2024-10-18T16:40:25-05:00 2023-12-31 410746749 CLIFTONLARSONALLEN LLP 150 S WARNER ROAD SUITE 310 KING OF PRUSSIA PA 19406 990 2023-01-01 521281156 COLLINGTON EPISCOPAL LIFE CARE COMMUNITY INC COLL 3018834768 10450 LOTTSFORD ROAD MITCHELLVILLE MD 20721 ANN E GILLESPIE CEO 3018834768 2024-10-18 1 0 TIMOTHY CROUCH P01930933 2156433900 2024-10-18 2023 2024-10-15 13:58:12Z ANN E GILLESPIE 10450 LOTTSFORD ROAD MITCHELLVILLE MD 20721 35584697 0 X HTTPS://COLLINGTON.KENDAL.ORG X 1982 MD COMMUNITY FOR OLDER ADULTS & ALL THEY CARE ABOUT, INSPIRED BY THEIR VISION FOR PURPOSEFUL LIVES 11 11 230 18 0 0 2000 372170 30757944 30692203 504610 196204 273979 283264 31538533 31543841 7900 0 0 0 11891106 11723113 0 0 0 20007086 20296431 31906092 32019544 -367559 -475703 82455976 83822938 114484068 114513693 -32028092 -30690755 X THE MISSION OF COLLINGTON EPISCOPAL LIFE CARE COMMUNITY, INC. (CELCC) IS TO CREATE A COMMUNITY FOR OLDER ADULTS AND ALL THEY CARE ABOUT, INSPIRED BY THEIR VISION FOR PURPOSEFUL LIVES. 0 1 25301823 0 30537275 TO DEVELOP, CONSTRUCT, AND OPERATE A CONTINUING CARE RETIREMENT COMMUNITY (CCRC) THAT PROVIDES SECURE, STIMULATING, AND DIGNIFIED ACCOMMODATIONS AND SERVICES TO THE ELDERLY, AND TO PROVIDE NECESSARY MEDICAL AND HEALTH-RELATED SERVICES TO ENSURE THE HIGHEST QUALITY AND DIGNIFIED LIFESTYLE OF THE ELDERLY.ON APRIL 19, 2023, COLLINGTON RECEIVED APPROVAL FROM THE MARYLAND DEPARTMENT OF HEALTH ASSISTED LIVING DIVISION TO ADD 12 ADDITIONAL BEDS TO ITS ASSISTED LIVING LICENSE, FOR A TOTAL OF 77 BEDS. 25301823 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 42 0 230 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 MD X X COURTNEY CORCORAN CFO 3018834768 10450 LOTTSFORD ROAD MITCHELLVILLE MD 20721 CHRISTAL BATEY DIRECTOR/CHAIR 2.00 0.00 X X 0 0 0 ALEXIS ALLEN-SHORTER DIRECTOR/VICE CHAIR 2.00 2.00 X X 0 0 0 SUSAN WALKER SECRETARY 2.00 0.00 X X 0 0 0 ADAM OSTERYOUNG TREASURER 2.00 2.00 X X 0 0 0 DOREEN BICKEL DIRECTOR 2.00 0.00 X 0 0 0 PETER COCHRAN DIRECTOR 2.00 0.00 X 0 0 0 RICHARD GARRISON DIRECTOR 2.00 0.00 X 0 0 0 VIKKI KALITSI DIRECTOR 2.00 0.00 X 0 0 0 GREG NIBLETT DIRECTOR 2.00 0.00 X 0 0 0 LORI SIMON-RUSINOWITZ DIRECTOR 2.00 0.00 X 0 0 0 MARSHA VOIGHT DIRECTOR 2.00 0.00 X 0 0 0 MICHAEL LYLES CHAIR - LEFT AUG 2023 2.00 0.00 X 0 0 0 WILLIAM CARRINGTON VICE CHAIR - LEFT AUG 2023 2.00 0.00 X X 0 0 0 CLAUDIA BLUMENSTOCK DIRECTOR - LEFT APR 2023 2.00 0.00 X X 0 0 0 TONI CONNER DIRECTOR - LEFT DEC 2023 2.00 0.00 X 0 0 0 PETER FIELDING DIRECTOR - LEFT AUG 2023 2.00 0.00 X 0 0 0 ELIZABETH GILL DIRECTOR - LEFT AUG 2023 2.00 0.00 X 0 0 0 BEVERLY GOGGINS DIRECTOR - LEFT AUG 2023 2.00 0.00 X 0 0 0 ANN E GILLESPIE CEO 45.00 5.00 X 389645 0 43524 COURTNEY CORCORAN CFO 45.00 5.00 X 201381 0 34142 MEGAN BARBOUR COO 45.00 0.00 X 250444 0 30253 YOLANDA HUNTER DIRECTOR OF HR 40.00 0.00 X 171639 0 28600 SHAWN BOSTIC DIRECTOR OF FACILITIES 40.00 0.00 X 135545 0 42163 SANDY SHORT DIRECTOR OF MARKETING 40.00 0.00 X 154477 0 17089 MARIAN ADJEI-AMPOMAH DIRECTOR OF SOCIAL WORK 40.00 0.00 X 136364 0 29502 CORY HALL ASSISTANT DIRECTOR OF MARKETING 40.00 0.00 X 135436 0 13939 1574931 0 239212 20 0 1 0 RDI CONSTRUCTION 11407 MONTERREY DRIVE SILVER SPRIN MD 20902 CONSTRUCTION 3331583 OSTER CONSTRUCTION 10401 STEVENSON ROAD STEVENSON MD 21153 CONSTRUCTION 894315 LIFETIME EXTERIORS 10593 JACK PINE LANE WALDOR MD 20603 CONSTRUCTION 744932 WARFEL CONSTRUCTION 1110 ENTERPRISE ROAD EAST PETERSBURG PA 17520 CONSTRUCTION 709214 CEDAR CARE 9470 ANNAPOLIS ROAD SUITE 217 LANHAM MD 20706 NURSING STAFF 631802 18 338490 33680 372170 RESIDENT CARE SERVICES 623000 20379955 20379955 AMORTIZATION OF DEFERRED ENTRANCE 623000 5543058 5543058 HEALTH CARE REVENUE 623000 3821318 3821318 APARTMENT CUSTOM WORK 623000 456936 456936 ANCILLARY INCOME 623000 445787 290859 154928 45149 45149 30692203 664963 664963 185185 5879 0 0 185185 5879 191064 191064 3572097 4040856 -468759 -468759 -468759 REBATES 900099 69863 69863 MISCELLANEOUS INCOME 900099 11237 11237 PROCESSING FEES 900099 11100 11100 92200 31543841 30537275 0 634396 949389 949389 8519275 8248743 270532 251600 242387 9213 1245444 1202080 43364 757405 681664 75741 473 473 87061 78355 8706 95063 85557 9506 115909 115909 840613 756832 83781 221435 194654 26781 1393967 1259476 134491 430514 387464 43050 3286300 2957671 328629 18904 18904 58694 46215 12479 2729376 2729376 1030704 927634 103070 5642270 5078043 564227 510825 510825 FOOD EXPENSES 1671035 1503930 167105 REPAIRS AND MAINTENANCE 1606908 1446218 160690 EMPLOYEE EXPENSES 282246 86288 195958 MEDICAL SUPPLIES 67749 67749 206385 50863 155522 32019544 25301823 6717721 0 1118449 1833715 6538181 7030631 1888325 593604 162300 163830 473017 503959 154884603 99764199 54463019 55120404 10788611 10925318 408104 415081 6615970 7236396 82455976 83822938 3840732 3383154 37219894 40068099 56221352 54132940 17202090 16929500 114484068 114513693 X -38479540 -37402583 6451448 6711828 -32028092 -30690755 82455976 83822938 X -475703 1552660 260380 X 0 1 X 1 0 X 3050965 160936 2000 372170 3586071 28744018 28338537 28539572 30624196 30537275 146783598 110883 60096 70240 133748 154928 529895 28854901 31449598 28770748 30759944 31064373 150899564 148728 433122 562075 429012 860654 2433591 0 148728 433122 562075 429012 860654 2433591 148465973 380647 477169 515273 608325 856027 2837441 380647 477169 515273 608325 856027 2837441 17919 8505 24058 94761 92200 237443 29253467 31935272 29310079 31463030 32012600 153974448 0.96420 0.97290 0.01840 0.01550 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: PROCESSING FEE - 2019 AMOUNT: $ 9,600. 2020 AMOUNT: $ 6,600. 2021 AMOUNT: $ 10,800. 2022 AMOUNT: $ 12,300. 2023 AMOUNT: $ 11,100. REBATES - 2023 AMOUNT: $ 69,863. MISCELLANEOUS INCOME - 2019 AMOUNT: $ 8,319. 2020 AMOUNT: $ 1,905. 2021 AMOUNT: $ 13,258. 2022 AMOUNT: $ 82,461. 2023 AMOUNT: $ 11,237. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6451448 375329 830425 609708 335666 6711828 7334801 360976 -869070 251125 124134 6451448 6580579 219389 792803 173789 84181 7334801 5849757 285443 692322 111629 135314 6580579 5076037 254812 844481 153676 171897 5849757 0.04110 0.00000 0.95890 0 1 1 909016 909016 125445636 82057988 43387648 16261033 8117859 8143174 11667561 9588352 2079209 601357 601357 55120404 INTEREST IN NET ASSETS OF COLLINGTON FOUNDATION, INC. 6711828 DUE FROM AFFILIATES 524568 7236396 REFUNDABLE ENTRANCE FEE 15956929 NOTE PAYABLE TO COLLINGTON FOUNDATION, INC. 972571 16929500 X PART V, LINE 4: THE ENDOWMENT FUNDS ARE INTENDED TO BE USED TO ASSIST WITH CELCC PROGRAM AND OPERATIONAL COSTS. PART X, LINE 2: CELCC IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS REQUIRED. THE ORGANIZATION FOLLOWS THE PROVISIONS OF THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE APPLICATION OF THESE PROVISIONS HAS NO IMPACT ON THE ORGANIZATION'S CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION'S TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL AND STATE AUTHORITIES. X X 0 0 0 0 0 0 0 1 0 ANN E GILLESPIE CEO 328920 0 60725 0 0 0 3936 0 39588 0 433169 0 0 0 MEGAN BARBOUR COO 215414 0 35030 0 0 0 7523 0 22730 0 280697 0 0 0 COURTNEY CORCORAN CFO 173732 0 27649 0 0 0 6260 0 27882 0 235523 0 0 0 YOLANDA HUNTER DIRECTOR OF HR 149362 0 22277 0 0 0 5190 0 23410 0 200239 0 0 0 SHAWN BOSTIC DIRECTOR OF FACILITIES 129020 0 6525 0 0 0 4415 0 37748 0 177708 0 0 0 SANDY SHORT DIRECTOR OF MARKETING 116941 0 37536 0 0 0 4635 0 12454 0 171566 0 0 0 MARIAN ADJEI-AMPOMAH DIRECTOR OF SOCIAL WORK 133864 0 2500 0 0 0 4158 0 25344 0 165866 0 0 0 PART I, LINE 7 BONUSES WERE DETERMINED BY THE CEO AND SHARED WITH THE BOARD CHAIR AND VICE CHAIR. 2022 BONUSES WERE PAID IN JANUARY OF 2023, 2023 BONUSES WERE PAID IN DECEMBER OF 2023. ALL THE COMPENSATED INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A ARE ALSO LISTED ON SCHEDULE J, PART II, EXCEPT FOR CORY HALL, WHO IS UNDER THE SCH. J, PART II THRESHOLDS. THE AMOUNTS DISCLOSED ON SCHEDULE J, PART II, COLUMN B(II) ARE THE BONUSES; CORY HALL'S BONUS WAS $37,750. A SPREADSHEET WITH THE CEO'S FINAL DECISION AND SIGNATURE IS TIMELY DOCUMENTED WITHIN THE PERSONNEL FILES. A PRINCE GEORGE'S COUNTY MD 526000998 741724CE6 2017-05-01 66770265 TO REFUND THE 2006 TERM LOAN, THE SERIES 2006 BONDS AND CONSTRUCTION COSTS 0 0 0 A 11060019 66829461 4747326 1335405 13852171 46894559 2017 0 1 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 1 0 1 A 0 0 0 1 0 0 0 0 1 A 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: PRINCE GEORGE'S COUNTY, MD DATE THE REBATE COMPUTATION WAS PERFORMED: 05/17/2023 SCHEDULE K, PART II, LINE 3: THE TOTAL PROCEEDS OF THE ISSUE IS $59,196 LESS THAN THE ISSUE PRICE. THE VARIANCE IS DUE TO INVESTMENT EARNINGS ON THE RESERVE FUND. FORM 990, PART III, LINE 3 ON APRIL 24, 2023, CELCC NOTIFIED THE MARYLAND OFFICE OF HEALTH CARE QUALITY OF INTENT TO DELICENSE ALL 44 OF ITS COMPREHENSIVE CARE BEDS. BY MAY OF 2023, CELCC NO LONGER INCLUDED A NURSING FACILITY ON ITS CAMPUS. THIS REALIGNMENT OF SERVICES OFFERED, RESULTED IN RESOURCES BEING RE-DIRECTED AND EXPANDED IN THE ASSISTED LIVING DIVISION. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE BOARD CHAIR, VICE CHAIR, AND TREASURER. THE EXECUTIVE COMMITTEE, IN CONSULTATION WITH THE BOARD CHAIR AND CEO, WILL DEVELOP AND ESTABLISH BOARD MEETING AGENDAS. THE COMMITTEE WILL ALSO PROVIDE CONSULTATION TO THE BOARD CHAIR AND THE CEO AS NEEDED AND REQUESTED REGARDING MAJOR POLICY AND OPERATIONAL DECISIONS AFFECTING THE COLLINGTON COMMUNITY. THE COMMITTEE WILL ADVISE THE BOARD CHAIR ON MATTERS RELATING TO CEO COMPENSATION AND BENEFITS. THE CHAIR OF THE BOARD WILL CONVENE AND PRESIDE OVER MEETINGS OF THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE, MAY, AT ITS OWN DISCRETION AND CONVENIENCE, MEET IN EXECUTIVE SESSION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND THEN REVIEWED BY THE AUDIT COMMITTEE OF THE BOARD. AFTER THE AUDIT COMMITTEE HAS ACCEPTED THE FORM 990, THE RETURN WILL BE PROVIDED TO THE FULL BOARD OF DIRECTORS PRIOR TO FILING, AND WILL BE REVIEWED BY THE FULL BOARD BEFORE FILING IF TIME PERMITS, OR AFTER FILING IF NECESSARY. THE AUDIT COMMITTEE IS AUTHORIZED BY THE BOARD TO REVIEW AND ACCEPT THE FORM 990 ON THEIR BEHALF. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES ALL BOARD MEMBERS, OFFICERS, KEY EMPLOYEES AND COMMITTEE MEMBERS TO REVIEW AND EXECUTE ITS CONFLICT OF INTEREST POLICY DOCUMENT ON AN ANNUAL BASIS. ANY DIRECTOR, OFFICER, KEY EMPLOYEE OR COMMITTEE MEMBER HAVING AN INTEREST IN A CONTRACT OR OTHER TRANSACTION WITH THE CORPORATION SHALL DISCLOSE SUCH INTEREST TO THE BOARD OR A COMMITTEE THEREOF FOR CONSIDERATION, AUTHORIZATION, APPROVAL, OR RATIFICATION AND SHALL MAKE A PROMPT, FULL AND FRANK DISCLOSURE OF HIS OR HER INTEREST TO THE BOARD OR COMMITTEE PRIOR TO ITS ACTING ON SUCH CONTRACT OR TRANSACTION. SUCH DISCLOSURE SHALL INCLUDE ANY RELEVANT AND MATERIAL FACTS, KNOWN TO SUCH PERSON, ABOUT THE CONTRACT OR TRANSACTION, WHICH MIGHT REASONABLY BE CONSTRUED TO BE ADVERSE OR POTENTIALLY ADVERSE TO THE CORPORATION'S INTEREST. THE BODY TO WHICH SUCH DISCLOSURE IS MADE SHALL THEREUPON DETERMINE, BY MAJORITY VOTE, WHETHER THE DISCLOSURE SHOWS THAT A CONFLICT OF INTEREST EXISTS OR CAN REASONABLY BE CONSTRUED TO EXIST. IF A CONFLICT IS DEEMED TO EXIST, SUCH PERSON SHALL NOT VOTE ON, NOR USE HIS OR HER PERSONAL INFLUENCE ON, NOR PARTICIPATE (OTHER THAN TO PRESENT FACTUAL INFORMATION OR TO RESPOND TO QUESTIONS) IN THE DISCUSSIONS OR DELIBERATIONS WITH RESPECT TO, SUCH CONTRACT OR TRANSACTION. SUCH PERSON MAY BE COUNTED IN DETERMINING THE EXISTENCE OF A QUORUM AT ANY MEETING WHERE THE CONTRACT OR TRANSACTION IS UNDER DISCUSSION OR IS BEING VOTED UPON. THE MINUTES OF THE MEETING SHALL REFLECT THE DISCLOSURE MADE, THE VOTE THEREON AND, WHERE APPLICABLE, THE ABSTENTION FROM VOTING AND PARTICIPATION, AND THAT A QUORUM WAS PRESENT. FORM 990, PART VI, SECTION B, LINE 15A THE CHAIR AND VICE CHAIR OF THE BOARD PERFORMED THEIR ANNUAL ASSESSMENT OF THE CEO. AS PART OF THE COMPENSATION REVIEW PROCESS, AN INDEPENDENT COMPENSATION REPORT IS UTILIZED TO PROVIDE COMPARABILITY DATA TO SIMILAR ROLES AT SIMILAR ORGANIZATIONS. THE DELIBERATION AND FINAL DECISION WERE TIMELY DOCUMENTED WITHIN THE CEO'S PERSONNEL FILE. THE CEO COMPENSATION REVIEW PROCESSES DESCRIBED ABOVE WAS LAST COMPLETED IN 2023. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: INCREASE IN INTEREST IN COLLINGTON FOUNDATION, INC. 260,380. THE KENDAL CORPORATION 591 COLLABORATION WAY SUITE 603 NEWARK DE 19713 232688382 DEVELOP AND PROVIDE ADMINISTRATION FOR CCRCS PA 501(C)(3) LINE 12C, III-FI N/A 0 COLLINGTON FOUNDATION INC 10450 LOTTSFORD RD MITCHELLVILLE MD 20721 522011239 PROVIDE SUPPORT TO COLLINGTON EPISCOPAL LIFE CARE COMMUNITY, INC. MD 501(C)(3) LINE 12A, I COLLINGTON EPISCOPAL LIFE CARE COMMUNITY INC 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 COLLINGTON FOUNDATION INC C 338490 FMV COLLINGTON FOUNDATION INC D 524568 YEAR END BALANCE COLLINGTON FOUNDATION INC E 972571 YEAR END BALANCE COLLINGTON FOUNDATION INC O 177246 FMV COLLINGTON FOUNDATION INC S 272311 FMV