2022-05-11T13:33:37-05:00 2021-06-30 232108173 RKL LLP PO BOX 8408 LANCASTER PA 176048408 990 2020-07-01 232010104 HOMESTEAD VILLAGE INC HOME 7173974831 1800 VILLAGE CIRCLE LANCASTER PA 17603 DOUGLAS V MOTTER PRESIDENT 7173974831 2022-05-11 1 DOUGLAS MOTTER 999009999 MOLLY L RAMOS CPA P00399762 7173945666 2022-05-11 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z DOUGLAS V MOTTER 1800 VILLAGE CIRCLE LANCASTER PA 17603 27267129 0 X WWW.HOMESTEADVILLAGE.ORG X 1976 PA CONTINUING CARE RETIREMENT COMMUNITY 13 13 291 287 0 0 421198 1894381 21597552 23420256 1045500 407219 437705 367152 23501955 26089008 3909 1307 0 0 9894789 9772286 0 0 154059 11789687 12408882 21688385 22182475 1813570 3906533 80640560 90201941 81381269 86013558 -740709 4188383 X ENHANCING INDEPENDENCE AND DIGNITY AS TOGETHER WE CREATE A COMPASSIONATE COMMUNITY. 0 0 10253910 1307 14420743 INDEPENDENT LIVING - HOMESTEAD VILLAGE PROVIDED RESIDENTIAL LIVING ACCOMMODATIONS TO 497 RESIDENTS ON 6/30/2021 IN 28 SINGLE FAMILY HOMES, 135 DUPLEX AND TRIPLEX VILLAS, 111 APARTMENTS AND 91 FARMSTEAD HOMES, AN INCREASE OF 18 HOMES AT THE FARMSTEAD FROM THE PRIOR YEAR. RESIDENTIAL LIVING IS THE FIRST STAGE IN THE QUALITY RESIDENT-FOCUSES CONTINUUM OF CARE PROVIDED FOR THE SENIOR ADULTS SERVED BY HOMESTEAD VILLAGE. RESIDENTS ENJOY ACTIVE LIVING THROUGH A VARIETY OF ACTIVITIES, LIFE-LONG LEARNING OPPORTUNITIES, WORRY FREE HOME MAINTENANCE AND PEACE OF MIND WITH THE SUPERIOR CARE AVAILABLE TO THEM THROUGH OUR "THRIVE WHERE YOU ARE" PHILOSOPHY. HOME CARE SERVICES CONTINUES TO GROW AND FILL A VERY IMPORTANT ROLE IN THE "THRIVE WHERE YOU ARE" PHILOSOPHY. 2333900 2571008 PERSONAL CARE SERVICES - HOMESTEAD VILLAGE OFFERS 26 MEMORY SUPPORT PERSONAL CARE ROOMS IN THE GELHARD HOUSE AND HARVEST HOUSE (NAMED TOGETHER AS WESTVUE). PERSONAL CARE IS ALSO OFFERED IN OUR APARTMENT BUILDING THROUGH OUR INNOVATIVE SUPPORTIVE SERVICES PROGRAM WHICH PROVIDES PERSONAL CARE SERVICES IN UP TO 74 OF OUR APARTMENT HOMES. THIS PART OF THE PROGRAM ALLOWS RESIDENTS TO REMAIN IN THEIR HOMES FOR A LONGER PERIOD OF TIME BEFORE TRANSFERRING TO A HIGHER LEVEL OF CARE. IN PAST FISCAL YEAR, WE SERVED AN AVERAGE OF 25.0 RESIDENTS IN WESTVUE AND AN AVERAGE OF 28.5 RESIDENTS THROUGH THE SUPPORTIVE SERVICES PROGRAM IN THE APARTMENTS. 6674943 6428505 NURSING SERVICES - HOMESTEAD VILLAGE PROVIDES A HIGH LEVEL OF NURSING CARE TO OUR RESIDENTS AND MEMBERS OF THE SURROUNDING COMMUNITY WHO REQUIRE SKILLED NURSING CARE. WE HAVE A 60 BED NURSING FACILITY LICENSED FOR BOTH MEDICARE AND MEDICAID WHICH SERVED AN AVERAGE OF 44.1 RESIDENTS PER MONTH DURING THE FISCAL YEAR. HOMESTEAD PROVIDES SERVICES TO RESIDENTS WHO MEET CERTAIN CRITERIA AT AMOUNTS LESS THAN ITS COST OF PROVIDING CARE. HOMESTEAD MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF BENEVOLENT CARE IT PROVIDES. THE COSTS ASSOCIATED WITH THE BENEVOLENT CARE SERVICES PROVIDED TO RESIDENTS INCLUDE BOTH DIRECT COSTS AND ESTIMATED INDIRECT COSTS, AS REPORTED BY MANAGEMENT ON HOMESTEAD'S INTERNAL CONSOLIDATED FINANCIAL STATEMENTS. THE LEVEL OF BENEVOLENT CARE PROVIDED BY HOMESTEAD, WHICH REPRESENTS THE DIFFERENCE BETWEEN THE ESTIMATED COST OF PROVIDING CARE AND THE PAYMENTS RECEIVED FOR SERVICES RENDERED, INCLUDING MEDICAL ASSISTANCE PROGRAM BENEFICIARIES, WAS APPROXIMATELY $726,000 AND $1,245,000 IN THE YEARS ENDED JUNE 30, 2021 AND 2020, RESPECTIVELY. 19262753 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 53 0 1 291 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 1 1 0 1 1 1 1 1 1 1 0 PA X MATTHEW SCARPATO VP OF OPERATIONS & CFO 7173974831 1800 VILLAGE CIRCLE LANCASTER PA 17603 HARRY RADCLIFFE CHAIRMAN 2.00 X X 0 0 0 BENJAMIN BAMFORD IMMEDIATE PAST CHAIRMAN 2.00 X X 0 0 0 SUSAN CARSON VICE CHAIRMAN 2.00 X X 0 0 0 MARY BETH TEARPOCK TREASURER 2.00 X X 0 0 0 MARIANNE LUTZ KELLY SECRETARY (UNTIL 9/21) 2.00 X X 0 0 0 GRACE ADJEMBA BOARD MEMBER (BEG. 9/20) 2.00 X 0 0 0 GEORGE ALSPACH BOARD MEMBER 2.00 X 0 0 0 MICHAEL GERFIN BOARD MEMBER 2.00 X 0 0 0 STEPHEN KEPCHAR JR BOARD MEMBER 2.00 X 0 0 0 SHERRY QUALLS BOARD MEMBER 2.00 X 0 0 0 CONSTANCE REILLY BOARD MEMBER 2.00 X 0 0 0 SHIRLEY REINDOLLAR BOARD MEMBER 2.00 X 0 0 0 WILLIAM WHITESELL BOARD MEMBER 2.00 X 0 0 0 DOUGLAS MOTTER PRESIDENT 50.00 X 194495 0 52264 MATTHEW SCARPATO VP OF OPERATIONS & CFO 50.00 X 81103 0 9183 JOEL CLAUSEN VP OF RESIDENT SERVICES 50.00 X 151435 0 26910 LAURA TALLARICO VP OF HR 50.00 X 124939 0 4107 FLORENCE SIMALA DIRECTOR OF NURSING 50.00 X 101471 0 22964 JAMES TESCHE FACILITIES MANAGER 40.00 X 121037 0 16317 774480 0 131745 5 0 1 0 EG STOLTZFUS 474 MT SIDNEY ROAD LANCASTER PA 17602 CONTRACTOR 3348488 CURA HOSPITALITY PO BOX 743676 ATLANTA GA 30374 FOOD SERVICES 2034511 GENESIS ELDERCARE REHABILITATION SERVICE PO BOX 821322 PHILADELPHIA PA 19182 MEDICAL 781442 COR CONSTRUCTION SERVICES INC 5 BRENNEMAN CIRCLE MECHANICSBURG PA 17050 CONTRACTOR 709731 BIG WIRELESS LLC 156 NORTH GEORGE STREET SUITE 100 YORK PA 17401 IT SERVICES 288010 13 94744 1519357 280280 1894381 RESIDENT SERVICES 623000 18368269 18368269 ENTRANCE FEES 623000 4165815 4165815 DINING SERVICES 623000 886172 886172 23420256 162759 162759 146350 5320 141030 141030 141030 1373359 1128899 244460 244460 244460 35300 94744 43902 -8602 -8602 CABLE TELEVISION 623000 123618 123618 BEAUTY/BARBER SHOP 623000 59748 59748 MISCELLANEOUS 623000 39259 39259 12099 12099 234724 26089008 23420256 0 774371 X 1307 1307 463316 457816 5500 7158401 6207709 856903 93789 64844 64313 531 1437834 1195446 222414 19974 647891 511315 127776 8800 7672 7672 182491 178047 4444 48050 48050 3921593 3693460 228133 180411 144648 33770 1993 81926 68502 13424 153724 128536 25188 2046613 1780861 248831 16921 853 673 168 12 3408 2690 672 46 363623 363623 3326994 3326994 227100 180662 43473 2965 REPAIRS AND MAINTENANCE 732008 631255 100753 RESIDENT ACTIVITIES 285251 53241 232010 MEDICAL SUPPLIES 190522 190522 BUILDING SUPPLIES 169866 142033 27833 486777 396916 86333 3528 22182475 19262753 2765663 154059 1745 1805 10046352 14737670 89 89 782647 645197 496424 394219 102556379 35148028 63657736 67408351 5362289 6735648 106829 92513 186449 186449 80640560 90201941 2016888 1714380 58963936 67518053 4201966 3675795 10569743 11635510 1519357 4109379 1469820 81381269 86013558 X -2889080 1624569 2148371 2563814 -740709 4188383 80640560 90201941 3906533 1022559 0 X X 0 1 X 1 0 X 267119 391841 200095 421198 375024 1655277 17401888 19095025 20112378 21585516 23420256 101615063 305105 259167 299813 269992 329471 1463548 17974112 19746033 20612286 22276706 24124751 104733888 69825 19432 8699 16305 114261 0 69825 19432 8699 16305 114261 104619627 260551 411240 399215 314062 309109 1694177 260551 411240 399215 314062 309109 1694177 1034 7831 44985 53850 18235697 20165104 21056486 22590768 24433860 106481915 0.98250 0.98140 0.01590 0.01700 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2016 AMOUNT: $ 1,034. 2017 AMOUNT: $ 7,831. 2018 AMOUNT: $ 44,985. 2020 AMOUNT: $ 0. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1105 1105 0 PART II-B, LINE 1: HOMESTEAD VILLAGE PAYS DUES TO THE ORGANIZATIONS LEADING AGE AND LEADING AGE OF PENNSYLVANIA. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS IS ALLOCABLE TO LOBBYING EXPENSES. THE TOTAL AMOUNT OF DUE PAID BY HOMESTEAD VILLAGE THAT IS ALLOCABLE TO LOBBYING WAS $1,105. (ESTIMATED AT 6.25% OF TOTAL DUES OF $17,672). 808552 1373389 2181941 1028474 27110 -247032 808552 940474 6400 81600 1028474 901036 9545 138193 108300 940474 769876 120333 10827 901036 0.00000 0.33950 0.66050 0 0 10871486 10871486 59648986 25055719 34593267 15696307 6052267 9644040 10969516 4040042 6929474 5370084 5370084 67408351 DEPOSITS 1469820 1469820 X 27107419 1022559 43902 1066461 26040958 48050 48050 26089008 22178327 43902 43902 22134425 48050 48050 22182475 PART V, LINE 4: TO PROVIDE FINANCIAL SUPPORT TO RESIDENTS WHO HAVE DEPLETED THEIR FINANCIAL RESOURCES AND FOR THE PURPOSES SPECIFIED BY THE DONORS. DONORS HAVE PROVIDED FUNDS TO RENOVATE OUR SKILLED NURSING FACILITY TO PROVIDE MORE "HOME-LIKE" SURROUNDINGS FOR RESIDENTS. THEY HAVE ALSO PROVIDED FUNDS TO SUPPORT OUR CHAPLAIN SERVICE AND TO HELP EMPLOYEES WITH UNUSUAL FINANCIAL NEEDS. AN EXAMPLE OF THAT HELP INCLUDES HELPING AN EMPLOYEE PAY AN UNUSUALLY HIGH PRESCRIPTION BILL. A COMMITTEE OF THE BOARD OF DIRECTORS APPROVES REQUESTS FOR THE USE OF ENDOWMENT FUNDS. PART X, LINE 2: HOMESTEAD VILLAGE FOLLOWS THE STANDARDS FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ACCORDING TO THE PRINCIPLES OF ASC 740, INCOME TAXES, WHICH PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE CONSOLIDATED FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY HOMESTEAD VILLAGE, INCLUDING WHETHER THE ENTITY IS EXEMPT FROM INCOME TAXES. MANAGEMENT EVALUATED THE TAX POSITIONS TAKEN AND CONCLUDED THAT HOMESTEAD VILLAGE HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THEREFORE, NO PROVISION OR LIABILITY FOR INCOME TAXES HAS BEEN INCLUDED IN THE FINANCIAL STATEMENTS. WITH FEW EXCEPTIONS, HOMESTEAD VILLAGE IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL, STATE, OR LOCAL TAX AUTHORITIES FOR YEARS BEFORE 2018. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 43,902. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 43,902. GOLF CLASSIC 59894 47975 11919 11694 3465 GALA 70150 46769 23381 3900 22500 1080 1263 130044 94744 35300 15594 22500 1080 4728 43902 -8602 X X X 0 0 0 0 0 0 0 0 0 DOUGLAS MOTTER PRESIDENT 191297 0 3198 0 0 0 25305 0 26959 0 246759 0 0 0 JOEL CLAUSEN VP OF RESIDENT SERVICES 142845 0 8590 0 0 0 1207 0 25703 0 178345 0 0 0 A PENN INDUSTRIAL DEVELOPMENT AUTHORITY 472054244 2015-12-22 6500000 REFINANCE 2010 BONDS AND CAPITAL DEVELOPMENT/IMPROVEMENTS 0 0 0 A 2824205 6500000 94221 1619515 4786264 2016 1 0 1 1 A 0 1 1 1 0 0.01750 0.00000 0.01750 0 0 1 A 0 1 0 0 1 0 0 0 1 A 1 FORM 990, PART VI, SECTION B, LINE 11B THE 990 WAS REVIEWED BY THE CFO PRIOR TO FILING FORM 990, PART VI, SECTION B, LINE 12C ARTICLE III, SECTION 13 OF HOMESTEAD VILLAGE'S BY-LAWS DEALS WITH CONFLICT OF INTEREST FOR BOARD MEMBERS. ALL MEMBERS OF THE BOARD OF DIRECTORS SHALL BE APPRISED OF THE FIDUCIARY OBLIGATIONS OF THEIR POSITION AS A MEMBER OF THE BOARD AND OF THEIR RESPONSIBILITY TO THE CORPORATION TO REFRAIN FROM PARTICIPATING IN ANY ACTION THAT IS A CONFLICT OF INTEREST IN THEIR DIRECTOR RELATIONSHIP TO THE CORPORATION. EACH MEMBER OF THE BOARD SHALL BE REQUIRED TO EXECUTE ANNUALLY A CONFLICT OF INTEREST STATEMENT IN A FORM TO BE PREPARED AND MAINTAINED BY THE OFFICE OF THE PRESIDENT OF THE CORPORATION. DIRECTORS ARE REQUIRED TO DISCLOSE ANY RELATIONSHIPS THEY MAY HAVE WITH OTHER DIRECTORS, OFFICERS, AND ENTITIES THAT DO BUSINESS WITH HOMESTEAD VILLAGE, ETC. ANY DIRECTOR OR OFFICER WITH A CONFLICT WILL ABSTAIN FROM VOTING ON ANY MATTER THAT INVOLVES THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS ANNUALLY REVIEWS THE PERFORMANCE OF HOMESTEAD VILLAGE'S CEO. IT USES THE LEADING AGE SALARY SURVEY AS A GUIDE WHEN DETERMINING THE RATE OF INCREASE IN THE CEO'S COMPENSATION. INCREASES ARE MERIT-BASED AND THE PROCESS INCLUDES A REVIEW BY THE EXECUTIVE COMMITTEE OF THE GOALS SET FOR THE PRESIDENT FOR THE PAST YEAR AND THE PROGRESS MADE TOWARD ACHIEVING THOSE GOALS. NEW GOALS FOR THE UPCOMING YEAR ARE ESTABLISHED AS PART OF THE REVIEW PROCESS. THE CHAIRMAN OF THE BOARD OF DIRECTORS COMMUNICATES IN WRITING TO THE CHIEF FINANCIAL OFFICER ANY INCREASE IN COMPENSATION FOR THE PRESIDENT. THE CHIEF FINANCIAL OFFICER SHARES THE COMMUNICATION WITH HOMESTEAD VILLAGE'S DIRECTOR OF HUMAN RESOURCES. ALL OTHER EMPLOYEES OF HOMESTEAD VILLAGE HAVE THEIR PERFORMANCE REVIEWED ANNUALLY BY THEIR SUPERVISORS. PAY INCREASES ARE DETERMINED BY THE RESULTS OF THAT REVIEW. ANY PAY INCREASE OR DECREASE VARYING FROM THE COMPANY MEDIAN MUST BE APPROVED BY THE CEO. THE DIRECTOR OF HUMAN RESOURCES ALSO EXAMINES THE ANNUAL PERFORMANCE REVIEWS. THE CEO AND DIRECTOR OF HUMAN RESOURCES COMPARE WAGE AND SALARY LEVELS ANNUALLY TO INDUSTRY AVERAGES USING A TRADE ASSOCIATION SALARY SURVEY. A NEW BOARD COMMITTEE HAS BEEN FORMED TO DEAL WITH HUMAN RESOURCE ISSUES AND WILL BECOME INVOLVED IN SALARY DECISIONS FOR KEY EMPLOYEES. THE OCCURRENCE OF THEIR MEETING IS RECORDED IN THE MINUTES OF THE SUBSEQUENT MEETING OF THE FULL BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990 PART VI SECTION A LINE 1: ALL DIRECTORS HAVE THE SAME VOTING RIGHTS. THE BYLAWS GIVE THE EXECUTIVE COMMITTEE THE POWER TO ACT WITH THE FULL AUTHORITY OF THE BOARD BETWEEN MEETINGS. ALL ACTIONS TAKEN BY THE EXECUTIVE COMMITTEE MUST BE REPORTED AT THE NEXT BOARD OF DIRECTORS MEETING. FORM 990, PART IX, LINE 11G CONSULTING FEES: PROGRAM SERVICE EXPENSES 1,188,292. MANAGEMENT AND GENERAL EXPENSES 80,862. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,269,154. AMBULANCE SERVICE: PROGRAM SERVICE EXPENSES 31,897. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 31,897. BEAUTY/BARBER: PROGRAM SERVICE EXPENSES 11,494. MANAGEMENT AND GENERAL EXPENSES 50,086. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 61,580. LABORATORY AND RADIOLOGY: PROGRAM SERVICE EXPENSES 34,428. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 34,428. OCCUPATIONAL THERAPY: PROGRAM SERVICE EXPENSES 366,590. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 366,590. PHARMACY FEES: PROGRAM SERVICE EXPENSES 151,243. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 151,243. PHYSICAL AND SPEECH THERAPY: PROGRAM SERVICE EXPENSES 481,353. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 481,353. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 1,428,163. MANAGEMENT AND GENERAL EXPENSES 97,185. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,525,348. FORM 990 PART XII LINE 2C: HOMESTEAD VILLAGE HAS A FINANCE COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. HOMESTEAD VILLAGE HOME CARE SERVICES LLC 1800 VILLAGE CIRCLE LANCASTER PA 17603 272940494 PROVIDES HOME HEALTH CARE PA 295740 114174 HOMESTEAD VILLAGE INC PAUL G HEIMER JR DDS CHARITABLE REMAINDER TRUST 1800 VILLAGE CIRCLE LANCASTER PA 17603 256631270 INVESTMENTS/CHARITABLE REMAINDER TRUST PA HOMESTEAD VILLAGE INC T 95133 1.00000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0