2024-01-25T11:49:01-06:00 2023-06-30 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2022-07-01 231606038 CALVARY FELLOWSHIP HOMES INC CALV 7173930711 502 ELIZABETH DRIVE LANCASTER PA 17601 DALE WEAVER PRESIDENT/CEO 7173930711 2024-01-25 1 DALE WEAVER XXX-XX-XXXX 1 KERRI N BOGDA CPA P00760402 7177404863 2024-01-25 X 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z DALE WEAVER 502 ELIZABETH DRIVE LANCASTER PA 17601 16723552 0 X WWW.CALVARYHOMES.ORG X 1961 PA OPERATE A CONTINUING CARE RETIREMENT COMMUNITY & PROVIDE HOUSING, HEALTH CARE & RELATED SVCS. 13 11 277 135 0 0 910320 633654 13480765 14442681 -66717 112747 330734 452559 14655102 15641641 373679 499992 0 0 8916889 8193534 0 0 88329 6624102 7703943 15914670 16397469 -1259568 -755828 34704131 37621749 28417893 31949580 6286238 5672169 X TO SERVE SENIOR ADULTS, ENRICHING THEIR LIVES IN A MANNER THAT GLORIFIES OUR LORD JESUS CHRIST AND MAXIMIZES THEIR QUALITY OF LIFE. WE OPERATE A CONTINUING CARE RETIREMENT COMMUNITY THAT PROVIDES HOUSING, PERSONAL CARE, AND HEALTH CARE. 0 0 13619670 499992 14442681 THE ORGANIZATION OPERATES A CONTINUING CARE RETIREMENT COMMUNITY PROVIDING HOUSING, HEALTH CARE AND OTHER RELATED SERVICES TO SENIOR ADULTS THROUGH THE OPERATION OF A SKILLED NURSING FACILITY THAT IS CERTIFIED BY MEDICARE AND MEDICAID, A PERSONAL CARE FACILITY WHICH INCLUDES A SECURED DEMENTIA UNIT AND RESIDENTIAL LIVING APARTMENTS AND COTTAGES. FOR THE YEAR ENDING 6/30/23, THERE WERE 16,156 NURSING DAYS WITH 98% OCCUPANCY AND 9,709 PERSONAL CARE DAYS WITH 58% OCCUPANCY. THE ORGANIZATION ALSO PROVIDED CARE TO RESIDENTS WHO MET CERTAIN CRITERIA AT AMOUNTS LESS THAN ESTABLISHED RATES. CHARGES FOREGONE FOR SERVICES RENDERED AND SUPPLIES FURNISHED UNDER THE BENEVOLENT CARE POLICY AMOUNTED TO $491,000 IN FISCAL YEAR 2023. DURING FISCAL YEAR 2023, 65% OF OUR RESIDENTS IN OUR NURSING CENTER WERE RECEIVING ASSISTANCE THROUGH THE MEDICAL ASSISTANCE PROGRAM WHICH RESULTS IN A DEFICIT OF OVER $2,778,000 BETWEEN OUR COSTS AND WHAT WE RECEIVE IN REIMBURSEMENT.WE PROVIDE MANY OPPORTUNITIES FOR RESIDENTS TO ENJOY EVENTS AND ACTIVITIES THROUGHOUT OUR CAMPUS AND OFF CAMPUS. THIS INCLUDES ENTERTAINMENT, CRAFTS, PAINTING CLASSES, EXERCISE & BALANCE CLASSES, SEWING & QUILT MAKING, BOOK CLUBS, BIBLE STUDIES, DEVOTIONS, CHURCH SERVICES & PRAYER MEETINGS. THERE ARE TRIPS TO SEE PLAYS, SIGHTSEEING TRIPS AND OTHER LOCAL EVENTS. 13619670 1 1 0 1 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 13 0 277 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 13 11 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 1 1 0 PA X VINCENT REIGLE VP OF FINANCE CFO 7178248817 502 ELIZABETH DR LANCASTER PA 17601 CLIFFORD K HURTER PRESIDENT & CEO (UNTIL 12/22) 40.00 0.00 X X 216706 0 29068 DALE WEAVER PRESIDENT & CEO (AS OF 10/22) 40.00 0.00 X X 29242 0 1853 DAVID STOTT DIRECTOR OF OPERATIONS 40.00 0.00 X X 115504 0 14436 PENNY CLAWSON CHAIR (AS OF 10/22) 1.00 0.00 X X 0 0 0 RAY LANAS CHAIR (UNTIL 10/22) 1.00 0.00 X X 0 0 0 JON SENSENIG VICE CHAIR 1.00 0.00 X X 0 0 0 JEFF DAHL SECRETARY 1.00 0.00 X X 0 0 0 JIM MARTIN TREASURER 1.00 0.00 X X 0 0 0 JOHN ZESWITZ DIRECTOR 1.00 0.00 X 0 0 0 NANCY JAMES DIRECTOR 1.00 0.00 X 0 0 0 REV ROBERT REID DIRECTOR 1.00 0.00 X 0 0 0 REV HENRY HEIJERMANS DIRECTOR 1.00 0.00 X 0 0 0 JONATHAN YODER DIRECTOR 1.00 0.00 X 0 0 0 SHELDON MYER DIRECTOR 1.00 0.00 X 0 0 0 ANDREW WOOLLEY DIRECTOR 1.00 0.00 X 0 0 0 ERIC BENDER VP, FINANCE/CFO (UNTIL 10/22) 40.00 0.00 X 111499 0 22091 DANIELLE MARTIN VP, HEALTH SERVICES 40.00 0.00 X 125051 0 14266 LINDA SPOON VP, HUMAN SERVICES 40.00 0.00 X 119414 0 15532 VINCENT REIGLE VP, FINANCE/CFO (AS OF 12/22) 40.00 0.00 X 5923 0 0 723339 0 97246 5 0 1 0 INTELYCARE INC 1250 HANCOCK ST SUITE 501N QUINCY MA 02169 NURSING AGENCY 493590 SYMBRIA 28100 TORCH PARKWAY SUITE 600 WARRENVILLE IL 60555 THERAPY SERVICES 196295 RANCK INC 2541 MARIETTA AVE LANCASTER PA 17601 RENOVATION SERVICES 132993 NURSELECT PO BOX 82596 PHILADELPHIA PA 19182 NURSING AGENCY 118174 FLAGSHIP REHABILITATION 157 BALTIMORE ST SUITE 200 CUMBERLAND MD 21502 THERAPY SERVICES 115051 5 136904 128371 368379 633654 NET RESIDENT SERVICE REVENUE 623000 12410574 12410574 AMORTIZATION OF ADVANCE FEES 623000 2032107 2032107 14442681 107514 107514 1047632 250 1032649 10000 14983 -9750 5233 5233 25621 136904 32041 -6420 -6420 11688 7221 4467 4467 CABLE TV INCOME 900099 122604 122604 YEAR END ADJUSTMENT 900099 74405 74405 CAFE REVENUE 900099 70261 70261 187242 187242 454512 15641641 14442681 0 565306 9950 9950 490042 490042 890717 726869 163848 5565007 4454317 1031441 79249 135215 109328 25107 780 1090716 938964 151752 511879 414776 91041 6062 50597 50597 111122 111122 682 682 27234 27234 668316 574608 93708 99761 99761 282962 67589 213135 2238 1329238 1329238 62149 59311 2838 40785 15464 25321 519606 519606 2265851 2265851 138560 138560 NURSING AGENCY 671217 671217 DIETARY FOOD & SUPPLIES 619148 619148 BAD DEBT 230612 230612 MEDICAL SUPPLIES 193444 193444 392659 159948 232711 16397469 13619670 2689470 88329 178876 2481 41346 959043 712410 651214 150802 347841 63045143 33571153 30419224 29473990 3085241 6070967 116232 116213 34704131 37621749 1788527 1659713 14213184 13952307 16232 16213 12099566 15812417 300384 508930 28417893 31949580 X 6286238 5672169 6286238 5672169 34704131 37621749 X -755828 152924 -11165 X 0 1 X 1 0 X 1019790 646704 2579929 894702 633654 5774779 11773219 12234878 12612393 13480765 14442681 64543936 12793009 12881582 15192322 14375467 15076335 70318715 42340 56079 35040 12500 20000 165959 0 42340 56079 35040 12500 20000 165959 70152756 99592 79908 53021 57684 107514 397719 99592 79908 53021 57684 107514 397719 347103 402616 359468 370604 491821 1971612 13239704 13364106 15604811 14803755 15675670 72688046 0.96510 0.96870 0.00550 0.00550 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: ANNUITIES - 2018 AMOUNT: $ 35,053. 2019 AMOUNT: $ 40,649. BARBER BEAUTY INCOME - 2018 AMOUNT: $ 30,635. 2019 AMOUNT: $ 23,037. 2020 AMOUNT: $ 19,574. 2021 AMOUNT: $ 29,567. 2022 AMOUNT: $ 28,020. CABLE TV INCOME - 2018 AMOUNT: $ 90,083. 2019 AMOUNT: $ 98,950. 2020 AMOUNT: $ 109,670. 2021 AMOUNT: $ 117,447. 2022 AMOUNT: $ 122,604. CAFE REVENUE - 2018 AMOUNT: $ 83,957. 2019 AMOUNT: $ 78,048. 2020 AMOUNT: $ 36,482. 2021 AMOUNT: $ 47,496. 2022 AMOUNT: $ 70,261. CARE LTD CAPTIVE DIVIDEND - 2020 AMOUNT: $ 17,230. 2021 AMOUNT: $ 24,203. 2022 AMOUNT: $ 22,880. DISCOUNTS - 2018 AMOUNT: $ 1,251. 2019 AMOUNT: $ 1,510. 2020 AMOUNT: $ 24,016. 2021 AMOUNT: $ 96. GIFT SHOP - 2018 AMOUNT: $ 8,211. 2019 AMOUNT: $ 13,453. 2020 AMOUNT: $ 11,007. 2021 AMOUNT: $ 12,696. 2022 AMOUNT: $ 11,688. GUEST MEALS - 2018 AMOUNT: $ 51,891. 2019 AMOUNT: $ 49,079. 2020 AMOUNT: $ 31,841. 2021 AMOUNT: $ 33,956. 2022 AMOUNT: $ 47,150. HIGHMARK IMPLEMENTATION CREDIT - 2020 AMOUNT: $ 10,000. MISCELLANEOUS REVENUE - 2018 AMOUNT: $ 1,531. 2019 AMOUNT: $ 47,389. 2020 AMOUNT: $ 36,967. 2021 AMOUNT: $ 9,832. 2022 AMOUNT: $ 4,570. NON-CHARITABLE FUNDRAISING RECEIPTS - 2018 AMOUNT: $ 8,337. 2019 AMOUNT: $ 8,337. 2020 AMOUNT: $ 3,189. 2021 AMOUNT: $ 44,032. 2022 AMOUNT: $ 25,621. REBATES - 2020 AMOUNT: $ 10,356. 2022 AMOUNT: $ 38,027. TELEPHONE INCOME - 2018 AMOUNT: $ 36,154. 2019 AMOUNT: $ 42,164. 2020 AMOUNT: $ 49,136. 2021 AMOUNT: $ 51,279. 2022 AMOUNT: $ 46,595. PRIOR PERIOD ADJUSTMENT - 2022 AMOUNT: $ 74,405. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 682 682 0 PART II-B, LINE 1: THE ORGANIZATION PAYS DUES TO LEADINGAGE PA, AN ORGANIZATION WHICH ADVOCATES FOR SENIOR CITIZENS. A PORTION OF DUES PAID IS ALLOCATED TO LOBBYING EXPENSES. 0 1 X 1550003 1550003 46968626 22516924 24451702 1502310 1298089 204221 13024204 9756140 3268064 29473990 REFUNDABLE FEES AND DEPOSITS 196880 SPLIT-INTEREST OBLIGATIONS 312050 508930 15316551 152924 -517276 -364352 15680903 -39262 -39262 15641641 15930620 50427 50427 15880193 517276 517276 16397469 PART IV, LINE 2B: RESIDENT TRUST FUND: CALVARY HOMES MAINTAINS A SEPARATE INTEREST BEARING CHECKING ACCOUNT TO HOLD RESIDENT FUNDS. THESE FUNDS ARE RELEASED TO RESIDENTS UPON REQUEST WITH PROPER APPROVAL. AT LEAST QUARTERLY A STATEMENT OF ACCOUNT IS PROVIDED TO EACH RESIDENT SHOWING DEPOSITS, INTEREST EARNINGS, WITHDRAWALS AND BALANCE OF ACCOUNT. THE RESIDENT'S ACCOUNT WILL BE REFUNDED UPON DISCHARGE OR AT ANYTIME REQUESTED BY THE RESIDENT. PART XI, LINE 2D - OTHER ADJUSTMENTS: RESIDENT ASSISTANCE AND SUBSIDIES -490,042. INVESTMENT FEES -27,234. PART XI, LINE 4B - OTHER ADJUSTMENTS: GIFT SHOP COST OF GOODS SOLD -7,221. FUNDRAISING EVENT EXPENSES -32,041. PART XII, LINE 2D - OTHER ADJUSTMENTS: GIFT SHOP COST OF GOODS SOLD 7,221. FUNDRAISING EVENT EXPENSES 32,041. CHANGE IN VALUE OF ANNUITIES 11,165. PART XII, LINE 4B - OTHER ADJUSTMENTS: RESIDENT ASSISTANCE AND SUBSIDIES 490,042. INVESTMENT FEES 27,234. 60TH ANNIVERSARY DINNER 113528 111298 2230 500 7360 1800 230 GOLF TOURNAMENT 27019 15515 11504 917 250 3462 5635 1 21978 10091 11887 6976 1593 3318 162525 136904 25621 917 750 17798 3393 9183 32041 -6420 1 ASSISTANCE TOWARD ROOM & BOARD EXPENSES FOR RESIDENTS IN FINANCIAL NEED. 18 490042 PART I, LINE 2: THE ORGANIZATION PROVIDES ASSISTANCE TO RESIDENTS WITH A FINANCIAL NEED WHO COMPLETE AN APPLICATION WITH THE PRESIDENT/CEO. APPLICATIONS FOR ASSISTANCE ARE PRESENTED TO THE FINANCE COMMITTEE AND BOARD FOR THEIR APPROVAL. CONTRIBUTIONS TO OTHER ORGANIZATIONS ARE ONLY PROVIDED TO KNOWN NON-PROFITS. THE ORGANIZATION SUPPORTS LOCAL CHARITIES AND DOES NOT MONITOR THE FUNDS AFTER THEY ARE DISBURSED. NO GRANTS WERE GIVEN IN EXCESS OF $5K DURING FY23. X X X 0 0 0 0 0 0 0 0 0 CLIFFORD K HURTER PRESIDENT & CEO (UNTIL 12/22) 214029 0 0 0 2677 0 4084 0 24984 0 245774 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 MEMBERSHIP IN THE ORGANIZATION IS UPON INVITATION BY THE BOARD OF DIRECTORS AND SHALL CONSIST OF NOT LESS THAN TWENTY FIVE MEMBERS. MEMBERS MUST MEET THE FOLLOWING REQUIREMENTS: 1)MEMBERS SHALL BE TWENTY-ONE YEARS OF AGE OR OLDER; 2)MEMBERS SHALL SUBSCRIBE ANNUALLY IN WRITING TO THE STATEMENT OF FAITH SET FORTH IN THE ORGANIZATION'S BYLAWS AND SHALL HAVE A VITAL INTEREST IN THE SPIRITUAL AND PHYSICAL WELFARE OF ELDERLY PEOPLE. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS OF THE CORPORATION ELECT ALL MEMBERS OF THE BOARD. ADDITIONALLY THE PRESIDENT/CEO IS DESIGNATED BY HIS TITLE TO BE A BOARD MEMBER - HE IS NOT ELECTED TO THE BOARD BY THE CORPORATION MEMBERS. THE DIRECTOR OF OPERATIONS IS ASSIGNED, BY THE PRESIDENT, TO BE ON THE BOARD AS WELL. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING ARE SITUATIONS WHERE THE CORPORATION MEMBERS HAVE VOTING AUTHORITY OVER BOARD DECISIONS: FROM THE BY-LAWS (TOP OF PAGE 8 FROM ARTICLE 6 SECTION 6.11) NO RESOLUTION APPROVING THE MERGER, CONSOLIDATION, LIQUIDATION OR DISSOLUTION OF THE CORPORATION NOR ANY ACTION THAT WOULD RESULT IN THE SALE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION SHALL BE VALID UNLESS FIRST APPROVED BY THE AFFIRMATIVE VOTE OF TWO-THIRDS (2/3) OF (A) ALL MEMBERS OF THE BOARD, (B) ALL THE CORPORATE MEMBERS AND (C) BE ACTIVE MEMBER AS DEFINED BY THE BY-LAWS. FORM 990, PART VI, SECTION A, LINE 8B NONE OF THE COMMITTEES CAN ACT WITHOUT BOARD APPROVAL. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS REVIEWED IN DETAIL BY THE PRESIDENT/CEO, THE VP OF FINANCE/CFO AND THE TREASURER OF THE BOARD. A COPY WAS ALSO PROVIDED TO ALL BOARD MEMBERS FOR THEIR REVIEW PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD MEMBERS COMPLETE THE CONFLICT OF INTEREST POLICY STATEMENT ANNUALLY. THE PRESIDENT/CEO MONITORS THE PROCESS AND REVIEWS ANY IDENTIFIED CONFLICTS. COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IS REVIEWED PRIOR TO THE ORGANIZATION ENTERING INTO ANY SIGNIFICANT TRANSACTIONS. THE POLICY MENTIONS FAMILY AND BUSINESS RELATIONSHIPS. ANY BOARD MEMBER WITH A POTENTIAL CONFLICT IS REQUESTED TO ABSTAIN FROM VOTING ON MATTERS RELATED TO THEIR CONFLICT. IF THE CONFLICT IS DETERMINED TO BE SIGNIFICANT, THE BOARD MEMBER IS ASKED TO RESIGN FROM THE BOARD. FORM 990, PART VI, SECTION B, LINE 15 THE BASE SALARY AND ANNUAL INCREASE FOR THE PRESIDENT/CEO AND DIRECTOR OF OPERATIONS IS BASED STRICTLY ON THE BOARD OF DIRECTORS' DECISION AND IS INFLUENCED BY A NUMBER OF FACTORS INCLUDING MERIT, COST OF LIVING/INFLATION ISSUES AND WAGES PAID FOR COMPARABLE POSITIONS WITHIN THE INDUSTRY TO ENSURE COMPENSATION DOES NOT EXCEED FAIR MARKET VALUE. COUNTY WAGE SURVEYS AND CONSULTANTS ARE USED AS GUIDANCE. THE PROCESS AND DETERMINATION IS DOCUMENTED IN THE BOARD OF DIRECTORS' MINUTES. 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: CHANGE IN VALUE OF ANNUITIES -11,165.