2021-05-17T15:35:47-05:00 2020-06-30 232108173 RKL LLP PO BOX 8408 LANCASTER PA 176048408 990 2019-07-01 232010104 HOMESTEAD VILLAGE INC HOME 7173974831 1800 VILLAGE CIRCLE LANCASTER PA 17603 DOUGLAS V MOTTER PRESIDENT 7173974831 2021-05-17 1 MOLLY L RAMOS CPA P00399762 7173945666 2021-05-17 2019 2022-09-23 18:48:47Z DOUGLAS V MOTTER 1800 VILLAGE CIRCLE LANCASTER PA 17603 23515586 0 X WWW.HOMESTEADVILLAGE.ORG X 1976 PA CONTINUING CARE RETIREMENT COMMUNITY 12 12 310 240 12036 -36438 200095 421198 20139702 21597552 194676 1045500 417595 437705 20952068 23501955 4909 3909 0 0 9010509 9894789 0 0 177258 11247915 11789687 20263333 21688385 688735 1813570 65563781 80640560 57313567 81381269 8250214 -740709 X ENHANCING INDEPENDENCE AND DIGNITY AS TOGETHER WE CREATE A COMPASSIONATE COMMUNITY. 0 0 9315638 3909 11481998 INDEPENDENT LIVING - HOMESTEAD VILLAGE PROVIDED RESIDENTIAL LIVING ACCOMMODATIONS FOR 522 RESIDENTS IN 28 SINGLE FAMILY HOMES, 135 DUPLEX AND TRIPLEX VILLAS, 111 APARTMENTS AND 70 FARMSTEAD HOMES, AN INCREASE OF 15 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. WE CONTINUE TO OPERATE THE NEWLY OPENED PINEAPPLE ROOM. IT PROVIDES AN UPSCALE TABLE SERVICE OPTION IN THE EVENING. OUR TRADITIONAL PLOW & PINEAPPLE CAFE OFFERS QUICK SERVICE, A FOOD COURT, AND TAKE OUT. IT ALSO FEATURES A FULL SERVICE SALAD BAR. THE PLOW & PINEAPPLE IS OPEN THREE MEALS A DAY. HOME CARE SERVICES CONTINUES TO GROW AND FILL A VERY IMPORTANT ROLE IN THE "THRIVE WHERE YOU ARE" PHILOSOPHY. 2871465 2971965 PERSONAL CARE SERVICES - HOMESTEAD VILLAGE CONTINUES TO HAVE 26 MEMORY SUPPORT PERSONAL CARE ROOMS AVAILABLE THROUGH OPERATION OF THE HARVEST HOUSE. 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 DECEMBER, WE SERVED AN AVERAGE OF 24.5 RESIDENTS IN GELHARD AND HARVEST HOUSE AND AN AVERAGE OF 28.4 RESIDENTS THROUGH THE SUPPPORTIVE SERVICES PROGRAM IN THE APARTMENTS. 6668348 7131553 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 49 RESIDENTS PER MONTH DURING THE FISCAL YEAR. HOMESTEAD VILLAGE PROVIDES SERVICES TO RESIDENTS WHO MEET CERTAIN CRITERIA AT AMOUNTS LESS THAN ITS COST OF PROVIDING CARE. HOMESTEAD VILLAGE 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 THE HOMESTEAD VILLAGES' INTERNAL CONSOLIDATED FINANCIAL STATEMENTS. THE LEVEL OF BENEVOLENT CARE PROVIDED BY HOMESTEAD VILLAGE, 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 $1,245,000 AND $1,899,000 IN 2020 AND 2019, RESPECTIVELY. 18855451 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 41 0 1 310 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 12 12 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 CFOCOO 7173974831 1800 VILLAGE CIRCLE LANCASTER PA 17603 BENJAMIN BAMFORD CHAIRMAN 2.00 X X 0 0 0 HARRY RADCLIFFE VICE CHAIRMAN 2.00 X X 0 0 0 MARIANNE LUTZ KELLY SECRETARY 2.00 X X 0 0 0 SUSAN CARSON TREASURER (BEG. 9/19) 2.00 X X 0 0 0 C EUGENE MOORE TREASURER (UNTIL 9/19) 2.00 X X 0 0 0 GEORGE ALSPACH BOARD MEMBER 2.00 X 0 0 0 MICHAEL GERFIN BOARD MEMBER (BEG. 9/19) 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 MARY BETH TEARPOCK BOARD MEMBER 2.00 X 0 0 0 WILLIAM WHITESELL BOARD MEMBER 2.00 X 0 0 0 DOUGLAS MOTTER PRESIDENT 50.00 X 188910 0 38561 MATTHEW SCARPATO CFO/COO (BEG. 5/20) 50.00 X 0 0 0 THOMAS WILTON CFO (UNTIL 3/20) 50.00 X 140365 0 22359 JAMES TESCHE FACILITIES MANAGER 40.00 X 107664 0 7695 LAURA TALLARICO VP OF HR 50.00 X 102888 0 6565 FLORENCE SIMALA DIRECTOR OF NURSING 50.00 X 100450 0 21090 640277 0 96270 5 0 1 0 EG STOLTZFUS 474 MT SIDNEY ROAD LANCASTER PA 17602 CONTRACTOR 7046444 CURA HOSPITALITY PO BOX 743676 ATLANTA GA 30374 FOOD SERVICES 2449928 GENESIS ELDERCARE REHABILITATION SERVICE PO BOX 821322 PHILADELPHIA PA 19182 MEDICAL 802827 CCS BUILDING GROUP 100 WILLOW VALLEY LAKES DRIVE WILLOW STREET PA 17584 CONTRACTOR 554312 COR CONSTRUCTION SERVICES INC 5 BRENNEMAN CIRCLE MECHANICSBURG PA 17050 CONTRACTOR 529958 21 14580 406618 421198 RESIDENT SERVICES 623000 17219149 17219149 ENTRANCE FEES 623000 3494676 3494676 FOOD SERVICES 623000 840683 840683 DINING ROOM 623000 31008 31008 THERAPY POOL AND FITNESS MEMBERSH 623000 12036 12036 21597552 132718 132718 181344 1623 179721 179721 179721 912782 0 912782 912782 912782 31408 14580 12008 19400 19400 CABLE TELEVISION 623000 104322 104322 BEAUTY/BARBER SHOP 623000 60474 60474 MISCELLANEOUS 623000 38052 38052 35736 35736 238584 23501955 21585516 12036 1483205 X 3909 3909 381974 377069 4905 7648172 6552517 1006766 88889 55803 55105 698 1159071 930351 212579 16141 649769 503778 136972 9019 1350 1350 177575 164775 12800 19872 13905 5234 733 3513225 3306873 204088 2264 213897 149795 56228 7874 91306 76345 14961 176231 147355 28876 1689198 1391104 266616 31478 3894 3019 821 54 45651 35394 9623 634 468349 468349 3060178 3060178 156658 109620 41260 5778 REPAIRS AND MAINTENANCE 1246537 1074965 171572 RESIDENT ACTIVITIES 203103 188600 14503 MEDICAL SUPPLIES 192205 192205 PERSONNEL EXPENSES 150824 127366 20577 2881 379634 299943 73781 5910 21688385 18855451 2655676 177258 1470 1745 6102435 10046352 89 89 1162117 782647 330291 496424 109573742 45916006 52748201 63657736 5032729 5362289 106829 186449 186449 65563781 80640560 1430434 2016888 41659117 58963936 6553212 4201966 5826659 10569743 1519357 1844145 4109379 57313567 81381269 X 6258305 -2889080 1991909 2148371 8250214 -740709 65563781 80640560 1813570 -613916 -10190577 0 X X 0 1 X 1 0 X 113927 267119 391841 200095 421198 1394180 15504622 17401888 19095025 20112378 21585516 93699429 259472 305105 259167 299813 269992 1393549 15878021 17974112 19746033 20612286 22276706 96487158 8300 69825 19432 8699 106256 0 8300 69825 19432 8699 106256 96380902 283618 260551 411240 399215 314062 1668686 283618 260551 411240 399215 314062 1668686 2720 1034 7831 44985 56570 16164359 18235697 20165104 21056486 22590768 98212414 0.98140 0.97970 0.01700 0.01840 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2015 AMOUNT: $ 2,720. 2016 AMOUNT: $ 1,034. 2017 AMOUNT: $ 7,831. 2018 AMOUNT: $ 44,985. 2019 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). 1028474 27110 -247032 808552 940474 6400 81600 1028474 901036 9545 138193 108300 940474 769876 120333 10827 901036 741798 12518 15560 769876 0.00000 0.91620 0.08380 0 0 10871485 10871485 55676423 25209888 30466535 19520898 10146466 9374432 16902843 10559652 6343191 6602093 6602093 63657736 DEPOSITS 4057470 CHARITABLE GIFT ANNUITIES 51909 4109379 X 22900047 -613916 -613916 23513963 -12008 -12008 23501955 21700393 12008 12008 21688385 0 21688385 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 2017. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES -12,008. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 12,008. GOLF CLASSIC 45988 14580 31408 654 5500 4964 890 45988 14580 31408 654 5500 4964 890 12008 19400 X X X 0 0 0 0 0 0 0 0 0 DOUGLAS MOTTER PRESIDENT 187768 0 1142 0 0 0 23704 0 14857 0 227471 0 0 0 THOMAS WILTON CFO (UNTIL 3/20) 140013 0 352 0 0 0 7502 0 14857 0 162724 0 0 0 A PENN INDUSTRIAL DEVELOPMENT AUTHORITY 472054244 2015-12-22 6500000 REFINANCE 2010 BONDS AND CAPITAL DEVELOPMENT/IMPROVEMENTS 0 0 0 A 2298034 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 2,188,370. MANAGEMENT AND GENERAL EXPENSES 187,923. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,376,293. AMBULANCE SERVICE: PROGRAM SERVICE EXPENSES 29,340. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 29,340. BEAUTY/BARBER: PROGRAM SERVICE EXPENSES 42,947. MANAGEMENT AND GENERAL EXPENSES 16,165. FUNDRAISING EXPENSES 2,264. TOTAL EXPENSES 61,376. LABORATORY AND RADIOLOGY: PROGRAM SERVICE EXPENSES 33,684. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,684. OCCUPATIONAL THERAPY: PROGRAM SERVICE EXPENSES 309,292. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 309,292. PHARMACY FEES: PROGRAM SERVICE EXPENSES 194,132. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 194,132. PHYSICAL AND SPEECH THERAPY: PROGRAM SERVICE EXPENSES 509,108. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 509,108. 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 284669 50458 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 91041 1.00000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0