2023-04-25T07:22:31-05:00 2022-06-30 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2021-07-01 231409664 THE BRETHREN HOME COMMUNITY BRET 7176242161 2990 CARLISLE PIKE NEW OXFORD PA 17350 SCOTT A SOWERS VP OF FINANCE 7176242161 2023-04-18 1 SCOTT SOWERS 999009999 KERRI N BOGDA CPA P00760402 7177404863 2023-04-18 X 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z CROSS KEYS VILLAGE - TBHC JEFFREY M EVANS 2990 CARLISLE PIKE NEW OXFORD PA 17350 48696514 0 X WWW.CROSSKEYSVILLAGE.ORG X 1908 PA THE BRETHREN HOME COMMUNITY PROVIDES HEALTH CARE AND RESIDENTIAL HOUSING TO SENIOR CITIZENS. 4 4 675 619 0 0 3855286 2646455 41677545 41920988 1657424 104548 331179 318289 47521434 44990280 0 0 0 0 26070085 24143212 0 0 0 21142975 21314674 47213060 45457886 308374 -467606 203107620 190036797 112467749 106913175 90639871 83123622 X THE BRETHREN HOME COMMUNITY'S MISSION IS TO BE A BRETHREN MINISTRY DEDICATED TO ENRICHING THE LIVES OF OLDER ADULTS WITH A VISION TO BE A LEADING INNOVATOR OFFERING OLDER ADULTS A LIFE INFUSED WITH QUALITY AND PURPOSE. 0 0 13104217 0 14172372 NURSING - PROVIDE QUALITY NURSING CARE IN A HEALTH CARE CENTER SETTING. PERFORM CONTINUAL ASSESSMENT OF PROGRAMS AND SERVICES. TOTAL CENSUS DAYS FOR THIS PROGRAM DURING THE FISCAL YEAR 2022 WERE 38,828. 16435608 0 17775312 RESIDENTIAL LIVING - PROVIDE COMPREHENSIVE, INDEPENDENT LIVING SERVICES FOR OLDER ADULTS. OPPORTUNITIES PROVIDED TO ENGAGE RESIDENTS IN PHYSICAL, SOCIAL, MENTAL, EDUCATIONAL, CULTURAL, AND SPIRITUAL ACTIVITIES PROMOTING OVERALL WELLNESS. TOTAL CENSUS DAYS FOR THIS PROGRAM DURING THE FISCAL YEAR 2022 WERE 295,405. 8529930 0 9225223 PERSONAL CARE - PROVIDE INTERMEDIATE LEVEL OF CARE WHEN INDIVIDUALS NEED HELP WITH SOME ACTIVITIES OF DAILY LIVING, BUT DO NOT REQUIRE 24-HOUR SKILLED NURSING. THESE PROGRAMS PROVIDED 42,350 CENSUS DAYS OF SERVICE DURING THE FISCAL YEAR 2022. 822889 0 748081 THE COMMUNITY MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THE ESTIMATED COSTS OF PROVIDING CHARITY CARE ARE BASED UPON THE DIRECT AND INDIRECT COSTS IDENTIFIED WITH THE SPECIFIC CHARITY CARE SERVICES PROVIDED. THE COMMUNITY PROVIDES CHARITY CARE, SUBSIDIES, AND OTHER SUPPORT OF THOSE IN NEED. UNCOMPENSATED CARE TOTALED $6,367,957 INCLUDING SERVICES TO MEDICAL ASSISTANCE BENEFICIARIES WHOSE COSTS EXCEEDED REIMBURSEMENT. 822889 0 748081 38892644 1 1 0 1 0 0 0 0 1 1 1 0 1 0 1 0 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 0 0 0 1 74 0 675 1 0 0 0 0 0 0 0 0 0 0 0 0 X 4 4 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X JEFFREY M EVANS PRESIDENT 7176242161 2990 CARLISLE PIKE NEW OXFORD PA 17350 JAMES R REPLOGLE CHAIR 1.00 1.00 X X 0 0 0 JENNIFER W BOWES VICE CHAIR 1.00 1.00 X X 0 0 0 DONNA J LEREW SECRETARY 1.00 1.00 X X 0 0 0 MARK R HENRY CHAIR (UNTIL 09/2021) 1.00 X X 0 0 0 BONNIE G FERRENCE DIRECTOR 1.00 1.00 X 0 0 0 DIANNE S HOLLINGER DIRECTOR (UNTIL 09/2021) 1.00 1.00 X 0 0 0 JEFFREY M EVANS PRESIDENT 39.00 1.00 X 347461 0 35862 SCOTT A SOWERS VP OF FINANCE 39.00 1.00 X 183928 0 36520 JOY BODNAR CHIEF OPERATING OFFICER 40.00 X 201053 0 18656 OLIVER HAZAN VP OF MARKETING 40.00 X 123362 0 15045 KELLEY MITCHELL VP OF HUMAN RESOURCES 40.00 X 165455 0 17830 ANN STARR-LOW HEALTH CARE ADMINISTRATOR 40.00 X 163618 0 26002 DEBORAH D HOCKENBERRY RNAC 40.00 X 115700 0 25461 THOMAS L WICKENHEISER SR. ADMIN OF NURSING SERVICES 40.00 X 136250 0 14977 1436827 0 190353 13 0 1 0 RS MOWERY & SONS INC 1000 BENT CREEK BLVD MECHANICSBURG PA 17050 CONSTRUCTION SERVICES 8945731 UNIDINE CORPORATION 1000 WAHINGTON ST STE 510 BOSTON MA 02118 FOOD AND CONSULTING SERVICES 1979814 BENCHMARK THERAPIES INC PO BOX 870 HUNTINGDON PA 16652 THERAPY SERVICES 1481148 JS CONSTRUCTION INC 515 PENN ST HANOVER PA 17331 CONSTRUCTION SERVICES 1456883 MOREFIELDS COMMUNICATIONS 35 N 35TH ST CAMP HILL PA 17011 TELECOMMUNICATION SERVICES 499545 18 1355221 1291234 2646455 RESIDENT & PATIENT SERVICE REV. 623000 41920988 41920988 41920988 515132 515132 392475 291831 100644 100644 100644 3000000 3819 3017607 396796 -17607 -392977 -410584 -410584 BEAUTY/BARBER SHOP 623000 108821 108821 BAD DEBT RECOVERY 623000 75761 75761 SPECIAL FUNCTIONS INCOME 623000 1047 1047 32016 32016 217645 44990280 41920988 0 422837 824196 824196 17438109 14820019 2618090 402054 311144 90910 4176419 3687054 489365 1302434 1072138 230296 52930 52930 51252 51252 3254 3254 86728 86728 3128415 2897741 230674 84691 84691 1397480 1295458 102022 2620520 2594962 25558 82129 81713 416 847716 847716 8710757 8710757 600404 600404 FOOD 1232901 1230756 2145 REPAIRS & MAINTENANCE 1026311 223071 803240 MEDICAL SUPPLIES 704493 704493 EQUIPMENT PURCHASES/REN 239210 190018 49192 445483 225604 219879 45457886 38892644 6565242 0 3441 3357 4137989 2469069 2691948 3092739 1024559 945356 247994873 123013504 125367457 124981369 35115721 28326129 264783 264783 33978911 29793453 522811 160542 203107620 190036797 6536314 4273961 69082805 70615762 33891955 30470761 95472 84005 2861203 1468686 112467749 106913175 X 77413068 70699424 13226803 12424198 90639871 83123622 203107620 190036797 X -467606 -4019316 -3029327 X 0 1 X 1 0 X 948607 1009891 3047359 3855286 2646455 11507598 45999771 46729148 44717863 41677545 41920988 221045315 220527 188045 148260 108123 141884 806839 47168905 47927084 47913482 45640954 44709327 233359752 0 0 0 233359752 1893182 1908510 1573625 1090686 907607 7373610 1893182 1908510 1573625 1090686 907607 7373610 112235 75761 187996 49062087 49835594 49487107 46843875 45692695 240921358 0.96860 0.96670 0.03060 0.03330 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 3254 3254 0 PART II-B, LINE 1: THE BRETHREN HOME COMMUNITY PAYS DUES TO THE ORGANIZATIONS LEADINGAGE AND LEADINGAGE PA. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS IS ALLOCABLE TO LOBBYING EXPENSES. THE TOTAL AMOUNT OF DUES PAID BY THE BRETHREN HOME COMMUNITY THAT IS ALLOCABLE TO LOBBYING IS $3,254. 0 1 X 28476636 10121 -5768721 410889 22307147 22237837 38639 6600021 399861 28476636 22030495 156285 489735 438678 22237837 21162870 59049 1145413 336837 22030495 19843975 66494 1641828 389427 21162870 0.70539 0.26667 0.02793 0 1 1 6999764 6999764 194150306 97345367 96804939 18040107 13085618 4954489 28804696 12582519 16222177 124981369 INTEREST IN NET ASSETS OF THE BRETHREN HOME FOUNDATION 29793453 F 29793453 OTHER LIABILITIES 10154 INTEREST RATE SWAP AGREEMENT 440512 REFUNDABLE ENTRANCE FEES 1018020 1468686 38157707 -4019316 -3029327 -7048643 45206350 -216070 -216070 44990280 45673956 216070 216070 45457886 0 45457886 PART IV, LINE 2B: THE BRETHREN HOME COMMUNITY HOLDS RESIDENT FUNDS IN A CUSTODIAL ACCOUNT. RESIDENTS MAY CHOOSE TO DEPOSIT FUNDS IN THE "RESIDENT'S BANK". FUNDS ARE MAINTAINED IN A SEPARATE ACCOUNT EARNING INTEREST IF THE BALANCE IS AT LEAST $50. STATEMENTS ARE PROVIDED ON A MONTHLY BASIS. ANY BALANCE REMAINING AT DEATH OR DISCHARGE IS RETURNED WITHIN 30 DAYS. PART V, LINE 4: THE ENDOWMENT FUNDS ARE USED TO BENEFIT RESIDENTS OF THE BRETHREN HOME COMMUNITY THROUGH CHARITY CARE, MAINTENANCE OF THE NICARRY MEETING HOUSE AND WELLNESS CENTER, AND ASSISTANCE TOWARD HOUSING COSTS OF RETIRED MINISTERS AND OTHER CHURCH WORKERS. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN INTEREST OF NET ASSETS OF AFFILIATES -4,185,458. CHANGE IN VALUE OF INTEREST RATE SWAP AGREEMENT 1,156,131. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -291,831. BAD DEBT RECOVERY NETTED AGAINST EXPENSES ON FINANCIALS 75,761. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 291,831. BAD DEBT RECOVERY NETTED AGAINST EXPENSES ON FINANCIALS -75,761. X X X X 0 0 0 0 0 0 0 1 0 JEFFREY M EVANS PRESIDENT 303361 0 44100 0 0 0 13899 0 21963 0 383323 0 0 0 SCOTT A SOWERS VP OF FINANCE 178878 0 5050 0 0 0 7357 0 29163 0 220448 0 0 0 JOY BODNAR CHIEF OPERATING OFFICER 196003 0 5050 0 0 0 8042 0 10614 0 219709 0 0 0 ANN STARR-LOW HEALTH CARE ADMINISTRATOR 159768 0 3850 0 0 0 6545 0 19457 0 189620 0 0 0 KELLEY MITCHELL VP OF HUMAN RESOURCES 160405 0 5050 0 0 0 7003 0 10827 0 183285 0 0 0 THOMAS L WICKENHEISER SR. ADMIN OF NURSING SERVICES 131170 0 5080 0 0 0 4363 0 10614 0 151227 0 0 0 PART I, LINE 7 BONUSES WERE BASED ON OVERALL PERFORMANCE. THE CEO BONUS IS REVIEWED AND APPROVED BY THE BOARD. A ADAMS COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY (SERIES A) 232988777 2015-11-12 32705000 SEE PART VI 0 0 0 B ADAMS COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY (SERIES B) 232988777 2015-11-12 9800000 SEE PART VI 0 0 0 C ADAMS COUNTY GENERAL AUTHORITY 813735002 2016-09-08 10000000 SEE PART VI 0 0 0 A 19205000 32705000 32705000 2015 1 0 1 1 B 1172400 9800000 91945 296350 7300353 2203297 2016 0 0 1 1 C 1457200 10000000 19792 36648 9943560 2016 0 0 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 1 1 WELLS FARGO BANK NA 11.000000000000 0 0 0 0 1 B 0 1 0 0 1 1 FULTON BANK 6.000000000000 0 0 0 0 1 C 0 1 0 0 1 0 0 0 1 A 1 B 1 C 1 SCHEDULE K, PART I, COLUMN F - DESCRIPTION OF PURPOSE: ISSUE A: REFINANCE EXISTING TAX-EXEMPT BONDS ISSUE B: PAY OFF LINE OF CREDIT AND CONSTRUCTION OF MEMORY CARE SUPPORT FACILITY AND PURCHASE OF EQUIPMENT ISSUE C: CONSTRUCTION OF MEMORY CARE SUPPORT FACILITY AND PURCHASE OF EQUIPMENT IN ADDITION TO CONSTRUCTION OF RESIDENTIAL LIVING COTTAGES FORM 990, PART VI, SECTION A, LINE 6 THE BRETHREN HOME FOUNDATION SERVES AS THE MEMBER OF THE BRETHREN HOME COMMUNITY. FORM 990, PART VI, SECTION A, LINE 7A THE BRETHREN HOME FOUNDATION IS THE CONTROLLING CORPORATION AND SERVES AS THE "MEMBER" OF THE BRETHREN HOME COMMUNITY. THE BOARD OF DIRECTORS OF THE BRETHREN HOME FOUNDATION ELECTS ALL OF THE BOARD MEMBERS OF THE BRETHREN HOME COMMUNITY. FORM 990, PART VI, SECTION A, LINE 7B THE BOARD OF DIRECTORS OF THE CONTROLLING CORPORATION, THE BRETHREN HOME FOUNDATION, IS REQUIRED TO APPROVE AMENDMENTS TO ARTICLES OF INCORPORATION AND CHANGES TO BYLAWS OF THE BRETHREN HOME COMMUNITY. THE FOUNDATION'S BOARD OF DIRECTORS ALSO MANAGES ALL ASPECTS OF THE CORPORATION'S INVESTMENT PORTFOLIO. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE DIRECTOR OF FINANCE AND VICE PRESIDENT OF FINANCE BEFORE IT IS SHARED WITH THE PRESIDENT/CEO. THE FINAL VERSION OF THE FORM 990 WILL THEN BE DISTRIBUTED TO EACH BOARD MEMBER FOR REVIEW AND COMMENT PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A BOARD CONFLICT OF INTEREST POLICY WHICH REQUIRES ANNUAL DISCLOSURE AND CERTIFICATION BY BOARD MEMBERS OF COMPLIANCE WITH THE POLICY. IN ADDITION, ALL EMPLOYEES RECEIVE ANNUAL CORPORATE COMPLIANCE TRAINING WHICH INCLUDES THE CONFLICT OF INTEREST POLICY AND ARE REQUIRED TO CERTIFY THEY ARE IN COMPLIANCE WITH THE CORPORATE COMPLIANCE PLAN. THE COMPLIANCE PLAN COVERS EMPLOYEES, VENDORS, CONTRACTORS, VOLUNTEERS, DIRECTORS, AND OFFICERS. ANY POTENTIAL CONFLICT OF INTEREST ISSUES WHICH MAY ARISE ARE REVIEWED BY THE CORPORATE COMPLIANCE LIAISON OR COMPLIANCE OFFICE, AND APPROPRIATE SAFEGUARDS ARE PUT IN PLACE. THE PROCESS IS MONITORED BY THE CORPORATE COMPLIANCE LIAISON OR COMPLIANCE OFFICE. FORM 990, PART VI, SECTION B, LINE 15 SALARY FOR THE CEO IS REVIEWED AND APPROVED ANNUALLY BY THE BOARD OF DIRECTORS' EXECUTIVE COMMITTEE WITH COMPARISONS MADE TO AN ANNUAL SALARY SURVEY OF SIMILAR NON-PROFIT ORGANIZATIONS IN PENNSYLVANIA TO ENSURE THAT SALARIES ARE IN LINE WITH THE FAIR MARKET VALUE FOR THE INDUSTRY. THE DECISION IS DOCUMENTED IN THE EXECUTIVE COMMITTEE MINUTES. A SIMILAR PROCESS IS USED FOR OTHER KEY EMPLOYEES WITH THE REVIEW BEING DONE BY THE VICE PRESIDENT OF HUMAN RESOURCES IN CONSULTATION WITH THE CEO AND VICE PRESIDENT OF FINANCE. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST OF NET ASSETS OF AFFILIATES -4,185,458. CHANGE IN VALUE OF INTEREST RATE SWAP AGREEMENT 1,156,131. THE BRETHREN HOME FOUNDATION 2990 CARLISLE PIKE NEW OXFORD PA 17350 232454835 FUNDRAISING ACTIVITIES PA 501(C)(3) LINE 7 N/A 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 1 1 1