2017-03-28T18:09:57-05:00 2016-06-30 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 1869 CHARTER LANE STE 301 LANCASTER PA 17601 990 2015-07-01 232010104 HOMESTEAD VILLAGE INC HOME 7173974831 PO BOX 3227 LANCASTER PA 176043227 THOMAS WILTON CHIEF FINANCIAL OFFICER 7173974831 2017-03-28 1 KERRI N BOGDA P00760402 7173935696 2015 2021-01-29 14:40:06Z DOUGLAS V MOTTER PO BOX 3227 LANCASTER PA 176043227 16806618 0 X WWW.HOMESTEADVILLAGE.ORG X 1976 PA CONTINUING CARE RETIREMENT COMMUNITY 15 14 270 237 35631 -28998 258563 113927 15254114 15570382 290053 171018 239093 372812 16041823 16228139 3898 4909 0 0 7243694 7884841 0 0 35324 8111962 8347309 15359554 16237059 682269 -8920 40406728 45230762 34924379 39839531 5482349 5391231 X ENHANCING INDEPENDENCE AND DIGNITY AS TOGETHER WE CREATE A COMPASSIONATE COMMUNITY. 0 0 3553678 4103695 INDEPENDENT LIVING - HOMESTEAD VILLAGE PROVIDED INDEPENDENT LIVING ACCOMMODATIONS FOR 369 RESIDENTS IN 29 SINGLE FAMILY HOMES, 136 TOWNHOUSES, 111 APARTMENTS AND 1 FARMSTEAD HOME. 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. 865064 998954 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 21,800 NURSING HOURS, AND THE SUPPORTIVE SERVICES RESIDENTS RECEIVED APPROXIMATELY 30,800 HOURS OF NURSING SERVICE DURING THE YEAR. WE SERVED AN AVERAGE OF 12.7 RESIDENTS MONTHLY THROUGH THE PERSONAL CARE APARTMENTS AND 25.47 RESIDENTS MONTHLY THROUGH THE SUPPORTIVE SERVICES PROGRAM. 9033890 10432102 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 51.3 RESIDENTS PER MONTH DURING THE FISCAL YEAR. THESE RESIDENTS WERE PROVIDED APPROXIMATELY 87,600 HOURS OF NURSING SERVICE DURING THE 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 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 $647,000 AND $662,000 IN 2016 AND 2015, RESPECTIVELY. 4909 4909 13452632 1 1 0 1 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 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 0 1 30 0 1 270 1 1 1 0 0 0 0 0 0 0 0 0 X 15 14 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 LISA M COOPER CHAIRMAN 4.00 X X 0 0 0 JACK HESS VICE CHAIR 2.00 X X 0 0 0 BENJAMIN BAMFORD TREASURER 2.00 X X 0 0 0 MARY LOUISE BARTON SECRETARY 2.00 X X 0 0 0 GEORGE D ALSPACH BOARD MEMBER 2.00 X 0 0 0 THOMAS ATKINS BOARD MEMBER 2.00 X 0 0 0 WILLIAM BAKKEN MD 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 2.00 X 0 0 0 STEPHEN KEPCHAR JR BOARD MEMBER 2.00 X 0 0 0 C EUGENE MOORE BOARD MEMBER 2.00 X 0 0 0 HARRY RADCLIFFE BOARD MEMBER 2.00 X 0 0 0 DAVID URECH BOARD MEMBER 2.00 X 0 0 0 WILLIAM WHITESELL BOARD MEMBER 2.00 X 0 0 0 JAMES F YOUNG BOARD MEMBER (RESIGNED SEPT. 2015) 2.00 X 0 0 0 BRENT A MESSNER CHIEF FINANCIAL OFFICER 50.00 X 131266 0 15630 DOUGLAS V MOTTER PRESIDENT 50.00 X 181804 0 13291 CAROL CARTER EXECUTIVE DIRECTOR 50.00 X 130328 0 9439 443398 0 38360 3 0 1 0 CURA HOSPITALITY 2970 CORPORATE COURT STE 5 OREFIELD PA 18069 FOOD SERVICE 1972592 COOPER HOMES INC 2111 MARIETTA AVE LANCASTER PA 17603 CONTRACTOR 427024 ENCORE PREAKNESS INC 33533 W 12 MILE ROAD FARMINGTON HILLS MI 48331 THERAPY 413605 VARSITY 532 NORTH FRONT STREET SUITE 200 WORMLEYSBURG PA 17043 MARKETING FIRM 284351 INDOOR CITY 481 HARRISBURG PIKE LANCASTER PA 17603 CONTRACTOR 251701 10 113927 113927 RESIDENT SERVICES 623000 12238509 12224688 13821 ENTRANCE FEES 623000 2587663 2587663 FOOD SERVICES 623000 678450 678450 DINING ROOM 623000 43950 43950 POOL AND MEMBERSHIP 623000 21810 21810 15570382 90928 90928 192690 82070 110620 110620 110620 576499 496409 80090 80090 80090 BEAUTY/BARBER SHOP 623000 84663 84663 RESIDENT ACTIVITIES 623000 81727 81727 CABLE TELEVISION 623000 62982 62982 32820 32820 262192 16228139 15534751 35631 543830 X 4909 4909 494069 494069 6084849 5079742 977867 27240 84202 72320 11882 750787 781611 -30824 470934 371447 97403 2084 80418 80418 37650 37650 917 917 22745 22745 2586516 2570352 16164 328239 12500 315739 633592 289755 337837 6000 1502540 1492169 10371 6710 543 6167 29860 9589 20271 172035 172035 2193413 2193413 155363 155363 RESIDENT ACTIVITIES 278425 209575 68850 MEDICAL SUPPLIES 147659 147659 PERSONNEL EXPENSES 83073 83073 DUES, FEES & SUBS. 31584 31584 56570 13429 43141 16237059 13452632 2749103 35324 1570 1570 2533790 3239334 25440 89 841707 719826 177179 148543 72213131 35396930 32667010 36816201 4025072 4061469 134960 243730 40406728 45230762 1110670 1574372 27826289 28469810 4473253 5256377 560556 2724517 953611 1814455 34924379 39839531 X 4152402 4067509 656798 638055 673149 685667 5482349 5391231 40406728 45230762 -8920 -82198 0 X 0 1 X 1 0 X 206868 136221 131448 258563 113927 847027 12308056 13828978 14348552 15185015 15504622 71175223 132265 129890 144083 141702 259472 807412 12647189 14095089 14624083 15585280 15878021 72829662 10000 5000 10000 8300 33300 0 10000 5000 10000 8300 33300 72796362 312842 291658 287476 326130 283618 1501724 312842 291658 287476 326130 283618 1501724 96 1513 5123 233 2720 9685 12960127 14388260 14916682 15911643 16164359 74341071 0.97920 0.97640 0.02020 0.02130 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISC INCOME - 2011 AMOUNT: $ 96. 2012 AMOUNT: $ 1,513. 2013 AMOUNT: $ 5,123. 2014 AMOUNT: $ 233. 2015 AMOUNT: $ 2,720. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 917 917 0 PART II-B, LINE 1: HOMESTEAD VILLAGE PAYS DUES TO THE ORGANIZATIONS LEADING AGE AND LEADING AGE OF PA. 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 $917. 741798 12518 15560 769876 707774 10360 23664 741798 716912 2460 56627 68225 707774 686222 4575 52785 26670 716912 645959 16237 51981 27955 686222 0.00000 0.89060 0.10940 0 0 4458426 4458426 39665211 19984229 19680982 13028319 7158802 5869517 11594413 8253899 3340514 3466762 3466762 36816201 CHARITABLE GIFT ANNUITIES 95405 DEPOSITS 1719050 1814455 X 16228011 -82198 -82198 16310209 -82070 -82070 16228139 16319129 82070 82070 16237059 0 16237059 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 X, LINE 2: HOMESTEAD ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED BY EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. MANAGEMENT HAS DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2016 AND 2015. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -82,070. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 82,070. X X X 0 0 0 0 0 0 0 0 0 DOUGLAS V MOTTER PRESIDENT 181804 0 0 0 0 0 3582 0 9709 0 195095 0 0 0 A PENN INDUSTRIAL DEVELOPMENT AUTHORITY 472054244 2015-12-22 6700000 REFINANCE 2010 BONDS AND CAPITAL DEVELOPMENT/IMPROVEMENTS 0 0 0 A 5256377 470113 4676505 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 PRESIDENT OF THE HOMESTEAD VILLAGE BOARD 427024 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 11 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 1,800,072. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,800,072. AMBULANCE SERVICES : PROGRAM SERVICE EXPENSES 2,435. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,435. BEAUTY/BARBER : PROGRAM SERVICE EXPENSES 87,269. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 87,269. LABORATORY AND RADIOLOGY : PROGRAM SERVICE EXPENSES 25,204. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,204. OCCUPATIONAL THERAPY : PROGRAM SERVICE EXPENSES 90,603. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 90,603. PHARMACY FEES : PROGRAM SERVICE EXPENSES 141,802. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 141,802. PHYSICAL AND SPEACH THERAPY : PROGRAM SERVICE EXPENSES 422,967. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 422,967. CONSULTING FEES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 16,164. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,164. HOMESTEAD VILLAGE HOME CARE SERVICES LLC 1800 MARIETTA AVENUE LANCASTER PA 17603 272940494 PROVIDES HOME HEALTH CARE PA 158969 17130 HOMESTEAD VILLAGE INC CHARITABLE REMAINDER TRUST INVESTMENTS PA HOMESTEAD VILLAGE INC T 767 77164 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0