2020-05-13T15:43:14-05:00 2019-06-30 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2018-07-01 232010104 HOMESTEAD VILLAGE INC HOME 7173974831 1800 VILLAGE CIRCLE LANCASTER PA 17603 DOUGLAS V MOTTER PRESIDENT 7173974831 2020-05-13 1 KERRI N BOGDA CPA P00760402 7177404863 73.187.220.225 2020-05-13 11:44:31 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 BF90B4BE16E9AE312C0D8383967EBAED4A365E8B 2018 2021-01-29 14:40:06Z X DOUGLAS V MOTTER 1800 VILLAGE CIRCLE LANCASTER PA 17603 22406462 0 X WWW.HOMESTEADVILLAGE.ORG X 1976 PA CONTINUING CARE RETIREMENT COMMUNITY 12 12 324 240 27324 -17379 373677 200095 19130506 20139702 262118 194676 357167 417595 20123468 20952068 14796 4909 0 0 8588528 9010509 0 0 33703 10490620 11247915 19093944 20263333 1029524 688735 59455554 65563781 52007133 57313567 7448421 8250214 X ENHANCING INDEPENDENCE AND DIGNITY AS TOGETHER WE CREATE A COMPASSIONATE COMMUNITY. 0 0 9363345 4909 10753071 INDEPENDENT LIVING - HOMESTEAD VILLAGE PROVIDED RESIDENTIAL LIVING ACCOMMODATIONS FOR 100 ADDITIONAL RESIDENTS IN 2019, CLIMBING TO 522 RESIDENTS FROM 422 IN 28 SINGLE FAMILY HOMES, 137 DUPLEX AND TRIPLEX VILLAS, 111 APARTMENTS AND 55 FARMSTEAD HOMES, AN INCREASE OF 24 HOMES AT THE FARMSTEAD FROM 2018. RESIDENTIAL LIVING IS THE FIRST STAGE IN THE QUALITY RESIDENT-FOCUSED 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 OPENED A NEW EVENING RESTAURANT CALLED THE 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. 1082903 0 1243629 PERSONAL CARE SERVICES - HOMESTEAD VILLAGE DOUBLED THE NUMBER OF MEMORY SUPPORT PERSONAL CARE ROOMS AVAILABLE FROM 13 TO 26 THROUGH THE OPENING OF 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 20 RESIDENTS IN GELHARD AND HARVEST HOUSE AND AN AVERAGE OF 23.6 RESIDENTS THROUGH THE SUPPORTIVE SERVICES PROGRAM IN THE APARTMENTS. 7066808 0 8115678 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 55 RESIDENTS PER MONTH DURING THE FISCAL YEAR. 0 0 0 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 THE HOMESTEAD'S INTERNAL 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 $1,899,000 AND $1,048,000 IN 2019 AND 2018, RESPECTIVELY. 0 0 0 17513056 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 0 1 45 0 324 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 1 1 1 1 1 1 1 1 0 PA X THOMAS WILTON CFO 7178744239 1800 MARIETTA AVE LANCASTER PA 17603 JACK HESS CHAIRMAN(UNTIL SEPT '18) 4.00 X X 0 0 0 BENJAMIN BAMFORD CHAIRMAN 2.00 X X 0 0 0 HARRY RADCLIFFE VICE CHAIRMAN 2.00 X X 0 0 0 GEORGE ALSPACH BOARD MEMBER 2.00 X 0 0 0 WILLIAM BAKKEN BOARD MEMBER(UNTIL SEPT '18) 2.00 X 0 0 0 MARIANNE LUTZ KELLY SECRETARY 2.00 X X 0 0 0 SHIRLEY REINDOLLAR BOARD MEMBER 2.00 X 0 0 0 C EUGENE MOORE TREASURER 2.00 X X 0 0 0 WILIAM WHITESELL BOARD MEMBER 2.00 X 0 0 0 STEPHEN KEPCHAR JR BOARD MEMBER 2.00 X 0 0 0 CONSTANCE REILLY BOARD MEMBER 2.00 X 0 0 0 SUSAN CARSON BOARD MEMBER 2.00 X 0 0 0 SHERRY QUALLS BOARD MEMBER 2.00 X 0 0 0 MARY BETH TEARPOCK BOARD MEMBER 2.00 X 0 0 0 DOUGLAS MOTTER PRESIDENT 50.00 X 184712 0 20602 CAROL CARTER EXECUTIVE DIRECTOR (RET. APRIL '18) 50.00 X 104376 0 4028 THOMAS WILTON CFO 50.00 X 135281 0 19595 JAMES TESCHE FACILITIES MANAGER 40.00 X 102614 0 2933 526983 0 47158 4 0 1 0 EG STOLZFUS 474 MT SIDNEY RD LANCASTER PA 17602 CONTRACTOR 3787673 CURA HOSPITALITY PO BOX 743676 ATLANTA GA 30374 FOOD SERVICES 2264156 PAUL RISK ASSOCIATES INC 11 W STATE ST QUARRYVILLE PA 17566 CONTRACTOR 1129468 GENESIS ELDERCARE REHABILITATION SERVICE PO BOX 821322 PHILADELPHIA PA 19182 MEDICAL 886442 BR KREIDER & SON 63 KREIDER LANE MANHEIM PA 17545 CONTRACTOR 200505 21 74464 125631 200095 RESIDENT SERVICES 623000 15637106 15637106 ENTRANCE FEES 623000 3566293 3566293 FOOD SERVICES 623000 857457 857457 DINING ROOM 623000 51522 51522 POOL AND MEMBERSHIP 623000 27324 27324 20139702 176739 176739 222476 102424 120052 120052 120052 1322652 1304715 17937 17937 17937 37614 74464 47255 -9641 -9641 CABLE TELEVISION 623000 95543 95543 BEAUTY/BARBER SHOP 623000 90084 90084 RESIDENT ACTIVITIES 623000 85311 85311 36246 36246 307184 20952068 20112378 27324 612271 X 4909 4909 495684 495684 6878461 6004340 842813 31308 77619 69527 8092 894197 733516 160681 664548 564391 97762 2395 52423 52423 44000 44000 1047 1047 64073 64073 3484259 3364567 119692 212188 212188 1103727 832929 270798 89057 89057 2102936 2086869 16067 63927 54513 9414 48637 18219 30418 411274 411274 2710287 2710287 156658 156658 RESIDENT ACTIVITIES 336666 239216 97450 MEDICAL SUPPLIES 161742 161742 PERSONNEL EXPENSES 86315 86315 DUES AND SUBSCRIPTIONS 56757 31684 25073 61942 12885 49057 20263333 17513056 2716574 33703 1470 1470 4927153 6102435 89 89 565524 1162117 293023 330291 95604027 42855826 48651032 52748201 4830814 5032729 186449 186449 59455554 65563781 2010576 1430434 37846115 41659117 5501027 6553212 4979788 5826659 1669627 1844145 52007133 57313567 X 5656589 6258305 1084587 1278265 707245 713644 7448421 8250214 59455554 65563781 688735 113058 0 X 0 1 X 1 0 X 258563 113927 267119 391841 200095 1231545 15185015 15504622 17401888 19095025 20112378 87298928 141702 259472 305105 259167 299813 1265259 15585280 15878021 17974112 19746033 20612286 89795732 10000 8300 69825 19432 8699 116256 0 10000 8300 69825 19432 8699 116256 89679476 326130 283618 260551 411240 399215 1680754 326130 283618 260551 411240 399215 1680754 233 2720 1034 7831 44985 56803 15911643 16164359 18235697 20165104 21056486 91533289 0.97970 0.98010 0.01840 0.01840 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISC INCOME - 2014 AMOUNT: $ 233. 2015 AMOUNT: $ 2,720. 2016 AMOUNT: $ 1,034. 2017 AMOUNT: $ 7,831. 2018 AMOUNT: $ 7,371. NON-CHARITABLE FUNDRAISING RECEIPTS - 2018 AMOUNT: $ 37,614. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1047 1047 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 DUES PAID BY HOMESTEAD VILLAGE THAT IS ALLOCABLE TO LOBBYING IS $1,047. (ESTIMATED AT 6.25% OF TOTAL DUES OF $16,752). 940474 6400 81600 1028474 901036 9545 138193 108300 940474 769876 120333 10827 901036 741798 12518 15560 769876 707774 10360 23664 741798 0.00000 0.69000 0.31000 0 0 7819246 7819246 51811582 23768536 28043046 17578858 9224108 8354750 15412100 9863182 5548918 2982241 2982241 52748201 CHARITABLE GIFT ANNUITIES 51910 DEPOSITS 1792235 1844145 21214805 113058 113058 21101747 -149679 -149679 20952068 20413012 149679 149679 20263333 0 20263333 PART V, LINE 4: HOMESTEAD VILLAGE'S ENDOWMENT FUND IS USED 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 XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -102,424. FUNDRAISING EXPENSES -47,255. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 102,424. FUNDRAISING EXPENSES 47,255. 2019 GALA 66090 35197 30893 8000 20765 2925 3508 2019 GOLF CLASSIC 45988 39267 6721 5500 4964 1593 112078 74464 37614 13500 25729 2925 5101 47255 -9641 X X X 0 0 0 0 0 0 0 0 0 DOUGLAS MOTTER PRESIDENT 184712 0 0 0 0 0 3940 0 16662 0 205314 0 0 0 THOMAS WILTON CFO 135281 0 0 0 0 0 2933 0 16662 0 154876 0 0 0 A PENN INDUSTRIAL DEVELOPMENT AUTHORITY 472054244 2015-12-22 6500000 REFINANCE 2010 BONDS AND CAPITAL DEVELOPMENT/IMPROVEMENTS 0 0 0 A 1785323 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 COOPER HOMES INC LISA COOPER, OWNER, IS A FORMER PRESIDENT OF THE HOMESTEAD VILLAGE BOARD 49502 COOPER HOMES WAS PAID FOR RENOVATIONS. ALL TRANSACTIONS ARE AT ARM'S LENGTH. 0 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 VI, SECTION B, LINE 11B HOMESTEAD VILLAGE'S CFO PERFORMS THE INITIAL COMPANY REVIEW OF THE FORM 990 PREPARED BY INDEPENDENT ACCOUNTANTS. THE FORM 990 IS THEN PRESENTED TO THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS FOR REVIEW. AFTER THE FINANCE COMMITTEE'S REVIEW, EVERY MEMBER OF THE BOARD OF DIRECTORS RECEIVES A COPY OF THE FORM 990 FOR REVIEW BEFORE THE RETURN IS FILED WITH THE IRS. 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 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONSULTING FEES: PROGRAM SERVICE EXPENSES 2,123,972. MANAGEMENT AND GENERAL EXPENSES 119,692. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,243,664. AMBULANCE SERVICE: PROGRAM SERVICE EXPENSES 2,804. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,804. BEAUTY/BARBER: PROGRAM SERVICE EXPENSES 88,786. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 88,786. LABORATORY AND RADIOLOGY: PROGRAM SERVICE EXPENSES 28,231. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,231. OCCUPATIONAL THERAPY: PROGRAM SERVICE EXPENSES 98,331. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 98,331. PHARMACY FEES: PROGRAM SERVICE EXPENSES 173,084. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 173,084. PHYSICAL AND SPEECH THERAPY: PROGRAM SERVICE EXPENSES 849,359. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 849,359. HOMESTEAD VILLAGE HOME CARE SERVICES LLC 1800 MARIETTA AVENUE LANCASTER PA 17603 272940494 PROVIDES HOME HEALTH CARE PA 284803 38202 HOMESTEAD VILLAGE INC CHARITABLE REMAINDER TRUST INVESTMENTS PA N/A T 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0