2016-06-29T10:37:22-07:00 2015-12-31 990 2015-01-01 412273452 PHI GROUP RETURN PHIG 7175028840 One Trinity Drive East Suite 201 Dillsburg PA 170198522 Jeffrey Davis Senior Vice-President and CFO 7175028840 2016-08-15 2015 2016-09-27 15:27:22Z Presbyterian Senior Living Stephen Proctor One Trinity Drive East Suite 201 Dillsburg PA 170198522 229508894 1 1 3292 X www.presbyterianseniorliving.org X 1927 PA To offer Christian understanding, compassion and a sense of belonging to promote wholeness of body, mind and spirit. 17 17 3570 1620 0 0 5110012 1788935 184166718 202070949 5033294 2985354 262218 -7693 194572242 206837545 0 0 0 0 88557624 93024400 0 0 687425 94327714 104760452 182885338 197784852 11686904 9052693 506968318 583594828 379208896 432488535 127759422 151106293 Offer Christian understanding, compassion and a sense of belonging to promote wholeness of body, mind and spirit. 0 0 150480768 0 203973334 The organizations within the PHI group form a network of communities and services that meet the diverse needs of seniors in Pennsylvania, Maryland, Delaware, and southeastern Ohio. The organizations foster and sponsor living facilities to provide housing, as well as a full range of healthcare and other related community services for the elderly. 25088598 0 1083300 The organizations within the PHI group provide services without charge or at amounts less than their established rates to residents who meet certain criteria under PHI's charity care policy. Because the organizations do not pursue collection of amounts determined to qualify as charity care, they are not reported as revenue. In addition, the organizations consider contractual allowances benevolent care. (1267 clients) 0 0 0 175569366 1 1 0 0 0 0 1 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 1 0 0 0 0 0 1 0 1 1 0 0 0 1 1 1 1 0 0 1 729 0 1 3570 1 1 1 1 CJ IN JE LU 0 0 0 0 X 17 17 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 DE MD OH PA X Jeffrey J Davis 7175028840 One Trinity Drive East Suite 201 Dillsburg PA 170198522 Ann Fedorchak PSL & PSL Svc Chair; PSL Hsg Mgmt Vice Chair 4 1 X X 0 0 0 Thomas Beaver III PSL Vice Chair; Long Community Chair 4 1 X X 0 0 0 Anne Drennan PSL Board Member and PIMSI Board Member 4 1 X 0 0 0 John Fargnoli PSL, Hsg Mgmt, PSL Svc, PIMIS, Cath Vlg Mbr 4 1 X 0 0 0 George Glen PSL, Hsg Mgmt, PSL Svc, Quincy Vlg, Board Mbr 4 1 X 0 0 0 Alf Halvorson PSL Board of Trustees Board Member 4 1 X 0 0 0 Robert Hormell PSL & PIMSI Mbr; PSL Hsg Mgmt & PSL Svc Chair 4 1 X X 0 0 0 Sharon Kelly PSL, PSL Hsg Mgmt and PSL Svc Board Member 4 1 X 0 0 0 LeRoy Maxwell PSL, PHPH, Quincy Vlg, PSL Svc Board Mbr 4 1 X 0 0 0 Susan McCarter PSL Board of Trustees Board Member 4 1 X 0 0 0 Philip Miller PSL, PHPH, PIMSI, and PSL Hsg Mgmt Board Mbr 4 1 X 0 0 0 Thomas Paisley PSL and Cathedral Village Board Member 4 1 X 0 0 0 Carol Parham PSL Board of Trustees Board Member 4 1 X 0 0 0 Kathy Pearson PSL Board of Trustees Board Member 4 1 X 0 0 0 William Scott PSL Board Member; Cathedral Village Chair 4 1 X X 0 0 0 Susan Weiss PSL Board of Trustees Board Member 4 1 X 0 0 0 David Wolff PSL & PSL Svc Board Member; PIMSI Chair 4 1 X X 0 0 0 Paul Post Pres Homes in the Pres of Huntingdon Chair 1 0 X X 0 0 0 Terry Goldstein Pres Homes in the Pres of Huntingdon Vice Chair 1 0 X X 0 0 0 Brandon Brown Pres Homes in the Pres of Huntingdon Board Mbr 1 0 X 0 0 0 Carl Campbell Pres Homes in the Pres of Huntingdon Board Mbr 1 0 X 0 0 0 Betty Anne Cherry Pres Homes in the Pres of Huntingdon Board Mbr 1 0 X 0 0 0 Clayton Hetrick Pres Homes in the Pres of Huntingdon Board Mbr 1 0 X 0 0 0 John D Killian Pres Homes in the Pres of Huntingdon Board Mbr 1 0 X 0 0 0 Joann Kimmel Pres Homes in the Pres of Huntingdon Board Mbr 1 0 X 0 0 0 Charlene McCartney Pres Homes in the Pres of Huntingdon Board Mbr 1 0 X 0 0 0 Jerrod Smith Pres Homes in the Pres of Huntingdon Board Mbr 1 0 X 0 0 0 James Vreeland Pres Homes in the Pres of Huntingdon Board Mbr 1 0 X 0 0 0 Robert Yelnosky Pres Homes in the Pres of Huntingdon Board Mbr 0 1 X 0 0 0 William Moyer PHI Investment Mgmt Services Inc Board Mbr 1 0 X 0 0 0 William Parham Jr PIMSI Vice Chair; PSL Hsg Mgmt & PSL Svc Mbr 1 0 X X 0 0 0 Allison Kohler Quincy Village Board of Directors Chair 1 0 X X 0 0 0 Kimberly Shockey Quincy Village Board of Directors Vice Chair 1 0 X X 0 0 0 Timothy Baer Quincy Village Board of Directors Board Member 1 0 X 0 0 0 Harold Hollister Quincy Village Board of Directors Board Member 1 0 X 0 0 0 Greg Myers Quincy Village Board of Directors Board Member 1 0 X 0 0 0 Richard Pelletier Quincy Village Board of Directors Board Member 1 0 X 0 0 0 Clifton Rau Quincy Village Board of Directors Board Member 1 0 X 0 0 0 Kathryn Sandifer Quincy Village Board of Directors Board Member 1 0 X 0 0 0 Rodger Savage Quincy Village Board of Directors Board Member 1 0 X 0 0 0 Polly Shifflett Quincy Village Board of Directors Board Member 1 0 X 0 0 0 Richard Shook Quincy Village Board of Directors Board Member 1 0 X 0 0 0 Jeffrey Goss Long Community Vice Chair 1 0 X X 0 0 0 Robert Baird Long Community Board Member 1 0 X 0 0 0 Edmund Russell Baxley Long Community Board Member 1 0 X 0 0 0 Gary Martin Long Community Board Member 1 0 X 0 0 0 N Anthony Mastropietro Long Community Board Member 1 0 X 0 0 0 J Michael Melbert Long Community Board Member 1 0 X 0 0 0 William Cobb Jr Cathedral Village Board of Directors Vice Chair 1 0 X X 0 0 0 Judith Borie Cathedral Village Board Member 1 0 X 0 0 0 John A Bower Jr Cathedral Village Board Member 1 0 X 0 0 0 Karl Fritton Cathedral Village Board Member 1 0 X 0 0 0 Elizabeth Gemmill Cathedral Village Board Member 1 0 X 0 0 0 Richard Hartmann Cathedral Village Board Member 1 0 X 0 0 0 Richard Schaphorst Cathedral Village Board Member 1 0 X 0 0 0 Edwin Sheffield Cathedral Village Board Member 1 0 X 0 0 0 Jennifer Shropshire Cathedral Village Board Member 1 0 X 0 0 0 Emily Starr Cathedral Village Board Member 1 0 X 0 0 0 Peter Wilmerding Cathedral Village Board Member 1 0 X 0 0 0 Nancy Pegues Presbyterian Senior Living Svc Inc Board Mbr 1 0 X 0 0 0 George Alt Shepherds in Monroe County Board Chair 1 0 X X 0 0 0 Patricia Barber Shepherds in Monroe County Board Member 1 0 X 0 0 0 Janet Goldberg Shepherds in Monroe County Board Member 1 0 X 0 0 0 Carol Mortimer Shepherds in Monroe County Board Member 1 0 X 0 0 0 Mike Reisenwitz Shepherds in Monroe County Board Member 1 0 X 0 0 0 Stephen Proctor President and Chief Executive Officer 40 0 X X 0 491693 21579 Jeffrey J Davis Treasurer/Senior VP and Chief Financial Officer 40 0 X X 0 324331 21579 MaryAnne Adamczyk Assistant Secretary/ Sr. VP Corp. Relations 40 0 X X 0 278196 16277 Donna Casner Assistant Treasurer/VP & Controller 40 0 X X 0 187923 11508 Nancy Deibler Board Secretary/Executive Administrative Assistant 40 0 X 0 63060 7814 James Bernardo Chief Operating Officer 40 0 X 0 536398 9679 Danny Davis Jr VP of Operations-Continuing Care Communities 40 0 X 0 204732 19003 Diane Burfeindt VP of Operations-Aff Housing and Pop Health 40 0 X 0 188912 21284 Victoria Hess VP Sales and Marketing 40 0 X 0 194551 6291 Laurel Spagnolo VP Missions Support 40 0 X 0 132148 14395 Elsie Josiah SNF Director of Nursing 40 0 X 127727 0 4281 Jill Flasher Assistant Executive Director 40 0 X 115199 0 9251 Jacqueline Winston SNF Director of Nursing 40 0 X 109011 0 18459 Charles Gergits Assistant Executive Director 40 0 X 105056 0 18287 Jennifer Miller Assistant Executive Director 40 0 X 104473 0 18306 561466 2601944 217993 13 0 1 0 Benchmark Construction Company Inc PO Box 806 4121 Oregon Pike Brownstown PA 17508 Construction 14853501 Select Rehabilitation Inc PO Box 809056 Chicago IL 60680 Therapy 7186525 Sodexo Inc & Affiliates PO Box 360170 Pittsburgh PA 15251 Food services 4659502 Flagship Rehabilitation 157 Baltimore St Cumberland MD 21502 Therapy 4520311 RS Mowery & Sons Inc 1000 Bent Creek Boulevard Mechanicsburg PA 17050 Construction 4266915 91 0 0 145150 0 49205 1594580 51095 1788935 Resident Service Revenue 623000 127844284 127844284 0 0 Medicare and Medicaid Payments 623000 74226665 74226665 0 0 0 0 0 0 202070949 3007904 3007904 0 0 0 0 0 0 331 331 0 0 0 0 22403466 184109 22426622 183503 -23156 606 -22550 -22550 0 0 53200 145150 61224 -8024 0 -8024 0 206837545 205056634 0 -8024 0 0 0 0 0 0 0 0 561466 236737 324729 0 0 0 0 0 72200303 66090017 6110286 0 1534074 1396477 137597 0 13483274 11025833 2457441 0 5245283 4863772 381511 0 15852808 14382973 837104 632731 90842 0 90842 0 123840 0 123840 0 0 0 0 0 441844 0 441844 0 8448618 7303111 1145507 0 556200 0 501775 54425 18389334 15394323 2994792 219 1895143 1790910 104233 0 0 0 0 0 12999417 11751861 1247506 50 354124 200046 154078 0 0 0 0 0 47841 18870 28971 0 7126067 6734133 391934 0 0 0 0 0 17985529 16996325 989204 0 1644747 1173326 471421 0 Bad debt expense 2593446 0 2593446 0 Pharmacy cost 903923 903923 0 0 Medical supplies 2349611 2349611 0 0 Therapy 12957118 12957118 0 0 0 197784852 175569366 21528061 687425 33350 32350 2560550 2694195 1072685 555509 23401672 23434001 0 0 0 0 0 949018 315810 533896 3140340 2817224 621180695 260290079 306681268 360890616 80084257 83872533 0 0 0 0 0 0 89678386 107815486 506968318 583594828 25137270 31340962 0 0 61261877 87327147 193304679 207201576 0 0 0 0 38307924 52400298 20541302 14845170 40655844 39373382 379208896 432488535 X 103332057 125998367 3742162 2767549 20685203 22340377 127759422 151106293 506968318 583594828 X 9052693 -4350648 0 0 0 18644826 X 0 1 X 1 1 1 X 1679341 2996361 1900745 5130798 1788935 13496180 184229320 188736954 195191550 184166718 202070949 954395491 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 185908661 191733315 197092295 189297516 203859884 967891671 19251 42360 89325 56478 94457 301871 0 0 0 0 0 0 19251 42360 89325 56478 94457 301871 967589800 1961087 3230149 3153739 3318131 3007904 14671010 0 9875 7582 0 0 17457 1961087 3240024 3161321 3318131 3007904 14688467 0 0 0 0 0 0 0 0 0 0 0 0 187869748 194973339 200253616 192615647 206867788 982580138 0.98474 0.98487 0.01495 0.01490 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 1 1.8 0 0 0 1 0 0 0 1 5518984 837062 100434 0 115807 0 6340673 5270885 207984 86539 0 46424 0 5518984 5202097 137760 85055 0 154027 0 5270885 5064146 220772 83668 0 166489 0 5202097 5016923 87605 113413 0 153795 0 5064146 0 0.86 0.14 0 0 0 54244294 54244294 0 444390016 201024241 243365775 0 0 0 0 0 49130567 40229859 8900708 0 73415818 19035979 54379839 360890616 Restricted deposits and funded reserves 13183957 Assets whose use is limited 24844201 Assets under capital lease 465406 Goodwill 3551908 Funds held in trust by others 16784325 Deferred financing costs 2511188 Other assets 23934 Due from parent 46450567 107815486 0 Resident deposits 3903140 Fair value of interest rate hedge 80945 Obligations under capital lease 501382 Annuities payable 988898 Entrance fee payable 33899017 39373382 X Schedule D, Part II, Line 9 Glen Meadows Retirement Community contracted with a third party vendor to manage the conservation easement. As such, there is no reporting on the financials for this easement. Schedule D, Part V, Line 4 Endowment funds consist of donor restricted funds established for a variety of purposes supporting the Corporation. This includes, but is not limited to, charity care. Schedule D, Part X, Line 2 The Corporation follows the Financial Accounting Standards Board (FASB) accounting standard for accounting for uncertainty in income taxes. This standard clarifies the accounting for uncertainty in income taxes in a company's consolidated financial statements and prescribes 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 has been met. The standard also provides guidance on derecognition, classification, interest and penalties, and disclosure. Management has determined that this standard does not have a material impact on the consolidated financial statements. PHI Golf Outing 83400 77500 5900 2000 1155 5000 4336 0 2170 The Long Gala 51305 28950 22355 0 0 12671 822 1900 7127 5 63645 38700 24945 2982 948 7319 5236 750 6808 198350 145150 53200 4982 2103 24990 10394 2650 16105 61224 -8024 0 0 0 1 1 1 1 0 0 Stephen Proctor President and Chief Executive Officer 0 443432 0 42642 0 5619 0 7950 0 13629 0 513272 0 0 James Bernardo Chief Operating Officer 0 296719 0 27044 0 212635 0 7950 0 1729 0 546077 0 207481 Jeffrey J Davis Treasurer/Senior VP and Chief Financial Officer 0 278314 0 26037 0 19980 0 7950 0 13629 0 345910 0 13776 MaryAnne Adamczyk Assistant Secretary/ Sr. VP Corp. Relations 0 238579 0 22123 0 17494 0 7293 0 8984 0 294473 0 11706 Danny Davis Jr VP of Operations-Continuing Care Communities 0 186016 0 16868 0 1848 0 5818 0 13185 0 223735 0 0 Diane Burfeindt VP of Operations-Aff Housing and Pop Health 0 169755 0 16276 0 2881 0 5275 0 16009 0 210196 0 0 Victoria Hess VP Sales and Marketing 0 174275 0 15714 0 4562 0 5228 0 1063 0 200842 0 0 Donna Casner Assistant Treasurer/VP & Controller 0 171678 0 15885 0 360 0 5237 0 6271 0 199431 0 0 Schedule J, Part I, Line 3 Every year, the salary for the CEO, who is by the parent organization, PSL, is determined based on comparative data from Leading Age's sponsored salary survey called CEMO Leadership Compensation Survey. This salary is then approved by the Board of Directors. Schedule J, Part I, Line 5 Executive staff is given an incentive plan based on financial goals, growth and development goals, as well as, quality and resident and employee satisfaction goals. These goals need to be met not only at the corporate level, but also at a percentage of the related organizations. Presbyterian Senior Living must meet operating margin targets which exceed plan in total at both the corporate and at a majority of the facilities. Schedule J, Part I, Line 6 Executive staff is given an incentive plan based on financial goals, growth and development goals, as well as, quality and resident and employee satisfaction goals. These goals need to be met not only at the corporate level, but also at a percentage of the related organizations. Presbyterian Senior Living must meet operating margin targets which exceed plan in total at both the corporate and at a majority of the facilities. A Cumberland County Municipal Authority Revenue Bond 2008A 236003119 230614DN6 2008-06-05 17415000 Complete description on Part V - Supplemental information 0 0 0 B College Township Industrial Development Authority 251247551 000000000 2005-09-27 3800000 Complete description on Part V - Supplemental information 0 0 0 C Cumberland County Municipal Authority Revenue Bonds Series 2008C 236003119 230614DR7 2008-11-19 15685000 Complete description on Part V - Supplemental information 0 0 0 D Cumberland County Municipal Authority Revenue Bonds Series 2003B 236003119 230614BR9 2003-01-21 9000000 Complete description on Part V - Supplemental information 0 0 0 A 11960000 0 17460862 1715673 2911570 0 273586 0 0 16064671 0 0 2009 0 0 1 1 B 1344824 0 3800000 0 0 0 74885 0 0 3725115 0 0 2006 0 0 1 1 C 955000 0 15685000 0 0 0 338251 0 0 0 0 0 2008 1 0 1 1 D 2115000 0 9008224 68666 0 0 205352 0 0 8794648 0 0 2005 0 0 1 1 A 0 0 0 0 0 0 0 0 1 0.0198 1 1 B 0 0 0 0 0 0 0 0 1 0.0198 1 1 C 0 0 0 0 0 0 0 0 1 0.0198 1 1 D 0 0 0 0 0 0 0 0 1 0.0198 1 1 A 1 0 0 0 0 1 B 1 0 0 0 0 1 C 1 1 0 0 0 1 D 1 1 0 0 0 1 A 1 B 1 C 1 D 1 Schedule K, Part I, Column f-06/05/2008 17,415,000 Cumberland County Municipal Authority The proceeds of the Cumberland County Municipal Authority Revenue Bonds Series 2008A were used to finance $15,431,875 of capital improvements, fund the debt service reserve fund and pay the costs of issuance of the 2008A bonds. Schedule K, Part I, Column f-09/27/2005 3,800,000 College Township Industrial Development Authority The proceeds of the College Township Industrial Development Authority Mortgage Revenue Note Series 2005 were used to acquire, construct, and equip an 18-bed personal care facility, to renovate and improve the existing 120-bed skilled nursing facility and to pay the costs of issuance of the Series 2005 Note. Schedule K, Part I, Column f-11/19/2008 15,685,000 Cumberland County Municipal Authority The proceeds from the Cumberland County Municipal Authority Variable Rate Revenue Bonds Series 2008C were used to refund all of the Presbyterian Homes Cumberland County 2005B Series Bonds and pay the cost of issuance of the 2008C bonds. Schedule K, Part I, Column f-01/21/2003 9,000,000 Cumberland County Municipal Authority The Cumberland County Municipal Authority Variable Rate Revenue Bonds Series 2003B were used to fund $8,825,000 of capital improvements, and to pay the costs of issuance of the 2003B Bonds. A Kent County DE Economic Development Revenue Refunding Bonds Series 2003 516000145 000000000 2003-11-06 10000000 Complete description on Part V - Supplemental information 0 0 0 B York County Industrial Development Authority Bonds Series 2010 237045116 000000000 2010-09-09 20000000 Complete description on Part V - Supplemental information 0 0 0 C Township of Manheim General Municipal Authority Bonds Series 2012 232583622 000000000 2012-09-14 10000000 Complete description on Part V-Supplemental Information 0 0 0 D Township of Manheim General Municipal Authority Bonds Series 2011 232583622 000000000 2011-12-22 10000000 Complete description on Part V - Supplimental Information 0 0 0 A 7654456 0 10000000 0 0 0 0 0 0 0 0 0 2003 1 0 1 1 B 1933898 0 20000000 0 0 0 295666 0 0 19704334 0 0 2011 0 0 1 1 C 1279909 0 10000170 0 82791 0 0 0 0 10000170 0 0 2013 0 0 1 1 D 1487514 0 10000000 0 104215 0 0 0 0 9895785 0 0 2012 0 0 1 1 A 0 0 0 0 0 0 0 0 1 0.0198 1 1 B 0 0 0 0 0 0 0 0 1 0.0198 1 1 C 0 0 0 0 0 0 0 0 1 0.0198 1 1 D 0 0 0 0 0 0 0 0 1 0.0198 1 1 A 1 1 1 Bank of America for approximately 3 million from Nov 2008 to Oct 2018 9.92 0 0 0 0 1 B 0 1 1 0 0 0 0 0 1 C 0 1 1 0 0 0 0 0 1 D 0 1 1 0 0 0 0 0 1 A 1 B 1 C 1 D 1 Schedule K, Part I, Column f-11/06/2003 10,000,000 Kent County DE Economic Development The proceeds from the Kent County DE Economic Development Revenue Refunding Bond Series 2003 were used to refund all of the remaining Kent County DE Economic Development Revenue Bonds Series 1996 and 1998. Schedule K, Part I, Column f-09/09/2010 20,000,000 York County Industrial Development Authority The proceeds from the York County Industrial Development Authority Bonds Series 2010 were used to construct 24 independent living villas, a community center, purchase 80 acres of undeveloped land adjacent to the campus and other capital expenditures at Westminster Woods Huntingdon, construct a new senior living campus adjacent to Bloomsburg Hospital, purchase 13 acres of land to construct a new senior living campus to include two independent living apartment buildings containing 110 apartments and a 32-unit assisted living building in Lancaster County, complete the construction of a 41-unit independent living apartment building, construct a new town center building and other capital expenditures in York County, and to construct and equip a 90-unit independent living center with dining and social space, renovate the existing facilities and other miscellaneous capital expenditures at Ware Presbyterian Village. Schedule K, Part I, Column f-09/14/2012 10,000,000 Township of Manheim General Municipal Authority The proceeds from the General Municipal Authority of the Township of Manheim Bonds Series 2012 are being used to construct two independent living apartment buildings containing approximately 108 apartments in total, construction of an assisted living building containing approximately 32-units and miscellaneous capital expenditures all in connection with the project. Schedule K, Part I, Column f-12/22/2011 10,000,000 Township of Manheim General Municipal Authority The proceeds from the General Municipal Authority of the Township of Manheim Revenue Bonds Series 2011 were used to construct two buildings at the Long Community of Highland. One was a market rate independent living unit and the other was a personal care and independent living facility. A Quincy Sewer Authority Revenue Bonds Series 2012 251796914 000000000 2012-08-15 10000000 Complete description on Part V - Supplemental information 0 0 0 B Cumberland County Municipal Authority Revenue Bonds Series 2013A 236003119 000000000 2013-06-10 6563290 Complete description on Part V - Supplemental information 0 0 0 C Cumberland County Municipal Authority Revenue Bonds Series 2013B 236003119 000000000 2013-06-10 5032136 Complete description on Part V - Supplemental Information 0 0 0 D Indiana County Industrial Development Authority Revenue Bonds Series 2013 251782229 000000000 2013-11-15 10000000 Complete description on Part V - Supplimental information 0 0 0 A 1238581 0 9932449 0 300762 0 59225 0 0 3231967 6700482 0 2013 1 0 1 1 B 62500 0 6563290 0 0 0 71746 0 0 0 0 0 2013 1 0 1 1 C 556250 0 5032136 0 0 0 42136 0 0 0 0 0 2013 1 0 1 1 D 745628 0 10025781 0 1470132 0 56267 0 0 7007637 0 2890683 2014 0 0 0 1 A 0 0 0 0 0 0 0 0 1 0.0198 1 1 B 0 0 0 0 0 0 0 0 1 0.0198 1 1 C 0 0 0 0 0 0 0 0 1 0.0198 1 1 D 0 0 0 0 0 0 0 0 1 0.0198 1 1 A 0 1 1 0 0 0 0 0 1 B 0 1 1 0 0 0 0 0 1 C 0 1 1 0 0 0 0 0 1 D 0 1 1 0 0 0 0 0 1 A 1 B 1 C 1 D 1 Schedule K, Part I, Column f-08/15/2012 10,000,000 Quincy Sewer Authority The proceeds from the Quincy Sewer Authority Revenue Bonds Series 2012 were used to pay off the Quincy Village 2007 note and expansion of the Quincy Village campus. Schedule K, Part I, Column f-06/10/2013 6,563,290 Cumberland County Municipal Authority The proceeds from the Cumberland County Municipal Authority Revenue Bonds 2013 Series A and B were used to refund all of the Cumberland County Municipal Authority Revenue Bonds Series 2003A and a portion of the Cumberland County Municipal Authority Revenue Bonds Series 2008A and to pay the costs of issuance of the 2013 A and B bonds. Schedule K, Part I, Column f-06/10/2013 5,032,136 Cumberland County Municipal Authority The proceeds from the Cumberland County Municipal Authority Revenue Bonds 2013 Series A and B were used to refund all of the Cumberland County Municipal Authority Revenue Bonds Series 2003A and a portion of the Cumberland County Municipal Authority Revenue Bonds Series 2008A and to pay the costs of issuance of the 2013 A and B bonds. Schedule K, Part I, Column f-11/15/2013 10,000,000 Indiana County Industrial Development Authority The proceeds of the Indiana County Industrial Development Authority Revenue Bonds Series 2013 were used for capital improvements at Saint Andrew's Village and to pay a portion of the costs of issuing the Series of 2013 bonds. A Uwchlan Township Industrial Development Authority Revenue Bonds Series 2013 651225907 000000000 2013-06-28 10000000 Complete description on Part V - Supplemental Information 0 0 0 B Northampton County Industrial Development Authority Revenue Bonds Series 2014 231971754 000000000 2014-06-11 10000000 Complete description on Part V - Supplemental Information 0 0 0 C Blair County Hospital Authority Revenue Bonds Series 2014 251352705 000000000 2014-06-11 10000000 Complete description on Part V - Supplemental Information 0 0 0 D Philadelphia Authority for Industrial Development Gross Revenue Bonds Series 2003 232237287 717818L30 2003-04-22 10849424 Complete description on Part V - Supplemental Information 0 0 0 A 857058 0 10004902 0 174605 0 109238 0 0 9895665 0 0 2013 0 0 1 1 B 100500 0 10000000 0 0 0 0 0 0 0 0 0 2014 1 0 1 1 C 100500 0 10000000 0 0 0 0 0 0 0 0 0 2014 1 0 1 1 D 10214424 0 10849428 54569 0 0 216988 0 0 9837311 795129 0 2004 0 0 1 1 A 0 0 0 0 0 0 0 0 1 0.0198 1 1 B 0 0 0 0 0 0 0 0 1 0.0198 1 1 C 0 0 0 0 0 0 0 0 1 0.0198 1 1 D 0 0 0 0 0 0 0 1 0 1 A 0 1 1 0 0 0 0 0 1 B 0 1 1 0 0 0 0 0 1 C 0 1 1 0 0 0 0 0 1 D 0 0 1 0 0 0 0 0 1 A 1 B 1 C 1 D 1 Schedule K, Part I, Column f-06/28/2013 10,000,000 Uwchlan Township Industrial Development Authority The proceeds of the Uwchlan Township Industrial Development Authority Revenue Bonds Series 2013 were used to construct and furnish approximately 62 additional independent living apartments and 23 independent living cottages with dining and social spaces and renovate the existing facilities of Ware Presbyterian Village, and pay a portion of the costs of issuing the bonds. Schedule K, Part I, Column f-06/11/2014 10,000,000 Northampton County Industrial Development Authori The proceeds of the Northampton County Industrial Development Authority Revenue Bonds Series 2014 were used refund a portion of the Cumberland County Municipal Authority Revenue Bonds Series 2008B. Schedule K, Part I, Column f-06/11/2014 10,000,000 Blair County Hospital Authority The proceeds of the Blair County Hospital Revenue Bonds Series 2014 were used to refund a portion of the Cumberland County Municipal Authority Revenue Bonds Series 2008B. Schedule K, Part I, Column f-04/22/2003 10,849,424 Philadelphia Authority for Industrial Development The proceeds of the Philadelphia Authority for Industrial Development Gross Revenue Bonds Series 2003 were used to finance certain capital additions and renovations to the Cathedral Village facilities and to finance the acquisition of 0.9 acres of land adjacent to Cathedral Village. A Philadelphia Authority for Industrial Development Gross Revenue Bonds Series 2013 232237287 7178188K7 2013-06-11 9413768 Complete description on Part V - Supplemental Information 0 0 0 B Uwchlan Township Industrial Development Authority Revenue Bonds Series 2015 651225907 000000000 2015-05-06 10000000 Complete description on Part V - Supplemental Information 0 0 0 C Northampton County Indsutrial Development Authority Revenue Bonds Series 2015 231971754 000000000 2015-05-22 10000000 Complete description on Part V - Supplemental Information 0 0 0 D Cumberland County Municipal Authority Revenue Bonds Series 2015 A 236003119 000000000 2015-10-08 10000000 Complete description on Part V - Supplemental Information 0 0 0 A 6778768 0 9413768 729125 0 0 188275 0 0 0 8496493 0 2014 1 0 1 1 B 217520 0 10006980 0 194879 0 105746 0 0 9901234 0 0 2015 0 0 1 1 C 177230 0 10024583 0 175096 0 111553 0 0 2661552 0 7251479 2016 0 0 0 1 D 252211 0 10000000 0 0 0 32812 0 0 0 0 0 2015 1 0 1 1 A 0 0 0 0 0 0 0 0 0 1 B 0 0 0 0 0 0 0 0 1 0.0083 1 1 C 0 0 0 0 0 0 0 0 1 0.0083 1 1 D 0 0 0 0 0 0 0 0 0 1 A 0 1 1 0 0 0 0 0 1 B 0 1 1 0 0 0 0 0 1 C 0 1 1 0 0 0 0 0 1 D 0 1 1 0 0 0 0 0 1 A 1 B 1 C 1 D 1 Schedule K, Part I, Column f-06/11/2013 9,413,768 Philadelphia Authority for Industrial Development The proceeds of the Philadelphia Authority for Industrial Development Gross Revenue Bonds Series 2013 were used to partially refund the Philadelphia Authority for Industrial Development Gross Revenue Bonds Series 2003. Schedule K, Part I, Column f-05/06/2015 10,000,000 Uwchlan Township Industrial Development Authority The proceeds of the Uwchlan Township Industrial Development Authority Revenue Bonds Series 2015 were used to finance the costs and expenses associated with acquiring, constructing, furnishing and equipping a 73,000 square feet, 31 unit apartment building for independent living facility known as Vista Ridge. Schedule K, Part I, Column f-05/22/2015 10,000,000 Northampton County Indsutrial Development Authori The proceeds of the Northampton County Industrial Development Authority Revenue Bonds Series 2015 were used to finance of a portion of the costs of constructing, furnishing and equipping an addition, consisting of 38 units for independent living facilities known as Gardens," and to renovate the existing skilled nursing facility, at Kirkland Village, and to pay a portion of the costs of issuing the bonds. Schedule K, Part I, Column f-10/08/2015 10,000,000 Cumberland County Municipal Authority The proceeds of the Cumberland County Municipal Authority Revenue Bonds Series 2015A were used refund all of the outstanding Cumberland County Municipal Authority Revenue Series 2005A. A Abington Township Industrial and Commercial Development Authority Revenue Bonds Series 2015 232242295 000000000 2015-09-30 10000000 Complete description on Part V - Supplemental Information 0 0 0 B Cumberland County Municipal Authority Revenue Bonds Series 2015B 236003119 000000000 2015-10-08 10000000 Complete description on Part V - Supplemental Information 0 0 0 C Cumberland County Municipal Authority Revenue Bonds Series 2015C 236003119 000000000 2015-10-08 15000000 Complete description on Part V - Supplemental Information 0 0 0 A 63731 0 10006154 0 61214 0 157384 0 0 1927486 0 7921284 2016 0 0 0 1 B 0 0 10000000 0 0 0 76504 0 0 0 0 0 2015 1 0 1 1 C 44667 0 15000000 0 0 0 0 0 0 0 0 0 2015 1 0 1 1 A 0 0 0 0 0 0 0 0 0 1 B 0 0 0 0 0 0 0 0 0 1 C 0 0 0 0 0 0 0 0 0 1 A 0 1 1 0 0 0 0 0 1 B 0 1 1 0 0 0 0 0 1 C 0 1 1 0 1 0 0 0 1 A 1 B 1 C 1 Schedule K, Part I, Column f-09/30/2015 10,000,000 Abington Township Industrial and Commercial Devel The proceeds of the Abington Township Industrial and Commercial Development Authority Revenue Bonds Series 2015 were used to add, renovate, furnish and equip the independent living and skilled nursing facilities of Cathedral Village, the skilled nursing facilities of St. Andrews Village, and the independent living facilities of Presbyterian Village at Hollidaysburg, and pay for all or a portion of the costs and expenses associated with such financing. Schedule K, Part I, Column f-10/08/2015 10,000,000 Cumberland County Municipal Authority The proceeds of the Cumberland County Municipal Authority Revenue Bonds Series 2015B and C were used refund the remaining outstanding Cumberland County Municipal Authority Revenue Bonds, Series 2008B. Schedule K, Part I, Column f-10/08/2015 15,000,000 Cumberland County Municipal Authority The proceeds of the Cumberland County Municipal Authority Revenue Bonds Series 2015B and C were used refund the remaining outstanding Cumberland County Municipal Authority Revenue Bonds, Series 2008B. Robert Hormell PSL, PIMSI, PSL Housing Mgmt and PSL Services Corp Board Member and First National Bank Board Member 11113098 Repayment of loan by group member to First National Bank. Proceeds from sale of Sycamore Manor and Project funds for Kirkland in FNB accounts. 0 Kimberly Shockey Quincy Village Board of Directors Vice-Chair and VP at BB&T 2198197 Repayment of loan by group member to BB&T and funds held at BB&T from the sale of Woodland Retirement Community 0 Ann Fedorchak PSL Board of Trustees Chair and Managing Director at National Cooperative Bank 250000 Affiliate invested in Advantage Mission Deposit Certificate held at NCB 0 David Wolff PSL, PIMSI and PSL Services Corp Board Member and VP of Kressler, Wolff and Miller, Inc 40000 Consulting services provided by Kressler, Wolff and Miller, Inc. 0 Robert Baird Long Community Board Member and works as Medical Director at the Long Community 9000 Payment for hours served as Medical Director at the Community 0 X 3 6440 Fair Market Value X 20 Fair Market Value X 11935 Fair Market Value X 2 1797 Purchase Price X Printing Services 1 2178 Purchase Price X Gift Cards 14 365 Purchase Price X Medical Equipment 8 8360 Fair Market Value X Generator 1 20000 Fair Market Value 0 0 1 0 Form 990, Part VI, Section B, Line 11b A copy of the 990 was provided to the organization's audit committee prior to the submission. It was reviewed in detail prior to the audit committee meeting by the Chief Financial Officer and other top executives. Form 990, Part VI, Section B, Line 12c The compliance department annually reviews the conflict of interest disclosures remitted from the officers, directors and key employees to update and monitor any changes that could cause a potential conflict of interest. Form 990, Part VI, Section B, Line 15 Every year, salaries for executives are determined based on comparative data from Leading Age's sponsored salary survey called CEMO Leadership Compensation Survey. These salaries are then approved by the Board of Directors. For highest paid employees, salaries are set during the yearly budgeting process by the executive directors of each facility in conjunction with the Controller and Chief Financial Officer. These wages are also compared to market studies and are approved, in total, by the board. Form 990, Part VI, Section C, Line 19 Presbyterian Senior Living and all of its affiliates are working hard to promote transparency. Therefore, current month/quarterly financial statements are posted right on the PSL website, along with census and year end audits. Its governing documents and conflict of interest policy are made available to the public upon request. Form 990, Part XI, Line 9 Gain on discontinued operation $7,962,761, decrease in fair value of interest rate swaps $196,719, loss on early extinguishment of debt ($1,867,934), and net assets, as adjusted for affiliation $12,353,280. Ross Presbyterian GP LLC One Trinity Drive East Suite 201 Dillsburg PA 17019 352467867 Low income housing PA -68 -50 PHI PHI Wisteria Commons LLC One Trinity Drive East Suite 201 Dillsburg PA 17019 464630922 Low income housing PA -11 -38783 PHI The Shepherds at Wisteria LLC One Trinity Drive East Suite 201 Dillsburg PA 17019 300386033 Low income housing PA -11 173843 PHI Westminster Place at Windy Hill Village II GP LLC One Trinity Drive East Suite 201 Dillsburg PA 17019 472992542 Low income housing PA 0 0 PHI Academy Place GP LLC One Trinity Drive East Suite 201 Dillsburg PA 17019 461987895 Low income housing PA 0 0 PHI PHI dba Presbyterian Senior Living One Trinity Drive East Suite 201 Dillsburg PA 17019 231381404 Parent management company PA 501(c)(3) 9 N/A 0 Schartner House Associates LP One Trinity Drive East Suite 201 Dillsburg PA 17019 204747882 Low income housing PA Schartner House Inc Related -41 -291 0 0 0 0.0001 Westminster Place at Parkesburg LP One Trinity Drive East Suite 201 Dillsburg PA 17019 208766428 Low income housing PA Westminster Place at Parkesburg Inc Related -66 59247 0 0 0 0.0001 Westminster Place at Windy Hill Village LP I One Trinity Drive East Suite 201 Dillsburg PA 17019 270683872 Low income housing PA Westminster Place at Windy Hill Village Inc Related -24 3004470 0 0 0 0.0001 Westminster Place at Carroll Village LP I One Trinity Drive East Suite 201 Dillsburg PA 17019 270488126 Low income housing PA Westminster Place at Carroll Village Inc Related -30 1007753 0 0 0 0.0001 Westminster Place at Bloomsburg LP One Trinity Drive East Suite 201 Dillsburg PA 17019 900536078 Low income housing PA Westminster Place at Bloomsburg GP Inc Related -41 189892 0 0 0 0.0001 Westminster Place at the Long Community LP One Trinity Drive East Suite 201 Dillsburg PA 17019 800536471 Low income housing PA Westminster Place at the Long Community GP Inc Related -59 1826208 0 0 0 0.0001 Stewartstown Courtyard LP One Trinity Drive East Suite 201 Dillsburg PA 17019 261577538 Low income housing PA Westminster Place at Stewartstown Inc Related -55 74465 0 0 0 0.0001 Westminster Place at Quincy Village LP One Trinity Drive East Suite 201 Dillsburg PA 17019 273684407 Low income housing PA Westminster Place at Quincy Village GP Inc Related -58 224908 0 0 0 0.0001 Silver Spring Courtyard LP One Trinity Drive East Suite 201 Dillsburg PA 17019 233022718 Low income housing PA Westminster Place at Silver Spring Courtyards GP Inc Related -13 266874 0 0 0 0.0001 SS Gardens LP One Trinity Drive East Suite 201 Dillsburg PA 17019 731626571 Low income housing PA Westminster Place at SS Gardens GP Inc Related -8 -65179 0 0 0 0.0001 Shrewsbury Courtyards II Associates One Trinity Drive East Suite 201 Dillsburg PA 17019 233056691 Low income housing PA Westminster Place at Shrewsbury Courtyards II Associates GP Inc Related -13 -79043 0 0 0 0.0001 Shrewsbury Courtyards Associates Limited Partnership One Trinity Drive East Suite 201 Dillsburg PA 17019 251767781 Low income housing PA Westminster Place at Shrewsbury Courtyard Associates GP Inc Related 10257 -128477 0 0 0 0.5 S Overlook LP One Trinity Drive East Suite 201 Dillsburg PA 17019 752991115 Low income housing PA Westminster Place at S Overlook GP Inc Related -17 -315834 0 0 0 0.0001 Stony Brook Gardens LP One Trinity Drive East Suite 201 Dillsburg PA 17019 203703666 Low income housing PA Westminster Place at Stony Brook Gardens GP Inc Related -31 -398173 0 0 0 0.0001 Ross Presbyterian Senior Housing LP One Trinity Drive East Suite 201 Dillsburg PA 17019 352467867 Low income housing PA Ross Presbyterian GP LLC Related -68 -50 0 0 0 0.0001 Wisteria Commons Senior Housing LP One Trinity Drive East Suite 201 Dillsburg PA 17019 743169417 Low income housing PA The Shepherds at Wisteria LLC PHI Wisteria Commons LLC Related -132 135060 0 0 0 0.0001 Northampton Place at Easton LP One Trinity Drive East Suite 201 Dillsburg PA 17019 300750353 Low income housing PA Northampton Place at Easton GP Inc Related 0 0 0 0 0 0.0001 Westminster Place at Queen Street LP One Trinity Drive East Suite 201 Dillsburg PA 17019 461217566 Low income housing PA Westminster Place at Queen Street GP Inc Related -121 -121 0 0 0 0.0001 Westminster Place at Ware Presbyterian Village LP One Trinity Drive East Suite 201 Dillsburg PA 17019 383852987 Low income housing PA Westminster Place at Ware Presbyterian Village GP Related 0 0 0 0 0 0.0001 Long Crest Senior Housing LP One Trinity Drive East Suite 201 Dillsburg PA 17019 320446143 Low income housing PA Long Crest Senior Housing GP Related 0 0 0 0 0 0.0001 Westminster Place at Windy Hill Village II LP One Trinity Drive East Suite 201 Dillsburg PA 17019 473008552 Low income housing PA Westminster Place at Windy Hill Village II GP LLC Related 0 0 0 0 0 0.0001 Westminster Place at Huntingdon LP One Trinity Drive East Suite 201 Dillsburg PA 17019 273684236 Low income housing PA Westminster Place at Huntingdon GP Inc Related 0 0 0 0 0 0.0001 Academy Place Senior Housing LP One Trinity Drive East Suite 201 Dillsburg PA 17019 900935098 Low income housing PA Academy Place GP LLC Related 0 0 0 0 0 0.0001 Oaks Senior Community LP One Trinity Drive East Suite 201 Dillsburg PA 17019 233018312 Low income housing PA The Shepherds in Monroe County Inc Related -26 -422 0 0 0 0.0002 Schartner House Inc 1271 Gettysburg Pike Dillsburg PA 17019 861161245 Low income housing PA PHI dba Presbyterian Senior Living C -41 -291 1 0 Westminster Place at Parkesburg Inc One Trinity Drive East Suite 201 Dillsburg PA 17019 208765826 Low income housing PA PHI dba Presbyterian Senior Living C -66 59247 1 0 Westminster Place at Windy Hill Village Inc One Trinity Drive East Suite 201 Dillsburg PA 17019 800438848 Low income housing PA PHI dba Presbyterian Senior Living C -24 3004470 1 0 Westminster Place at Carroll Village Inc One Trinity Drive East Suite 201 Dillsburg PA 17019 562642596 Low income housing PA PHI dba Presbyterian Senior Living C -30 1007753 1 0 Westminster Place at Bloomsburg GP Inc One Trinity Drive East Suite 201 Dillsburg PA 17019 010945558 Low income housing PA PHI dba Presbyterian Senior Living C -41 189892 1 0 Westminster Place at Stewartstown Inc One Trinity Drive East Suite 201 Dillsburg PA 17019 800499627 Low income housing PA PHI dba Presbyterian Senior Living C -55 74465 1 0 Westminster Place at the Long Community GP Inc One Trinity Drive East Suite 201 Dillsburg PA 17019 010945563 Low income housing PA PHI dba Presbyterian Senior Living C -59 1826208 1 0 Westminster Place at Quincy Village GP Inc One Trinity Drive East Suite 201 Dillsburg PA 17019 273684321 Low income housing PA PHI dba Presbyterian Senior Living C -58 224908 1 0 Westminster Place at Silver Spring Courtyards GP Inc One Trinity Drive East Suite 201 Dillsburg PA 17019 454799705 Low income housing PA PHI dba Presbyterian Senior Living C -13 266874 1 0 Westminster Place at SS Gardens GP Inc One Trinity Drive East Suite 201 Dillsburg PA 17019 454806531 Low income housing PA PHI dba Presbyterian Senior Living C -8 -65179 1 0 Westminster Place at Shrewsbury Courtyards II Associates GP Inc One Trinity Drive East Suite 201 Dillsburg PA 17019 462423186 Low income housing PA PHI dba Presbyterian Senior Living C -13 -79043 1 0 Westminster Place at Shrewsbury Courtyards Associates GP Inc One Trinity Drive East Suite 201 Dillsburg PA 17019 462414824 Low income housing PA PHI dba Presbyterian Senior Living C 10257 -128477 1 0 Westminster Place at S Overlook GP Inc One Trinity Drive East Suite 201 Dillsburg PA 17019 462390529 Low income housing PA PHI dba Presbyterian Senior Living C -17 -315834 1 0 Westminster Place at Stony Brook Gardens GP Inc One Trinity Drive East Suite 201 Dillsburg PA 17019 462433909 Low income housing PA PHI dba Presbyterian Senior Living C -31 -398173 1 0 Ross Presbyterian GP LLC One Trinity Drive East Suite 201 Dillsburg PA 17019 461976623 Low income housing PA PHI dba Presbyterian Senior Living C -68 -50 1 0 The Shepherds at Wisteria LLC One Trinity Drive East Suite 201 Dillsburg PA 17019 300386033 Low income housing PA PHI dba Presbyterian Senior Living C -11 173843 1 0 PHI Wisteria Commons LLC One Trinity Drive East Suite 201 Dillsburg PA 17019 464630922 Low income housing PA PHI dba Presbyterian Senior Living C -11 -38783 1 0 Northampton Place at Easton GP Inc One Trinity Drive East Suite 201 Dillsburg PA 17019 460945632 Low income housing PA PHI dba Presbyterian Senior Living C 0 0 1 0 Westminster Place at Queen Street GP Inc One Trinity Drive East Suite 201 Dillsburg PA 17019 383855437 Low income housing PA PHI dba Presbyterian Senior Living C -121 -121 1 0 Westminster Place at Ware Presbyterian Village GP Inc One Trinity Drive East Suite 201 Dillsburg PA 17019 453537036 Low income housing PA PHI dba Presbyterian Senior Living C 0 0 1 0 Westminster Place at Huntingdon GP Inc One Trinity Drive East Suite 201 Dillsburg PA 17019 273684149 Low income housing PA PHI dba Presbyterian Senior Living C 0 0 1 0 Westminster Place at Windy Hill Village II GP LLC One Trinity Drive East Suite 201 Dillsburg PA 17019 472992542 Low income housing PA PHI dba Presbyterian Senior Living C 0 0 1 0 Academy Place GP LLC One Trinity Drive East Suite 201 Dillsburg PA 17019 461987895 Low income housing PA PHI dba Presbyterian Senior Living C 0 0 1 0 Long Crest Senior Housing GP Inc One Trinity Drive East Suite 201 Dillsburg PA 17019 471523599 Low income housing PA PHI dba Presbyterian Senior Living C 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 PHI dba Presbyterian Senior Living p 3323798 Actual expenses paid