2024-03-28T16:07:46-05:00 2023-06-30 420714325 RSM US LLP 30 South Wacker Dr Suite 3300 Chicago IL 606063392 990 2022-07-01 351362157 Hubbard Hill Estates Inc HUBB 5742956260 28070 CR 24 W Elkhart IN 46517 Adam Allsop Chief Financial Officer 5742956260 2024-03-27 1 Adam Allsop XXX-XX-XXXX 1 Rebekuh Eley P01247672 3126343400 2024-03-27 0 AAL1 IAL1 2022 2023-04-26 12:10:37Z Patrick Pingel 28070 CR 24 W Elkhart IN 46517 21918553 0 X www.hubbardhill.org X 1975 IN To provide a continuum of living opportunities and services for older adults in a Christian holistic environment. 11 11 327 10 0 0 4525220 4013366 14118056 16928838 445835 285845 145346 143587 19234457 21371636 0 0 0 0 8747137 10685592 96379 106570 106570 7819175 9135327 16662691 19927489 2571766 1444147 41041811 49083846 35005510 40995694 6036301 8088152 X To provide a continuum of living opportunities and services for older adults in a Christian holistic environment.Continued on Schedule OVision:To create a nationally recognized model of innovative, faith-based, holistic care.Our Values:Honor: Esteem, value, and respect everyoneResident Advocacy: Always advocate for the resident firstWellness: Address all basic human needs-spiritual, physical, and psychosocialBeauty: Foster aesthetic beauty in all environmentsAccountability: Lead people to make mission-driven choicesMission-Driven Stewardship: Use our human and financial resources to promote the mission 1 0 15809944 0 16928838 Hubbard Hill Estates, Inc. (Hubbard Hill living wisdom community) is a full-service retirement community designed as a continuing care campus. Hubbard Hill provides residents with a variety of living arrangements: private independent living houses, skilled Medicare/Medicaid certified health center, licensed assisted living apartments, and dedicated memory care assisted living apartments. A full-time wellness/activities director and staff provide a full range of recreational and wellness programs. Social Workers provide for social service's needs. Physical, speech, and occupational therapies are available in the healthcare center's fully equipped therapy center for inpatient and outpatient therapy services. Residents have on site access to a beauty salon, massage therapy and reflexology therapy. A full-time chaplain is also on staff. Hubbard Hill has a total of 305 individual living units within the continuum of care accommodations. There are 87 individual independent living dwellings that offer maintenance free living and provide optional access to all services provided by Hubbard Hill including meals. The routine maintenance fee includes lawn care, snow removal, trash collection, and city water. The licensed residential living has 116 apartments designed for residents requiring some assistance with activities of daily living. Hubbard Hill provides assistance such as dressing, bathing, medication management, and other limited nursing services to residents who need assistance. Monthly services available include three meals per day from a selective menu, housekeeping services, maintenance services, bed and bath linen services, and personal laundry services. Washers and dryers are available in each hall for residents desiring to do their own personal laundry. Additional assisted living services are available for an additional fee. Utilities, internet access, phones with local call access and transportation to local appointments are also provided. A licensed nurse is on duty 24 hours a day assessment, evaluation, and supervision of residents' needs. An RN serves as director of nursing to provide oversight throughout the week, along with a licensed administrator. Hubbard Hill provided 31,023 resident days of service toward assisted living care during the fiscal year ended June 30, 2023. Hubbard Hill also operates a 66-bed skilled nursing facility that provides dedicated rehabilitation and long-term care. All healthcare rooms are certified for Medicare services. Nursing care is provided 24 hours per day. The administrator and director of nursing head a staff that includes registered nurses, licensed practical nurses & certified nursing assistants. Several consultants, including a dietitian, pharmacists, psychiatrist, physicians, and therapists are also on staff. Hubbard Hill provided 21,415 resident days for healthcare including 4,244 Medicare days, 4,160 Medicaid days, and 13,011 private pay days during the fiscal year ended June 30, 2023. A 36-bed memory care facility provides first in class care for individuals suffering from dementia. Residents have freedom to visit with neighbors, relax on their front patios, and interact with nature in safely designed backyards. Residents are able to participate in natural rhythms of daily life in a comfortable, nurturing environment. Hubbard Hill provided 11,563 resident days of service toward memory care assisted living during the fiscal year ended June 30, 2023. 15809944 1 1 0 0 0 0 0 0 1 1 1 0 0 0 1 1 0 1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 1 38 0 1 327 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 1 1 1 0 1 0 1 1 1 1 1 1 1 1 0 IN X Adam Allsop CFO 5742956260 28070 CR 24 W Elkhart IN 46517 X Ruchit Patel Nurse 75.00 0.00 X 196033 0 20696 Patrick Pingel Chief Executive Officer 40.00 0.00 X 173004 0 30115 Adam Allsop Chief Financial Officer 40.00 0.00 X 139958 0 2799 Terry Schollmeier Chief Operating Officer 40.00 0.00 X 136230 0 2725 Pamela Campbell Nurse 75.00 0.00 X 117476 0 10612 Lita Keszei Nurse 75.00 0.00 X 101972 0 16768 Greg Conrad Chairperson 1.00 0.00 X X 0 0 0 Dave Dekker Vice Chairperson 1.00 0.00 X X 0 0 0 Bruce Korenstra Treasurer 1.00 0.00 X X 0 0 0 Deb Gillum Secretary 1.00 0.00 X X 0 0 0 Dan Bridges Volunteer Board Member 1.00 0.00 X 0 0 0 Ron Clark Volunteer Board Member 1.00 0.00 X 0 0 0 Ken Fervida Volunteer Board Member 1.00 0.00 X 0 0 0 Ronda Powell Volunteer Board Member 1.00 0.00 X 0 0 0 Rev Jason Rohde Volunteer Board Member 1.00 0.00 X 0 0 0 JR Rohrer Volunteer Board Member until 5/30/23 1.00 0.00 X 0 0 0 Rev Joe Wenger Volunteer Board Member 1.00 0.00 X 0 0 0 Dr Doyle Yeager Volunteer Board Member 1.00 0.00 X 0 0 0 864673 0 83715 8 0 1 0 DJ Construction 3414 Elkhart Road Goshen IN 46526 Construction 2209445 Healthwin Specialized Care 20531 Darden Road South Bend IN 46637 Rehab Therapy 491652 Shiftkey LLC PO Box 735913 Dallas TX 75373 Staffing 228122 Comfort Keepers 6910 N Main Street Suite 17A Granger IN 46532 Staffing 210210 On Call Healthcare Staffing LLC 1721 S Vernon South Bend IN 46613 Staffing 202159 6 3171211 842155 524449 4013366 Resident Services 623000 16928838 16928838 16928838 208167 208167 12843 7742 5101 5101 5101 616853 539175 77678 77678 77678 Employee Meals 900099 65795 65795 Beauty Shop 900099 59883 59883 Entrance Fees 900099 12808 12808 138486 21371636 16928838 0 429432 X 491995 380999 110996 8528979 6751491 1777488 998690 553448 445242 665928 545678 120250 15073 15073 128006 128006 106570 106570 28034 28034 3405479 2903788 501691 107424 99487 7937 1751992 1655255 96737 303838 42039 261799 762309 290326 471983 687433 687433 1550795 1548236 2559 323116 304292 18824 Dues & Subscriptions 25332 13813 11519 COVID-19 Expenses 3315 3165 150 43181 30494 12687 19927489 15809944 4010975 106570 2452212 1349550 1120529 488796 3075769 2350103 428177 3755218 160341 243599 53732836 22552560 25218585 31180276 7584456 8531689 140000 140000 861742 1044615 41041811 49083846 988060 3109244 10920178 11219938 8218 6615 22918404 22384545 170650 4275352 35005510 40995694 X 1335584 5079149 4700717 3009003 6036301 8088152 41041811 49083846 1444147 607704 0 X 0 1 X 1 0 X 552191 3197008 2108649 4525220 4013366 14396434 11935063 14067501 13762337 14118056 16928838 70811795 12487254 17264509 15870986 18643276 20942204 85208229 50000 105000 125000 107255 387255 0 50000 105000 125000 107255 387255 84820974 140471 143801 163291 264281 221010 932854 140471 143801 163291 264281 221010 932854 1573 450 2023 209660 198865 209599 136238 138486 892848 12838958 17607625 16243876 19043795 21301700 87035954 0.97460 0.97350 0.01070 0.01070 X Schedule A, Part III, Line 12, Explanation of Other Income: Non-Refundable Deposits - 2019 Amount: $ 31,000. Beauty Shop - 2019 Amount: $ 55,854. 2020 Amount: $ 56,643. 2021 Amount: $ 66,169. 2022 Amount: $ 59,883. Employee Meals - 2019 Amount: $ 71,040. 2020 Amount: $ 84,061. 2021 Amount: $ 55,340. 2022 Amount: $ 65,795. Entrance Fees - 2020 Amount: $ 21,121. 2021 Amount: $ 14,729. 2022 Amount: $ 12,808. Miscellaneous Revenue - 2018 Amount: $ 209,660. 2019 Amount: $ 40,971. 2020 Amount: $ 47,774. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 5000 5000 5000 5000 5000 5000 5000 5000 5000 5000 0.00000 1.00000 0.00000 1 0 548733 548733 41230703 20403598 20827105 2381163 1178352 1202811 1961367 970610 990757 7610870 7610870 31180276 Security Deposits 211217 Line of Credit 4064135 4275352 X Part IV, Line 2b: Residents are allowed to deposit money into a trust where funds are deposited into a separate account at Hubbard Hill Estates' bank; interest earned on the balance of the funds is allocated to residents meeting minimum balances over the course of the year. Residents may request these funds at any time for their personal use. Part V, Line 4: Fund are being held by Elkhart County Community Foundation and shall be used for support of the charitable or educational purposes of Hubbard Hill Estates, Inc. Part X, Line 2: Hubbard Hill Estates, Inc. is a nonprofit organization as described in Section 501(c)(3) of the Internal Revenue Code (the Code) and is exempt from federal income taxes on related income pursuant to Section 501(a) of the Code and corresponding state tax provisions. The Company is a single-member limited liability company, and all income is included in the income of the individual member (Estates). Accordingly, no provision has been made for federal or state income taxes. U.S. GAAP requires that a tax position is recognized as a benefit only if it is more likely than not that the tax position would be sustained in a tax examination, with a tax examination being presumed to occur. The amount recognized is the largest amount of tax benefit that is greater than 50 percent likely of being realized on examination. For tax positions not meeting the more likely than not test, no tax benefit is recorded. The Organization's Form 990 has not been subject to examination by the Internal Revenue Service or the state of Indiana for the last three years and does not expect the total amount of unrecognized tax benefits to significantly change in the next 12 months. The Organization recognizes interest and/or penalties related to income tax matters in income tax expense. The Organization did not have any amounts accrued for interest and penalties at June 30, 2023 or 2022. X X X X X 1 Kauffman and Associates 116 W Mishawaka Ave 502 Mishawaka IN 46545 Maintains donor relationships, marketing, etc. 0 386367 106570 279797 386367 106570 279797 IN X X X 0 0 0 0 0 0 0 1 0 Ruchit Patel Nurse 171548 0 24485 0 0 0 3921 0 16775 0 216729 0 0 0 Patrick Pingel Chief Executive Officer 159755 0 13249 0 0 0 3460 0 26655 0 203119 0 0 0 Part I, Line 7 The following employees received bonuses in 2022, all of which were non-fixed. Ruchit Patel $24,485 Patrick Pingel $13,249 Adam Allsop $7,500 Terry Schollmeier $7,500 Pamela Campbell $12,750 Lita Keszei $21,153 X 1 524449 FMV 0 0 1 0 Part I, Column (b): Reporting the number of contributions. Form 990, Part III, line 2 The Organization acquired an early learning center on July 1, 2022. The ELC provides high-scope early learning experiences enhanced with unique opportunities for intergenerational learning. Form 990, Part VI, Section A, line 7b At least two thirds of the Directors of the Corporation shall be selected from members of the Missionary Church, a related entity, and shall at all times be limited to individuals who have the prior approval of the Conference of the Missionary Church, North Central District, Inc. Form 990, Part VI, Section B, line 10b The organization follows the written policies and procedures of the Missionary Church, a related entity, governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with their exempt purpose. Form 990, Part VI, Section B, line 11b The Finance Committee is delegated the responsibility to review all audits and tax returns. After the review is done and approved, it is presented to the board of directors at the next meeting stating it was approved for filing. Form 990, Part VI, Section B, line 12c The organization requires all officers and directors of the board as well as key employees and other interested persons to annually review the conflict of interest policy and to document in writing any potential conflicts. A detailed questionnaire is also completed by each board member. Executive and financial management review the questionnaires for any potential conflicts. If a conflict does exist, that person must notify the board and/or excuse himself or herself from the board meeting prior to discussion on the conflicting topic. That person will not be permitted to vote on any decisions regarding the conflicting issue. Form 990, Part VI, Section B, line 15 The CEO's compensation is reviewed annually by the evaluation committee, which is made-up of individuals from the governing board. This committee compares current compensation to compensation data for similar continuing care retirement community (CCRC) institutions. The committee looks at similar size and revenue, national, regional and state data from multiple sources, and other trends to ensure that compensation is aligned with similar organizations. Once the evaluation committee conducts a performance review and considers comparable compensation data, a compensation package which includes base rate is submitted to the full board for approval and any bonus compensation is reviewed by the Finance Committee with final approval by the full board. This review process was last completed during fiscal year 2022 and was documented in the board meeting minutes. The COO's and CFO's compensation is determined by the CEO through an annual review process that encompasses compensation data for similar continuing care retirement community institutions. It considers comparable compensation data and also takes into consideration performance. Form 990, Part VI, Section C, line 19 A copy of the governing documents, conflict of interest policy and financial statements are available upon request for the same period of disclosure as set forth in IRC Section 6104(d). Form 990, Part VII, Section A, Line 1a: Rev. Joe Wenger, Chairperson, devoted approximately 40 hours per week during the year to North Central District Missionary Church, a related tax-exempt organization. Form 990, Part IX, line 11g Medical Professional Fees & Services: Program service expenses 899,361. Management and general expenses 0. Fundraising expenses 0. Total expenses 899,361. Contract Labor: Program service expenses 1,912,365. Management and general expenses 6,485. Fundraising expenses 0. Total expenses 1,918,850. Other Professional Fees & Services: Program service expenses 92,062. Management and general expenses 495,206. Fundraising expenses 0. Total expenses 587,268. Hubbard Hill Healthcare LLC 28070 County Road 24 West Elkhart IN 46517 272280732 Real Estate IN -732785 20479761 Hubbard Hill Estates Inc Early Learning Center at Hubbard Hill LLC 630 E University Dr Granger IN 46530 871579349 Education IN 2382870 2818119 Hubbard Hill Estates Inc North Central District Missionary Church 3301 Benham Avenue Elkhart IN 46517 350911946 Religious IN 501(c)(3) Line 1 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0