2018-11-14T14:46:07-06:00 2017-12-31 521158459 HERTZBACH & COMPANY PA 800 RED BROOK BLVD SUITE 300 OWINGS MILLS MD 21117 990 2017-01-01 530246852 THE ARMY DISTAFF FOUNDATION INC ARMY 2025410400 6200 OREGON AVE NW WASHINGTON DC 200151543 ENRICO SANTOS CFO 2025410400 2018-11-14 1 MARK STEINBERG P01345125 4103633200 107.1.94.226 2018-11-14 14:39:12 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 1596FC39E154E976B04D2BC65280B69DCC0C369A 2017 2019-02-21 02:37:17Z KNOLLWOOD MILITARY RETIREMENT COMMUNITY ENRICO SANTOS 6200 OREGON AVE NW WASHINGTON DC 200151543 34114841 0 X WWW.ARMYDISTAFF.ORG X 1959 DC THE FOUNDATION OPERATES A CONTINUING CARE RETIREMENT COMMUNITY FOR ELDERLY RETIRED MILITARY OFFICERS AND THEIR CLOSE RELATIVES. 13 12 240 43 0 0 497521 487060 21183833 21186579 -468812 452954 317269 122536 21529811 22249129 0 0 0 0 10380649 10700052 0 0 251699 13780948 14130347 24161597 24830399 -2631786 -2581270 50810641 48431935 47860813 47077486 2949828 1354449 X THE FOUNDATION OPERATES A CONTINUING CARE RETIREMENT COMMUNITY. THE FOUNDATION PROVIDES THREE LEVELS OF HOUSING FACILITIES AND SERVICES SPECIFICALLY DESIGNED TO MEET THE PHYSICAL, SOCIAL, AND PSYCHOLOGICAL NEEDS OF ELDERLY RETIRED CAREER MILITARY OFFICERS AND THEIR CLOSE RELATIVES. THE FOUNDATION PROVIDES INDEPENDENT LIVING FOR THOSE WHO ARE CAPABLE OF CARING FOR THEMSELVES, ASSISTED LIVING FOR THOSE WHO ARE NOT FULLY CAPABLE OF PROVIDING FOR THEMSELVES, AND HEALTH SERVICES FOR THOSE REQUIRING IMMEDIATE AND CONTINUING CARE. 0 0 9966698 10200156 PROVIDES INDEPENDENT LIVING FACILITIES FOR ELDERLY RETIRED MILITARY OFFICERS AND THEIR CLOSE RELATIVES. 9239035 7632046 PROVIDES A LICENSED 73 BED LONG TERM CARE CENTER, WHICH IS MEDICARE AND MEDICAID CERTIFIED. 3298598 3354377 PROVIDES 45 ASSISTED LIVING APARTMENTS FOR ELDERLY MILITARY OFFICERS AND CLOSE RELATIVES. 153901 CELL PHONE TOWER FEES AND OTHER MISC REVENUE 153901 22504331 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 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 88 0 1 240 1 0 0 0 0 0 0 0 0 0 0 X 13 12 1 0 0 0 1 1 0 1 1 0 0 0 1 1 1 1 1 1 1 0 DC X ENRICO SANTOS CFO THE ARMY DISTAFF FOUNDATION 2025410101 6200 OREGON AVE NW WASHINGTON DC 20015 JOHN M KEANE USA RET CHAIRMAN 0.50 X X 0 0 0 WILLIAM ROBERTI USA RET VICE CHAIRMAN, FINANCE 0.50 X X 0 0 0 TIMOTHY MCHALE PRESIDENT AND CEO 40.00 X X 216346 0 11250 ENRICO SANTOS CFO & TREASURER 40.00 X X 202124 0 11501 STEWART J BROWN USAR RET BOARD MEMBER 0.50 X 0 0 0 JOSEPH DEFRANCISCO USA RET BOARD MEMBER 0.50 X 0 0 0 THOMAS FITZPATRICK BOARD MEMBER 0.50 X 0 0 0 JOHN KELLY USA RET BOARD MEMBER 0.50 X 0 0 0 SUSAN L MORRISON BOARD MEMBER 0.50 X 0 0 0 BONNIE KENNY BOARD MEMBER 0.50 X 0 0 0 AMY ROBERTI BOARD MEMBER 0.50 X 0 0 0 PAUL BRICKER COO 40.00 X 103846 0 0 BARBARA D'AGOSTINO FORMER COO 40.00 X 83317 0 4088 ARLETTE KESSENG A MBASSA DIRECTOR OF NURSING 40.00 X 136820 0 13341 MARGO BUDA CLINIC DIRECTOR 40.00 X 108608 0 12215 FRANCES LAROCHE RN 40.00 X 107060 0 11475 CHERYL LUCAS ASSISTANT DIRECTOR OF NURS 40.00 X 107165 0 12179 GORDY SCHNABEL SECRETARY 0.50 X X 0 0 0 ERIN WHEELER ADMINSTRATOR 40.00 X 128000 0 13098 KATHLEEN MARTIN BOARD MEMBER 0.50 X 0 0 0 ROBERT ROYER BOARD MEMBER 0.50 X 0 0 0 PATRICIA HOROHO BOARD MEMBER 0.50 X 0 0 0 1193286 0 89147 8 1 1 0 SODEXO INC 1669 PHOENIX PARKWAY STE 210 COLLEGE PARK GA 30349 FOOD SERVICE 3331107 JJ RESIDENTIAL CONTRACTING 824 CRITTENDEN STREET NE WASHINGTON DC 20017 CONSTRUCTION 1091495 GENESIS ELDERCARE REHABILITATION SERVICE 2015 EAST WEST HIGHWAY SILVER SPRING MD 20910 REHABILITATION SERVICES 395848 CALVERT CONTROLS INC 2055 SOLOMANS ISLAND ROAD HUNTINGTOWN MD 20639 MAINTENANCE 287904 OSIBEYOND LLC 4833 RUGBY AVE SUITE 400 BETHESDA MD 20814 IT SERVICES 190974 10 302480 184580 487060 INDEPENDENT LIVING 531110 8252148 8252148 HEALTH SERVICES 623000 7632046 7632046 ASSISTED LIVING 623000 2973092 2973092 ADMISSION FEES 531110 2329293 2329293 21186579 242614 242614 12036437 11826097 210340 210340 210340 8250 302480 39615 -31365 -31365 CELLPHONE TOWER RENTAL 531390 148146 148146 5755 5755 153901 22249129 21340480 0 421589 1193286 459653 733633 7589615 7094821 368045 126749 414505 375954 38551 816305 756072 59748 485 686341 598394 78091 9856 110324 110324 35375 35375 93445 93445 194576 188458 6118 947332 947332 990062 923565 66497 3588227 3568991 19236 525862 525862 CONTRACT SERVICES 4358223 4034024 273024 51175 REPAIRS AND MAINTENANCE 933090 873895 41532 17663 SUPPLIES 880575 864079 15080 1416 NURSING PROVIDER TAX 432092 432092 0 0 1041164 861139 135670 44355 24830399 22504331 2074369 251699 1468336 1862831 1672153 1448933 486351 196078 1795090 1485140 30321 42366 88309808 56580813 33501008 31728995 11437758 11604059 419624 63533 50810641 48431935 1406306 1721873 6129529 6593615 18530002 17709861 2670000 2220634 19124976 18831503 47860813 47077486 X 2320409 1020003 629419 334446 2949828 1354449 50810641 48431935 -2581270 1006788 -20897 0 X 0 1 X 0 0 X 434186 1926386 1375029 497521 443280 4676402 19437300 19157566 19442980 21183833 21186579 100408258 19871486 21083952 20818009 21681354 21629859 105084660 0 0 0 105084660 324100 343450 291687 302923 242614 1504774 324100 343450 291687 302923 242614 1504774 123395 129421 124935 287134 153901 818786 20318981 21556823 21234631 22271411 22026374 107408220 0.97840 0.97470 0.01400 0.01780 X 241866 241866 70463452 45256356 25207096 16519192 10384357 6134835 1085298 940100 145198 31728995 UNEARNED ADMISSION FEES RESIDENTS 773721 ANNUITIES PAYABLE 153470 REFUNDABLE ADMISSION FEES 13555238 UNEARNED ADMISSION FEES OF NONRESIDENTS 456188 DERIVITATVE FINANCIAL INSTRUMENTS 3090526 DINING CONTRACT LIABILITY 802360 18831503 23298282 1006788 39615 1046403 22251879 -2750 -2750 22249129 24893661 63262 63262 24830399 0 24830399 PART XI, LINE 2D - OTHER ADJUSTMENTS: ANNUAL GALA EXPENSE 39,615. PART XI, LINE 4B - OTHER ADJUSTMENTS: TRUSTEE FEE -2,750. PART XII, LINE 2D - OTHER ADJUSTMENTS: ANNUAL GALA EXPENSE 39,615. INVESTMENT EXPENSES 20,897. TRUSTEE FEE 2,750. ANNUAL GALA 310730 302480 8250 39615 310730 302480 8250 39615 39615 -31365 X 1 0 0 0 0 0 0 0 0 TIMOTHY MCHALE PRESIDENT AND CEO 216346 0 0 0 0 0 0 0 11250 0 227596 0 0 0 ENRICO SANTOS CFO & TREASURER 202124 0 0 0 0 0 0 0 11501 0 213625 0 0 0 BARBARA D'AGOSTINO FORMER COO 83317 0 0 0 0 0 0 0 4088 0 87405 0 0 0 ARLETTE KESSENG A MBASSA DIRECTOR OF NURSING 136820 0 0 0 0 0 0 0 13341 0 150161 0 0 0 A DISTRICT OF COLUMBIA 2006-11-15 24655000 REFINANCE EXISTING BOND AND CONSTRUCTION COSTS 0 0 0 A 2586283 24655000 177653 286215 11191132 13000000 2008 1 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 A 0 FORM 990, PART VI, SECTION A, LINE 2 FAMILY RELATIONSHIP FORM 990, PART VI, SECTION A, LINE 6 THE ARMY DISTAFF FOUNDATION HAS MEMBERS THAT CONTRIBUTE DUES. THESE DUES ARE UNRELATED TO THE SERVICES OF THE FACILITY. THESE ARE CONTRIBUTIONS IN THE FURTHERANCE OF THE FACILITY'S MISSION. THESE INDIVIDUALS CAN VOTE FOR THE BOARD OF DIRECTORS, HOWEVER THESE MEMBERS DO NOT APPROVE BOARD DECISIONS. FORM 990, PART VI, SECTION A, LINE 7A THESE MEMBERS DO NOT APPROVE BOARD DECISIONS. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS PREPARED BY OUTSIDE ACCOUNTANTS FROM INDEPENDENTLY AUDITED FINANCIAL STATEMENTS AND REVIEWED BY CFO. THE BOARD MEMBERS ARE AWARE AND HAVE HAD DISCUSSIONS ON ALL FINANCIAL OPERATIONS. A COMPLETE COPY OF THE RETURN WILL BE PROVIDED TO THE AUDIT COMMITTEE. FORM 990, PART VI, SECTION B, LINE 12C DISCUSSED AT MEETINGS FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE AND FINANCE COMMITTEES OF THE BOARD OF DIRECTORS REVIEWS HISTORICAL AND CURRENT MARKET DATA AND CPI AT THE TIME OF DELIBERATION. FORM 990, PART VI, SECTION C, LINE 19 FORMS ARE MADE AVAILABLE UPON REQUEST.