2016-11-14T12:08:44-06:00 2016-06-30 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 19103 990 2015-07-01 232194364 LANDIS HOMES RETIREMENT COMMUNITY LAND 7175693271 1001 EAST OREGON ROAD LITITZ PA 17543 LARRY J ZOOK PRESIDENT/CEO 7175693271 2016-11-14 1 JULIUS GREEN CPA P00350393 2159720701 2015 2017-02-10 21:41:12Z LARRY J ZOOK 1001 EAST OREGON ROAD LITITZ PA 17543 41199456 0 X WWW.LANDISHOMES.ORG X 1964 PA CONTINUING CARE RETIREMENT COMMUNITY PROVIDING HOUSING, HEALTH CARE AND OTHER RELATED SERVICES. 8 8 625 443 0 0 614131 2448990 32854741 35189011 1206421 522207 772921 915407 35448214 39075615 17190 17550 0 0 17177279 17866021 0 0 0 16795647 19892828 33990116 37776399 1458098 1299216 102852136 111160699 84431490 92136924 18420646 19023775 X THE MINISTRY OF LANDIS HOMES IS TO SERVE AGING ADULTS AND THEIR FAMILIES BY HONORING AND ENRICHING THEIR LIVES IN A COMMUNITY OF CHRIST-LIKE LOVE. 0 0 31426240 17550 35189011 LANDIS HOMES IS A CONTINUING CARE RETIREMENT COMMUNITY SERVING THE AGING POPULATION BY PROVIDING HOUSING, HEALTHCARE, AND RELATED SERVICES ON A 114-ACRE CAMPUS SURROUNDED BY PRESERVED FARMLAND. LANDIS HOMES IS HOME TO 792 PERSONS LIVING IN HYBRID HOMES, COTTAGES, APARTMENTS, SUITES, PERSONAL CARE, HEALTHCARE, AND HERITAGE SPECIAL CARE (PERSONS WITH MEMORY LOSS). AVERAGE OCCUPANCY FOR FISCAL 2016 WAS AS FOLLOWS: RESIDENTAL LIVING - 98%, PERSONAL CARE - 96%, AND HEALTHCARE - 97%. LANDIS HOMES PROVIDES CHARITY CARE TO RESIDENTS WHO MEET CERTAIN CRITERIA WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. IN 2016 CHARITY CARE, WHICH REPRESENTS THE DIFFERENCE BETWEEN THE ESTIMATED COST OF PROVIDING CARE AND THE PAYMENTS RECEIVED FOR SERVICES RENDERED, TOTALED $2,957,000. LANDIS HOMES SERVED ANOTHER 256 PERSONS ON A WEEKLY BASIS IN 2016 THROUGH TWO ADULT DAY SERVICE CENTERS LOCATED ON THE CAMPUS. A CHILDREN'S LEARNING CENTER PROVIDES CHILDCARE AND EDUCATION FOR INFANT TO PRESCHOOL AGE CHILDREN. AVERAGE WEEKLY ATTENDANCE IN 2016 WAS 53. LANDIS AT HOME IS A HOME AND COMMUNITY BASED SERVICES PROGRAM, SERVING CLIENTS BOTH ON AND OFF THE LANDIS HOMES CAMPUS. VISITS FOR 2016 TOTALED 30,967. LANDIS HOMES HOSTS PATHWAYS INSTITUTE, WHICH IS A LEARNING OPPORTUNITY FOR OLDER ADULTS OFFERING CLASSES ON A WIDE RANGE OF TOPICS. PATHWAYS INSTITUTE IS OPEN TO OLDER ADULTS, BOTH RESIDENTS AND NON-RESIDENTS. LANDIS HOMES ALSO HOSTS A MEMORY SUPPORT AND A PARKINSON'S SUPPORT GROUP; BOTH PROGRAMS ARE OPEN TO THE PUBLIC COMMUNITY. VOLUNTEERS PROVIDE VARIOUS SERVICES FOR THE ORGANIZATION. THESE SERVICES ARE NOT RECOGNIZED AS CONTRIBUTIONS IN THE FINANCIAL STATEMENTS AS THE RECOGNITION CRITERIA UNDER THE AUTHORITATIVE ACCOUNTING GUIDANCE WERE NOT MET. VOLUNTEERS CONTRIBUTED 38,750 HOURS IN FISCAL 2016. 31426240 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 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 88 0 1 625 1 0 0 0 0 0 1 1 0 0 0 0 X 8 8 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X LARRY J ZOOK PRESIDENT 7175693271 1001 EAST OREGON ROAD LITITZ PA 17543 JOHN W EBY TRUSTEE (DEPARTED 9/2015) 1.00 2.00 X X 0 0 0 DR DANIEL MAST CHAIR 1.00 2.00 X X 0 0 0 GLEN D MOFFETT VICE CHAIR 1.00 1.00 X X 0 0 0 CAROL S BORNMAN SECRETARY 1.00 X X 0 0 0 RACHEL THOMAS PELLMAN TRUSTEE (RESIGNED NOV. 2015) 1.00 X 0 0 0 DAVID HERNLEY TREASURER 1.00 X X 0 0 0 FRED T SARGENT TRUSTEE (RESIGNED NOV. 2015) 1.00 X 0 0 0 JOE CAPUTO TRUSTEE 1.00 X 0 0 0 SANDY HARNISH TRUSTEE 1.00 X 0 0 0 RACHEL HESS TRUSTEE 1.00 X 0 0 0 ANNA GRACE MARTIN TRUSTEE 1.00 X 0 0 0 LARRY J ZOOK PRESIDENT & CEO 36.00 14.00 X 0 212722 29480 ERIC BENDER VP OF FINANCE AND CFO 36.00 14.00 X 0 152723 16779 EVA BERING VP OF OPERATIONS 47.00 1.00 X 0 166226 15880 LINFORD L GOOD VP OF PLANNING & MKTG 45.00 X 127920 0 24366 ALLEN HEINLY VP OF HUMAN RESOURCES 43.00 2.00 X 0 134853 24831 127920 666524 111336 1 0 1 0 BENCHMARK CONSTRUCTION COMPANY INC 4121 OREGON PIKE BROWNSTOWN PA 17508 GENERAL CONTRACTOR 5792980 REHABCARE GROUP INC PO BOX 503534 ST LOUIS MO 63150 THERAPY SERVICES 1489724 RLPS ARCHITECTS 250 VALLEYBROOK DRIVE LANCASTER PA 17601 ARCHITECT 739503 MORRISON MANAGEMENT SPECIALISTS PO BOX 102289 ATLANTA GA 303682289 DINING SERVICES 348984 EBY EXTERIORS INC 127A N SEVENTH STREET AKRON PA 17501 RENOVATIONS 260050 12 144465 2304525 2448990 RESIDENT SERVICE REV. 623000 30893971 30893971 AMORT OF ENTRANCE FEES 623000 4295040 4295040 35189011 540931 540931 175235 63616 111619 111619 111619 1884535 696 1513322 390633 371213 -389937 -18724 -18724 74616 144465 35521 39095 39095 121180 120749 431 431 CAFETERIA REVENUE 623000 232206 232206 INSURANCE PROCEEDS 900099 125619 125619 TELEPHONE & TV 623000 100925 100925 305512 305512 764262 39075615 35189011 0 1437614 14350 14350 3200 3200 13734553 13027308 707245 535028 507477 27551 2240896 2147712 93184 1355544 1285742 69802 3962366 283472 3678894 26730 26730 14923 14923 1000 1000 50965 50965 1676360 1548176 128184 35830 5977 29853 702363 487918 214445 188380 6336 182044 2037789 2024941 12848 75886 69247 6639 48369 17618 30751 1961495 1961495 4980007 4980007 292186 292186 FOOD 1145605 1145605 LOSS ON REFINANCING 1018885 1018885 MEDICAL SUPPLIES 498533 498533 BED ASSESSMENT EXPENSE 263585 263585 911571 100055 811516 37776399 31426240 6350159 0 2482 2475 1169233 2272519 1288563 4752368 3109056 319440 236426 126817637 56103765 71195484 70713872 23171847 30843202 164267 164267 2077015 2530319 102852136 111160699 3009980 4391099 33364448 32530653 38604717 53808079 7447486 0 2004859 1407093 84431490 92136924 X 16798986 15978516 534137 1785224 1087523 1260035 18420646 19023775 102852136 111160699 X 1299216 -672973 -23114 X 0 1 X 1 0 X 694197 622282 815881 551024 2448990 5132374 27971600 29815440 31047744 32854741 35189011 156878536 28665797 30437722 31863625 33405765 37638001 162010910 25200 13248 9000 64179 111627 0 25200 13248 9000 64179 111627 161899283 372319 438480 529811 654853 716166 2711629 372319 438480 529811 654853 716166 2711629 622487 724505 747957 890253 960058 3945260 29660603 31600707 33141393 34950871 39314225 168667799 0.95990 0.96080 0.01610 0.01600 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: CAFETERIA REVENUE - 2011 AMOUNT: $ 222,119. 2012 AMOUNT: $ 222,710. 2013 AMOUNT: $ 210,513. 2014 AMOUNT: $ 222,915. 2015 AMOUNT: $ 232,206. TELEPHONE TV - 2011 AMOUNT: $ 95,645. 2012 AMOUNT: $ 95,762. 2013 AMOUNT: $ 98,389. 2014 AMOUNT: $ 101,152. 2015 AMOUNT: $ 100,925. MISC RESIDENT FEES - 2011 AMOUNT: $ 14,479. 2012 AMOUNT: $ 26,146. 2013 AMOUNT: $ 29,659. 2014 AMOUNT: $ 31,763. 2015 AMOUNT: $ 54,903. GUEST LODGING - 2011 AMOUNT: $ 28,390. 2012 AMOUNT: $ 26,787. 2013 AMOUNT: $ 25,170. 2014 AMOUNT: $ 25,764. 2015 AMOUNT: $ 26,665. POOL/CRAFT INCOME - 2011 AMOUNT: $ 18,998. 2012 AMOUNT: $ 20,085. 2013 AMOUNT: $ 18,070. 2014 AMOUNT: $ 17,715. 2015 AMOUNT: $ 16,138. IT SERVICES - 2011 AMOUNT: $ 35,334. 2012 AMOUNT: $ 39,697. 2013 AMOUNT: $ 44,511. 2014 AMOUNT: $ 52,581. 2015 AMOUNT: $ 52,892. PATHWAYS INSTITUTE - 2011 AMOUNT: $ 23,553. 2012 AMOUNT: $ 24,061. 2013 AMOUNT: $ 32,648. 2014 AMOUNT: $ 30,727. 2015 AMOUNT: $ 27,732. INSURANCE PROCEEDS - 2011 AMOUNT: $ 1,702. 2015 AMOUNT: $ 125,619. PCRRG DISTRIBUTION - 2011 AMOUNT: $ 67,919. 2012 AMOUNT: $ 70,541. 2013 AMOUNT: $ 58,627. 2014 AMOUNT: $ 73,684. 2015 AMOUNT: $ 34,605. MISCELLANEOUS REVENUE - 2011 AMOUNT: $ 1,901. 2012 AMOUNT: $ 6,057. 2013 AMOUNT: $ 3,762. 2014 AMOUNT: $ 33,240. 2015 AMOUNT: $ 11,886. GIFT SHOP - 2011 AMOUNT: $ 99,732. 2012 AMOUNT: $ 107,536. 2013 AMOUNT: $ 126,231. 2014 AMOUNT: $ 133,311. 2015 AMOUNT: $ 121,180. MANAGEMENT SERVICES - 2011 AMOUNT: $ 5,210. 2012 AMOUNT: $ 53,080. PURCHASED LABOR - 2011 AMOUNT: $ 6,755. 2012 AMOUNT: $ 7,006. CHAPEL INCOME - 2011 AMOUNT: $ 750. 2012 AMOUNT: $ 450. 2013 AMOUNT: $ 450. 2014 AMOUNT: $ 575. 2015 AMOUNT: $ 350. MEMBERSHIP REFUNDS - 2012 AMOUNT: $ 24,587. REIMBURSED EXPENSES - 2013 AMOUNT: $ 20,745. 2014 AMOUNT: $ 12,698. 2015 AMOUNT: $ 25,000. COMMUNITY ROOM USAGE - 2013 AMOUNT: $ 9,500. 2014 AMOUNT: $ 9,431. 2015 AMOUNT: $ 7,590. FUNDRAISING RECEIPTS - 2013 AMOUNT: $ 69,682. 2014 AMOUNT: $ 144,697. 2015 AMOUNT: $ 74,616. LEARNING AND WELLNESS - 2015 AMOUNT: $ 47,751. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 1 1000 0 0 0 0 0 1000 0 PART II-B, LINE 1: ON OCCASION WE SEND LETTERS BY EMAIL TO OUR SENATORS AND CONGRESSMEN STATING OUR CONCERNS WITH REGARD TO ISSUES THAT HAVE IMPACT FOR LONG-TERM CARE. ALSO, OCCASIONALLY, SOME GOVERNMENT REPRESENTATIVES COME ON CAMPUS AND SPEAK TO RESIDENTS AND MANAGEMENT. AT THESE TIMES WE ALSO EXPRESS OUR CONCERNS WITH REGARD TO LONG-TERM CARE. OUR COSTS INCURRED FOR THESE ACTIVITIES CONSIST MAINLY OF STAFF TIME INVOLVED AND AMOUNT TO APPROXIMATELY $1,000. 1206990 189386 8009 26838 1377547 1203519 37163 -8212 25480 1206990 1059287 84813 86852 24208 3225 1203519 1009402 15836 61669 24731 2889 1059287 887204 110634 36929 22845 2520 1009402 0.00000 0.92000 0.08000 1 0 258538 258538 89941970 34084473 55857497 32474671 22019292 10455379 4142458 4142458 70713872 REFUNDABLE FEES 1115393 PRIORITY AGREEMENTS LIABILITY 291700 1407093 X 37469744 -672973 -1092965 -1765938 39235682 -160067 -160067 39075615 36866616 160067 160067 36706549 1069850 1069850 37776399 PART V, LINE 4: THE ORGANIZATION HAS TWO ENDOWMENT FUNDS. INTEREST AND DIVIDENDS FROM THE FUNDS ARE USED FOR THE FOLLOWING: FIRST ENDOWMENT FUND - TO HELP PAY FOR SERVICES TO RESIDENTS WHOSE RESOURCES HAVE BEEN DEPLETED. SECOND ENDOWMENT FUND - TO PROVIDE ORGANIZED LEARNING OPPORTUNITIES FOR RESIDENTS THAT WILL ENHANCE AND ENCOURAGE CURIOSITY AND THE PURSUIT OF LIFELONG LEARNING. PART X, LINE 2: THE CORPORATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT HAS DETERMINED THAT THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2016 OR 2015. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE, SPLIT-INTEREST AGREEMENTS -35,923. CHANGE IN FAIR VALUE OF DERIVATIVE FINANCIAL INSTRUMENTS 12,808. LOSS ON REFINANCING -1,018,885. INVESTMENT FEE EXPENSE -50,965. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -63,616. GIFT SHOP-COST OF GOODS SOLD -96,451. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 63,616. GIFT SHOP-COST OF GOODS SOLD 96,451. PART XII, LINE 4B - OTHER ADJUSTMENTS: LOSS ON REFINANCING 1,018,885. INVESTMENT FEE EXPENSE 50,965. AUCTION 147194 87272 59922 318 11819 621 3435 GOLF TOURNAMENT 71887 57193 14694 400 200 9800 8069 859 219081 144465 74616 400 518 21619 8690 4294 35521 39095 1 NEFFSVILLE COMMUNITY FIRE COMPANY 200 E OREGON ROAD LANCASTER PA 17606 237307205 501(C)(3) 10000 SUPPORT LOCAL VOLUNTEER FIRE COMPANY 1 0 PART I, LINE 2: THE ORGANIZATION ONLY PROVIDES GRANTS TO OTHER CHARITABLE ORGANIZATIONS AND MAKES CONCERTED EFFORTS TO ENSURE ANY DONEE HAS A FEDERAL EXEMPTION ON FILE. FUNDS ARE NOT MONITORED SUBSEQUENT TO THE DONATION. X X X 0 0 0 0 0 0 0 0 0 LARRY J ZOOK PRESIDENT & CEO 0 212722 0 0 0 0 0 13180 0 16300 0 242202 0 0 ERIC BENDER VP OF FINANCE AND CFO 0 152723 0 0 0 0 0 0 0 16779 0 169502 0 0 EVA BERING VP OF OPERATIONS 0 166226 0 0 0 0 0 10136 0 5744 0 182106 0 0 LINFORD L GOOD VP OF PLANNING & MKTG 127920 0 0 0 0 0 7983 0 16383 0 152286 0 0 0 ALLEN HEINLY VP OF HUMAN RESOURCES 0 134853 0 0 0 0 0 8448 0 16383 0 159684 0 0 A LANCASTER COUNTY HOSPITAL AUTHORITY 236648018 514045J20 2015-10-01 49765000 REFUNDING ISSUE - ALL OUTSTANDING DEBT 0 0 0 B LANCASTER COUNTY HOSPITAL AUTHORITY 236648018 2015-11-24 37000000 CAPITAL RENOVATIONS AND NEW CONSTRUCTION 0 0 0 A 49834806 3133813 695908 46005085 2015 1 0 1 1 B 37000000 1123763 366308 4043079 169930 31296920 0 0 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 1 0 0 0 1 A 1 B 1 SCHEDULE K, PART II, LINE 3: THE ISSUE'S PROCEEDS WERE GREATER THAN THE FACE VALUE OF THE BOND ISSUE DUE TO PREMIUMS ASSOCIATED WITH THE BOND ISSUE. MARTIN INTERIOR DESIGN STUDIO THE OWNER, DOROTHY MARTIN, IS A FORMER BOARD MEMBER. 10267 THE ENTITY PROVIDED DESIGN SERVICES TO THE ORGANIZATION. ALL TRANSACTIONS WERE CONDUCTED AT ARM'S LENGTH. 0 FORM 990, PART VI, SECTION A, LINE 3 LANDIS COMMUNITIES PROVIDES EXECUTIVE MANAGEMENT SERVICES AND ALL FINANCIAL SERVICES FOR THE ORGANIZATION. THE ORGANIZATION HAS A CONTRACT WITH AN OUTSIDE AGENCY FOR BOTH CORPORATE COMPLIANCE AND RISK MANAGEMENT. FORM 990, PART VI, SECTION A, LINE 6 LANDIS COMMUNITIES IS THE SOLE MEMBER OF LANDIS HOMES RETIREMENT COMMUNITY AS OF 7/1/2012. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION'S BOARD MEMBERS ARE APPROVED/APPOINTED BY THE LANDIS COMMUNITIES' BOARD. UNDER THE BYLAWS, THE BOARD MAKEUP IS REQUIRED TO BE COMPRISED OF A MAJORITY WHO ARE MEMBERS OF LANCASTER MENNONITE CONFERENCE CONGREGATIONS AND TWO-THIRDS WHO ARE MEMBERS OF AN ANABAPTIST CONGREGATION. AT LEAST ONE DIRECTOR OR OFFICER SHALL ALSO SERVE ON THE LANDIS COMMUNITIES BOARD. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER HOLDS RESERVE POWERS THAT REQUIRES MEMBER APPROVAL OVER CERTAIN DECISIONS AS DESCRIBED IN THE CORPORATION'S BYLAWS. FORM 990, PART VI, SECTION B, LINE 11 THE VP OF FINANCE AND THE PRESIDENT PERFORM AN INITIAL REVIEW OF THE RETURN. A DRAFT OF THE FEDERAL FORM 990 IS THEN PROVIDED TO THE FINANCE AND AUDIT COMMITTEE OF THE BOARD OF DIRECTORS. THE FINANCE AND AUDIT COMMITTEE OVERSEES THE FINANCIAL AFFAIRS OF THE ORGANIZATION AND REVIEWS THE FEDERAL FORM 990 FOR COMPLETENESS. UPON REVIEW, THE FINANCE AND AUDIT COMMITTEE WILL TAKE ACTION TO APPROVE THE RETURN. THIS INFORMATION IS REPORTED TO THE BOARD OF DIRECTORS IN THE MINUTES OF THE FINANCE AND AUDIT COMMITTEE. ADDITIONALLY, THE FEDERAL FORM 990 IS MADE AVAILABLE, ELECTRONICALLY, TO ALL BOARD MEMBERS FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS PART OF OUR CODE OF CONDUCT THAT IS DISTRIBUTED TO BOTH THE BOARD OF DIRECTORS AND KEY EMPLOYEES. TRAINING IS PROVIDED ANNUALLY. ANNUALLY BOARD DIRECTORS PROVIDE A WRITTEN AND SIGNED ATTESTATION REGARDING THE CODE OF CONDUCT AND A CONFLICT OF INTEREST DISCLOSURE CHECKLIST. THE FINANCE AND AUDIT COMMITTEE REVIEW A SUMMARY OF ALL CONFLICTS NOTED ON THE CONFLICT OF INTEREST DISCLOSURE FORMS COMPLETED BY BOARD MEMBERS. IT IS THEN PASSED TO THE EXECUTIVE COMMITTEE OF THE BOARD FOR REVIEW. DURING THE COURSE OF THE YEAR, THE CONFLICT OF INTEREST POLICY IS MONITORED. AT THE BEGINNING OF EVERY MEETING THERE IS A CONFLICT OF INTEREST AGENDA ITEM - MEMBERS ARE REMINDED OF THE POLICY AND ASKED TO REVIEW THE AGENDA AND NOTE IF ANY DISCUSSION ITEM POSES A POTENTIAL CONFLICT FOR THEM. FAMILY AND BUSINESS RELATIONSHIPS ARE MENTIONED IN THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD HAS ADOPTED A COMPENSATION POLICY AS RECOMMENDED BY THE GOVERNANCE COMMITTEE. IN GENERAL, THE COMPENSATION FOR THE CEO IS DETERMINED ANNUALLY BY THE EXECUTIVE COMMITTEE BASED UPON ANNUAL REVIEW OF COMPARATIVE FINANCIAL INDICATORS AND MARKET TRENDS TO ENSURE SALARIES ARE WITHIN FAIR MARKET RANGE FOR THE INDUSTRY. COMPENSATION FOR KEY EMPLOYEES IS DETERMINED ANNUALLY BY THE CEO AND IS BASED UPON EXTERNAL FACTORS SUCH AS COMPARATIVE FINANCIAL DATA, MARKET TRENDS, AND COST OF LIVING TO ENSURE SALARIES ARE WITHIN FAIR MARKET RANGE FOR THE INDUSTRY. THIS COMPENSATION IS INCORPORATED INTO THE ANNUAL BUDGETING PROCESS AND APPROVED BY THE BOARD UPON ADOPTION OF THE BUDGET. BOARD LEVEL DISCUSSIONS ON COMPENSATION ARE RECORDED IN BOTH THE MINUTES OF THE EXECUTIVE COMMITTEE AND THE MINUTES OF THE BOARD MEETINGS. THE MANAGEMENT TEAM IS EMPLOYED AND COMPENSATED BY LANDIS HOMES' SUPPORTING ORGANIZATION, LANDIS COMMUNITIES. 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, SPLIT-INTEREST AGREEMENTS -35,922. CHANGE IN FAIR VALUE OF DERIVATIVE FINANCIAL INSTRUMENTS 12,808. LANDIS AT HOME LLC 1001 E OREGON ROAD LITITZ PA 17543 204435391 HOME & COMMUNITY BASED SERVICE PROGRAM PA 707145 74500 LANDIS HOMES RETIREMENT COMMUNITY LANDIS COMMUNITIES 1001 EAST OREGON ROAD LITIZ PA 175439206 300706945 SUPPORTING ORGANIZATION PA 501(C)(3) LINE 11B, II N/A 0 WELSH MOUNTAIN HOME 567 SPRINGVILLE ROAD NEW HOLLAND PA 17557 232815761 PERSONAL CARE FACILITY PA 501(C)(3) LINE 9 LANDIS COMMUNITIES 0 MOUNTAIN VIEW TERRACE LP 567 SPRINGVILLE ROAD NEW HOLLAND PA 17557 371648979 MGT OF LOW-INCOME HOUSING COMMUNITY PA N/A QUALITY LIVING CHOICES 1001 E OREGON ROAD LITITZ PA 17543 611683369 SENIOR HOUSING PA N/A C 0 WELSH MOUNTAIN HOME INC 567 SPRINGVILLE ROAD NEW HOLLAND PA 17557 453530937 MFT OF LOW-INCOME HOUSING COMMUNITY PA N/A C 0 0 0 0 1 0 0 0 0 0 1 0 1 1 1 1 0 0 0 0