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ROBERT L. EHRLICH, JR., Governor Ch. 113
[(3)] (4) A statement regarding any affiliation of the provider with a
religious, charitable, or other nonprofit organization, and the extent to which the
organization is responsible for the financial and contractual obligations of the
provider;
[(4)] (5) A description of all basic fees, including entrance fees, fees for
health related services, and periodic fees, collected by the provider from subscribers,
setting forth the amount and frequency of the fee changes during each of the previous
5 years. If the facility has been in operation less than 5 years, then the description
shall be for each year that it has been in operation;
[(5)] (6) A statement describing provisions that have been or will be
made to comply with the operating reserve requirements as described in § 11B of this
subtitle, and a general statement regarding the provider's investment policy related
to the required reserves, including how often the reserve fund investment is reviewed
and by whom;
(7) A DESCRIPTION OF THE FINANCIAL ARRANGEMENTS THAT THE
PROVIDER HAS MADE, IF ANY, TO ADDRESS THE RENEWAL AND REPLACEMENT OF
THE BUILDINGS AND IMPROVEMENTS AT THE FACILITY, SUCH AS THE
ESTABLISHMENT OF A RENEWAL AND REPLACEMENT FUND;
[(6)] (8) A copy of the most recent certified financial statement
obtainable under generally accepted accounting principles;
[(7)] (9) A description of the long-term financing for the facility;
[(8)] (10) If the facility has not reached 85% occupancy of independent
living units, a summary of the feasibility study;
[(9)] (11) A cash flow forecast statement for the current and the next 2
fiscal years;
[(10)] (12) The names and occupations of the officers, directors, trustees,
managing or general partners, and any other persons with a 10% or greater equity or
beneficial interest in the provider, and a description of the financial interest in or
occupation with the provider;
[(11)] (13) The name and address of any professional service firm,
association, trust, partnership, company, or corporation in which a person identified
in item [(10)] 12 of this subsection has a 10% or greater financial interest and which
is anticipated to provide goods, premises, or services to the facility or provider of a
value of $10,000 or more within any fiscal year, including a description of the goods,
premises, or services and their anticipated cost to the facility or provider. However,
the disclosure of salary, wage, or benefit information of employees of the provider is
not required;
[(12)] (14) The name of the proposed manager or management company if
the facility is or will be managed on a day-to-day basis by a person other than an
individual directly employed by the provider, and a description of the business
experience, if any, of the manager or company in the operation or management of
similar facilities;
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