2019-07-17T14:31:26-05:00 2018-09-30 593070669 MOORE STEPHENS LOVELACE PA 255 SOUTH ORANGE AVENUE SUITE 600 ORLANDO FL 32801 990 2017-10-01 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 2019-07-17 1 NORMAN B NEAL CPA P00071411 7275314477 68.95.178.125 2019-07-17 15:28:50 ED P AA06F16595B971911646E1ABD4EF9FD1205D715B AA06F16595B971911646E1ABD4EF9FD1205D715B 2017 2019-02-21 02:37:17Z WATERMAN VILLAGE OF MT DORA ANDREW DUJON 250 BROOKFIELD AVENUE MOUNT DORA FL 32757 32557183 0 X WWW.WATERMANVILLAGE.COM X 1987 FL TO PROVIDE HOUSING, HEALTHCARE AND OTHER SERVICES TO THE ELDERLY. 7 7 613 10 0 0 189634 238503 29634852 31646671 -117800 -47514 709048 633482 30415734 32471142 0 0 0 0 15924377 17008460 0 0 0 13963366 16068217 29887743 33076677 527991 -605535 32864186 34849591 40795225 42958626 -7931039 -8109035 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. 0 0 13951158 15210568 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. 11398324 12427282 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. 3676897 4008821 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. 581031 633482 GENERAL REVENUE AND EXPENSES 581031 633482 29607410 1 0 0 0 0 0 0 0 1 0 1 0 0 1 1 0 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 1 613 1 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 0.00 X X 0 0 0 JOHN J COFFEY VICE CHAIRMAN 2.00 0.00 X X 0 0 0 KIM Y STEWART TREASURER 2.00 0.00 X X 0 0 0 THOMAS POPIESKI SECRETARY 2.00 0.00 X X 0 0 0 RICHARD A LEIGH DIRECTOR 2.00 0.00 X 0 0 0 GUSTAV SCHEUNEMAN DIRECTOR 2.00 0.00 X 0 0 0 GARY SKILTON DIRECTOR 2.00 0.00 X 0 0 0 DAVID BURLINGAME RESIDENT LIAISON 2.00 0.00 X 0 0 0 ANDREW DUJON PRESIDENT/CHIEF EXECUTIVE OFFICER 39.00 1.00 X 248471 0 7783 HEARDLEY MURDOCK CONTROLLER 40.00 0.00 X 126095 0 6886 SANDRA VAN SYCKEL RISK MANAGER 40.00 0.00 X 113036 0 31 THERESE KIRLEW ADMINISTRATOR 40.00 0.00 X 110212 0 31 TITO ARDINES MANAGING DIRECTOR, HUMAN R 40.00 0.00 X 100673 0 6697 WIL FRIEDRICH PHYSICAL THERAPIST 40.00 0.00 X 102453 0 31 800940 0 21459 7 0 1 0 SODEXHO INC & AFFILIATES PO BOX 905374 CHARLOTTE NC 28290 DINING, MAING. & MGMT. 2744147 RICK TANNER BUILDERS INC 21502 PARADISE WAY EUSTIS FL 32736 CONSTRUCTION 1530546 PROFESSIONAL DIRT SERVICES INC 10 W LAKEVIEW AVENUE EUSTIS FL 32726 CONSTRUCTION 330470 GREYSTONE CD FLORIDA LLC 225 E JOHN FREEWAY SUITE 700 IRVING TX 75062 CONSULTING 271731 CORBAN CONSTRUCTION PO BOX 1347 EUSTIS FL 32727 CONSTRUCTION 245775 6 238503 237953 238503 PATIENT SERVICE REVENUE 623990 15210568 15210568 RESIDENT SERVICE REVENUE 623000 12698518 12698518 HOME HEALTH REVENUE 623000 3169995 3169995 EARNED ENTRANCE FEES 623000 567590 567590 31646671 38527 38527 86041 -86041 -86041 -86041 OTHER REVENUE 623000 633482 633482 633482 32471142 32280153 0 -47514 572169 572169 14908970 13512664 1396306 99947 99947 314057 257050 57007 1113317 973673 139644 921593 921593 137686 137686 48000 48000 604495 321701 282794 120669 9773 110896 914951 712884 202067 1042389 775983 266406 90081 42192 47889 800864 800864 3119202 3119202 3286967 3286967 FOOD AND DIETARY USAGE 1711431 1649745 61686 PHARMACY USAGE 664224 662939 1285 BAD DEBT 652997 652997 REPAIRS AND MAINTAINANC 512026 504585 7441 1440642 1402598 38044 33076677 29607410 3469267 0 2604238 3175424 0 29615 2433604 2765675 15672 0 0 83017 0 470468 72095889 46282824 25130942 25813065 407243 417427 2272487 2094900 32864186 34849591 3003212 3265869 2727786 3170262 22006191 21542681 13058036 14979814 40795225 42958626 X -7931039 -8109035 -7931039 -8109035 32864186 34849591 X -605535 -7424 434963 X X 0 1 X 1 0 X 160458 110587 118016 189634 238503 817198 25833426 27622698 28288552 29634852 31646671 143026199 25993884 27733285 28406568 29824486 31885174 143843397 0 0 0 143843397 95487 92579 49869 38527 276462 95487 92579 49869 38527 276462 625181 653165 705092 709048 633482 3325968 26714552 28479029 29161529 30533534 32557183 147445827 0.97560 0.97410 0.00190 0.00250 X 1 4421 509 3912 0 3711303 3711303 43641497 30254831 13386666 16314245 10767137 5547108 8428844 5260856 3167988 25813065 LONG-TERM DEPOSITS 93960 TRADEMARK-PURA VIDA 3394 ASSETS LIMITED IN USE 1164976 BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION 92318 RENT DEPOSIT 96189 FAIR VALUE OF INTEREST RATE SWAP 644063 2094900 OTHER LIABILITIES 643528 DEPOSITS 14336286 14979814 32898681 -7424 434963 427539 32471142 0 32471142 33076677 0 33076677 0 33076677 PART IV, LINE 1B: THE ORGANIZATION PROVIDES A CASH MANAGEMENT SERVICE TO ITS RESIDENTS. THESE FUNDS REMAIN THE SOLE PROPERTY OF EACH RESIDENT, TO BE DISBURSED ONLY AS REQUESTED. THE ORGANIZATION HAS A FIDUCIARY DUTY OF ACCOUNTABILITY FOR THESE FUNDS. AT SEPTEMBER 30, 2018 AND 2017, THESE FUND BALANCES WERE APPROXIMATELY $3,900 AND $4,400, RESPECTIVELY. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF WATERMAN VILLAGE FOUNDATION -17,208. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 452,171. X X 0 1 0 0 0 1 0 0 0 ANDREW DUJON PRESIDENT/CHIEF EXECUTIVE OFFICER 248471 0 0 0 0 0 0 0 7783 0 256254 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 2873500 1152401 9266859 459677 4748843 7374621 2016 1 0 1 1 A 0 0 0 0 0 0 0 A 0 1 0 0 0 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 AND2004 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. 104448 INSURANCE 0 X LEASEHOLD IMPROVEMENT CONTRIBUTIONS 37 237953 COST 0 0 0 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 INTEREST IN NET ASSETS OF WATERMAN VILLAGE FOUNDATION -17,208. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 452,171. 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