2022-03-12T11:09:23-06:00 2021-06-30 410746749 CLIFTONLARSONALLEN LLP 610 W GERMANTOWN PIKE SUITE 400 PLYMOUTH MEETING PA 19462 990 2020-07-01 521533715 COLUMBIA VANTAGE HOUSE CORPORATION COLU 4109645454 5400 VANTAGE POINT ROAD COLUMBIA MD 21044 HEATHER R FUNK EXECUTIVE DIRECTOR 4109645454 2022-03-10 1 HEATHER FUNK 999009999 CONNIE M LIRA P00481097 2156433900 2022-03-10 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z RESIDENCES AT VANTAGE POINT HEATHER R FUNK 5400 VANTAGE POINT ROAD COLUMBIA MD 21044 21636459 0 X WWW.VANTAGEPOINTRESIDENCES.ORG X 1987 MD TO OPERATE A NON-DENOMINATIONAL SENIOR LIVING CONTINUING CARE RETIREMENT COMMUNITY 14 14 256 93 0 0 340865 185377 15433349 15823404 494731 324295 53143 1522661 16322088 17855737 0 0 0 0 8273209 7456758 0 0 0 10817340 11016214 19090549 18472972 -2768461 -617235 58967394 57259023 109192300 107836768 -50224906 -50577745 TO ENHANCE THE LIVES OF OUR RESIDENTS BY OFFERING A LIFETIME OF SERVICES AND ENRICHING WELLNESS, INTELLECTUAL, AND SOCIAL GROWTH OPPORTUNITIES WITHIN FISCALLY RESPONSIBLE PARAMETERS. 0 0 12302847 0 11629334 INDEPENDENT LIVING AND AFFILIATED SUPPORT SERVICES: SUPPORTIVE SERVICES FOR INDEPENDENT LIVING INCLUSIVE OF DINING, SOCIAL, CULTURAL, AND WELLNESS PROGRAMS. TOTAL INDEPENDENT LIVING DAYS FOR THE YEAR ENDED JUNE 30, 2021 WERE 81,115. 4317767 0 4194070 HEALTH CARE: 24 HOUR NURSING AND HEALTH CARE INCLUSIVE OF COMPREHENSIVE CARE, ASSISTED LIVING, AND MEMORY CARE. FOR THE YEAR ENDED JUNE 30, 2021, TOTAL SKILLED NURSING DAYS WERE 5,405, TOTAL ASSISTED LIVING DAYS WERE 7,097, AND TOTAL MEMORY CARE DAYS WERE 3,769.THE RESIDENTIAL SERVICE AGENCY PROVIDES SUPPORT TO RESIDENTS TO REMAIN INDEPENDENT. ASSISTED LIVING SUPPORTS RESIDENTS WITH ACTIVITIES OF DAILY LIVING. MEMORY CARE SUPPORTS RESIDENTS LIVING WITH VARIOUS FORMS OF DEMENTIA. THE SKILLED NURSING FACILITY PROVIDES RESIDENTS WITH 24-HOUR NURSING AND REHABILITATION SUCH AS PHYSICAL, SPEECH, OR OCCUPATIONAL THERAPY. 16620614 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 45 0 256 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 1 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 MD X KRISTIE MILLER DIRECTOR OF FINANCE 4109921215 5400 VANTAGE POINT ROAD COLUMBIA MD 21044 BARBARA D VANSANT DIRECTOR OF HEALTH SERVICES 40.00 0.00 X 125814 0 10659 KATHRYN TRAVERS LIFESTYLE ADVISOR 40.00 0.00 X 119402 0 1155 KRISTIE MILLER DIRECTOR OF FINANCE 40.00 0.00 X 112046 0 7234 PATTI HUTTON DIRECTOR OF MARKETING 40.00 0.00 X 107280 0 10538 AMADU BARRIE MDS COORDINATOR & RN 40.00 0.00 X 106701 0 7327 PAUL DUTTON DIRECTOR OF HUMAN RESOURCES 40.00 0.00 X 101702 0 6226 BARBARA C BEDNARZIK DIRECTOR 1.00 0.00 X 0 0 0 LEO BRUETTE DIRECTOR 3.00 0.00 X 0 0 0 IRMA A CHAPIN DIRECTOR 3.00 0.00 X 0 0 0 LIN C EAGAN DIRECTOR 1.00 0.00 X 0 0 0 MICHAEL S GLASGOW DIRECTOR 1.00 0.00 X 0 0 0 VICTORIA BURTON HATHAWAY DIRECTOR AS OF JAN 2021 1.00 3.00 X 0 0 0 DAVID M IMRE DIRECTOR 1.00 0.00 X 0 0 0 KARLA PINATO DIRECTOR 1.00 0.00 X 0 0 0 CAROL A ROMANO DIRECTOR 1.00 0.00 X 0 0 0 LEON ROSENBERG DIRECTOR 1.00 0.00 X 0 0 0 VIRGINIA M THOMAS PRESIDENT 3.00 1.00 X X 0 0 0 GAIL T YOUNG VICE PRESIDENT 3.00 0.00 X X 0 0 0 MARK BOBOTEK TREASURER AS OF JAN 2021 3.00 3.00 X X 0 0 0 SUSAN M CASTELLAN ASSISTANT SECRETARY AS OF JAN 2021 3.00 0.00 X X 0 0 0 BRUCE P MARTIN SECRETARY, TREASURER TO DEC 2020 3.00 0.00 X X 0 0 0 PENNY L BOUGHN DIRECTOR TO DEC 2020 1.00 1.00 X 0 0 0 672945 0 43139 6 0 0 0 LIFE CARE SERVICES 400 LOCUST STREET STE 820 DES MOINES IA 50309 ADMINISTRATIVE AND MANAGEMENT SERVICES 900799 ENCORE REHABILITATION SERVICES PO BOX 933195 CLEAVELAND OH 44193 PHYSICAL,SPEECH, OCCUPATIONAL THERAPY SE 481043 ANYTIME CONSTRUCTION 14202 HARRISVILLE RD MT AIRY MD 21771 CONSTRUCTION/ RENOVATION SERVICES 372104 GLYNNDEVINS INC 8880 WARD PARKWAY STE 400 KANSAS CITY MO 64114 PUBLIC RELATIONS AND MARKETING SERVICES 324746 4 185377 185377 INDEPENDENT LIVING 623000 9863892 9863892 HEALTH CARE SERVICES 623000 4194070 4194070 ENTRANCE FEES 623000 1765442 1765442 15823404 170013 170013 53781 0 53781 53781 53781 3935004 3780722 154282 154282 154282 FORGIVENESS OF DEBT 900099 1468880 1468880 1468880 17855737 15823404 0 1846956 117527 117527 6266688 5222745 1043943 27075 22944 4131 588991 487720 101271 456477 373867 82610 451894 451894 28280 28280 51513 51513 52616 52616 242279 172747 69532 540015 540015 32095 859 31236 175010 175010 974695 968582 6113 2347923 2333199 14724 3471237 3449468 21769 266477 264806 1671 FOOD/DIETARY 761238 761238 PHYS/OCCUP/SPCH THERAPY 545723 545723 MAINTENANCE AND REPAIR 263599 262254 1345 MEDICAL SUPPLIES, DRUGS 125885 125885 685735 636668 49067 18472972 16620614 1852358 0 146532 3980144 2802970 757188 810285 172933 130669 129551 151017 90400731 51827725 41063412 38573006 13439933 13172417 448486 434287 6389 7198 58967394 57259023 1479213 1949058 57821728 58216398 46514320 45588992 1468880 1908159 2082320 109192300 107836768 X -50224906 -50577745 -50224906 -50577745 58967394 57259023 -617235 264396 0 X 0 1 X 1 0 X 3160 4925 250 340865 185377 534577 14978691 15286932 15331290 15433349 15823404 76853666 14981851 15291857 15331540 15774214 16008781 77388243 199716 203824 306624 205776 210980 1126920 0 199716 203824 306624 205776 210980 1126920 76261323 215994 247821 332475 317300 223794 1337384 215994 247821 332475 317300 223794 1337384 746396 1468880 2215276 15944241 15539678 15664015 16091514 17701455 80940903 0.94220 0.95970 0.01650 0.01640 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: FORGIVENESS OF DEBT - 2016 AMOUNT: $ 746,396. 2020 AMOUNT: $ 1,468,880. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 562170 11565 80545 493190 613556 3225 54611 562170 650699 14208 51351 613556 594261 64552 8114 650699 355923 250990 12652 594261 0.00000 0.00000 1.00000 0 1 1 4738600 4738600 81258078 48115401 33142677 4320305 3712324 607981 83748 83748 38573006 ENTRANCE FEE REFUNDS IN PROCESS 817136 REFUNDABLE DEPOSITS 1227267 UNSPENT PROVIDER RELIEF FUNDS 37917 2082320 X PART V, LINE 4: THE ENDOWMENT FUNDS ARE HELD BY COLUMBIA VANTAGE POINT FOUNDATION, INC., A RELATED 501(C)(3) SUPPORTING ORGANIZATION OF COLUMBIA VANTAGE HOUSE CORPORATION (CVCH), FOR THE PURPOSE OF PROVIDING ASSISTANCE TO CVHC. CVHC FURTHER DESIGNATED THAT THE PURPOSE OF THE ENDOWMENT FUNDS WILL BE RESERVED SPECIFICALLY FOR PROVIDING ASSISTANCE TO THE COMMUNITY'S RESIDENTS. PART X, LINE 2: THE CORPORATION IS A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND IS EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE IRC. THE CORPORATION FOLLOWS THE PROVISIONS OF THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE APPLICATION OF THESE PROVISIONS HAS NO IMPACT ON THE CORPORATION'S FINANCIAL STATEMENTS. THE CORPORATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS OR OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. THE CORPORATION HAS IMPLEMENTED PROCESSES TO ENSURE CORPORATE COMPLIANCE WITH THE INTERNAL REVENUE SERVICE INTERMEDIATE SANCTIONS PROVISION. THESE PROCESSES INCLUDE ANNUAL REVIEW BY THE EXECUTIVE COMMITTEE OF EXECUTIVE TEAM COMPENSATION, AND ANNUAL REVIEW BY THE BOARD OF DIRECTORS OF THE PERFORMANCE AND COMPENSATION OF THE CORPORATION'S EXECUTIVE DIRECTOR. THE BOARD ENGAGES IN ANNUAL CORPORATE COMPLIANCE EDUCATION, HAS ADOPTED AND REVIEWS AT LEAST ANNUALLY A WRITTEN CORPORATE COMPLIANCE PROGRAM AND CODE OF CONDUCT, AND HAS A DETAILED CONFLICT OF INTEREST POLICY. A HOWARD COUNTY MARYLAND 526000965 442593AY5 2016-10-27 28312194 REPAY 2007 BONDS, FINANCE CAPITAL IMPROVEMENTS, FUND CERTAIN RESERVES 0 0 0 B HOWARD COUNTY MARYLAND 526000965 442593BC2 2017-01-04 23140797 REPAY 2007 BONDS, FUND CERTAIN RESERVES 0 0 0 A 1942126 28312194 2427146 546451 16833153 8505444 2018 0 1 1 1 B 3308954 23140797 1633649 404964 21102184 2017 1 0 1 1 A 0 1 1 1 0 0.00460 0.00000 0.00460 0 0 1 B 0 1 1 1 0 0.00460 0.00000 0.00460 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE IS COMPRISED OF THE PRESIDENT, VICE PRESIDENT, SECRETARY AND TREASURER OF THE BOARD, AS WELL AS ANY VOTING BOARD DIRECTOR THAT IS ALSO SERVING AS AN OFFICER OR THE CHAIR OF ONE OF THE OTHER STANDING COMMITTEES. THE EXECUTIVE COMMITTEE HAS FULL AUTHORITY TO ACT AS THE BOARD BETWEEN MEETINGS OF THE BOARD, BUT ITS AUTHORITY SPECIFICALLY EXCLUDES THE FOLLOWING: 1) ELECTION OF BOARD MEMBERS AND OFFICERS 2) APPROVAL OF THE ISSUANCE OF BONDS OR OTHER SECURITIES 3) RETENTION OR TERMINATION OF AN OUTSIDE MANAGEMENT FIRM HAVING GENERAL AUTHORITY TO MANAGE THE VANTAGE POINT FACILITY 4) ADOPT, AMEND OR REPEAL THE GOVERNING DOCUMENTS FORM 990, PART VI, SECTION A, LINE 3 THE COMPANY HAS A MANAGEMENT AGREEMENT WITH LIFE CARE SERVICES LLC OF DES MOINES, IOWA (LCS). LCS PROVIDES CLINICAL AND FINANCIAL SYSTEMS, COMPLIANCE SUPPORT AND PLACES ON-SITE THE EXECUTIVE DIRECTOR (WHO ACTS AS THE CHIEF EXECUTIVE OFFICER) AND THE ADMINISTRATOR (WHO IS REQUIRED TO BE A MARYLAND LICENSED NURSING HOME ADMINISTRATOR) AND PROVIDES REGULAR REPORTS TO THE BOARD OF DIRECTORS. THE EXECUTIVE DIRECTOR AND THE ADMINISTRATOR ARE EMPLOYEES OF LCS, AND THE CORPORATION REIMBURSES LCS FOR THEIR SALARIES AND BENEFITS. MANAGEMENT FEES PAID TO LCS FOR THE TAX YEAR EQUAL $451,894. FORM 990, PART VI, SECTION A, LINE 4 THE BYLAWS WERE AMENDED ON JANUARY 19, 2021, AS FOLLOWS: 1) AN ASSISTANT SECRETARY MAY BE APPOINTED BY THE BOARD FROM AMONG THE DIRECTORS. PREVIOUSLY, THE ASSISTANT SECRETARY WAS APPOINTED BY THE BOARD FROM AMONG THE CORPORATION'S FULL-TIME STAFF. 2) THE ASSISTANT SECRETARY MAY BE REQUIRED TO BE AND HAVE BEEN A RESIDENT, REGISTERED VOTER, AND TAXPAYER OF HOWARD COUNTY, MD, FOR AT LEAST TWO YEARS. PREVIOUSLY, THE ASSISTANT SECRETARY WAS REQUIRED TO BE A RESIDENT OF HOWARD COUNTY, MD, AND TO LIVE WITHIN THE VOTING DISTRICT OF THE CONTINUING CARE RETIREMENT COMMUNITY KNOW AS "VANTAGE HOUSE OR "VANTAGE POINT." 3) THE ASSISTANT SECRETARY IS AN OFFICER OF THE CORPORATION AND A MEMBER OF THE EXECUTIVE COMMITTEE AND SHALL SERVE A TERM OF TWO YEARS UNLESS THE BOARD PROVIDES OTHERWISE. PREVIOUSLY, THE INDIVIDUAL HELD ONLY AN HONORARY MEMBERSHIP IN THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND THEN THE CORPORATE BOARD FINANCE COMMITTEE, EXECUTIVE DIRECTOR, AND DIRECTOR OF FINANCE REVIEW THE FORM 990 PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY APPLIES TO THE BOARD OF DIRECTORS, ALL MEMBERS OF STANDING AND ADVISORY COMMITTEES, ANY BOARD OR COMMITTEE MEMBER'S IMMEDIATE FAMILY OR ANY PERSON ACTING ON THE BOARD OR COMMITTEE MEMBER'S BEHALF. ANNUAL CONFLICT OF INTEREST DISCLOSURES ARE REQUIRED OF ALL BOARD MEMBERS. ALL EMPLOYEES ARE REQUIRED TO REVIEW AND ACKNOWLEDGE IN WRITING THE CONFLICT OF INTEREST POLICY UPON HIRE AND ANNUALLY THEREAFTER. IN ADDITION TO THE ANNUAL DISCLOSURE, THE POLICY INCLUDES A DUTY TO TIMELY DISCLOSE SHOULD A POTENTIAL CONFLICT ARISE. AFTER DISCLOSURE OF A POTENTIAL CONFLICT AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, THE INTERESTED PERSON SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. IF THE BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT A BOARD OR COMMITTEE MEMBER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE BOARD OR COMMITTEE MEMBER OF THE BASIS FOR SUCH BELIEF AND AFFORD SUCH BOARD OR COMMITTEE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. FORM 990, PART VI, SECTION B, LINE 15 AS NOTED IN THE SCHEDULE O NARRATIVE IN RESPONSE TO FORM 990, PART VI, SECTION A, LINE 3, THE EXECUTIVE DIRECTOR IS AN EMPLOYEE OF THE MANAGEMENT COMPANY NOT THE CORPORATION. THE CORPORATION EVALUATES THE REASONABLENESS OF THEIR EXPENSES TO THE MANAGEMENT COMPANY, NOT THE SPECIFIC COMPENSATION PACKAGE OF THE MANAGEMENT COMPANY'S EMPLOYEE. FORM 990, PART VI, SECTION C, LINE 19 THE CORPORATION MAKES THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. VANTAGE HOUSE LLC 5400 VANTAGE POINT ROAD COLUMBIA MD 21044 521533715 REAL ESTATE HOLDING MD 0 4738600 COLUMBIA VANTAGE HOUSE CORPORATION COLUMBIA VANTAGE POINT FOUNDATION INC 5400 VANTAGE POINT ROAD COLUMBIA MD 21044 263248227 A SUPPORTING ORGANIZATION FOR COLUMBIA VANTAGE HOUSE CORPORATION MD 501(C)(3) LINE 12A, I COLUMBIA VANTAGE HOUSE CORPORATION 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1 1 1 COLUMBIA VANTAGE POINT FOUNDATION INC Q 63792 COST