FOR CULINARY STUDENTS FROM CALVERT COUNTY CAREER & TECHNOLOGY ACADEMY. FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS CAN ACT IN PLACE OF THE BOARD BETWEEN MEETINGS. ALL MEMBERS OF THE EXECUTIVE COMMITTEE ARE MEMBERS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 6 ASBURY ATLANTIC HAS ONE MEMBER. THE SOLE MEMBER IS ASBURY COMMUNITIES, INC. FORM 990, PART VI, SECTION A, LINE 7A ASBURY COMMUNITIES, INC IS THE SOLE MEMBER OF ASBURY ATLANTIC AND ELECTS THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B ONLY CERTAIN DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO ASBURY COMMUNITY INC'S APPROVAL. THESE DECISIONS INCLUDE: (1) MANAGEMENT SERVICES RELATIONSHIPS AND CONTRACTS; (2) ANY ORGANIZATIONAL CHANGE IN GENERAL, INCLUDING MERGERS, SALES, LEASES, ETC, OF SUBSTANTIALLY ALL OF THE ASSETS AND THE CREATION OF NEW ENTITIES; (3) AMENDMENTS TO MISSION OR VISION STATEMENTS; (4) AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B ASBURY COMMUNITIES, INC. IS THE SOLE MEMBER OF ASBURY ATLANTIC, INC., ASBURY-SOLOMONS, INC., INVERNESS VILLAGE, AN OKLAHOMA NOT FOR PROFIT CORPORATION, ASBURY, INC., BETHANY DEVELOPMENT CORPORATION, AND ASBURY HCBS, INC. ASBURY COMMUNITIES, INC. HAS A SYSTEM WIDE AUDIT COMMITTEE. THE ASBURY COMMUNITIES, INC. BOARD OF DIRECTORS HAS DELEGATED A REVIEW OF THE FORM 990 TO THE SYSTEM AUDIT COMMITTEE WHICH PERFORMED ITS REVIEW ON 10/21/20. THE ASBURY COMMUNITIES, INC., FOUNDATION, ASBURY ATLANTIC, ASBURY SOLOMONS, ASBURY COMMUNITIES HCBS, BETHANY DEVELOPMENT CORPORATION, AND INVERNESS VILLAGE BOARD OF DIRECTORS WERE FORWARDED A COPY OF THEIR RESPECTIVE DRAFT FORM 990 FOR REVIEW AND PROVIDED A LINK TO A RECORDING OF THE AUDIT COMMITTEE MEETING IF MEMBERS CHOSE TO LISTEN TO THE MEETINGS AS THEY REVIEWED ANY OF THE FORM 990S. ALL DIRECTORS MAY POSE QUESTIONS OR ASK FOR CLARIFICATION FROM STAFF AND AUDIT COMMITTEE. FORM 990, PART VI, SECTION B, LINE 12C THE ASBURY COMMUNITIES CONFLICT OF INTEREST POLICY WAS APPROVED BY THE BOARD OF DIRECTORS. THE COMPLIANCE OFFICER IS RESPONSIBLE FOR THE POLICY AND OVERSEES THE IMPLEMENTATION OF THE PROCESS. ALL THE ENTITIES WITHIN THE ASBURY COMMUNITIES SYSTEM ARE SUBJECT TO THE POLICY. ANNUALLY, THE COMPLIANCE OFFICER CONDUCTS A COMPREHENSIVE CONFLICT DISCLOSURE PROCESS COVERING ALL MEMBERS OF THE GOVERNING BOARDS, SYSTEM WIDE COMMITTEES, AND INDIVIDUALS IN KEY MANAGEMENT POSITIONS. EACH PERSON COMPLETES A CONFLICT OF INTEREST DISCLOSURE FORM AND IS ADVISED OF THEIR FIDUCIARY OBLIGATIONS. THE COMPLIANCE OFFICER, WHO HAS A DIRECT REPORTING LINE TO THE CHAIR OF THE AUDIT AND COMPLIANCE COMMITTEE AND REPORTS QUARTERLY TO THE AUDIT AND COMPLIANCE COMMITTEE, ANALYZES ALL DISCLOSURE FORMS FOR POTENTIAL CONFLICTS, AND PREPARES A REPORT FOR THE SYSTEM-WIDE AUDIT AND COMPLIANCE COMMITTEE. A REPORT WAS MADE TO THE BOARD THAT THERE WERE NO CONFLICTS DURING 2019. WHEN AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ARISES INVOLVING A BOARD OR COMMITTEE MEMBER, THE AUDIT AND COMPLIANCE COMMITTEE IS INFORMED AND WILL FOLLOW SPECIFIC PROTOCOL OUTLINED IN THE CONFLICT OF INTEREST POLICIES AND PROCEDURES. FORM 990, PART VI, SECTION B, LINE 15 ON AN ANNUAL BASIS, THE COMPENSATION AND BENEFITS COMMITTEE RELIES ON STAFF FEEDBACK AND THE DATA AND RECOMMENDATIONS PROVIDED BY AN EXTERNAL COMPENSATION CONSULTANT TO ASCERTAIN THE REASONABLENESS OF COMPENSATION AND BENEFITS OF ALL OF THE DIRECT REPORTS OF THE CEO AND OTHER POTENTIALLY DISQUALIFIED PERSONS. IN ADDITION, THE COMPENSATION AND BENEFITS COMMITTEE REVIEWS THE ORGANIZATION'S PROGRESS TOWARDS KEY PERFORMANCE INDICATORS SELECTED FOR INCENTIVIZING PERFORMANCE OF DISQUALIFIED PERSONS THROUGH A PERFORMANCE BASED-COMPENSATION PROGRAM. QUARTERLY, THE COMPENSATION COMMITTEE REVIEWS UPDATES TO THE OVERALL BENEFITS AND COMPENSATION PLAN FOR THE ORGANIZATION AS WELL AS PROGRESS ON THE ORGANIZATION'S EMPLOYER OF CHOICE STRATEGIC GOALS. ALSO ON AN ANNUAL BASIS, THE COMPENSATION AND BENEFITS COMMITTEE SPECIFICALLY REVIEWS THE COMPENSATION AND BENEFITS OF THE CEO USING THE DATA GATHERED BY THE COMPENSATION CONSULTANT AT THE DIRECTION OF THE COMMITTEE AND PROVIDES INPUT TO THE FULL BOARD OF DIRECTORS IN ORDER TO SUPPORT THEIR DECISION MAKING PROCESS REGARDING THE CEO'S COMPENSATION. THE COMPENSATION AND BENEFITS COMMITTEE CHARTER, THE EXECUTIVE COMPENSATION PHILOSOPHY, AND THE EXECUTIVE INCENTIVE PLAN WERE REVIEWED MOST RECENTLY IN 2019. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART VII, SECTION A THE OFFICERS THAT HAVE COMPENSATION FROM RELATED ORGANIZATIONS REPORTED IN PART VII, SECTION A, COLUMN E OF THE FORM 990 PROVIDE EXECUTIVE MANAGEMENT SUPPORT AND OVERALL GUIDANCE TO ASBURY ATLANTIC, INC. AS WELL AS THE OTHER RELATED AND SUPPORTED ORGANIZATIONS OF ASBURY COMMUNITIES, INC. THERE ARE OVER 2,400 TOTAL EMPLOYEES IN THE ASBURY COMMUNITIES, INC. SYSTEM. THE 2019 CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR ASBURY COMMUNITIES, INC. HAD TOTAL REVENUES OF $244 MILLION AND TOTAL ASSETS IN EXCESS OF $584 MILLION. DURING 2019 ASBURY ATLANTIC, INC. MODIFIED ITS EMPLOYEE COMPENSATION FOR PTO. THIS CHANGE RESULTED IN A ONE-TIME DISTRIBUTION THAT IS REFLECTED IN THE COMPENSATION REPORTED ON THIS FORM 990. FORM 990, PART VII, SECTION A BEGINNING WITH YEAR 2014, FOUNDATION ASSOCIATE SALARIES AND BENEFITS, WHICH WERE PREVIOUSLY REPORTED ON THE ASBURY FOUNDATION IRS FORM 990, WILL BE REPORTED BY THE ASBURY ENTITY WHERE THEY DEDICATED THEIR TIME. ASBURY FOUNDATION ASSISTS WITH THE MISSION OF THE NON PROFIT ENTITIES WITHIN THE ASBURY COMMUNITIES SYSTEM. FORM 990, PART XI, LINE 9: NET UNREALIZED GAIN ON CHANGE IN MARKET VALUE OF DERIVATIVE INSTRUMENTS -67,413. TRANSFER TO ACOMM -1,184,000. CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION 1,427,992. CHANGE IN VALUE OF OBLIGATIONS UNDER CHARITABLE GIFT ANNUITIES -53,647. LOSS ON RETIREMENT OF DEBT -2,244,383. FORM 990, PART XII, LINE 2C THERE HAS BEEN NO CHANGE IN OVERSIGHT PROCESS FROM THE PRIOR YEAR. ASBURY COMMUNITIES INC 5285 WESTVIEW DRIVE 200 FREDERICK MD 21703 521862677 MANAGEMENT SERVICES MD 501(C)(3) LINE 12C, III-FI 0 INVERNESS VILLAGE 5285 WESTVIEW DRIVE 200 FREDERICK MD 21703 731539802 HOUSING AND HEALTHCARE FOR OLDER ADULTS OK 501(C)(3) LINE 10 ASBURY COMMUNITIES INC 0 ASBURY SOLOMONS INC 5285 WESTVIEW DRIVE 200 FREDERICK MD 21703 521862675 HOUSING AND HEALTHCARE FOR OLDER ADULTS MD 501(C)(3) LINE 10 ASBURY COMMUNITIES INC 0 ASBURY FOUNDATION INC 5285 WESTVIEW DRIVE 200 FREDERICK MD 21703 521862674 RAISING FUNDS FOR CHARITY CARE MD 501(C)(3) LINE 7 ASBURY COMMUNITIES INC 0 AFFILIATED ASSOCIATES INC 5285 WESTVIEW DRIVE 200 FREDERICK MD 21703 510426078 EMPLOYEE PAYMASTER COMPANY MD 501(C)(3) LINE 12C, III-FI ASBURY COMMUNITIES INC 0 ASBURY COMMUNITIES HCBS INC 5285 WESTVIEW DRIVE 200 FREDERICK MD 21703 450634490 HEALTHCARE FOR OLDER ADULTS MD 501(C)(3) LINE 10 ASBURY COMMUNITIES INC 0 ASBURY INC 5285 WESTVIEW DRIVE 200 FREDERICK MD 21703 620630670 HOUSING AND HEALTHCARE FOR OLDER ADULTS TN 501(C)(3) LINE 10 ASBURY COMMUNITIES INC 0 BETHANY DEVELOPMENT CORPORATION 335 WESLEY DRIVE MECHANICSBURG PA 17055 232078064 HOUSING FOR OLDER ADULTS PA 501(C)(3) LINE 10 ASBURY COMMUNITIES INC 0 THE ASBURY GROUP INC 5285 WESTVIEW DRIVE 200 FREDERICK MD 21703 205038820 TECHNOLOGY & MANAGEMENT SERVICES DE ASBURY COMMUNITIES INC C 0 THE ASBURY GROUP INTEGRATED TECHNOLOGIES LLC 5285 WESTVIEW DRIVE 200 FREDERICK MD 21703 262896175 INFOR & CNSLT SVCS DE ASBURY COMMUNITIES INC C 0 IVA INC 5285 WESTVIEW DRIVE 200 FREDERICK MD 21703 562362361 HOLDS LIQOUR LICENSES OK ASBURY ATLANTIC & INVERNESS VILLAGE C 1.00000 1 0 0 1 1 0 0 0 0 0 1 0 0 1 0 0 1 0 1 0