2019-05-13T11:26:52-05:00 2018-06-30 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 221 W PHILADELPHIA STREET SUITE 200 YORK PA 17401 990 2017-07-01 232010104 HOMESTEAD VILLAGE INC HOME 7173974831 PO BOX 3227 LANCASTER PA 176043227 THOMAS WILTON CHIEF FINANCIAL OFFICER 7173974831 2019-05-10 1 KERRI N BOGDA P00760402 7178467000 96.89.178.186 2019-05-10 12:08:19 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 BF90B4BE16E9AE312C0D8383967EBAED4A365E8B 2017 2019-02-21 02:37:17Z DOUGLAS V MOTTER PO BOX 3227 LANCASTER PA 176043227 20637420 0 X WWW.HOMESTEADVILLAGE.ORG X 1976 PA CONTINUING CARE RETIREMENT COMMUNITY 15 15 275 251 35481 -7115 267119 373677 17459033 19130506 355671 262118 416551 357167 18498374 20123468 5409 14796 0 0 8384331 8588528 0 0 36734 9299212 10490620 17688952 19093944 809422 1029524 52744309 59455554 46512700 52007133 6231609 7448421 X ENHANCING INDEPENDENCE AND DIGNITY AS TOGETHER WE CREATE A COMPASSIONATE COMMUNITY. 0 0 8597786 14796 10038270 INDEPENDENT LIVING - HOMESTEAD VILLAGE PROVIDED INDEPENDENT LIVING ACCOMMODATIONS FOR 422 RESIDENTS IN 28 SINGLE FAMILY HOMES, 136 TOWNHOUSES, 111 APARTMENTS AND 31 FARMSTEAD HOMES. INDEPENDENT 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. 863618 0 1008310 PERSONAL CARE SERVICES - AN INTERMEDIATE LEVEL OF CARE IS PROVIDED TO RESIDENTS THROUGH A THIRTEEN ROOM PERSONAL CARE APARTMENT COMPLEX AND THROUGH OUR INNOVATIVE SUPPORTIVE SERVICES PROGRAM WHICH PROVIDES PERSONAL-CARE SERVICES IN UP TO 87 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. THE PERSONAL CARE RESIDENTS RECEIVED APPROXIMATELY 18,187 NURSING HOURS, AND THE SUPPORTIVE SERVICES RESIDENTS RECEIVED APPROXIMATELY 37,792 HOURS OF NURSING SERVICE DURING THE YEAR. WE SERVED AN AVERAGE OF 12.2 RESIDENTS MONTHLY THROUGH THE PERSONAL CARE APARTMENTS AND 24.7 RESIDENTS MONTHLY THROUGH THE SUPPORTIVE SERVICES PROGRAM. 6893499 0 8048445 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 55.3 RESIDENTS PER MONTH DURING THE FISCAL YEAR. THESE RESIDENTS WERE PROVIDED APPROXIMATELY 96,131 HOURS OF NURSING SERVICE DURING THE 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 $1,048,000 AND $443,000 IN 2018 AND 2017, RESPECTIVELY. 0 0 0 16354903 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 1 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 0 1 41 0 1 275 1 1 1 0 0 0 0 0 0 0 0 1 0 X 15 15 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 7173974831 1800 MARIETTA AVE LANCASTER PA 17603 JACK HESS CHAIRMAN 4.00 X X 0 0 0 BENJAMIN BAMFORD VICE CHAIR 2.00 X X 0 0 0 HARRY RADCLIFFE TREASURER 2.00 X X 0 0 0 GEORGE ALSPACH BOARD MEMBER 2.00 X 0 0 0 WILLIAM BAKKEN BOARD MEMBER 2.00 X 0 0 0 JOAN H BOBEN BOARD MEMBER 2.00 X 0 0 0 GARY BROWN BOARD MEMBER 2.00 X 0 0 0 FRED GEIGER BOARD MEMBER (UNTIL 9/17) 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 BOARD MEMBER 2.00 X 0 0 0 DAVID URECH BOARD MEMBER (UNTIL 9/17) 2.00 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 REILY BOARD MEMBER 2.00 X 0 0 0 DOUGLAS MOTTER PRESIDENT 50.00 X 181220 0 17765 CAROL CARTER EXECUTIVE DIRECTOR 50.00 X 136357 0 11168 THOMAS WILTON CFO 50.00 X 125655 0 15952 443232 0 44885 3 0 1 0 EG STOLZFUS 474 MT SIDNEY RD LANCASTER PA 17602 CONTRACTOR 4516051 CURA HOSPITALITY PO BOX 743676 ATLANTA GA 30374 FOOD SERVICES 2130389 GENESIS ELDERCARE REHABILITATION SERVICE PO BOX 821322 PHILADELPHIA PA 19182 MEDICAL 766000 FULTON BANK ONE PENN SQ LANCASTER PA 17602 BANKING/FINANCIAL 760767 VARSITY 532 NORTH FRONT STREET WORMLEYSBURG PA 17043 MARKETING 237760 15 65271 308406 6547 373677 RESIDENT SERVICES 623000 15055655 15055655 ENTRANCE FEES 623000 3182483 3182483 FOOD SERVICES 623000 799944 799944 DINING ROOM 623000 56943 56943 POOL AND MEMBERSHIP 623000 35481 35481 19130506 198541 198541 212699 106873 105826 105826 105826 436835 373258 63577 63577 63577 18164 65271 33821 -15657 -15657 BEAUTY/BARBER SHOP 623000 86248 86248 CABLE TELEVISION 623000 86069 86069 RESIDENT ACTIVITIES 623000 58723 58723 35958 35958 266998 20123468 19095025 35481 619285 X 14796 14796 525500 525500 6445472 5581365 834748 29359 78384 69526 8858 995707 927804 67903 543465 444568 96651 2246 56228 56228 44538 44538 933 933 82876 82876 3320279 3217408 102871 238442 238442 1096393 663480 427784 5129 1968069 1954951 13118 73054 66954 6100 31065 7845 23220 314965 314965 2450440 2450440 186320 186320 RESIDENT ACTIVITIES 295582 210737 84845 MEDICAL SUPPLIES 144606 144606 PERSONNEL EXPENSES 82009 82009 DUES AND SUBSCRIPTIONS 65322 33684 31638 39499 13332 26167 19093944 16354903 2702307 36734 1570 1470 3041316 4927153 89 89 706533 565524 205804 293023 88767924 40116892 44211419 48651032 4455021 4830814 122557 186449 52744309 59455554 1790727 2010576 33165335 37846115 5552839 5501027 4133565 4979788 1870234 1669627 46512700 52007133 X 4703813 5656589 830096 1084587 697700 707245 6231609 7448421 52744309 59455554 1029524 187289 0 X 0 1 X 1 0 X 131448 258563 113927 267119 391841 1162898 14348552 15185015 15504622 17401888 19095025 81535102 144083 141702 259472 305105 259167 1109529 14624083 15585280 15878021 17974112 19746033 83807529 5000 10000 8300 69825 19432 112557 0 5000 10000 8300 69825 19432 112557 83694972 287476 326130 283618 260551 411240 1569015 287476 326130 283618 260551 411240 1569015 5123 233 2720 1034 7831 16941 14916682 15911643 16164359 18235697 20165104 85393485 0.98010 0.98050 0.01840 0.01820 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISC INCOME - 2013 AMOUNT: $ 5,123. 2014 AMOUNT: $ 233. 2015 AMOUNT: $ 2,720. 2016 AMOUNT: $ 1,034. 2017 AMOUNT: $ 7,831. 0 0 0 0 0 0 0 0 1 933 933 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 $933. (ESTIMATED AT 6.25% OF TOTAL DUES OF $14,935). 901036 9545 138193 108300 940474 769876 120333 10827 901036 741798 12518 15560 769876 707774 10360 23664 741798 716912 2460 56627 68225 707774 0.00000 0.75200 0.24800 0 0 6978833 6978833 49319486 22389665 26929821 14306365 8493844 5812521 14479547 9233383 5246164 3683693 3683693 48651032 CHARITABLE GIFT ANNUITIES 65181 DEPOSITS 1604446 1669627 20451451 187289 187289 20264162 -140694 -140694 20123468 19234638 140694 140694 19093944 0 19093944 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 INCOME -106,873. FINDRAISING EXPENSES -33,821. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 106,873. FUNDRAISING EXPENSES 33,821. 2018 GALA 45095 30765 14330 2620 15597 3380 1567 2017 GOLF CLASSIC 38340 34506 3834 4157 4185 2315 83435 65271 18164 6777 19782 3380 3882 33821 -15657 0 CHURCH OF THE APOSTLES 1850 MARIETTA AVENUE LANCASTER PA 17603 9258 TO HELP DEFRAY THE COST OF A PARKIN LOT REPAVING 1 PART I, LINE 2: THE ORGANIZATION MAKES DONATIONS TO LOCAL NON-PROFITS AS A GESTURE OF GOODWILL AND DOES NOT FOLLOW UP TO DETERMINE THE USE OF FUNDS AFTER DISBURSEMENT. THE ORGANIZATION DOES VERIFY THAT ALL RECIPIENTS ARE PUBLIC CHARITIES. X X X 0 0 0 0 0 0 0 0 0 DOUGLAS MOTTER PRESIDENT 181220 0 0 0 0 0 3888 0 13877 0 198985 0 0 0 A PENN INDUSTRIAL DEVELOPMENT AUTHORITY 472054244 2015-12-22 6500000 REFINANCE 2010 BONDS AND CAPITAL DEVELOPMENT/IMPROVEMENTS 0 0 0 A 1285127 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 156953 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 2,130,918. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,130,918. AMBULANCE SERVICES: PROGRAM SERVICE EXPENSES 1,029. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,029. BEAUTY/BARBER: PROGRAM SERVICE EXPENSES 87,847. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 87,847. LABORATORY AND RADIOLOGY: PROGRAM SERVICE EXPENSES 28,341. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,341. OCCUPATIONAL THERAPY: PROGRAM SERVICE EXPENSES 98,771. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 98,771. PHARMACY FEES: PROGRAM SERVICE EXPENSES 163,099. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 163,099. PHYSICAL AND SPEACH THERAPY: PROGRAM SERVICE EXPENSES 707,403. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 707,403. CONSULTING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 102,871. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 102,871. HOMESTEAD VILLAGE HOME CARE SERVICES LLC 1800 MARIETTA AVENUE LANCASTER PA 17603 272940494 PROVIDES HOME HEALTH CARE PA 252153 35001 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