2017-10-12T10:33:47-05:00 2016-12-31 410746749 CLIFTONLARSONALLEN LLP 610 W GERMANTOWN PIKE STE 400 PLYMOUTH MEETING PA 19462 990 2016-01-01 232499121 WHITE HORSE VILLAGE INC WHIT 6105585000 535 GRADYVILLE RD NEWTOWN SQUARE PA 19073 JENNIFER SCHILPP VP OF FINANCE 6105585000 2017-10-11 1 SETH BRODY CPA P01586423 2156433900 67.137.57.251 2017-10-11 12:11:06 ED P 6204EFE5850DAA8AFBA3764BB98E8DF02B364695 3905FB583EB2AC04B8E06D147EE1A9B7E683F127 2016 2021-01-29 14:40:06Z JENNIFER SCHILPP 535 GRADYVILLE RD NEWTOWN SQUARE PA 19073 38634206 0 X WWW.WHITEHORSEVILLAGE.ORG X 1989 PA WE PROVIDE A FULL RANGE OF RETIREMENT LIFESTYLES ROOTED IN EXCELLENCE IN A VIBRANT COMMUNITY OF PEOPLE WHO CARE. 13 13 460 240 0 0 227894 225097 29327235 30971596 190046 -188040 669316 851891 30414491 31860544 0 0 0 0 12926637 13025100 0 0 0 17196882 16760971 30123519 29786071 290972 2074473 100894096 103150882 112859081 112012251 -11964985 -8861369 WE PROVIDE A FULL RANGE OF RETIREMENT LIFESTYLES ROOTED IN EXCELLENCE IN A VIBRANT COMMUNITY OF PEOPLE WHO CARE. 0 0 22339567 31386754 WHITE HORSE VILLAGE, INC PROVIDES CARE UNDER LIFE CARE CONTRACTS TO APPROXIMATELY 500 ADULTS, ALL OVER THE AGE OF 62. UNDER THESE CONTRACTS, WHITE HORSE VILLAGE, INC. PROVIDES HOUSING, MEALS, UTILITIES, MAINTENANCE, AND CERTAIN MEDICAL SERVICES TO THESE RESIDENTS. 22339567 1 1 0 0 0 0 0 0 1 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 0 0 0 0 0 0 1 1 1 0 0 1 62 0 460 1 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X JENNIFER K SCHILPP VP OF FINANCE 6105585000 535 GRADYVILLE RD NEWTOWN SQUARE PA 19073 DANIEL F CROUGH DIRECTOR 1.00 0.00 X 0 0 0 PAMELA L HANSEN DIRECTOR 1.00 1.00 X 0 0 0 BRUCE D HOPPER MD DIRECTOR 1.00 1.00 X 0 0 0 LOUISE L HUMMEL DIRECTOR 1.00 0.00 X 0 0 0 MICHAEL B MAGNAVITA TREASURER 1.00 0.00 X X 0 0 0 DOUGLAS W NAKAJIMA DIRECTOR 1.00 0.00 X 0 0 0 ELANOR C SMITH DIRECTOR 1.00 1.00 X 0 0 0 SHIRLEY WEAVER DIRECTOR 1.00 0.00 X 0 0 0 AMY CARPENTER CHAIR 1.00 0.00 X X 0 0 0 J LAWRENCE SHANE VICE CHAIR/SECRETARY 1.00 1.00 X X 0 0 0 MICHAEL J HAMMOND DIRECTOR 1.00 0.00 X 0 0 0 CYNDI WALTERS DIRECTOR 1.00 1.00 X 0 0 0 BETTY T LEHEW DIRECTOR 1.00 1.00 X 0 0 0 ALFRED F MEYER DIRECTOR 1.00 0.00 X 0 0 0 MARY KATHRYN S BURKE PRESIDENT AND CEO 40.00 1.00 X 332179 0 17689 JENNIFER K SCHILPP VP FINANCE 40.00 1.00 X 214816 0 14230 MICHAEL A SCHEUREN VP ADMINISTRATION 40.00 1.00 X 150496 0 12288 ROBERT J HIGGINS VP PROPERTY & FACILITIES 40.00 1.00 X 150394 0 12298 DOROTHY L MALLON VP MARKETING/PR 40.00 1.00 X 139671 0 20842 TINA BOUKALIS VP RESIDENT SERVICES 40.00 1.00 X 136458 0 11880 NOREEN BEAM DIRECTOR OF NURSING 1.00 0.00 X 109008 0 11080 1233022 0 100307 8 0 1 0 E ALLEN REEVES INC 1145 OLD YORK ROAD ABINGTON PA 19001 CONSTRUCTION SERVICES 932684 FLIK INTERNATIONAL CORP PO BOX 102289 ATLANTA GA 30368 DINING/HSKPG MGT 892390 JOHN MCALLISTER 129 BEECHWOOD ROAD NEWTOWN SQUARE PA 19073 CONSTRUCTION SERVICES 887750 RAY CALDERARO 839 EASTER DRIVE WEST CHESTER PA 19382 CONTRACTOR 703580 GENESIS REHABILITATION SERVICES PO BOX 7247-6524 PHILADELPHIA PA 19170 THERAPY SERVICES 678925 7 225097 225097 RESIDENT CARE FEES 623000 17111337 17111337 MEDICAL CARE FEES 623000 8614926 8614926 AMORT OF DEFERRED ENTRY FEE 623000 5245333 5245333 30971596 171584 171584 65400 0 65400 65400 65400 6414038 6773662 -359624 -359624 -359624 RESIDENT SERVICES 812900 135705 135705 VIEW/OPTION CHARGE 812900 119994 119994 CAFE REV. 722210 106466 106466 424326 52993 371333 786491 31860544 31386754 0 248693 578914 578914 9924793 7853855 2070938 130392 110101 20291 1638173 1240262 397911 752828 564621 188207 56435 42326 14109 49921 37441 12480 31700 23775 7925 116356 87267 29089 217811 163358 54453 4198927 3149194 1049733 10708 8031 2677 3496096 2622072 874024 12843 9632 3211 1923901 1442926 480975 5221171 3915878 1305293 283241 212431 70810 THERAPY 751711 563783 187928 LICENSES AND FEES 220023 165017 55006 MISC EXPENSES 170127 127597 42530 29786071 22339567 7446504 0 5390841 4792036 3240933 2286642 88341 98062 1061376 1208498 153406162 70738666 78914306 82667496 12198299 12098148 100894096 103150882 2821348 2421019 57847914 61665246 39950982 38476063 470119 273371 11768718 9176552 112859081 112012251 X -11964985 -8861369 -11964985 -8861369 100894096 103150882 X 2074473 432498 596645 X 0 1 X 1 0 X 57385 166512 176813 227894 225097 853701 27888508 28301850 28679806 29664870 31386754 145921788 27945893 28468362 28856619 29892764 31611851 146775489 57385 166512 176813 227894 225097 853701 0 57385 166512 176813 227894 225097 853701 145921788 155220 218249 429993 190046 236984 1230492 155220 218249 429993 190046 236984 1230492 170007 243125 270049 331681 371333 1386195 28271120 28929736 29556661 30414491 32220168 149392176 0.97680 0.97710 0.00820 0.00880 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2012 AMOUNT: $ 170,007. 2013 AMOUNT: $ 243,125. 2014 AMOUNT: $ 270,049. 2015 AMOUNT: $ 331,681. 2016 AMOUNT: $ 371,333. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 2746822 109411 222054 225097 -212355 3065545 2821999 158916 -6199 227894 2746822 2269278 516447 213087 176813 2821999 1928173 68763 463931 191589 2269278 1657263 77185 251110 57385 1928173 0.63010 0.00000 0.36990 0 1 1 6656012 6656012 130842184 60467548 70374636 14738255 9382229 5356026 1169711 888889 280822 82667496 INTEREST RATE SWAP 6876712 REFUNDABLE HEALTHCARE DEPOSITS 2299840 9176552 X 32889687 432498 596645 1029143 31860544 0 31860544 29786071 0 29786071 0 29786071 PART IV, LINE 2B: THE AMOUNT OF 273,371 IS THE REFUNDABLE DEPOSITS THE ORGANIZATION IS HOLDING FOR PROSPECTIVE RESIDENTS. PART V, LINE 4: WHITE HORSE VILLAGE ENDOWMENT FUND HAS TWO TEMPORARILY RESTRICTED FUNDS: RESIDENT RESERVE FUND-TO PROVIDE FINANCIAL ASSISTANCE TO RESIDENTS IN NEED. CAMPUS IMPROVEMENT FUND-TO PROVIDE FACILITY IMPROVEMENTS, FURNISHINGS, AND EQUIPMENT AT THE COMMUNITY FOR THE BENEFIT OF RESIDENTS OF THE COMMUNITY. IN ADDITION, THE ENDOWMENT FUND MAINTAINS AN UNRESTRICTED DISCRETIONARY FUND TO ACCOUNT FOR ALL RESOURCES OVER WHICH THE ENDOWMENT FUND COMMITTEE HAS CONTROL TO USE IN PROVIDING BENEFITS FOR RESIDENTS OF THE COMMUNITY WITHIN THE SCOPE OF THE CORPORATION'S TAX-EXEMPT STATUS. PART X, LINE 2: THE VILLAGE IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND APPLICABLE STATE CODES. THE VILLAGE FOLLOWS THE GUIDANCE IN THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE GUIDANCE CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THE GUIDANCE FURTHER PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX PROVISIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE APPLICATION OF THIS STANDARD HAS NO IMPACT ON THE VILLAGE'S FINANCIAL STATEMENTS. THE VILLAGE'S TAX RETURNS ARE SUBJECT TO REVIEW BY THE TAXING AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN INTEREST RATE SWAPS 783,302. TRANSFER TO TEMP. RESTRICTED -212,355. NET ASSETS RELEASED FROM RESTRICTIONS 25,698. X X X X 0 0 0 0 0 0 0 0 0 MARY KATHRYN S BURKE PRESIDENT AND CEO 289813 0 28561 0 13805 0 9934 0 7755 0 349868 0 0 0 JENNIFER K SCHILPP VP FINANCE 192985 0 20391 0 1440 0 6475 0 7755 0 229046 0 0 0 MICHAEL A SCHEUREN VP ADMINISTRATION 134963 0 13245 0 2288 0 4533 0 7755 0 162784 0 0 0 ROBERT J HIGGINS VP PROPERTY & FACILITIES 132721 0 17673 0 0 0 4543 0 7755 0 162692 0 0 0 DOROTHY L MALLON VP MARKETING/PR 124698 0 13321 0 1652 0 4388 0 16454 0 160513 0 0 0 A DELAWARE CNTY AUTHORITY 231973437 245913HH4 2006-05-17 4865000 REFUND OF '96/'00 BONDS; FUNDING CAPITAL PROJECT 0 0 0 B DELAWARE CNTY AUTHORITY 231973437 245913HJ0 2006-05-17 35795000 REFUND OF '96/'00 BONDS; FUNDING CAPITAL PROJECT 0 0 0 C DELAWARE CNTY AUTHORITY 231973437 245913JD1 2008-05-09 11000000 FUND EXPANSION, RENOVATION 0 0 0 A 4865000 4816113 40554 4190 4820256 2006 0 1 1 1 B 12828750 35795000 295819 30826 6893094 28575261 2006 1 0 1 1 C 11000000 188620 48669 10762711 2010 0 0 1 1 A 0 0 0 0 1 0 1 B 0 0 0 0 1 0 1 C 0 0 0 0 1 0 1 A 0 1 0 0 1 1 MORGAN STANLEY 0 0 0 0 1 B 0 1 0 0 1 1 MORGAN STANLEY 0 0 0 0 1 C 0 1 0 0 1 1 WELLS FARGO 0 0 0 0 1 A 1 B 1 C 1 FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS REVIEWED BY THE MANAGEMENT AND THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C NO DIRECTOR, OFFICER, KEY EMPLOYEE OR COMMITTEE MEMBER AND THEIR IMMEDIATE FAMILY SHALL CONDUCT BUSINESS WITH, OR HAVE A FINANCIAL INTEREST OF GREATER THAN FIVE PERCENT (5%) IN ANY PUBLICLY-TRADED ENTITY OR ANY INTEREST IN ANY OTHER NON-PUBLICLY TRADED ENTITY (WHICH DIRECTLY OR INDIRECTLY THROUGH SUBSIDIARIES OR AFFILIATES) CONDUCTS BUSINESS WITH THE CORPORATION OR ANY OF ITS AFFILIATED CORPORATIONS. EACH DIRECTOR, OFFICER, KEY EMPLOYEE, OR COMMITTEE MEMBER OF THE CORPORATION SHALL EXECUTE AN ANNUAL CONFLICT OF INTEREST STATEMENT WHICH CONTAINS A CERTIFICATION THAT SUCH INDIVIDUAL IS IN CURRENT COMPLIANCE WITH THIS CONFLICT OF INTEREST POLICY. THE STATEMENT WILL BE SIGNED BY THE DIRECTORS, OFFICERS, AND KEY EMPLOYEES. IF A CONFLICT OF INTEREST DOES ARISE, THE DIRECTOR, OFFICER OR KEY EMPLOYEE WILL REFRAIN FROM PARTICIPATING IN DISCUSSIONS OR VOTING ON SUCH MATTERS. FORM 990, PART VI, SECTION B, LINE 15 ANNUALLY, COMPENSATION STUDIES/SURVEYS ARE COMPLETED. USING THESE SURVEYS, FORM 990S OF OTHER SIMILAR ORGANIZATIONS AND INDEPENDENT CONSULTANTS, THE BOARD EXECUTIVE COMMITTEE REVIEWS AND ESTABLISHES COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR. THE REVIEWS AND COMPENSATION POLICIES FOR THE VP OF FINANCE ARE CONDUCTED BY THE CEO/EXECUTIVE DIRECTOR WHO REVIEWS THEM WITH THE EXECUTIVE COMMITTEE OF THE BOARD. THE LAST COMPENSATION REVIEW WAS COMPLETED DECEMBER 2015. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF INTEREST RATE SWAP AGREEMENTS 783,302. TRANSFER TO TEMPORARY RESTRICTED -212,355. NET ASSETS RELEASED FROM RESTRICTIONS 25,698. WHITE HORSE VILLAGE ENDOWMENT INC 535 GRADYVILLE RD NEWTOWN SQUARE PA 19073 232738045 BENE. FUND PA 501(C)(3) LINE 12A, I WHITE HORSE VILLAGE INC 23-2499121 1 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 WHITE HORSE VILLAGE ENDOWMENT FUND C 225097 FAIR MARKET VALUE OF ASSETS