2024-08-09T12:26:37-05:00 2023-09-30 410746749 CLIFTONLARSONALLEN LLP 901 NORTH GLEBE ROAD SUITE 200 ARLINGTON VA 22203 990 2022-10-01 843252431 GOODWIN HOUSE HOME AND COMMUNITY BASED SERVICES GOOD 7035781000 4800 FILLMORE AVENUE ALEXANDRIA VA 22311 TIMOTHY SMITH CHIEF FINANCIAL OFFICER 7035781000 2024-08-06 1 0 ROBERT WILLIAMS P01345960 5712279500 2024-07-11 2022 2024-08-08 14:25:15Z ROBERT A LIEBREICH 4800 FILLMORE AVENUE ALEXANDRIA VA 22311 7088747 0 X WWW.GOODWINLIVING.ORG X 2019 VA TO PROVIDE REHABILITATIVE, RESTORATIVE, ADVANCED ILLNESS CARE, AND OTHER HEALTH CARE SERVICES TO BOTH OLDER ADULTS AND TO OTHERS WITHIN THE SERVICE AREA OF GOODWIN HOUSE INCORPORATED, IN ORDER TO PROMOTE THE HEALTH AND WELFARE OF PERSONS IN NEED OF THOSE SERVICES. 3 3 0 3 0 0 395116 0 5992741 7060778 0 0 11945 27969 6399802 7088747 0 0 0 0 4297688 5557809 0 0 0 1564518 1763899 5862206 7321708 537596 -232961 1125787 786814 106012 0 1019775 786814 X GOODWIN HOUSE HOME AND COMMUNITY BASED SERVICES (GHHCBS) WAS FORMED FOR THE PURPOSE OF DEVELOPING, ACQUIRING, OWNING, OPERATING AND MAINTAINING BUSINESSES PROVIDING REHABILITATIVE, RESTORATIVE, ADVANCED ILLNESS CARE, AND OTHER HEALTH CARE SERVICES (CONTINUED ON SCHEDULE O) TO BOTH OLDER ADULTS TO OTHERS WITHIN THE SERVICE AREA OF GOODWIN HOUSE INCORPORATED, IN ORDER TO PROMOTE THE HEALTH AND WELFARE OF PERSONS IN NEED OF THOSE SERVICES. 0 0 6352584 0 7060778 GOODWIN HOUSE HOME AND COMMUNITY BASED SERVICES (GHHCBS) WAS FORMED ON SEPTEMBER 18, 2019 AS A NONPROFIT CORPORATION ORGANIZED UNDER THE LAWS OF THE COMMONWEALTH OF VIRGINIA. GHHCBS WAS FORMED TO FURTHER THE EXEMPT MISSION OF ITS SUPPORTED ORGANIZATION, GOODWIN HOUSE INCORPORATED (GHI), BY HOUSING IN A NEW SUBSIDIARY ORGANIZATION CERTAIN HEALTH AND CARE SERVICES THAT BROADEN AND EXTEND THE SERVICES MORE TRADITIONALLY OFFERED IN CONTINUING CARE RETIREMENT COMMUNITIES, ALSO CALLED LIFE PLAN COMMUNITIES. THESE SUPPORT SERVICES ARE ENVISIONED TO INCLUDE HOME HEALTH SERVICES, AND OTHER CLINICAL SERVICES.(CONTINUED ON SCHEDULE O)ON JANUARY 2, 2020, GHHCBS ENTERED INTO AN AGREEMENT WITH THE TEMPLE FOUNDATION, INC. (ANOTHER 501(C)(3) CHARITABLE ORGANIZATION) UNDER WHICH THE HOME HEALTH SERVICES THEY OWNED AND OPERATED (KNOWN AS THE VIRGINIAN) WERE CONVEYED TO GHHCBS TOGETHER WITH A CASH PAYMENT TO FUND THE EXPENSES AND SUPPORT THE GROWTH OF THE HOME HEALTH OPERATIONS. THE HOME HEALTH BUSINESS FURTHERS THE ORGANIZATION'S EXEMPT PURPOSE BY MEETING THE HOME HEALTH NEEDS OF THE RESIDENTS OF GHI'S CONTINUING CARE RETIREMENT COMMUNITIES, AND ADDITIONAL INDIVIDUALS WITHIN THE ORGANIZATION'S SERVICE AREA HAVING NEED OF THOSE SERVICES. 6352584 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 3 3 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X XAN SMITH 7038241355 4800 FILLMORE AVENUE ALEXANDRIA VA 22311 LISA GIESLER CHAIR 1.00 1.00 X X 0 0 0 KATIE HORTON VICE CHAIR 1.00 1.00 X X 0 0 0 BEN MARCANTONIO BOARD MEMBER 1.00 2.00 X 0 0 0 ROBERT A LIEBREICH PRESIDENT 1.00 39.00 X 0 552110 48577 ANDREW SIEGEL ASSISTANT SECRETARY 1.00 39.00 X 0 267469 26858 REBECCA DUAN ASSISTANT TREASURER 1.00 39.00 X 0 188547 21118 HOLLY HANISIAN ASSISTANT SECRETARY 1.00 39.00 X 0 149620 17967 TIMOTHY SMITH CHIEF FINANCIAL OFFICER 1.00 39.00 X 0 368211 40510 0 1525957 155030 0 0 1 0 0 HEALTHCARE SERVICES 623000 7060778 7060778 7060778 27969 27969 27969 7088747 7060778 0 27969 4751925 4751925 177317 177317 279227 279227 349340 349340 1000 1000 538464 538464 24202 24202 875414 875414 13098 13098 764 764 13594 13594 28263 28263 EQUIPMENT RENTAL & MAIN 94425 94425 BAD DEBTS 90000 90000 DRUGS & MEDICAL SUPPLIE 68897 68897 MISCELLANEOUS 7861 7861 7917 2989 4928 7321708 6352584 969124 0 517016 179352 487855 240038 7239 79272 61615 38677 17657 75000 349767 1125787 786814 106012 0 106012 0 X 1019775 786814 1019775 786814 1125787 786814 -232961 0 X X 0 1 X 1 0 X X 1 GOODWIN HOUSE INCORPORATED 540623670 10 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 79272 61615 17657 17657 DUE FROM AFFILIATES 274767 ASSETS LIMITED AS TO USE 75000 349767 X PART X, LINE 2: GHI, GHDC, GHHCBS, AND THE FOUNDATION ARE NONPROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND ARE EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE IRC. GHCS AND TVA ARE FOR-PROFIT CORPORATIONS. THE CORPORATION FOLLOWS THE PROVISIONS OF THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE APPLICATION OF THESE PROVISIONS HAS NO EFFECT ON THE CORPORATION'S FINANCIAL STATEMENTS. THE CORPORATION HAS IMPLEMENTED PROCESSES TO ENSURE CORPORATE COMPLIANCE WITH THE INTERNAL REVENUE SERVICE INTERMEDIATE SANCTIONS PROVISION. THESE PROCESSES INCLUDE RETENTION BY THE BOARD OF TRUSTEES OF AN UNBIASED THIRD PARTY CONSULTANT TO REVIEW EXECUTIVE COMPENSATION PRACTICES, ANNUAL REVIEW OF EXECUTIVE TEAM COMPENSATION BY THE BOARD COMPENSATION COMMITTEE, AND ANNUAL REVIEW BY THE BOARD OF TRUSTEES OF THE PERFORMANCE AND COMPENSATION OF THE CORPORATION'S PRESIDENT AND CHIEF EXECUTIVE OFFICER. THE BOARD ENGAGES IN PERIODIC CORPORATE COMPLIANCE EDUCATION, HAS ADOPTED AND REVIEWS AT LEAST ANNUALLY A WRITTEN CORPORATE COMPLIANCE PROGRAM AND CODE OF CONDUCT, AND HAS A DETAILED CONFLICT OF INTEREST POLICY. 0 1 0 0 1 0 0 0 0 ROBERT A LIEBREICH PRESIDENT 0 425360 0 106250 0 20500 0 37213 0 11364 0 600687 0 0 TIMOTHY SMITH CHIEF FINANCIAL OFFICER 0 314741 0 43470 0 10000 0 25075 0 15435 0 408721 0 0 ANDREW SIEGEL ASSISTANT SECRETARY 0 228490 0 28979 0 10000 0 18023 0 8835 0 294327 0 0 REBECCA DUAN ASSISTANT TREASURER 0 171449 0 17098 0 0 0 13198 0 7920 0 209665 0 0 HOLLY HANISIAN ASSISTANT SECRETARY 0 130319 0 17634 0 1667 0 10357 0 7610 0 167587 0 0 PART I, LINE 3 THE ORGANIZATION USES AN INDEPENDENT COMPENSATION CONSULTANT, COMPARATIVE COMPENSATION STUDIES, AND THE FORM 990 OF OTHER ORGANIZATIONS TO ESTABLISH COMPENSATION FOR OFFICERS AND KEY EMPLOYEES. WE ALSO RECENTLY PURCHASED A PRODUCT THAT ALLOWS US TO BENCHMARK THE MARKET. THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES CONDUCTS AN ANNUAL REVIEW OF THE PERFORMANCE AND COMPENSATION OF THE PRESIDENT AND CEO; RESULTS OF THE PERFORMANCE REVIEW AND WAGE ANALYSIS ARE SHARED WITH THE FULL BOARD, AND THE BOARD OF TRUSTEES ESTABLISHES THE COMPENSATION OF THE PRESIDENT AND CEO BASED ON THE DATA PRESENTED. ON A REGULAR (NOT ANNUAL) BASIS, AN OUTSIDE CONSULTANT IS RETAINED TO EVALUATE THE WAGES OF OTHER KEY EMPLOYEES, SUCH AS WAGES OF THE CFO, COO, CHIEF PHILANTHROPY OFFICER, CHIEF PEOPLE OFFICER, CHIEF BUSINESS DEVELOPMENT OFFICER AND CHIEF MARKETING & STRATEGY OFFICER. MOST RECENT STUDY IS FROM 2023. ANOTHER REVIEW WILL OCCUR IN 2024. PART I, LINE 4B THE ORGANIZATION SPONSORS ELIGIBLE DEFERRED COMPENSATION PLANS UNDER SECTIONS 457(B) AND 457(F). THESE PLANS ARE INTENDED TO BE TOP HAT PLANS UNDER SECTION 201(2) OF THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974. THE ORGANIZATION CONTRIBUTED $117,867 AND $102,000 TO THE SECTION 457 PLANS FOR THE YEARS ENDED SEPTEMBER 30, 2023 AND 2022, RESPECTIVELY. THE ORGANIZATION MAINTAINED A 457(F) NONQUALIFIED RETIREMENT PLAN. DURING THE FISCAL YEAR, NO DISTRIBUTIONS WERE MADE TO ANY INDIVIDUALS PARTICIPATING IN THE PLAN. DURING THE FISCAL YEAR, THE FOLLOWING INDIVIDUALS MADE CONTRIBUTIONS TO THE PLAN: ROBERT LIEBREICH: $4,320 TIMOTHY SMITH: $15,000 PART I, LINE 5 MEETING BUDGETED OUTCOMES IS INCLUDED IN THE GOALS AND IMPACT THE BONUS AMOUNT AWARDED. FORM 990, PART VI, SECTION A, LINE 1A EXECUTIVE COMMITTEE HAS THE DELEGATED AUTHORITY TO ACT ON BEHALF OF THE BOARD OF TRUSTEE IN BETWEEN BOARD MEETINGS. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION IS GOODWIN HOUSE INCORPORATED. FORM 990, PART VI, SECTION A, LINE 7A DIRECTORS SHALL BE ELECTED BY THE BOARD OF TRUSTEES OF GOODWIN HOUSE INCORPORATED, THE CORPORATION'S SOLE MEMBER. THE SOLE MEMBER SHALL CHOOSE A SUCCESSOR, WHO SHALL HOLD OFFICE UNTIL THE NEXT ANNUAL ELECTION OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE BYLAWS MAY BE AMENDED OR REPEALED BY AN AFFIRMATIVE VOTE OF A MAJORITY OF ALL THE VOTING MEMBERS OF THE BOARD OF DIRECTORS AT A REGULAR OR SPECIAL MEETING PROVIDED THAT WRITTEN NOTICE OF THE PROPOSED CHANGE OR ADDITIONS HAS BEEN GIVEN TO EACH BOARD MEMBER AT LEAST FIVE DAYS PRIOR TO THE MEETING. APPROVAL BY THE SOLE MEMBER OF THE CORPORATION MUST BE GRANTED. FORM 990, PART VI, SECTION B, LINE 11B THE JOINT AUDIT COMMITTEE, A STANDING COMMITTEE OF THE BOARD OF TRUSTEES, COMPLETES A COMPREHENSIVE AND INTERACTIVE REVIEW OF THE FINAL DRAFT FORM 990 AFTER THE FORM 990 HAS BEEN REVIEWED BY MANAGEMENT. SUBSEQUENT TO REVIEW BY THE JOINT AUDIT COMMITTEE AND PRIOR TO FILING, THE FORM 990 IS DISTRIBUTED ELECTRONICALLY TO ALL MEMBERS OF THE GOVERNING BOARD FOR THEIR REVIEW AND COMMENT BEFORE FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND CODE OF CONDUCT ARE INCLUDED IN ITS WRITTEN CORPORATE COMPLIANCE POLICY. ALL MEMBERS OF THE GOVERNING BODY AND ALL MEMBERS OF STAFF ARE EXPECTED TO KNOW AND ABIDE BY THE CORPORATE COMPLIANCE POLICY. EACH MEMBER OF THE GOVERNING BODY AND EACH MEMBER OF THE EXECUTIVE TEAM COMPLETES AN ANNUAL CONFLICT OF INTEREST STATEMENT. SHOULD A POTENTIAL CONFLICT EXIST WITH AN ENTITY WITH WHICH THE ORGANIZATION IS NOT CURRENTLY DOING BUSINESS, THE PERSON WITH THE CONFLICT WOULD BE EXPECTED TO DISCLOSE IT PRIOR TO ANY PROPOSED TRANSACTIONS, AND TO ABSENT HIM/HERSELF FROM DISCUSSION AND FROM VOTING ON SUCH PROPOSED TRANSACTION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST AND FILES ITS FINANCIAL STATEMENTS QUARTERLY ON THE EMMA (ELECTRONIC MUNICIPAL MARKET ACCESS) WEBSITE. FORM 990, PART XII, LINE 2C: THE PROCESS FOR OVERSIGHT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. GOODWIN HOUSE INCORPORATED 4800 FILLMORE AVENUE ALEXANDRIA VA 22311 540623670 OPERATES TWO CONTINUING CARE RETIREMENT COMMUNITIES VA 501(C)(3) LINE 10 N/A 0 GOODWIN HOUSE DEVELOPMENT CORPORATION 4800 FILLMORE AVENUE ALEXANDRIA VA 22311 020595161 PURPOSE OF DEVELOPMENT OF SENIOR LIVING COMMUNITIES VA 501(C)(3) LINE 12A, I GOODWIN HOUSE INCORPORATED 1 GOODWIN HOUSE FOUNDATION 4800 FILLMORE AVENUE ALEXANDRIA VA 22311 541549749 TO AID, STRENGTHEN, & EXTEND GOODWIN HOUSE INCORPORATED VA 501(C)(3) LINE 12A, I GOODWIN HOUSE INCORPORATED 1 GOODWIN HOUSE THE VIEW ALEXANDRIA 4800 FILLMORE AVENUE ALEXANDRIA VA 22311 881887084 TO BENEFIT, SUPPORT AND FOSTER THE OPERATIONS OF GHDC VA 501(C)(3) LINE 12A, I GOODWIN HOUSE DEVELOPMENT CORPORATION 1 GHI AVONLEA LLC 4800 FILLMORE AVENUE ALEXANDRIA VA 22311 881901285 TO BENEFIT, SUPPORT AND FOSTER THE OPERATIONS OF GOODWIN HOUSE INCORPORATED VA 501(C)(3) LINE 11 GOODWIN HOUSE INCORPORATED 1 GOODWIN HOUSE COMMUNITY SERVICES 4800 FILLMORE AVENUE ALEXANDRIA VA 22311 542005465 MGMT SERVICES TO NON-PROFIT RETIREMENT COMMUNITIES VA GOODWIN HOUSE INCORPORATED C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0