2016-07-22T14:15:38-05:00 2015-12-31 550621482 GRAY GRIFFITH & MAYS AC 707 VIRGINIA STREETEASTSUITE 400 CHARLESTON WV 253012711 990 2015-01-01 237040648 CORTLAND ACRES ASSOCIATION INC CORT 3044634181 39 CORTLAND ACRES LANE THOMAS WV 262928018 BETH A CLEVENGER ADMINISTRATOR 3044634181 2016-07-18 1 J RYAN LINDSAY P01835061 3043459400 2015 2016-12-15 16:53:06Z BETH A CLEVENGER 39 CORTLAND ACRES LANE THOMAS WV 262928018 10109445 0 X WWW.CORTLANDACRES.ORG X 1978 WV HELPING PEOPLE AGE IN HEALTHY, AFFORDABLE, AND MEANINGFUL WAYS. 14 14 212 92 0 0 25188 32856 8857642 9966607 18442 23289 96151 83692 8997423 10106444 51720 0 0 0 5664642 5844993 0 0 40435 2889954 3460044 8606316 9305037 391107 801407 7947177 12349889 2048709 5661631 5898468 6688258 X CORTLAND IS A NON-PROFIT CORPORATION EXISTING FOR THE PURPOSE OF PROVIDING AND DEVELOPING QUALITY PROFESSIONAL SERVICES AND FACILITIES TO IMPROVE THE PHYSICAL, MEDICAL, PSYCHOLOGICAL AND SPIRITUAL WELL-BEING OF INDIVIDUALS WITHIN THE COMMUNITY AND SURROUNDING AREAS. THEY ARE COMMITTED TO PROMOTING THE INTREGRITY AND WORTH OF EVERY PERSON, REGARDLESS OF HIS/HER CONDITION IN LIFE, WHO CHOOSES CORTLAND'S SERVICES. 0 0 7985530 9966607 CORTLAND ACRES HAS A 94 BED SKILLED NURSING FACILITY AND A 24 UNIT APARTMENT COMPLEX. THE NURSING HOME HAS 31,892 PATIENT DAYS IN 2015. APPROXIMATELY 84% OF THOSE SERVED QUALIFY FOR THE MEDICAID PROGRAM WHICH IS DESIGNED TO HELP PAY FOR HEALTH CARE SERVICES FOR THOSE WHO CANNOT AFFORD SERVICES WITH THEIR OWN FINANCIAL RESOURCES. CORTLAND INCURRED $50,526 OF CHARITY CARE DURING 2015. THE NEED FOR THE FACILITY HAS BEEN DEMONSTRATED BY THE AVERAGE OCCUPANCY OF OVER 90% IN THE NURSING HOME FOR THE LAST SEVERAL YEARS, WITH A 93% OCCUPANCY RATE IN 2015. THE AVERAGE UNEMPLOYMENT RATES AND HIGHER THAN AVERGE PERCENTAGE OF ELDERLY. THE APRTMENT COMPLEX IS DESIGNED TO HOUSE ELDERLY AND/OR HANDICAPPED. RENTS ARE SUBSIDIZED THROUGH HOUSING AND URBAN DEVELOPMENT ENABLING LOW-INCOME RESIDENTS TO BE SERVED. 7985530 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 16 0 1 212 1 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X BETH CLEVENGER ADMINISTRATOR 3044634181 39 CORTLAND ACRES LANE THOMAS WV 262928018 X DEWEY RICE TREASURER 1.00 X X 0 0 0 SHERM JARRETT BOARD MEMBER 1.00 X 0 0 0 SARAH MINEAR BOARD MEMBER 1.00 X 0 0 0 DOROTHY L JUDY BOARD MEMBER 1.00 X 0 0 0 MARK TEETS BOARD MEMBER 1.00 X 0 0 0 JAROLYN JUDY PHILLIPS BOARD MEMBER 1.00 X 0 0 0 SAM GOUGHNOUR VICE PRESIDENT 1.00 X X 0 0 0 MILAN NYPL BOARD MEMBER 1.00 X 0 0 0 PAT A NICHOLS PRESIDENT 1.00 X X 0 0 0 EDWARD MCDONALD BOARD MEMBER 1.00 X 0 0 0 MARY SAGACE SECRETARY 1.00 X X 0 0 0 CHRIS STADELMAN BOARD MEMBER 1.00 X 0 0 0 JENNIFER NEWLAND BOARD MEMBER 1.00 X 0 0 0 WILLARD PHILLIPS JR BOARD MEMBER 1.00 X 0 0 0 BETH CLEVENGER ADMINISTRATOR 40.00 X 119475 0 6284 119475 0 6284 1 0 0 0 ODYSSEY REHABILITATION PO BOX 759418 BALTIMORE MD 21275 REHAB SERVICE 804421 1 32856 32856 SKILLED NURSING SERVICES 623000 9751760 9751760 RENTAL FOR ELDERLY 623000 201542 201542 REBATES & MISCELLANEOUS 623000 13305 13305 9966607 26290 26290 3001 -3001 -3001 -3001 GERI PSYCH ADMIN 623000 35906 35906 VENDING 623000 14630 14630 BEAUTY/BARBER SHOP 623000 11025 11025 22131 22131 83692 10106444 9966607 0 106981 119475 23895 95580 4456437 3790904 665533 149765 127373 22392 645703 549162 96541 473613 405422 68191 11793 7576 4217 79490 17615 61875 3821 3821 906744 906744 42422 1393 41029 1048849 967250 81599 266933 216216 42709 8008 20314 5352 14962 9023 9023 35812 29008 5730 1074 22767 22767 286196 231819 45791 8586 145511 116409 29102 MEDICAID PROVIDER TAX 512551 512551 BAD DEBTS 67818 67818 9305037 7985530 1279072 40435 876368 177501 3264680 6353887 1056841 955106 16901 20764 96618 201191 11028707 6666955 2351803 4361752 239597 223013 44369 56675 7947177 12349889 672915 963837 44369 56675 639060 3594849 692365 1046270 2048709 5661631 X 5898468 6688258 5898468 6688258 7947177 12349889 801407 -11617 0 X X 0 1 X 1 1 1 X 20152 20095 27717 25188 32856 126008 7677360 7867683 8053652 8951013 10011393 42561101 7697512 7887778 8081369 8976201 10044249 42687109 87206 227017 295573 172449 148895 931140 0 87206 227017 295573 172449 148895 931140 41755969 45425 44122 23124 25638 26290 164599 45425 44122 23124 25638 26290 164599 7742937 7931900 8104493 9001839 10070539 42851708 0.97440 0.97210 0.00380 0.00430 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 44369 375799 363493 56675 1 X 122629 122629 6851180 4766439 2084741 2319074 1900516 418558 1735824 1735824 4361752 EQUITY REFUNDS AVAILABLE 1046270 1046270 X PART IV, LINE 2B: CORTLAND ACRES ASSOCIATION MAINTAINS RESIDENT FUNDS IN A SEPRATE ACCOUNT FOR THE CONVENIENCE AND PROTECTION OF THE RESIDENTS. THESE FUNDS ARE AVAILABLE AT THE RESIDENTS' REQUESTS. ADDITIONALLY, THE ASSOCIATION MAINTAINS SEPERATE SECURITY DEPOSIT SAVINGS ACCOUNTS FOR THE RESIDENTS LIVING IN THE HOUSING COMPLEX TO PAY FOR ANY NECESSARY REPAIRS AFTER AN APARTMENT IS VACATED. THESE FUNDS ARE FULLY REFUNDED TO THE RESIDENTS UPON VACATING AS LONG AS THE APARTMEBT IS NOT DAMAGED. PART X, LINE 2: CORTLAND HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL TRANSACTIONS UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF DECEMBER 31, 2015, AND THE ADOPTION OF THE GUIDANCE DID NOT HAVE A MATERIAL EFFECT ON THE ASSOCIATION'S FINANCIAL POSITION OR RESULTS OF OPERATIONS. FISCAL YEARS ENDING ON OR AFTER DECEMBER 31, 2012, REMAIN SUBJECT TO EXAMINATION BY FEDERAL TAX AUTHORITIES. X 0 0 0 0 0 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE MAKEUP OF THE BOARD CHANGED IN 2015, THE BOARD SHALL CONSIST OF A MAXIMUM OF FIFTEEN (15) MEMBERS AND A MINIMUM OF EIGHT (8). A SIMPLE MAJORITY OF THE BOARD WILL CONSTITUTE A QUORUM. THE BOARD CONSISTED OF FOURTEEN (14) MEMBERS ON DECEMBER 31, 2015. THE MEMBERS OF THIS BOARD WILL SERVE TERMS OF THREE (3) YEARS ON A ROTATING BASIS WHERE FIVE (5) MEMBERS WHOSE TERMS EXPIRE ANNUALLY SHOULD BE RE-ELECTED OR REPLACED IMMEDIATELY UPON THE EXPIRING OF THEIR TERM. FORM 990, PART VI, SECTION A, LINE 7A THE PRESIDENT WILL APPOINT AT LEAST ONE (1) BOARD MEMBER TO SERVE AS A NOMINATING COMMITTEE WHOSE DUTY WILL BE TO PRESENT, AT LEAST ONE (1) NAME FOR EACH OF THOSE BOARD MEMBERS WHOSE TERMS EXPIRE IN THAT YEAR WITH THE ELECTIONS OF THESE BOARD MEMBERS TO BE HELD AT THE LAST REGULAR BOARD MEETING OF THE YEAR. THIS BOARD SHALL ELECT ITS OFFICERS FROM AMONG ITS OWN MEMBERSHIP ANNUALLY BASED ON THE RECOMMENDED, ONE OR MORE, NAMES FROM THE NOMINATING COMMITTEE FOR EACH OF THE OFFICES: PRESIDENT, VICE-PRESIDENT, TREASURER, AND SECRETARY FORM 990, PART VI, SECTION B, LINE 11 A DRAFT COPY OF THE FORM 990 IS DISTRIBUTED TO EACH BOARD MEMBER. IT WAS PRESENTED TO THE BOARD OF DIRECTORS FOR APPROVAL DURING THE MARCH 2016 BOARD MEETING ALONG WITH THER AUDITED FINANCIAL STATEMENTS. ALL QUESTIONS REGARDING THE FORM 990 ARE DIRECTED TO/ADDRESSED BY THE CFO AND AUDIT FIRM REPRESENTATIVE. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS RE-DISTRIBUTED ANNUALLY TO EACH BOARD MEMBER. EACH BOARD MEMBER COMPLETES AN ANNUAL AFFIRMATION OF THE RECEIPT AND UNDERSTANDING OF THE POLICY. THE CONFLICT OF INTEREST POLICY IS FOLLOWED THROUGHOUT THE CONDUCTION OF BUSINESS. ANY RELATED PARTY TRANSACTIONS ARE DISCLOSED IN THE ANNUAL FINANCIAL AUDIT. FORM 990, PART VI, SECTION B, LINE 15 HISTORICALLY, PAY INCREASES HAVE BEEN MINIMAL. THE BUDGET PROCESS INCLUDES A REVIEW AND APPROVAL OF A DETAILED BUDGET BY THE FINANCE COMMITTEE BEFORE BEING FORWARDED TO THE FULL BOARD FOR APPROVAL. THE DETAILED BUDGET INCLUDED PROJECTED PAY INCREASES FOR THE COMING YEAR. PRIOR TO THE INPUT OF THE PAY INCREASES INTO THE PAYROLL SYSTEM, THE ADMINISTRATOR CONSULTS WITH THE BOARD PRESIDENT AND OTHER EXECUTIVE COMMITTEE MEMBERS AS DEEMED NECESSARY. THE DECISION TYPICALLY INCLUDES A REVIEW OF THE BUDGETED INCREASES ALONG WITH CURRENT OVERALL BUDGET STATUS AND OCCUPANCY. FORM 990, PART VI, SECTION C, LINE 18 CORTLAND'S FORM 1023 IS MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S FORM 990 IS MADE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST AND THROUGH THE WEBSITE (OR UPON VERBAL/WRITTEN REQUEST) OF THE WEST VIRGINIA HEALTH CARE AUTHORITY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE FINANCIAL STATEMENTS ARE PUBLISHED, IN AN ABBREVIATED FORMAT, AS A LEGAL AD IN THE LOCAL NEWSPAPER AS REQUIRED UNDER PUBLIC INSPECTION REQUIREMENTS BY THE WEST VIRGINIA HEALTH CARE AUTHORITY (WVHCA). ADDITIONALLY, UNDER THESE REQUIREMENTS, CORTLAND IS REQUIRED TO PROVIDE AUDITED FINANCIAL STATEMENTS AND THE RELATED NOTES TO THE WVHCA. THE WVHCA THEN MAKES THESE DOCUMENTS AVAILABLE TO THE PUBLIC THROUGH THE WVHCA WEBSITE AND BY VERBAL/WRITTEN REQUEST. CORTLAND IS IN COMPLIANCE WITH THE WVHCA PUBLIC DISCLOSURE REQUIREMENTS. PART XII: FINANCIAL STATEMENTS AND REPORTING CORTLAND ACRES HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT BY THE FULL BOARD. THE ORGANIZATION'S PROCESS OF HAS NOT CHANGED SINCE THE PRIOR YEAR. CORTLAND FOUNDATION INC 39 CORTLAND ACRES LANE THOMAS WV 26292 274355510 FUNDRAISING FOR ENHANCEMENT OF SERVICES IN SUPPORT OF CORTLAND ACRES WV 501(C)(3) 170(B)(1)(A)(IV) 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 CORTLAND FOUNDATION INC C 20250 ACTUAL CASH CONTRIBUTION RECEIVED CORTLAND FOUNDATION INC N 6831 ACTUAL SUPPLY/ALLOC.. FACILITY CV CORTLAND FOUNDATION INC O 15935 ACTUAL WAGES & ALLOCATED BENEFITS PART II, IDENTIFICATION OF RELATED TAX-EXEMPT ORGANIZATIONS: NAME OF RELATED ORGANIZATION: CORTLAND FOUNDATION, INC. PRIMARY ACTIVITY: FUNDRAINING FOR ENHANCEMENT OF SERVICES IN SUPPORT OF CORTLAND ACRES ASSN.