2020-07-27T09:18:34-05:00 2019-09-30 593070669 MOORE STEPHENS LOVELACE PA 255 SOUTH ORANGE AVENUE SUITE 600 ORLANDO FL 32801 990 2018-10-01 592867652 WATERMAN COMMUNITIES INC D/B/A WATERMAN VILLAGE OF MT DORA WATE 3523830051 250 BROOKFIELD AVENUE MOUNT DORA FL 32757 HEARDLEY MURDOCK VICE PRESIDENT/CFO 3523830051 2020-07-27 1 NORMAN B NEAL CPA P00071411 7275314477 104.178.77.115 2020-07-27 09:17:27 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 419A255C130E70E2F42600AF3D165664F3124156 2018 2020-11-06 18:47:13Z WATERMAN VILLAGE OF MT DORA ANDREW DUJON 250 BROOKFIELD AVENUE MOUNT DORA FL 32757 31256417 0 X WWW.WATERMANVILLAGE.COM X 1987 FL TO PROVIDE HOUSING, HEALTHCARE AND OTHER SERVICES TO THE ELDERLY. 7 7 609 10 0 0 238503 177674 31646671 30365711 -47514 143493 633482 516368 32471142 31203246 0 0 0 0 17008460 18442202 0 0 0 16068217 13593501 33076677 32035703 -605535 -832457 34849591 43909298 42958626 53499442 -8109035 -9590144 X AS A COMMUNITY CENTERED ORGANIZATION, WATERMAN COMMUNITIES, INC. MAKES IT POSSIBLE FOR ALL RESIDENTS TO AGE SUCCESSFULLY, LIVING THEIR BEST LIFE WITH MAXIMUM WELLNESS AND INDEPENDENCE THROUGH A BROAD RANGE OF SERVICES DELIVERED IN A SPIRIT OF CARING, INTEGRITY AND PROFESSIONALISM. 1 0 12106724 13757364 EDGEWATER HEALTH CARE AND REHABILITATION CENTER: THIS SKILLED NURSING FACILITY SERVES APPROXIMATELY 120 RESIDENTS IN ITS REHABILITATION THERAPY SUB-ACUTE AND SECURED DEMENTIA UNITS, AND LONG-TERM CARE NURSING FACILITY BEDS. 11077769 12588121 INDEPENDENT LIVING RETIREMENT UNITS: THE INDEPENDENT LIVING UNITS SERVE APPROXIMATELY 259 ELDERLY RESIDENTS BY PROVIDING ONE MEAL PER DAY, TRANSPORTATION TO MEDICAL APPOINTMENTS, SHOPPING, ACTIVITIES, WEEKLY HOUSEKEEPING, MAINTENANCE, BASIC CABLE TELEVISION AND SOME UTILITIES. 3537870 4020226 BRIDGEWATER ASSISTED LIVING FACILITY: THE ASSISTED LIVING FACILITIES SERVE APPROXIMATELY 77 ELDERLY RESIDENTS WITH ASSISTANCE IN CERTAIN ACTIVITIES OF DAILY LIVING, INCLUDING A 24-HOUR NURSING STAFF; THREE MEALS DAILY; HOUSEKEEPING AND MAINTENANCE; TRANSPORTATION TO MEDICAL APPOINTMENTS AND SHOPPING ACTIVITIES; BASIC CABLE TELEVISION AND ALL UTILITIES. 454413 516368 WATERMAN VILLAGE HOME CARE PROVIDES COMPANION/SITTERS, CNA SERVICES, NURSING SERVICES, AND REHABILITATIVE THERAPY TO INDEPENDENT LIVING AND BRIDGEWATER RESIDENTS AS WELL AS OFF-CAMPUS PEOPLE. 454413 516368 27176776 1 0 0 0 0 0 0 0 1 0 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 1 0 0 1 0 0 0 0 1 0 0 0 1 38 0 1 609 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 1 1 0 X HEARDLEY MURDOCK 3523830051 250 BROOKFIELD AVENUE MOUNT DORA FL 32757 KEVIN W MCEWEN CHAIRMAN 2.00 X X 0 0 0 JOHN J COFFEY VICE CHAIRMAN 2.00 X X 0 0 0 KIM Y STEWART TREASURER 2.00 X X 0 0 0 THOMAS POPIESKI SECRETARY 2.00 X X 0 0 0 RICHARD A LEIGH DIRECTOR 2.00 X 0 0 0 GUSTAV SCHEUNEMAN DIRECTOR 2.00 X 0 0 0 GARY SKILTON DIRECTOR 2.00 X 0 0 0 ANDREW DUJON PRESIDENT/CHIEF EXECUTIVE 40.00 X 254183 0 7374 HEARDLEY MURDOCK VICE PRESIDENT/CHIEF FINANCIAL OFFICER 40.00 X 133641 0 7374 DAVID NWOGU SNF ADMINISTRATOR/EXECUTIVE DIRECTOR 40.00 X 145411 0 4616 WILL FRIEDRICH PHYSICAL THERAPIST 40.00 X 114572 0 0 THERESE KIRLEW HOME HEALTH DIRECTOR 40.00 X 109290 0 0 TITO ARDINES HR DIRECTOR 40.00 X 106470 0 7374 SANDRA VAN SYCKEL RN RISK MANAGER 40.00 X 105515 0 0 969082 0 26738 7 0 1 0 SODEXHO INC & AFFILIATES PO BOX 905374 CHARLOTTE NC 28290 CULINARY MANAGEMENT & PLANT OPS/ENV. SER 4169139 RICK TANNER BUILDERS INC 21502 PARADISE WAY EUSTIS FL 32736 CONSTRUCTION 1127624 BOOTH ERN STRAUGHAN & HIOTT INC 902 N SINCLAIR AVENUE TAVARES FL 32778 ENGINEERING SERVICES 300573 LOVE & COMPANY INC 1209 N EAST STREET FREDERICK MD 21701 ADVERTISING 280352 GREYSTONE CD FLORIDA LLC 225 E JOHN FREEWAY SUITE 700 IRVING TX 75062 CONSULTING 275864 7 177674 177055 177674 PATIENT SERVICE REVENUE 623990 13757364 13757364 RESIDENT SERVICE REVENUE 623000 13169749 13169749 HOME HEALTH REVENUE 623000 2816565 2816565 EARNED ENTRANCE FEES 623000 622033 622033 30365711 196664 196664 53171 -53171 -53171 -53171 OTHER REVENUE 623000 516368 516368 516368 31203246 30882079 0 143493 431963 431963 14904654 13245194 1659460 1996459 1720717 275742 1109126 959736 149390 1727631 1183525 544106 150042 198 149844 560864 65455 495409 1968091 1829137 138954 95405 52865 42540 995886 741682 254204 3331614 2871685 459929 942030 809279 132751 FOOD AND DIETARY USAGE 2484488 2414929 69559 SUPPLIES 447184 430687 16497 HEALTHCARE SERVICES 372391 372391 PROVISION FOR UNCOLLECT 324422 324422 193453 154874 38579 32035703 27176776 4858927 0 3175424 4389410 29615 2765675 2300747 83017 81014 470468 522621 78538813 49227869 25813065 29310944 417427 428185 2094900 6876377 34849591 43909298 3265869 3300374 3170262 3548528 8463104 21542681 19295506 14979814 18891930 42958626 53499442 X -8109035 -9590144 -8109035 -9590144 34849591 43909298 X -832457 51798 -700450 X X 0 1 X 1 0 X 110587 118016 189634 238503 177674 834414 27622698 28288552 29634852 31646671 30365711 147558484 27733285 28406568 29824486 31885174 30543385 148392898 0 0 0 148392898 92579 49869 38527 196664 377639 92579 49869 38527 196664 377639 653165 705092 709048 633482 516368 3217155 28479029 29161529 30533534 32557183 31256417 151987692 0.97630 0.97560 0.00250 0.00190 X 1 3912 2653 6565 0 3711303 3711303 46161325 32202545 13958780 17358824 11591172 5767652 11307361 5434152 5873209 29310944 LONG-TERM DEPOSITS 93960 ASSETS LIMITED IN USE 6592426 BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION 93802 RENT DEPOSIT 96189 6876377 OTHER LIABILITIES 468398 DEPOSITS 18365661 FAIR VALUE OF INTEREST RATE SWAP 57871 18891930 X 30554594 51798 -700450 -648652 31203246 0 31203246 32035703 0 32035703 0 32035703 PART IV, LINE 1B: THE COMMUNITY PROVIDES A CASH MANAGEMENT SERVICE TO ITS RESIDENTS. THESE FUNDS REMAIN THE SOLE PROPERTY OF EACH RESIDENT, TO BE DISBURSED ONLY AS REQUESTED AND, ACCORDINGLY, THESE FUNDS ARE EXCLUDED FROM THESE COMBINED FINANCIAL STATEMENTS. THE VILLAGE HAS A FIDUCIARY DUTY OF ACCOUNTABILITY FOR THESE FUNDS. AT SEPTEMBER 30, 2019 AND 2018, THESE FUND BALANCES WERE APPROXIMATELY $6,600 AND $3,900, RESPECTIVELY. PART X, LINE 2: THE COMMUNITY IS ORGANIZED AS A NOT-FOR-PROFIT CORPORATION UNDER THE LAWS OF THE STATE OF FLORIDA AND HAS BEEN GRANTED RECOGNITION OF ITS TAX-EXEMPT STATUS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; ACCORDINGLY, NO INCOME TAX LIABILITY OR PROVISION FOR INCOME TAXES IS REFLECTED IN THESE COMBINED FINANCIAL STATEMENTS. THE COMMUNITY'S TAX RETURNS FOR THE LAST THREE YEARS ARE SUBJECT TO INCOME TAX EXAMINA-TION BY U.S. FEDERAL OR STATE OF FLORIDA TAXING AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF WATERMAN VILLAGE FOUNDATION 1,484. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP -701,934. X X 0 1 0 0 0 1 0 0 0 ANDREW DUJON PRESIDENT/CHIEF EXECUTIVE 248693 0 5490 0 0 0 0 0 7374 0 261557 0 0 0 DAVID NWOGU SNF ADMINISTRATOR/EXECUTIVE DIRECTOR 133421 0 11990 0 0 0 0 0 4616 0 150027 0 0 0 PART I, LINE 4B ALL MANAGING DIRECTORS ARE ELIGIBLE TO PARTICIPATE IN THE NON-QUALIFED DEFERRED COMPENSATION PLAN ESTABLISHED BY THE ORGANIZATION. ALL COMPENSATED INDIVIDUALS LISTED ON PART VII PARTICIPATE IN THE PLAN, AND NONE OF THESE INDIVIDUALS WITHDREW MONIES FROM THE PLAN DURING THE REPORTING YEAR. NO WITHDRAWALS CAN BE MADE FROM THE PLAN EXCEPT UNDER THE FOLLOWING CIRCUMSTANCES, (1) RETIREMENT - AGE 65, (2) TERMINATION OF EMPLOYMENT, (3) DEATH, (4) UNFORESEEABLE EMERGENCY, (5) DE MINIMIS EXCEPTION, OR (6) AGE 70 1/2 REQUIRED MINIMUM DISTRIBUTION. AFTER FIVE YEARS OF SERVICE, THE EARNED OWNERSHIP INTEREST (VESTING) OF THE EMPLOYER CONTRIBUTIONS BECOMES 100%. PART I, LINE 6 CEO, CFO AND COO BONUSES ARE BASED ON OPERATIONAL PROFIT, NOT INCLUDING EXTRAORDINARY ITEMS. A MOUNT DORA HEALTH FACILITIES AUTHORITY 2016-02-26 23000000 SEE SUPPLEMENTAL INFORMATION 0 0 0 A 4954500 23000000 1152401 9266859 459677 4748843 7372220 2016 1 0 1 1 A 0 0 0 0 0 0 0 A 0 1 0 0 1 0 0 0 1 A 1 SCHEDULE K, PART I (F) IN FEBRUARY 2016, THE COMMUNITY ISSUED THE MOUNT DORA HEALTH FACILITIES AUTHORITY SERIES 2016 TAX-EXEMPT BONDS CONSISTING OF $23,000,000 OF TAX-EXEMPT SERIES 2016A BONDS. THE PROCEEDS OF THE SERIES 2016 BONDS WERE USED TO: (1) REFUND THE SERIES 2002 AND 2004 BONDS, AS WELL AS A PROMISSORY NOTE BALANCE OF APPROXIMATELY $836,000, (2) FUND A DEBT SERVICE RESERVE FUND FOR THE SERIES 2016 BONDS, (3) FUND CAPITAL EXPENDITURES, AND (4) PAY THE COSTS ASSOCIATED WITH THE ISSUANCE OF THE SERIES 2016 BONDS. HILLCREST INSURANCE OWNED BY BOARD MEMBER, KEVIN MCEWEN. 82087 INSURANCE 0 X LEASEHOLD IMPROVEMENT CONTRIBUTIONS 40 177055 COST 0 0 0 FORM 990, PART III, LINE 2 WATERMAN VILLAGE HOME CARE PROVIDES COMPANION/SITTERS, CNA SERVICES, NURSING SERVICES, AND REHABILITATIVE THERAPY TO INDEPENDENT LIVING AND BRIDGEWATER RESIDENTS AS WELL AS OFF-CAMPUS PEOPLE. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S CHIEF FINANCIAL OFFICER CONDUCTS A COMPREHENSIVE REVIEW OF THE FORM 990 BEFORE IT IS FILED. A COPY OF THE RETURN, AS ULTIMATELY FILED, IS PROVIDED TO EACH VOTING MEMBER OF THE BOARD OF DIRECTORS BEFORE IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S BOARD OF DIRECTORS MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY ANNUALLY. THE BOARD REVIEWS ACTUAL CONFLICTS THAT ARE IDENTIFIED BY THE ANNUAL DISCLOSURE PROCESS AND PROHIBITS OFFICERS AND DIRECTORS FROM VOTING ON MATTERS WHERE ACTUAL CONFLICTS OF INTEREST EXIST. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS DETERMINES THE COMPENSATION AND BENEFITS OF THE CHIEF EXECUTIVE OFFICER. THE CEO DETERMINES THE COMPENSATION AND BENEFITS OF OTHER OFFICERS AND KEY EMPLOYEES. THE BOARD AND CEO ARE INDEPENDENT WITH RESPECT TO THE COMPENSATION ARRANGEMENTS BEING CONSIDERED. THE BOARD UTILIZES COMPARABILITY SURVEYS PROVIDED BY THE ORGANIZATION'S CPA FIRM. THE REVIEW AND APPROVAL PROCESS IS DOCUMENTED IN BOARD MEETING MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP -700,450. FORM 990, PART XII, LINE 2C THE BOARD OF DIRECTORS HAS RESPONSIBILITY FOR OVERSIGHT OF AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. WATERMAN COMMUNITIES FOUNDATION INC 250 BROOKFIELD AVENUE MOUNT DORA FL 32757 030386001 RAISES FUNDS FOR THE BENEFIT OF WATERMAN COMMUNITIES, INC. FL 501(C)(3) LINE 12A, I N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0