2020-10-05T09:28:12-05:00 2019-12-31 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2019-01-01 222229486 MEADOWOOD CORPORATION MEAD 6105841000 3205 SKIPPACK PIKE PO BOX 670 WORCESTER PA 19490 STEVEN WISNIEWSKI VP OF FINANCE/CFO 6105841000 2020-10-02 1 KERRI N BOGDA CPA P00760402 7177404863 73.101.37.214 2020-10-02 13:15:56 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 F58787FA80410BAE38B710EAF9FCC5760AD3BCDF 2019 2021-01-29 14:40:06Z PAUL NORDEMAN 3205 SKIPPACK PIKE PO BOX 670 WORCESTER PA 19490 54467171 0 X WWW.MEADOWOOD.NET X 1983 PA TO PROVIDE THE HIGHEST QUALITY OF LIFE FOR ALL WHO EXPERIENCE THE MEADOWOOD COMMUNITY. 15 13 480 30 0 0 315438 432023 30243784 30940613 440470 825116 -28311 95419 30971381 32293171 24800 102777 0 0 13930530 13868562 0 0 2567 19535909 21729812 33491239 35701151 -2519858 -3407980 126997392 144896563 139722798 158287630 -12725406 -13391067 X MEADOWOOD IS COMMITTED TO PROVIDE THE HIGHEST QUALITY OF LIFE FOR ALL WHO EXPERIENCE THE MEADOWOOD COMMUNITY. 0 0 29836367 102777 30954779 TO OPERATE A CONTINUING CARE RETIREMENT COMMUNITY, WHICH PROVIDES HOUSING, HEALTHCARE, AND OTHER RELATED SERVICES TO SENIORS THROUGH THE OPERATION OF A 59-BED NURSING FACILITY, A 56-BED PERSONAL CARE FACILITY, 254 RESIDENTIAL APARTMENTS, 42 CARRIAGE HOMES AND A HOME HEALTH AGENCY. THE CORPORATION'S COMMUNITY IS LOCATED IN WORCESTER TOWNSHIP, PA. TOTAL RESIDENT DAYS AT THE FACILITY WERE AS FOLLOWS: SKILLED DAYS OF 19,345, ASSISTED LIVING DAYS OF 18,250 AND INDEPENDENT LIVING DAYS OF 100,375. ALSO, THE HOME HEALTH AGENCY PERFORMED 1,064 VISITS DURING 2019. HEALTHCARE SERVICE - PROVIDE RESIDENTS WITH PHYSICIAN CARE, PHYSICAL THERAPY, SPEECH THERAPY, OCCUPATIONAL THERAPY, SKILLED NURSING, PERSONAL CARE, ACTIVITIES, HOME HEALTH, AND OTHER RELATED SERVICES. MAINTENANCE AND OTHER SERVICES - PROVIDE GENERAL MAINTENANCE AND SERVICE REPAIRS TO CENTER, INCLUDING DEPRECIATION AND INTEREST EXPENSES. PROVIDE SECURITY, TRANSPORTATION, AND OTHER SERVICES AS NEEDED. DINING SERVICES - PROVIDE DAILY MEALS TO RESIDENTS, PROVIDE FOR SPECIAL DIETARY NEEDS OF RESIDENTS AND SPECIAL FUNCTIONS REQUESTED BY RESIDENTS. PROVIDE COFFEE SHOP FOR RESIDENTS, STAFF AND GUESTS. 29836367 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 19 0 480 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 15 13 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X WANDA MANN 6105841000 3205 SKIPPACK PIKE PO BOX 670 WORCESTER PA 19490 PAUL NORDEMAN PRESIDENT/CEO 40.00 X X 378942 0 36460 STEVEN WISNIEWSKI VP OF FINANCE/CFO 40.00 X 200856 0 13907 MARLON BACK VP OF MAINTENANCE 40.00 X 148511 0 27040 BARBARA BEATRICE VP OF HUMAN RESOURCES 40.00 X 148511 0 16836 BETH CWIKLINKSI VP OF HEALTH SERVICES 40.00 X 134951 0 12153 WANDA TUCKER MANN CONTROLLER 40.00 X 105579 0 13063 NICHOLAS BALL MARKETING SALES REP 41.00 X 114606 0 3438 PHILIP ALBRIGHT DIRECTOR 2.00 X 0 0 0 JAMES R BEAM SECRETARY 2.00 X X 0 0 0 WILLIAM D BLACK DIRECTOR 2.00 X 0 0 0 JEREMY C BRENN TREASURER 2.00 X X 0 0 0 LAWRENCE W DESSEN DIRECTOR 2.00 X 0 0 0 EUGENE D DOLLOFF DIRECTOR 2.00 X 0 0 0 W BRUCE FRETZ DIRECTOR 2.00 X 0 0 0 KAREN KELLY DIRECTOR (RESIDENT) 2.00 X 0 0 0 BRUCE J MCKENNEY CHAIR 2.00 X X 0 0 0 PATRICIA MODAFFERI DIRECTOR 2.00 X 0 0 0 BARBARA H OST DIRECTOR 2.00 X 0 0 0 JEFFREY S RIEDER DIRECTOR 2.00 X 0 0 0 ILENE WARNER-MARON DIRECTOR 2.00 X 0 0 0 H DRAKE WILLIAMS JR VICE-CHAIR 2.00 X X 0 0 0 1231956 0 122897 12 0 1 0 BERKS RIDGE BUILDER 316 RUTH ROAD HARLEYSVILLE PA 19438 CONSTRUCTION 4283499 UNIDINE CORPORATION PO BOX 102289 ATLANTA GA 30368 DINING SERVICES 993280 VARSITY MARKETING LLC 532 N FRONT STREET WORMLEYBURG PA 17043 MARKETING 916746 WILLIAMS ELECTRIC 418 S STONE RIDGE DRIVE LANSDALE PA 19446 ELECTRICIAN 857757 MOSSREHAB 60 E TOWNSHIP LN ELKINS PARK PA 19057 PHYSICAL, OCCUPATIONAL, SPEECH THERAPY 835583 11 35640 396383 432023 NET RESIDENT SERVICE REVENUE 623000 30940613 30940613 30940613 793154 793154 65826 65826 51084 60181 -9097 -9097 -9097 22052130 20085 22106079 0 -53949 20085 -33864 -33864 6456 35640 7740 -1284 -1284 BENEVOLENT FUNDS 900099 102776 102776 MISCELLANEOUS 900099 3018 3018 CREDIT CARD REBATE 900099 6 6 105800 32293171 30940613 0 920535 102777 102777 700165 700165 10887162 9393205 1493957 214128 193691 20437 1269487 1033596 235891 797620 656194 141426 658654 658654 37609 37609 81116 81116 93300 93300 2369670 1796738 572932 528926 135 528791 3763267 2938613 824654 28768 28768 2184764 2184764 61888 35684 26204 38152 20746 17406 1633674 1633674 8540926 8540926 278932 278932 MEDICAL SUPPLIES 673265 648171 25094 REPAIRS & MAINTENANCE 264784 258884 5900 EMPLOYEE APPRECIATION 208615 73040 135575 BAD DEBT EXPENSE 113354 113354 170148 17829 149752 2567 35701151 29836367 5862217 2567 2676068 5697913 4080885 3120526 2331331 3327643 152162 146173 812166 893289 182878464 85331141 68962448 97547323 47982332 34163696 126997392 144896563 4120002 9098151 44105030 49489798 63847704 68901289 426209 27650062 30372183 139722798 158287630 X -13453789 -14289881 728383 898814 -12725406 -13391067 126997392 144896563 X -3407980 3265067 -522748 X 0 1 X 1 0 X 1302189 236873 655763 315438 432023 2942286 27076986 27623957 28846135 30243784 30940613 144731475 28379175 27860830 29501898 30559222 31372636 147673761 0 0 0 147673761 647422 519458 349142 538435 910064 2964521 647422 519458 349142 538435 910064 2964521 102159 56945 13039 22077 105800 300020 29128756 28437233 29864079 31119734 32388500 150938302 0.97840 0.97930 0.01960 0.01880 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: SALES TAX DISCOUNT - 2017 AMOUNT: $ 189. REBATES CREDITS - 2015 AMOUNT: $ 905. 2018 AMOUNT: $ 3,883. 2019 AMOUNT: $ 6. WORKERS COMPENSATION - 2015 AMOUNT: $ 23,636. INSURANCE CLAIM INCOME - 2015 AMOUNT: $ 9,373. 2016 AMOUNT: $ 47,208. 2017 AMOUNT: $ 11,547. 2018 AMOUNT: $ 18,117. BENEVOLENT CARE - 2019 AMOUNT: $ 102,776. US FOOD SETTLEMENT - 2015 AMOUNT: $ 20,899. MISCELLANEOUS - 2015 AMOUNT: $ 47,346. 2018 AMOUNT: $ 77. 2019 AMOUNT: $ 3,018. CITIZENS BANK SHARE CARD - 2016 AMOUNT: $ 4,088. NATIONAL EQUIPMENT REBATE - 2016 AMOUNT: $ 1,250. 2017 AMOUNT: $ 803. MATRIX REFUND - 2016 AMOUNT: $ 4,399. TILE REPAIR - 2017 AMOUNT: $ 500. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2966001 2966001 143535239 73451338 70083901 6353632 2157021 4196611 30023592 9722782 20300810 97547323 REFUNDABLE DEPOSITS 2762550 REFUNDABLE ENTRY FEES 26675078 FAIR VALUE OF DERIVATIVE FINANCIAL INSTRUMENTS 934555 30372183 34986844 3265067 -639315 2625752 32361092 -67921 -67921 32293171 35652505 54131 54131 35598374 102777 102777 35701151 PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN FAIR VALUE OF DERIVATIVE FINANCIAL INSTRUMENTS -536,538. BENEVOLENT CARE AND MONTHLY FEE SUBSIDY FOR RESIDENTS -102,777. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -60,181. FUNDRAISING EXPENSES -7,740. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 60,181. FUNDRAISING EXPENSES 7,740. CHANGE IN VALUE OF ANNUITIES -13,790. PART XII, LINE 4B - OTHER ADJUSTMENTS: BENEVOLENT CARE AND MONTHLY FEE SUBSIDY FOR RESIDENTS 102,777. ART SHOW 42096 35640 6456 1600 6140 42096 35640 6456 1600 6140 7740 -1284 1 BENEVOLENT CARE AND MONTHY FEE SUBSIDIES 5 102777 PART I, LINE 2: RECERTIFICATION OF BENEVOLENT CARE IS PERFORMED AT LEAST ANNUALLY. SUBSIDY FOR BENEVOLENT CARE OR SUBSIDY TO MONTHLY FEE IS CREDITED DIRECTLY TO THE MONTHLY INVOICE. X X X X 0 0 0 0 0 0 0 1 0 PAUL NORDEMAN PRESIDENT/CEO 318942 0 60000 0 0 0 16800 0 19660 0 415402 0 0 0 STEVEN WISNIEWSKI VP OF FINANCE/CFO 190856 0 10000 0 0 0 6968 0 6939 0 214763 0 0 0 MARLON BACK VP OF MAINTENANCE 138511 0 10000 0 0 0 4474 0 22566 0 175551 0 0 0 BARBARA BEATRICE VP OF HUMAN RESOURCES 138511 0 10000 0 0 0 10133 0 6703 0 165347 0 0 0 PART I, LINE 7 PAYMENT OF BONUSES IN ANY GIVEN YEAR IS CONTINGENT UPON SATISFACTORY FINANCIAL PERFORMANCE, AS DETERMINED BY THE BOARD OF DIRECTORS. FOR EXTRAORDINARY MANAGEMENT PERFORMANCE AS MEASURED BY FINANCIAL OR QUALITATIVE RESULTS, THE BOARD MAY AUTHORIZE AT THE END OF ANY GIVEN YEAR AN ADDITIONAL AMOUNT TO SUPPLEMENT THE BUDGETED BONUS POOL FOR THE YEAR. IF FINANCIAL PERFORMANCE IS LESS THAN BUDGET, THE BOARD MAY AUTHORIZE A PARTIAL PAYMENT OF THE BUDGETED BONUS AMOUNT BASED UPON PARTIAL ATTAINMENT OF OVERALL FINANCIAL AND QUALITATIVE GOALS. ACCRUED BONUSES WERE PAID TO THE MANAGEMENT TEAM IN 2019 THAT WERE BASED ON EACH MANAGER'S PERFORMANCE. PAUL NORDEMAN, THE PRESIDENT/CEO, DETERMINED AND APPROVED THE BONUSES FOR THE MANAGEMENT TEAM AND HIS OWN BONUS WAS DETERMINED AND APPROVED BY THE BOARD. THE PROCESS IS DOCUMENTED BY A BOARD APPROVED POLICY AND THE PAYOUTS ARE DOCUMENTED IN INDIVIDUAL MEMOS. A MONTGOMERY COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY 232245725 613609F92 2018-11-08 87230000 CURRENTLY REFUND PRIOR ISSUED BONDS, CAPITAL IMPROVEMENTS 0 0 0 A 19632061 90448219 4052500 1429261 1350276 54018691 29597591 2021 1 0 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 1 0 0 0 1 A 1 SCHEDULE K, PART II, LINE 3: THE GROSS PROCEEDS DIFFER FROM THE STATED BOND VALUES DUE TO BOND PREMIUM INCLUDED AT ISSUANCE. FORM 990, PART VI, SECTION A, LINE 3 FLICK SENIOR DINING RUNS THE DINING AT MEADOWOOD. GENESIS RUNS THE THERAPY PROVIDED AT MEADOWOOD. FORM 990, PART VI, SECTION B, LINE 11B THE CFO AND CONTROLLER COORDINATED OBTAINING RESPONSES TO QUESTIONS ON THE FORM 990 AND QUERIED THE APPROPRIATE PARTIES. THE DRAFT WAS REVIEWED BY THE CFO. THE FINAL VERSION WAS REVIEWED WITH THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS AND SUMMARIZED TO THE FULL BOARD, WHO ALSO RECEIVED A FULL COPY OF THE FINAL VERSION BEFORE THE RETURN IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ACCORDING TO OUR CONFLICT OF INTEREST POLICY, EVERY TRUSTEE AND SENIOR STAFF MEMBER (STRATEGIC TEAM) WILL COMPLETE AN "ANNUAL CONFLICT OF INTEREST AND DISCLOSURE OF RELATED ACTIVITIES STATEMENT." THE PURPOSE OF THE STATEMENT IS TO DISCLOSE ANY INTEREST THAT MAY CREATE A CONFLICT OF INTEREST IN LIGHT OF THE RELATIONSHIP WITH MEADOWOOD. THE EXECUTIVE ASSISTANT TO THE CEO REVIEWS ALL SIGNED CONFLICT OF INTEREST FORMS. IF ANY INTEREST IS DISCLOSED ON THE STATEMENTS AND IS DEEMED TO BE A CONCERN BY STAFF OR BOARD MEMBERS, THE BOARD WILL REVIEW THE POTENTIAL CONFLICT AND RECOMMEND ACTION TO MITIGATE THE CONFLICT OR END THE RELATIONSHIP THAT HAS CAUSED THE CONFLICT. FAMILY AND BUSINESS RELATIONSHIPS ARE MENTIONED AS SOURCES OF CONFLICT IN THE POLICY STATEMENT. FORM 990, PART VI, SECTION B, LINE 15 AT YEAR-END, THE PRESIDENT/CEO SUBMITS HIS ASSESSMENT OF HIS ACHIEVEMENT OF HIS GOALS AND ANY OTHER PERTINENT INFORMATION REGARDING HIS RESPONSIBILITIES FOR THE PREVIOUS YEAR TO THE EXECUTIVE COMMITTEE (EC). THE VP OF HUMAN RESOURCES (HR) SUBMITS CURRENT COMPARATIVE WAGE INFORMATION REGARDING OTHER CEOS TO THE EC. THE EC REVIEWS THE CEO'S ASSESSMENT, HR DATA AND, AS NECESSARY, SOLICITS OTHER INFORMATION OR COMMENTS FROM THE STAFF. THE EC MAKES A RECOMMENDATION TO THE BOARD CONCERNING THE CEO'S REVIEW AND THE FOLLOWING YEAR'S COMPENSATION. THE BOARD MEETS IN EXECUTIVE SESSION, REVIEWS THE ENTIRE PROCESS, MAKES A FINAL EVALUATION AND DETERMINES THE NEXT YEAR'S COMPENSATION. THIS PROCESS AND EXECUTIVE SESSION ARE DOCUMENTED IN MEETING MINUTES. THE BOARD CHAIR DELIVERS THE BOARD'S DECISION TO THE CEO. MARKET RATE COMPARISONS ARE ALSO OBTAINED FOR ALL KEY STAFF POSITIONS AND COMMUNICATED TO THE CEO AS PART OF THE ANNUAL REVIEW PROCESS, WHICH ALSO INCLUDES A SELF-EVALUATION, EVALUATION BY THE CEO, AND GOAL SETTING. THE VP OF HUMAN RESOURCES ENSURES THAT THE PROPER RATES ARE PAID. DOCUMENTATION IS IN THE FORM OF A WRITTEN REVIEW. THIS REVIEW WAS LAST DONE IN JANUARY 2019 FOR ALL RELEVANT STAFF. FORM 990, PART VI, SECTION C, LINE 19 AN ANNUAL DISCLOSURE STATEMENT INCLUDES THE AUDITED FINANCIAL STATEMENTS AND IS PROVIDED TO ALL PROSPECTIVE RESIDENTS. IT IS ALSO AVAILABLE UPON REQUEST. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST AND IN THE COMMUNITY'S LIBRARY. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF DERIVATIVE FINANCIAL INSTRUMENTS -536,538. CHANGE IN VALUE OF ANNUITIES 13,790. MEADOWOOD LIFE PLAN AT HOME LLC 3205 SKIPPACK PIKE WORCESTER PA 194900670 812582891 PROVIDES HOME CARE SERVICES TO ITS MEMBERS PA 55320 306737 MEADOWOOD CORPORATION