2015-11-12T10:31:04-06:00 2015-06-30 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 19103 990 2014-07-01 232194364 LANDIS HOMES RETIREMENT COMMUNITY LAND 7175693271 1001 EAST OREGON ROAD LITITZ PA 17543 LARRY J ZOOK PRESIDENT/CEO 7175693271 2015-11-11 1 KERRI N BOGDA CPA P00760402 2159720701 2014 2016-02-25 16:41:14Z LARRY J ZOOK 1001 EAST OREGON ROAD LITITZ PA 17543 38242243 0 X WWW.LANDISHOMES.ORG X 1964 PA CONTINUING CARE RETIREMENT COMMUNITY PROVIDING HOUSING, HEALTH CARE AND OTHER RELATED SERVICES. 11 11 615 478 0 0 815881 614131 30921513 32854741 840398 1206421 747782 772921 33325574 35448214 26768 17190 0 0 16217415 17177279 0 0 0 15201448 16795647 31445631 33990116 1879943 1458098 93988545 102852136 76196833 84431490 17791712 18420646 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 28395171 17190 32854741 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 807 PERSONS LIVING IN HYBRID HOMES, COTTAGES, APARTMENTS, SUITES, ASSISTED LIVING, HEALTHCARE, AND HERITAGE SPECIAL CARE (PERSONS WITH MEMORY LOSS). AVERAGE OCCUPANCY FOR FISCAL 2015 WAS AS FOLLOWS: HYBRID HOMES, COTTAGES, AND APARTMENTS - 96%, RESIDENTIAL SUITES 86%, PERSONAL CARE - 96%, HEALTHCARE - 97%, AND HERITAGE SPECIAL CARE - 96%. LANDIS HOMES PROVIDES CHARITY CARE TO RESIDENTS WHO MEET CERTAIN CRITERIA WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. IN 2015 CHARITY CARE, WHICH REPRESENTS THE DIFFERENCE BETWEEN THE ESTIMATED COST OF PROVIDING CARE AND THE PAYMENTS RECEIVED FOR SERVICES RENDERED, TOTALED $3,161,000. LANDIS HOMES SERVED ANOTHER 253 PERSONS ON A WEEKLY BASIS IN 2015 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 2015 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 2015 TOTALED 26,769. 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 36,000 HOURS IN FISCAL 2015. 28395171 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 0 0 0 0 0 1 1 1 0 0 0 1 89 0 1 615 1 0 0 0 0 0 1 1 0 0 0 0 X 11 11 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 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 TRUSTEE 1.00 X 0 0 0 RACHEL THOMAS PELLMAN TRUSTEE 1.00 X 0 0 0 JONATHAN E HOLLINGER TREASURER 1.00 X X 0 0 0 MARIAN G LEAMAN TRUSTEE 1.00 X 0 0 0 DR DANIEL MAST SECRETARY 1.00 X X 0 0 0 FRED T SARGENT 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 206110 30555 CAROLYN N BURKE VP OF FINANCE (UNTIL AUG. 2014) 38.00 10.00 X 0 111586 11141 ERIC BENDER VP OF FINANCE (BEG. AUG. 2014) 40.00 10.00 X 0 49343 5951 EVA BERING VP OF OPERATIONS 47.00 1.00 X 0 155701 15757 LINFORD L GOOD VP OF PLANNING & MKTG 45.00 X 124055 0 27381 ALLEN HEINLY VP OF HUMAN RESOURCES 43.00 2.00 X 0 131609 26075 124055 654349 116860 1 0 1 0 BENCHMARK CONSTRUCTION COMPANY INC 4121 OREGON PIKE BROWNSTOWN PA 17508 GENERAL CONTRACTOR 11470902 REHABCARE GROUP INC PO BOX 503534 ST LOUIS MO 63150 THERAPY SERVICES 896293 HESS CORPORATION PO BOX 905243 CHARLOTTE NC 282905243 ELECTRICAL CONTRACTOR 373916 MORRISON MANAGEMENT SPECIALISTS PO BOX 102289 ATLANTA GA 303682289 DINING SERVICES 296358 RLPS ARCHITECTS 250 VALLEYBROOK DRIVE LANCASTER PA 17601 ARCHITECT 255873 10 127062 487069 21441 614131 RESIDENT SERVICE REV. 623000 28975691 28975691 AMORT OF ENTRANCE FEES 623000 3879050 3879050 32854741 477946 477946 176907 54575 122332 122332 122332 3290320 1048 2556874 6019 733446 -4971 728475 728475 81590 127062 47601 33989 33989 133311 128960 4351 4351 CAFETERIA REVENUE 623000 222915 222915 TELEPHONE & TV 623000 101152 101152 INSURANCE DISTRIB. 900099 73684 73684 214498 214498 612249 35448214 32854741 0 1979342 17190 17190 13047177 12417340 629837 502772 478501 24271 2309327 2218196 91131 1318003 1254377 63626 3620381 297533 3322848 19149 19149 16558 16558 1664 1664 50605 50605 1670199 1511834 158365 30135 3992 26143 765844 581626 184218 152927 4697 148230 2035950 2007558 28392 70295 65866 4429 64602 23363 41239 914622 914622 4655554 4655554 286045 286045 FOOD 1048405 1048405 MEDICAL SUPPLIES 542399 542399 BED ASSESSMENT EXPENSE 269817 269817 OTHER RESIDENT EXPENSES 190655 190655 389841 66073 323768 33990116 28395171 5594945 0 2402 2482 3376995 1169233 3362782 4752368 264690 319440 124201561 53006077 63252063 71195484 21605801 23171847 164267 164267 1959545 2077015 93988545 102852136 3627625 3009980 27836568 33364448 40356744 38604717 2016024 7447486 2359872 2004859 76196833 84431490 X 16127960 16798986 594442 534137 1069310 1087523 17791712 18420646 93988545 102852136 X 1458098 -874278 45114 X 0 1 X 1 0 X 469581 694197 622282 815881 551024 3152965 26332466 27971600 29815440 31047744 32854741 148021991 26802047 28665797 30437722 31863625 33405765 151174956 11380 25200 13248 9000 58828 0 11380 25200 13248 9000 58828 151116128 516672 372319 438480 529811 654853 2512135 516672 372319 438480 529811 654853 2512135 607294 622487 724505 747957 890253 3592496 27926013 29660603 31600707 33141393 34950871 157279587 0.96080 0.96250 0.01600 0.01550 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: CAFETERIA REVENUE - 2010 AMOUNT: $ 220,697. 2011 AMOUNT: $ 222,119. 2012 AMOUNT: $ 222,710. 2013 AMOUNT: $ 210,513. 2014 AMOUNT: $ 222,915. TELEPHONE TV - 2010 AMOUNT: $ 86,065. 2011 AMOUNT: $ 95,645. 2012 AMOUNT: $ 95,762. 2013 AMOUNT: $ 98,389. 2014 AMOUNT: $ 101,152. MISC RESIDENT FEES - 2010 AMOUNT: $ 9,655. 2011 AMOUNT: $ 14,479. 2012 AMOUNT: $ 26,146. 2013 AMOUNT: $ 29,659. 2014 AMOUNT: $ 31,763. GUEST LODGING - 2010 AMOUNT: $ 26,305. 2011 AMOUNT: $ 28,390. 2012 AMOUNT: $ 26,787. 2013 AMOUNT: $ 25,170. 2014 AMOUNT: $ 25,764. POOL/CRAFT INCOME - 2010 AMOUNT: $ 18,631. 2011 AMOUNT: $ 18,998. 2012 AMOUNT: $ 20,085. 2013 AMOUNT: $ 18,070. 2014 AMOUNT: $ 17,715. IT SERVICES - 2010 AMOUNT: $ 50,535. 2011 AMOUNT: $ 35,334. 2012 AMOUNT: $ 39,697. 2013 AMOUNT: $ 44,511. 2014 AMOUNT: $ 52,581. PATHWAYS INSTITUTE - 2010 AMOUNT: $ 18,382. 2011 AMOUNT: $ 23,553. 2012 AMOUNT: $ 24,061. 2013 AMOUNT: $ 32,648. 2014 AMOUNT: $ 30,727. INSURANCE PROCEEDS - 2011 AMOUNT: $ 1,702. PCRRG DISTRIBUTION - 2010 AMOUNT: $ 60,558. 2011 AMOUNT: $ 67,919. 2012 AMOUNT: $ 70,541. 2013 AMOUNT: $ 58,627. 2014 AMOUNT: $ 73,684. MISCELLANEOUS REVENUE - 2010 AMOUNT: $ 508. 2011 AMOUNT: $ 1,901. 2012 AMOUNT: $ 6,057. 2013 AMOUNT: $ 3,762. 2014 AMOUNT: $ 33,240. GIFT SHOP - 2010 AMOUNT: $ 96,925. 2011 AMOUNT: $ 99,732. 2012 AMOUNT: $ 107,536. 2013 AMOUNT: $ 126,231. 2014 AMOUNT: $ 133,311. MANAGEMENT SERVICES - 2010 AMOUNT: $ 5,000. 2011 AMOUNT: $ 5,210. 2012 AMOUNT: $ 53,080. PURCHASED LABOR - 2010 AMOUNT: $ 14,033. 2011 AMOUNT: $ 6,755. 2012 AMOUNT: $ 7,006. CHAPEL INCOME - 2011 AMOUNT: $ 750. 2012 AMOUNT: $ 450. 2013 AMOUNT: $ 450. 2014 AMOUNT: $ 575. MEMBERSHIP REFUNDS - 2012 AMOUNT: $ 24,587. REIMBURSED EXPENSES - 2013 AMOUNT: $ 20,745. 2014 AMOUNT: $ 12,698. COMMUNITY ROOM USAGE - 2013 AMOUNT: $ 9,500. 2014 AMOUNT: $ 9,431. FUNDRAISING RECEIPTS - 2013 AMOUNT: $ 69,682. 2014 AMOUNT: $ 144,697. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 1 1000 0 0 0 0 1 664 1664 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 $1,000. THE ORGANIZATION ALSO PAYS DUES TO NATIONAL (LEADINGAGE) AND STATE (LEADINGAGE PA) ASSOCIATIONS OF HOMES AND SERVICES FOR THE AGING. A MINIMAL PORTION OF THE ORGANIZATION'S DUES ARE USED FOR LOBBYING PURPOSES. 1203519 37163 -8212 25480 0 1206990 1059287 84813 86852 24208 3225 1203519 1009402 15836 61669 24731 2889 1059287 887204 110634 36929 22845 2520 1009402 780937 37438 98012 -26957 -2226 887204 0.00000 0.90000 0.10000 1 0 258538 258538 90892656 32200882 58691774 32147225 20805195 11342030 903142 903142 71195484 REFUNDABLE FEES 1191786 PRIORITY AGREEMENTS LIABILITY 373200 DERIVATIVE FINANCIAL INSTRUMENT 123410 DUE TO AFFILIATES 316463 2004859 X 34728351 -874278 45114 -829164 35557515 50605 -159906 -109301 35448214 34099417 159906 159906 33939511 50605 50605 33990116 PART V, LINE 4: THE ORGANIZATION HAS TWO ENDOWMENT FUNDS. INTEREST AND DIVIDENDS FROM THE FUND 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 2015 OR 2014. RETURNS OF ORGANIZATION EXEMPT FROM INCOME TAX FOR THE YEARS PRIOR TO 2012 ARE NO LONGER SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE, SPLIT-INTEREST AGREEMENTS -7,681. CHANGE IN FAIR VALUE OF DERIVATIVE FINANCIAL INSTRUMENTS 52,795. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -54,575. GIFT SHOP-COST OF GOODS SOLD -105,331. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 54,575. GIFT SHOP-COST OF GOODS SOLD 105,331. AUCTION 129631 63107 66524 11606 15882 GOLF TOURNAMENT 79021 63955 15066 600 528 9800 7252 1933 208652 127062 81590 600 528 21406 7252 17815 47601 33989 1 LANCASTER MENNONITE HISTORICAL SOCIETY 2215 MILLSTREAM ROAD LANCASTER PA 17602 236050885 501(C)(3) 6250 GENERAL SUPPORT NEFFSVILLE COMMUNITY FIRE COMPANY 200 E OREGON ROAD LANCASTER PA 17606 237307205 501(C)(3) 10000 SUPPORT LOCAL VOLUNTEER FIRE COMPANY 2 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 206110 0 0 0 0 12925 0 17630 0 30555 206110 0 0 EVA BERING VP OF OPERATIONS 0 155701 0 0 0 0 0 9592 0 6165 0 171458 0 0 LINFORD L GOOD VP OF PLANNING & MKTG 124055 0 0 0 0 0 7774 0 19607 0 151436 0 0 0 ALLEN HEINLY VP OF HUMAN RESOURCES 0 131609 0 0 0 0 0 8354 0 17721 0 157684 0 0 A LANCASTER COUNTY HOSPITAL AUTHORITY 236648018 51404NABO 2007-08-30 7970000 CAPITAL IMPROVEMENTS AND RENOVATIONS; REFINANCE EXISTING DEBT 0 0 0 B LANCASTER COUNTY HOSPITAL AUTHORITY 236648018 514045ZK2 2009-12-10 19650000 RESIDENTIAL EXPANSION PROJECT, CAPITAL IMPROVEMENTS, RETIRE LOANS 0 0 0 C EAST HEMPFIELD TOWNSHIP INDUSTRIAL DEVELOPMENT AUTHORITY 231925435 2012-06-01 9386790 REFUND 1998 BONDS, REFUND CONSTRUCTION LOAN, PAY FOR FINANCING COSTS 0 0 0 A 460238 8100238 62084 294099 4128560 3547341 2009 1 0 1 1 B 1975000 19650000 418539 724449 16451942 2449123 2011 1 0 1 1 C 2192073 9386790 144865 9241925 2012 1 0 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 1 0 0 0 1 B 1 1 1 PNC 2.000000000000 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 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 COMMITTEE OF THE BOARD OF DIRECTORS. THE FINANCE COMMITTEE OVERSEES THE FINANCIAL AFFAIRS OF THE ORGANIZATION AND REVIEWS THE FEDERAL FORM 990 FOR COMPLETENESS. THE EXECUTIVE COMMITTEE MEMBERS OF THE BOARD OF DIRECTORS ARE ALSO INVITED TO THE FINANCE COMMITTEE MEETING IN WHICH THE FEDERAL FORM 990 IS REVIEWED. UPON REVIEW, THE FINANCE COMMITTEE WILL TAKE ACTION TO APPROVE THE TAX RETURN. THIS INFORMATION IS REPORTED TO THE BOARD OF DIRECTORS IN THE MINUTES OF THE FINANCE 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 THE CODE OF CONDUCT THAT IS DISTRIBUTED TO BOTH THE BOARD OF DIRECTORS AND KEY EMPLOYEES. TRAINING IS PROVIDED ANNUALLY AS PART OF THE COMPLIANCE PROGRAM. ANNUALLY THE BOARD OF DIRECTORS PROVIDES A WRITTEN AND SIGNED ATTESTATION REGARDING THE CODE OF CONDUCT. THE BOARD OF DIRECTORS ALSO COMPLETE AND SIGN A CONFLICT OF INTEREST DISCLOSURE CHECKLIST EACH YEAR AS WELL. THE GOVERNANCE COMMITTEE OF THE BOARD FIRST REVIEWS THE SIGNED DISCLOSURES AND ANY POTENTIAL CONFLICTS. THE INFORMATION IS THEN PASSED TO THE EXECUTIVE COMMITTEE OF THE BOARD. DURING THE COURSE OF THE YEAR, THE CONFLICT OF INTEREST POLICY IS MONITORED AS FOLLOWS: 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. IF THERE IS A CONFLICT OF INTEREST FOR A MEMBER OF MANAGEMENT OR THE BOARD, THAT PERSON SHALL NOT PARTICIPATE IN THE DISCUSSION OR DELIBERATION REGARDING THE MATTER AND SHALL NOT PARTICIPATE DIRECTLY OR INDIRECTLY IN THE DECISION PROCESS OR VOTING. 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 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 -7,681. CHANGE IN FAIR VALUE OF DERIVATIVE FINANCIAL INSTRUMENTS 52,795. LANDIS AT HOME LLC 1001 E OREGON ROAD LITITZ PA 17543 204435391 HOME & COMMUNITY BASED SERVICE PROGRAM PA 614019 74117 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