2018-05-09T08:13:25-05:00 2017-12-31 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 191037341 990 2017-01-01 020446675 PETERBOROUGH RETIREMENT COMMUNITY AT UPLAND FARM INC PETE 6039240062 150 RIVERMEAD ROAD PETERBOROUGH NH 03458 MARTIN J CONLEY III CFO 6039240062 2018-05-08 1 JULIUS C GREEN CPA P00350393 2159720701 2017 2022-09-23 18:48:47Z RIVERMEAD WILLIAM H JAMES JR 150 RIVERMEAD ROAD PETERBOROUGH NH 03458 37848638 0 X WWW.RIVERMEAD.ORG X 1991 NH TO PROVIDE EXCELLENT HOUSING AND HEALTH CARE SERVICES TO ITS RESIDENTS. 16 16 373 70 0 0 40637 32009 18274091 18847158 580417 1966902 302006 264361 19197151 21110430 117918 92112 0 0 9584316 9899416 0 0 0 10054691 10240998 19756925 20232526 -559774 877904 76958886 77763145 96906547 97251861 -19947661 -19488716 X RIVERMEAD IS A PROGRESSIVE NOT-FOR-PROFIT CONTINUING CARE RETIREMENT COMMUNITY THAT ADVOCATES FOR AN ENRICHED LIFESTYLE WITH CULTURAL AND EDUCATIONAL OPPORTUNITIES. CONTINUED ON SCHEDULE "O".WE CONTINUOUSLY STRIVE TO PROVIDE HIGH-QUALITY, HOLISTIC LIFECARE PROGRAMS, AND HEALTHCARE SERVICES IN A FINANCIALLY RESPONSIBLE MANNER. IN SERVING THIS COMMITMENT, WE SEEK TO PROVIDE A POSITIVE AND SUPPORTIVE WORK ENVIRONMENT. 0 0 18225680 92112 18847158 INDEPENDENT LIVING:RIVERMEAD HAS 153 INDEPENDENT LIVING RESIDENCES AVAILABLE FOR INDIVIDUALS AGED 62 AND OLDER. THESE RESIDENCES ARE AVAILABLE UNDER A LIFECARE CONTRACT, WHICH GUARANTEES RESIDENTS ACCESS TO ASSISTED LIVING, MEMORY SUPPORT, AND SKILLED NURSING CARE WITH NO SIGNIFICANT CHANGE IN THEIR MONTHLY FEES AS THEY MOVE BETWEEN LEVELS OF CARE. RIVERMEAD HAS NEVER TERMINATED A RESIDENCE AND SERVICES AGREEMENT SOLELY BASED UPON A RESIDENT'S INABILITY TO PAY HIS OR HER MONTHLY FEE IN FULL. RIVERMEAD PROVIDED $87,587 IN CHARITABLE ASSISTANCE TO RESIDENTS IN 2017.CONTINUED ON SCHEDULE "O".HEALTH CARE SERVICES: RIVERMEAD HAS 49 ASSISTED LIVING RESIDENCES, 17 MEMORY SUPPORT RESIDENCES, 33 SKILLED NURSING RESIDENCES, AND A HOME HEALTH PROGRAM.PROGRAMS & AMENITIES:RIVERMEAD IS COMMITTED TO PROVIDING QUALITY PROGRAMS, SERVICES, AND AMENITIES TO ENRICH RESIDENTS' LIVES INCLUDING: EXCEPTIONAL DINING EXPERIENCES, THERAPY SERVICES, HOUSEKEEPING, MAINTENANCE SERVICES, A WELLNESS CENTER, AN INDOOR POOL, TRANSPORTATION, TWO LIBRARIES, A MOVIE THEATER, A WOODWORKING SHOP, A GREEN HOUSE, AN ART GALLERY, WALKING TRAILS, CROQUET COURTS, BOCCE COURTS, AND RAISED GARDEN BEDS. 18225680 1 0 0 1 0 0 0 0 1 1 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 63 0 1 373 1 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NH X MARTIN J CONLEY III CFO 6033710431 150 RIVERMEAD RD PETERBOROUGH NH 03458 JOHN ROUND CHAIR 1.00 X X 0 0 0 PETER W LEBERMAN VICE CHAIR 1.00 X X 0 0 0 CHRISTOPHER J FLYNN TREASURER 1.00 X X 0 0 0 JANET S GRANT SECRETARY 1.00 X X 0 0 0 RODERICK J FALBY JR VICE SECRETARY 1.00 X X 0 0 0 RICHARD P CHURCH TRUSTEE 1.00 X 0 0 0 GEORGE FOOTE TRUSTEE 1.00 X 0 0 0 RICHARD HANCE TRUSTEE 1.00 X 0 0 0 CARL JOHNSON TRUSTEE 1.00 X 0 0 0 JOHN H MORISON III TRUSTEE 1.00 X 0 0 0 CONSTANCE CONNIE G OLIVER TRUSTEE 1.00 X 0 0 0 ANNE PEIRCE TRUSTEE 1.00 X 0 0 0 SUSAN PETERS TRUSTEE 1.00 X 0 0 0 CALVIN SHOLL TRUSTEE 1.00 X 0 0 0 MICHAEL J RAFFERTY TRUSTEE 1.00 X 0 0 0 DEBORAH ROODY TRUSTEE 1.00 X 0 0 0 JEFFREY R CROCKER TRUSTEE (UNTIL 12/2017) 1.00 X 0 0 0 BETSEY HARRIS TRUSTEE (UNTIL 12/2017) 1.00 X 0 0 0 G CLAY HOLLISTER TRUSTEE (UNTIL 12/2017) 1.00 X 0 0 0 THEODORE RENNA TRUSTEE (UNTIL 12/2017) 1.00 X 0 0 0 WILLIAM H JAMES JR CHIEF EXECUTIVE OFFICER 40.00 X 209543 0 36580 MARTIN J CONLEY III CHIEF FINANCIAL OFFICER 40.00 X 146094 0 33225 JAN D EATON DIR MARKETING/RESIDENT SVC 40.00 X 153647 0 25697 KARYN J MINER HEALTH SVCS ADMINISTRATOR 40.00 X 152167 0 17188 DOUGLAS SHARP DIRECTOR OF FACILITIES 40.00 X 112833 0 32935 DIANNE TISDALE DIR HUMAN RESOURCES 40.00 X 103098 0 26842 877382 0 172467 6 0 1 0 RLPS ARCHITECTS 250 VALLEYBROOK DRIVE LANCASTER PA 17601 ARCHITECTURE SERVICES 1105215 HUTTER CONSTRUCTION CORPORATION 810 TURNPIKE RD NEW IPSWICH NH 03071 CONSTRUCTION SERVICES 944798 FLIK LIFESTYLES PO BOX 102289 ATLANTA GA 303682289 DINING SERVICES 534290 INTERRA INNOVATIONS INC 75 CONCORD STREET NORTH READING MA 01864 CONSTRUCTION SERVICES 434290 HUNTER NORTH ASSOCIATES LLC PO BOX 56346 ATLANTA GA 30343 SECURITY SERVICES 230890 11 32009 32009 RESIDENT SERVICE FEES 623000 10285686 10285686 EARNED ENTRANCE FEES 623000 3370870 3370870 ASSISTED LIVING FEES 623000 2806676 2806676 HEALTH CENTER FEES 623000 1484722 1484722 SPECIAL CARE UNIT FEES 623000 899204 899204 18847158 478206 478206 29428 25649 3779 3779 3779 18191255 10000 16712559 0 1478696 10000 1488696 1488696 GUEST MEALS REVENUE 900099 87215 87215 GUEST ROOM RENTAL 900099 51531 51531 NURSING SERVICES 900099 40509 40509 81327 81327 260582 21110430 18847158 0 2231263 4525 4525 87587 87587 425441 425441 7657000 7046921 610079 228075 216986 11089 1033170 953639 79531 555730 488751 66979 11731 11731 70974 70974 1377 1377 65611 65611 959016 848243 110773 43099 43099 598818 431940 166878 215908 215908 2039066 2039066 51399 35927 15472 1847828 1847828 2658966 2658966 179787 179787 FOOD 905694 905694 REPAIRS & MAINTENANCE 268165 268165 RESIDENT ACTIVITIES 112728 112728 MEDICAL SUPPLIES 54475 54475 156356 44452 111904 20232526 18225680 2006846 0 6967 8238 1728453 2253068 351520 273731 30295 44571 487254 445641 80681939 29461050 49161485 51220889 23997970 21774261 1194942 1742746 76958886 77763145 1747046 2706670 62475483 60867053 32435375 33056286 8391 6836 125000 82143 115252 532873 96906547 97251861 X -20381140 -19892839 206500 176207 226979 227916 -19947661 -19488716 76958886 77763145 X 877904 15139 -434098 X 0 1 X 1 0 X 34895 122747 9530 40637 32009 239818 13479888 15823703 17012462 18274091 18847158 83437302 13514783 15946450 17021992 18314728 18879167 83677120 0 0 0 83677120 375108 381179 371090 390114 442023 1959514 375108 381179 371090 390114 442023 1959514 231135 344347 488925 290740 260582 1615729 14121026 16671976 17882007 18995582 19581772 87252363 0.95900 0.95630 0.02250 0.02420 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS REVENUE - 2013 AMOUNT: $ 231,135. 2014 AMOUNT: $ 154,242. 2015 AMOUNT: $ 5,742. 2016 AMOUNT: $ 3,477. 2017 AMOUNT: $ 2,605. GUEST ROOM RENTAL - 2014 AMOUNT: $ 29,356. 2015 AMOUNT: $ 44,004. 2016 AMOUNT: $ 47,307. 2017 AMOUNT: $ 51,531. CABLE TELEVISION REVENUE - 2014 AMOUNT: $ 95,577. 2015 AMOUNT: $ 99,604. GUEST MEAL REVENUE - 2014 AMOUNT: $ 65,172. 2015 AMOUNT: $ 76,047. 2016 AMOUNT: $ 79,386. 2017 AMOUNT: $ 87,215. BEAUTY SHOP REVENUE - 2015 AMOUNT: $ 11,465. 2016 AMOUNT: $ 13,801. COUNTRY STORE REVENUE - 2015 AMOUNT: $ 9,287. 2016 AMOUNT: $ 7,983. 2017 AMOUNT: $ 7,504. HOUSEKEEPING AND MAINTANENCE - 2015 AMOUNT: $ 242,776. 2016 AMOUNT: $ 26,821. 2017 AMOUNT: $ 14,565. MEMBER FUNCTIONS - 2016 AMOUNT: $ 29,987. 2017 AMOUNT: $ 26,788. COVERED PARKING - 2016 AMOUNT: $ 24,115. 2017 AMOUNT: $ 29,865. NURSING SERVICES - 2016 AMOUNT: $ 57,863. 2017 AMOUNT: $ 40,509. 0 0 0 0 0 0 0 0 1 1377 1377 0 PART II-B, LINE 1: RIVERMEAD IS A MEMBER OF LEADINGAGE MAINE AND NEW HAMPSHIRE AND THE LEADINGAGE NATIONAL ASSOCIATION. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS ARE AVAILABLE FOR LOBBYING EXPENDITURES ON BEHALF OF RIVERMEAD TO FURTHER OUR EXEMPT PURPOSE. RIVERMEAD DOES NOT DIRECTLY PERFORM ANY LOBBYING ACTIVITIES. 0 1 X 2165132 33366 243125 90231 450 2350942 2121461 26390 109414 88632 3501 2165132 2203281 6030 -40245 45104 2501 2121461 2012677 95740 107514 12650 2203281 1781470 27380 205555 1728 2012677 0.82810 0.07500 0.09690 0 0 2295263 2295263 58997469 20219829 38777640 9331510 5133030 4198480 10057697 4108191 5949506 51220889 GIFT ANNUITIES PAYABLE 97838 INTEREST RATE SWAP PAYABLE 435035 532873 20563922 15139 -587296 -572157 21136079 -25649 -25649 21110430 20104977 25649 25649 20079328 153198 153198 20232526 PART IV, LINE 2B: RIVERMEAD MAINTAINS A RESIDENT TRUST ACCOUNT FOR RESIDENTS IN ITS ASSISTED LIVING AND SKILLED NURSING TO UTILIZE FOR PERSONAL EXPENSES. PART V, LINE 4: RIVERMEAD MAINTAINS TEMPORARILY RESTRICTED FUNDS, WHICH HAVE BEEN CONTRIBUTED WITH DONOR SPECIFIC RESTRICTIONS THAT ARE REASONABLY EXPECTED TO BE MET IN THE NEAR TO MID-TERM. THESE RESTRICTIONS ARE OUTLINED BY THE DONOR AT THE TIME OF THE GIFT. PRINCIPAL AND EARNINGS OF THESE GIFTS ARE RESTRICTED TO THE PURPOSE OUTLINED BY THE DONOR. RIVERMEAD MAINTAINS PERMANENTLY RESTRICTED FUNDS, THE PRINCIPAL OF WHICH SHALL BE MAINTAINED IN PERPETUITY, WHILE INCOME IS AVAILABLE TO PROVIDE CHARITABLE ASSISTANCE TO RIVERMEAD RESIDENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENTS 937. CHANGE IN FAIR VALUE OF DERIVATIVES -435,035. CHARITABLE ASSISTANCE TO RESIDENTS -87,587. INVESTMENT FEES NETTED AGAINST INCOME ON F/S -65,611. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -25,649. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 25,649. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHARITABLE ASSISTANCE TO RESIDENTS 87,587. INVESTMENT FEES NETTED AGAINST INCOME ON F/S 65,611. 1 CHARITABLE ASSISTANCE WITH RESIDENT MONTHLY FEES 2 87587 0 PART I, LINE 2: THE MANAGEMENT IDENTIFIES RESIDENTS WHO MAY NEED CHARITABLE ASSISTANCE TO PAY THEIR MONTHLY FEES. ONCE IDENTIFIED, A REVIEW IS CONDUCTED OF THE RESIDENT'S FINANCES AND, IF THE RESIDENT TRULY HAS AN INABILITY TO PAY HIS OR HER MONTHLY FEE IN FULL, THEN THE REQUEST IS SENT TO THE CEO FOR APPROVAL. X X X X 1 0 0 0 0 0 0 1 0 WILLIAM H JAMES JR CHIEF EXECUTIVE OFFICER 188402 0 20944 0 197 0 10911 0 25669 0 246123 0 0 0 MARTIN J CONLEY III CHIEF FINANCIAL OFFICER 144492 0 1533 0 69 0 7736 0 25489 0 179319 0 0 0 JAN D EATON DIR MARKETING/RESIDENT SVC 152045 0 1533 0 69 0 7977 0 17720 0 179344 0 0 0 KARYN J MINER HEALTH SVCS ADMINISTRATOR 152109 0 0 0 58 0 7568 0 9620 0 169355 0 0 0 PART I, LINE 4A THE HEALTH SERVICES ADMINISTRATOR RECEIVED $5,263 IN SEVERANCE PAY IN 2017. PART I, LINE 7 THE MANAGEMENT BONUS IS CONTINGENT UPON MULTIPLE FACTORS INCLUDING OCCUPANCY, ACTUAL VS. BUDGETED RESULTS, RESIDENT SATISFACTION SURVEYS, STAFFING LEVELS, ETC. A NEW HAMPSHIRE HEALTH AND EDUCATON FACILITIES AUTHORITY 020279866 644614Q36 2011-12-15 31184378 SEE PART VI 0 0 0 B NEW HAMPSHIRE HEALTH AND EDUCATON FACILITIES AUTHORITY 020279866 2017-12-28 44882000 SEE PART VI 0 0 0 A 9540000 31184378 2171305 3752370 623688 24128462 2013 0 0 1 1 B 11821735 28795 1410940 10382000 1 0 0 1 A 0 1 1 1 0 0.00180 0.00000 0.00180 0 0 1 B 0 1 1 1 0 0.00310 0.00000 0.00310 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 1 0 0 1 0 0 0 1 A 1 B 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: NEW HAMPSHIRE HEALTH AND EDUCATON FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/15/2016 SCHEDULE K, PART I, BOND ISSUES: (A) ISSUER NAME: NEW HAMPSHIRE HEALTH AND EDUCATON FACILITIES AUTHORITY (A) DESCRIPTION OF PURPOSES: EXPANSION OF FACILITY (B) ISSUER NAME: NEW HAMPSHIRE HEALTH AND EDUCATON FACILITIES AUTHORITY (B) DESCRIPTION OF PURPOSES: EXPANSION & RENOVATION OF COMMUNITY & REFUNDING OF SERIES 2013 BONDS PART II, LINE 3 TOTAL PROCEEDS REPORTED IN PART I COLUMN (E) FOR THE 2017 BONDS IS THE TOTAL ISSUE PRICE. THE PROCEEDS REPORTED IN PART II LINE 3 REPRESENT THE AMOUNT DRAWN DOWN AS OF 12/31/17. FORM 990, PART VI, SECTION B, LINE 11B MANAGEMENT, INCLUDING THE CEO AND CFO WILL REVIEW INITIAL DRAFT VERSIONS OF THE 990. AFTER THEIR INITAL REVIEW AND ANY CHANGES RESULTING FROM THEIR REVIEW HAVE BEEN MADE TO THE 990, WILL BE REVIEWED BY THE AUDIT COMMITTEE. AFTER AUDIT COMMITTEE REVIEW AND UPON RECOMMENDATION FOR ACCEPTANCE BY THE AUDIT COMMITTEE, THE 990 WILL BE PROVIDED TO THE ENTIRE BOARD FOR THEIR FINAL REVIEW AND ACCEPTANCE. CONTACT INFORMATION FOR THE CEO, CFO, AUDIT COMMITTEE, AND 990 PREPARER (BAKER TILLY) WILL BE PROVIDED TO ALL BOARD MEMBERS SHOULD THEY HAVE ANY QUESTIONS OR CONCERNS. FORM 990, PART VI, SECTION B, LINE 12C EACH TRUSTEE AND OFFICER OF RIVERMEAD MUST BE EVER COGNIZANT AND AWARE OF POSSIBLE CONFLICT OF INTEREST SITUATIONS. ANY SUCH POSSIBLE CONFLICT MUST BE FULLY DISCLOSED IN WRITING TO THE BOARD OF TRUSTEES, AND WILL BE CONSIDERED BY THE BOARD FOR DISCUSSION, APPROVAL, OR ANY OTHER APPROPRIATE ACTION IN ACCORDANCE WITH THE REQUIREMENTS OF APPLICABLE LAW, AND ONLY IF THE MATTER SERVES THE BEST INTERESTS OF RIVERMEAD. RIVERMEAD IDENTIFIES POSSIBLE CONFLICTS OF INTEREST BY HAVING ALL TRUSTEES AND OFFICERS COMPLETE THE CONFLICT OF INTEREST QUESTIONNAIRES ANNUALLY. THE CEO IS RESPONSIBLE FOR ENSURING ALL QUESTIONNAIRES ARE COMPLETED. THE BOARD OF TRUSTEES REVIEWS EACH POTENTIAL CONFLICT OF INTEREST. BOARD MEMBERS WITH A CONFLICT ARE REQUIRED TO ABSTAIN FROM VOTING ON THE MATTER. NEW HAMPSHIRE AND FEDERAL LAWS REGARDING DISCLOSURE OF CONFLICTS OF INTEREST ARE FOLLOWED. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION OF THE CEO IS DETERMINED BY THE BOARD OF TRUSTEES USING DATA FROM THE LEADINGAGE NATIONAL SALARY SURVEY AND FROM FORM 990 DATA FROM COMPARABLE REGIONAL ORGANIZATIONS. THE CEO'S ANNUAL PERFORMANCE REVIEW IS ALSO CONSIDERED IN DETERMINING HIS ANNUAL COMPENSATION PACKAGE. THIS PROCESS IS DOCUMENTED IN THE EXECUTIVE COMMITTEE MINUTES. COMPENSATION OF OTHER MANAGEMENT STAFF IS DETERMINED BY THE CEO AND HR DIRECTOR. A COMPENSATION STUDY HAS BEEN CONDUCTED TO DEVELOP WAGE GRADES FOR EACH POSITION WITHIN THE ORGANIZATION. WAGE GRADES ARE REVIEWED ANNUALLY, UPDATED AS NEEDED AND ARE AN INTEGRAL PART OF DETERMINING COMPENSATION FOR NEW HIRES AND ADJUSTMENTS TO COMPENSATION FOR CURRENT EMPLOYEES. SALARY BENCHMARKING INFORMATION IS ALSO REVIEWED ANNUALLY TO DETERMINE THE APPROPRIATENESS OF COMPENSATION LEVELS. FORM 990, PART VI, SECTION C, LINE 19 AUDITED FINANCIAL STATEMENTS ARE INCLUDED IN RIVERMEAD'S DISCLOSURE STATEMENT AND UPON REQUEST. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF DERIVATIVES -435,035. CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENTS 937.