2019-07-10T11:21:36-05:00 2018-12-31 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 221 W PHILADELPHIA STREET SUITE 200 YORK PA 17401 990 2018-01-01 210455847 FRIENDS HOME AT WOODSTOWN INC FRIE 8567691500 ONE FRIENDS DRIVE WOODSTOWN NJ 08098 CRAIG PETRY CEO 8567691500 2019-07-08 1 KERRI N BOGDA P00760402 7178467000 96.89.178.186 2019-07-08 13:52:30 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 F58787FA80410BAE38B710EAF9FCC5760AD3BCDF 2018 2019-02-21 02:37:17Z FRIENDS VILLAGE AT WOODSTOWN CRAIG PETRY ONE FRIENDS DRIVE WOODSTOWN NJ 08098 16784844 0 X WWW.FRIENDSVILLAGE.ORG X 1896 NJ FULL SERVICE CONTINUING CARE RETIREMENT COMMUNITY 14 14 331 70 0 0 128855 38662 13409297 13996267 455650 401514 80131 75922 14073933 14512365 0 0 0 0 8496979 9100690 0 0 0 6092246 6427776 14589225 15528466 -515292 -1016101 30622811 29137934 29111703 29116181 1511108 21753 THE MISSION OF FRIENDS VILLAGE IS TO PROVIDE COMPREHENSIVE SERVICES FOR SENIORS BASED ON THE QUAKER PRINCIPLES THAT PROMOTE INDEPENDENCE WITH CHOICE, RESPECT, AND SECURITY. 0 0 13246103 0 13996267 FRIENDS VILLAGE AT WOODSTOWN OPERATES A CONTINUING CARE RETIREMENT COMMUNITY WHICH CURRENTLY PROVIDES HOUSING, HEALTHCARE AND OTHER RELATED SERVICES TO ELDERLY RESIDENTS THROUGH THE OPERATION OF A 60 BED NURSING FACILITY, A 61 BED ASSISTED LIVING FACILITY, AND 75 INDEPENDENT LIVING APARTMENTS AND COTTAGES. FRIENDS VILLAGE AT WOODSTOWN PROVIDES CHARITY CARE TO RESIDENTS WHO MEET CERTAIN CRITERIA WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. FRIENDS VILLAGE AT WOODSTOWN ALSO ALLOWS LOCAL ORGANIZATIONS/GROUPS TO MEET ON CAMPUS AT NO CHARGE. THESE GROUPS HAVE INCLUDED THE ALZHEIMER'S SUPPORT GROUP, HABITAT FOR HUMANITY, ROTARY CLUB, THE AMERICAN RED CROSS, AND LOCAL CHURCH GROUPS. WE ARE COMMITTED TO PARTNERING WITH OUR LOCAL COMMUNITY AND HAVING A POSITIVE IMPACT THROUGH COLLABORATION AND ACTIVE PARTICIPATION. 13246103 1 1 0 1 0 0 0 0 1 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 161 0 331 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 14 14 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NJ X VERNE FREEMAN CFO 8567691500 ONE FRIENDS DRIVE WOODSTOWN NJ 08093 RICHARD WARNER MEMBER 3.00 1.00 X 0 0 0 STEPHEN WADDINGTON MEMBER 3.00 1.00 X 0 0 0 GRACE THOMPSON MEMBER 3.00 1.00 X 0 0 0 GLENN SHIRLEY RESIDENT MEMBER 3.00 1.00 X 0 0 0 SANDY RIDGWAY ASSISTANT CLERK 3.00 1.00 X X 0 0 0 BRIAN JONES MEMBER 3.00 1.00 X 0 0 0 RUSSELL BASSETT JR MEMBER 3.00 1.00 X 0 0 0 JOAN AYARS TREASURER 3.00 1.00 X X 0 0 0 RICHARD RIDGWAY SECRETARY 3.00 1.00 X X 0 0 0 MAURICE AYERS MEMBER 3.00 1.00 X 0 0 0 SUZANNE CULVER CLERK 4.00 1.00 X X 0 0 0 JOHN BOND MEMBER 3.00 1.00 X 0 0 0 PENELOPE WATSON MEMBER 3.00 1.00 X 0 0 0 CARLTON GARDINER RESIDENT MEMBER 3.00 1.00 X 0 0 0 VERNE FREEMAN CFO (BEGAN JULY '18)) 40.00 X 59717 0 1582 MICHAEL P HENEGHAN CFO/CEO (RESIGNED OCT. '18) 40.00 X 130623 0 310 CRAIG PETRY DIR. HR, CEO (AS OF JAN. '19) 40.00 X 115834 0 9773 KHARA BROOKS OCCUPATIONAL THERAPIST 40.00 X 108876 0 1306 LEEANNE MCCAULEY DIRECTOR OF NURSING 40.00 X 112170 0 448 527220 0 13419 4 0 0 0 FLIK LIFESTYLES PO BOX 102289 ATLANTA GA 30368 CONTRACTED FOOD SVC 456360 INFORMATION GENERATION PO BOX 397 RICHWOOD NJ 08074 INFORMATION TECH SVC. 139957 2 12337 26325 38662 NURSING CARE 623000 7140652 7140652 ASSISTED LIVING 623000 4513125 4513125 INDEPENDENT LIVING 623000 2038161 2038161 AMORTIZATION OF ENTR. FEES 623000 304329 304329 13996267 240042 240042 23050 5315 17735 17735 17735 2402077 2240605 161472 161472 161472 40906 12337 7520 33386 33386 20396 19039 1357 1357 LAUNDRY REVENUE 623000 9493 9493 TELEPHONE REVENUE 623000 7443 7443 BEAUTY & BARBER REVENUE 623000 6508 6508 23444 14512365 13996267 0 477436 317838 317838 6923730 6266204 657526 25099 22998 2101 1128722 772851 355871 705301 610749 94552 48160 48160 63624 63624 617 617 10164 10164 1098555 728718 369837 117099 117099 248624 171278 77346 67229 21673 45556 1253045 1253045 41578 22532 19046 25670 16011 9659 646030 646030 1099625 1099625 174392 174392 FOOD 593060 593060 MEDICAL SUPPLIES 573330 573330 BAD DEBT 250000 250000 DUES, FEES, & LICENSES 62997 7673 55324 53977 15934 38043 15528466 13246103 2282363 0 33600 136148 3359205 2866010 1385476 1198157 15045 22445 142075 99877 33092961 15664347 17914592 17428614 7640036 7247878 132782 138805 30622811 29137934 911348 925631 13485821 14085742 14335944 13876322 79799 118638 298791 109848 29111703 29116181 X 1470108 6753 41000 15000 1511108 21753 30622811 29137934 X -1016101 -658045 184791 X 0 1 X 1 0 X 113481 166022 290288 128855 26325 724971 12500601 12672875 13109587 13409297 13996267 65688627 12614082 12838897 13399875 13538152 14022592 66413598 0 0 0 66413598 223428 234151 251764 206403 263092 1178838 223428 234151 251764 206403 263092 1178838 50072 80541 97083 227696 12837510 13073048 13701711 13825096 14382767 67820132 0.97930 0.98220 0.01740 0.01580 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: BEAUTY BARBER REVENUE - 2016 AMOUNT: $ 3,504. 2017 AMOUNT: $ 3,489. 2018 AMOUNT: $ 6,508. TELEPHONE REVENUE - 2016 AMOUNT: $ 9,566. 2017 AMOUNT: $ 9,558. 2018 AMOUNT: $ 7,443. LAUNDRY REVENUE - 2016 AMOUNT: $ 12,992. 2017 AMOUNT: $ 10,275. 2018 AMOUNT: $ 9,493. GIFT SHOP SALES - 2016 AMOUNT: $ 12,556. 2017 AMOUNT: $ 14,817. 2018 AMOUNT: $ 20,396. NONCHARITABLE FUNDRAISING RECEIPTS - 2016 AMOUNT: $ 11,454. 2017 AMOUNT: $ 42,402. 2018 AMOUNT: $ 53,243. 0 0 0 0 0 0 0 0 1 617 617 0 PART II-B, LINE 1: FRIENDS HOME AT WOODSTOWN, INC. PAYS DUES TO LEADINGAGE NEW JERSEY WHICH ADVOCATES FOR NURSING HOMES AND OTHER CARE FACILITIES FOR THE AGED. SMALL PORTIONS OF THE DUES TO LEADINGAGE NEW JERSEY ARE USED FOR LOBBYING EXPENSES. 0 1 X 525752 525752 525752 525752 511799 35772 21819 525752 539266 -27467 511799 522099 17167 539266 1.00000 0.00000 0.00000 1 0 528638 528638 26493771 15296351 11197420 6068552 367996 5700556 2000 2000 17428614 RESIDENT DEPOSITS 109848 109848 14053301 -658045 174627 -483418 14536719 -24354 -24354 14512365 15542656 24354 24354 15518302 10164 10164 15528466 PART IV, LINE 2B: SELECT PATIENTS HAVE FUNDS THAT GO INTO THE ACCOUNT EACH MONTH. FUNDS ARE USED TO PAY THEIR BILLS AND AT LEAST SOME RECEIVE $50/MONTH FROM THE FUNDS. PART V, LINE 4: DURING THE 2016 AUDIT DOCUMENTS RELATED TO THE ENDOWMENT WERE REVIEWED RESULTING IN A RECLASSIFICATION OF NET ASSETS FROM PERMANENTLY RESTRICTED TO AN UNRESTRICTED QUASI ENDOWMENT FUND AS THE FUNDS ARE BOARD DESIGNATED. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN SWAP VALUE 184,791. INVESTMENT FEES -10,164. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -5,315. GIFT SHOP EXPENSES -19,039. PART XII, LINE 2D - OTHER ADJUSTMENTS: GIFT SHOP EXPENSES 5,315. RENTAL EXPENSES 19,039. PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT FEES 10,164. GOLF OUTING 53243 12337 40906 3450 1902 2168 53243 12337 40906 3450 1902 2168 7520 33386 A NEW JERSEY ECONOMIC DEVELOPMENT AUTHORITY 222045817 NONEAVAIL 2009-12-23 17500000 REFUND OUTSTANDING 2004 BONDS, PAY PORTION ADJACENT PROPERTY'S ACQUIS. COSTS 0 0 0 A 3514493 17500000 21567 273015 17500000 2009 0 0 1 1 A 0 0 1 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 1 0 1 1 BRANCH BANKING & TRUST 7.000000000000 0 0 0 0 0 A 0 SCHEDULE K, POST BOND-ISSUANCE PROCEDURES THE ORGANIZATION RECOGNIZES THE NECESSITY TO CAREFULLY MONITOR ITS BOND PROCEEDS AND TAKES EXTREME CARE IN ENSURING THAT THE PROCEEDS MEET ALL SAFE HARBOR REQUIREMENTS. THE ORGANIZATION ALSO MONITORS FOR ARBITRAGE AND UNDERSTANDS THE IMPLICATIONS OF AND NECESSITY FOR REPORTING ANY ARBITRAGE TRANSACTIONS. THE ORGANIZATION HAS NOT, HOWEVER, DOCUMENTED ITS PROCEDURES IN WRITTEN FORM. FORM 990, PART VI, SECTION A, LINE 2 SANDY RIDGWAY AND RICHARD RIDGWAY HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11B SENIOR MANAGEMENT REVIEWS FORM 990 INTERNALLY, WHICH IS THEN DISTRIBUTED AND REVIEWED BY ALL BOARD MEMBERS AT A MONTHLY MEETING PRIOR TO FILING THE RETURN WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE ANNUALLY. THE DISCLOSURES ARE REVIEWED ANNUALLY BY THE BOARD AND AS NEW CONFLICTS ARISE. SHOULD THERE BE A CONFLICT OR AN APPEARANCE OF A CONFLICT, THE FOLLOWING PROCESS APPLIES: 1. ANY POSSIBLE CONFLICT OF INTEREST WITH THE INTERESTS OF FRIENDS HOME AT WOODSTOWN, DBA/ FRIENDS VILLAGE AT WOODSTOWN ON THE PART OF ANY BOARD MEMBER SHALL BE DISCLOSED TO THE OTHER MEMBERS OF THE BOARD AND MADE A MATTER OF RECORD, EITHER THROUGH AN ANNUAL PROCEDURE OR WHEN THE INTEREST BECOMES A MATERIAL ONE IN RELATION TO A MATTER BEFORE THE BOARD. 2. ANY BOARD MEMBER HAVING A POSSIBLE CONFLICT OF INTEREST ON A MATTER BEFORE THE BOARD SHALL DISCLOSE THE CONFLICT AND NOT PARTICIPATE IN THE DECISION-MAKING PROCESS OR USE HER/HIS PERSONAL INFLUENCE ON THE MATTER. SHE OR HE SHALL NOT BE COUNTED IN DETERMINING THE QUORUM FOR THE MEETING, EVEN WHERE PERMITTED BY LAW. THE MINUTES OF THE MEETING SHALL REFLECT THE DISCLOSURE, THE ABSTENTION FROM THE DECISION-MAKING PROCESS, AND THE QUORUM SITUATION. 3. THE FORGOING REQUIREMENTS SHALL NOT BE CONSTRUED AS PREVENTING THE BOARD MEMBER FROM BRIEFLY STATING HIS/HER POSITION ON THE MATTER OR FROM ANSWERING PERTINENT QUESTIONS FROM OTHER BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF THE CEO, OFFICERS, AND KEY EMPLOYEES ARE DETERMINED BY AN INDEPENDENT COMMITTEE OF THE BOARD WHICH BASES ITS DECISIONS ON OTHER 990'S AND A FAIR MARKET COMPENSATION STUDY. THE PROCESS SEEKS TO ENSURE THAT ALL COMPENSATION STAYS WITHIN FAIR MARKET VALUE FOR THE INDUSTRY. COMPENSATION IS THEN APPROVED BY THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION WILL PROVIDE UPON IN-PERSON, VERBAL, OR WRITTEN REQUEST DOCUMENTS RELATING TO THE GOVERNANCE, CONFLICTS OF INTEREST AND FINANCIAL STATEMENTS, ALL OF WHICH ARE AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9: CHANGE IN SWAP VALUE 184,791. WOODS COURT INC ONE FRIENDS DRIVE WOODSTOWN NJ 08098 222368168 INDEPENDENT LIVING HOUSING NJ 501(C)(3) LINE 12B, II FRIENDS HOME AT WOODSTOWN 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 WOODS COURT INC D 138805 COST