2012-03-05T16:02:31-06:00 2011-06-30 PARENTEBEARD LLC 400 MARKET STREET WILLIAMSPORT PA 17701 990 2010-07-01 231425014 BRETHREN VILLAGE BRET 7175692657 3001 LITITZ PIKE PO BOX 5093 LANCASTER PA 176065093 PAMELA S FORMICA 7175692657 2012-03-01 1 JULIUS C GREEN CPA JD 5703236023 2010 2016-02-24 21:20:13Z PAMELA S FORMICA 3001 LITITZ PIKE PO BOX 5093 LANCASTER PA 176065093 40845593 0 X WWW.BV.ORG X 1897 PA TO PROVIDE A CONTINUUM OF SERVICES AND CHRIST-LIKE CARE TO SUPPORT THE AGING PROCESS. 12 12 551 480 48299 -13129 1624950 1124308 25967575 28836627 558521 643729 284313 970409 28435359 31575073 0 0 0 0 14511838 15769561 0 0 333810 19073955 22097425 33585793 37866986 -5150434 -6291913 191506512 187210380 178450868 178631776 13055644 8578604 X THE MISSION OF BRETHREN VILLAGE IS TO PROVIDE A CONTINUUM OF SERVICES AND CHRIST-LIKE CARE TO SUPPORT THE AGING PROCESS AND TO ENHANCE THE SPIRITUAL, PHYSICAL, SOCIAL AND EMOTIONAL WHOLENESS OF RESIDENTS, TEAM MEMBERS, AND THE COMMUNITY. 0 0 12919656 11583964 OUR COURTYARDS NURSING FACILITY FEATURES 120 RESIDENCES AND PROVIDES DEPENDABLE, PERSON CENTERED, QUALITY HEALTH CARE SERVICES TO INDIVIDUALS WHO MAY BE RECOVERING FROM AN ACCIDENT OR SURGERY OR WHO ARE IN NEED OF LONG TERM SERVICES. THE FOCUS IS ON PROVIDING QUALITY CARE IN A HOME ENVIRONMENT. OVER 43,500 RESIDENT DAYS OF NURSING SERVICE WERE PROVIDED DURING THE YEAR ENDED JUNE 30, 2011. APPROXIMATELY 50% OF THE RESIDENTS RECEIVING SERVICES WERE RECEIVING GOVERNMENT ASSISTANCE. APPROXIMATELY $1,250,000 ON A COST BASIS WAS PROVIDED IN CHARITY CARE FOR THE YEAR. THE COURTYARDS STRESSES DIGNITY, INDEPENDENCE, RESPECT AND OVERALL WELL-BEING OF RESIDENTS AS THEY REQUIRE MORE ASSISTANCE DURING THE AGING PROCESS. 5050082 4013228 OUR PERSONAL CARE OFFERS A CARING, INDEPENDENT LIVING ENVIRONMENT FOR RESIDENTS WHO NEED ASSISTANCE WITH ACTIVITIES OF DAILY LIVING SUCH AS BATHING, DRESSING, HOUSEKEEPING OR MEDICATIONS. OVER 34,000 RESIDENT DAYS OF PERSONAL CARE SERVICES WERE PROVIDED DURING THE YEAR ENDED JUNE 30, 2011. ROUND-THE-CLOCK PERSONALIZED CARE IS PROVIDED TO RESIDENTS IN COMFORTABLE, HOME-LIKE APARTMENTS OR SUITES. APPROXIMATELY 20% OF THE RESIDENTS RECEIVING SERVICES WERE SUBSIDIZED THROUGH GOVERNMENT ASSISTANCE. BENEVOLENT CARE OF APPROXIMATELY $750,000 WAS PROVIDED IN THIS FISCAL YEAR. 13654875 12286880 OUR INDEPENDENT RESIDENTIAL AREA ENABLES INDIVIDUALS TO CONTINUE LIVING IN AN INDEPENDENT SETTING WHILE BEING "CONNECTED" TO A CONTINUUM OF CARE. IT OFFERS THE PERFECT MIX OF CONVENIENCE AND FLEXIBILITY. FINANCIALLY, OUR WIDE RANGE OF ENTRANCE AND MONTHLY FEE PLANS FIT MOST BUDGETS. A MAINTENANCE FREE HOME IS ONLY PART OF THE COMPREHENSIVE LIVING EXPERIENCE, WHICH INCLUDES AMONG MANY OTHER THINGS: FITNESS CENTERS, THERAPEUTIC AND RECREATIONAL ACTIVITIES, TRANSPORTATION, DINING VENUES, AND PRIORITY ACCESS TO PERSONAL OR SKILLED CARE. APPROXIMATELY 233,000 RESIDENTS DAYS OF RESIDENTIAL LIVING WERE RECORDED DURING THE YEAR ENDED JUNE 30, 2011. 969235 952556 OUR HOME CARE AGENCY BRINGS QUALITY HEALTH CARE SERVICES TO THE PRIVACY AND CONVENIENCE OF OUR CLIENTS' HOMES WHETHER THE CLIENT RESIDES IN OUR RESIDENTIAL SETTING OR RESIDES IN THE GREATER LANCASTER COMMUNITY. OVER 28,000 HOURS OF PRIVATE DUTY HOME HEALTH SERVICES AND GOVERNMENT CONTRACT SERVICES WERE DELIVERED TO CLIENTS DURING THE YEAR ENDED JUNE 30, 2011. 969235 952556 32593848 1 1 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 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 85 0 1 551 1 1 1 0 0 0 0 1 1 0 0 0 0 X 12 12 0 0 0 0 0 0 1 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X PAMELA S FORMICA VP - FINANCE 7175814234 3001 LITITZ PIKE LANCASTER PA 17606 X F BARRY SHAW 2.00 X X 0 0 0 CARROLL L KREIDER 2.00 X X 0 0 0 DAVID L HAWTHORNE 2.00 X X 0 0 0 STEVEN L FAUS 2.00 X X 0 0 0 STEVEN L EDRIS 2.00 X X 0 0 0 CAROL D HESS 2.00 X 0 0 0 EVELYN I DEHMEY 2.00 X 0 0 0 DOUGLAS F DEIHM 2.00 X 0 0 0 ALAN R OVER 2.00 X 0 0 0 WILBUR G ROHRER 2.00 X 0 0 0 LARRY D SAUDER 2.00 X 0 0 0 S JOAN HERSHEY 2.00 X 0 0 0 HENRY H GIBBEL 2.00 X 0 0 0 GARY N CLOUSER 39.00 X 188454 0 14831 PAMELA S FORMICA 39.00 X 122000 0 12782 PHILIP S HOLLINGER 40.00 X 122000 0 12782 432454 0 40395 3 0 1 0 WOHLSEN CONSTRUCTION PO BOX 4612 LANCASTER PA 17604 CONTRACTOR 6845740 SODEXO INC & AFFILIATES PO BOX 360170 PITTSBURGH PA 15251 DINING SERVICES 1662880 GREYSTONE COMMUNITIES INC 222 W LAS COLINAS BLVD SUITE 2100 IRVING TX 75039 DEVELOPMENT CONSULTANT 1500447 BRIDGET BOHACZ & ASSOCIATES INC 808 LANDMARK DR SUITE 120 GLEN BURNIE MD 21061 DESIGNER 1133390 AEGIS THERAPIES INC PO BOX 8103 FORT SMITH AR 72902 THERAPY SERVICES 763507 11 109775 1014533 1124308 PERSONAL CARE AND RESI 623000 11465698 11465698 NURSING 623000 10644330 10644330 AMORT OF ADVANCE FEES 623000 3335374 3335374 OTHER RESIDENT SERVICE 623000 1277002 1277002 ANCILLARY SERVICES 623000 1161667 1161667 952556 952556 28836627 573800 573800 43865 29542 14323 14323 14323 9276398 9700 9216169 60229 9700 69929 69929 19285 109775 24809 -5524 -5524 CURTAILMENT GAIN 900099 617232 617232 COFFEE SHOP REVENUE 722210 146202 146202 ELECTRIC POWER REFUNDS 900099 78416 78416 119760 48299 71461 961610 31575073 28836627 48299 1565839 472849 283709 189140 11311092 9805379 1427028 78685 284735 241884 41086 1765 2852900 2436562 396783 19555 847985 731822 110417 5746 18000 18000 223346 223346 71260 71260 149768 149526 242 2942416 2040068 712563 189785 465257 6330 458877 50 1280286 1075072 191445 13769 1911077 1636206 274871 51275 37434 13750 91 29406 19973 8721 712 7302475 7302475 5562103 5562103 335955 335955 FOOD 1058246 1046766 11480 PHARMACY-DRUGS 190206 186219 3987 PA NURSING HM ASSESSMNT 166571 166571 DUES & MEMBERSHIP FEES 80952 3922 76496 534 VEHICLE MAINTENANCE 80431 80431 178395 79493 76026 22876 37866986 32593848 4939328 333810 3000 3000 8866338 6119300 1273828 550704 2091791 3123458 121281 260781 161843386 44531106 115777008 117312280 57593074 54247465 5780192 5593392 191506512 187210380 10203638 8920718 21387246 22566241 121770000 120865000 25089984 26279817 178450868 178631776 X 1220989 -3262246 1969678 1667156 9864977 10173694 13055644 8578604 191506512 187210380 X -6291913 1814873 X 0 1 1 X 0 X 709856 3405433 1481656 1548638 1014533 8160116 24108688 25387139 25746836 25967575 28836627 130046865 24818544 28792572 27228492 27516213 29851160 138206981 26825 302000 365210 325000 720000 1739035 0 26825 302000 365210 325000 720000 1739035 136467946 629276 672188 538443 523705 617665 2981277 629276 672188 538443 523705 617665 2981277 -101838 -106887 -36387 -13130 -258242 372477 331780 403482 219875 1044441 2372055 25820297 29694702 28063530 28223406 31500136 143302071 0.95230 0.96060 0.02080 0.02310 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6090271 833480 75000 25157 6823594 5675876 264 562976 125000 23845 6090271 6548432 301 -662949 187500 22408 5675876 1.00000 0 0 1337656 1337656 143559943 35463569 108096374 9453655 5488867 3964788 7492132 3578670 3913462 117312280 REFUNDABLE FEES AND DEPOSITS 25139390 SPLIT-INTEREST OBLIGATIONS 1138419 RESIDENT TRUST FUNDS 2008 26279817 31575073 37866986 -6291913 1445465 369408 1814873 -4477040 33444297 1445465 369408 1814873 31629424 -54351 -54351 31575073 37921337 54351 54351 37866986 0 37866986 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE ENDOWMENT FUND IS INVESTED WITH AN EMPHASIS ON LONG-TERM GROWTH AND RETURN AND USES THE TOTAL RETURN CONCEPT FOR PERFORMANCE EVALUATION. ANNUAL DISTRIBUTIONS ARE MADE FROM THE ENDOWMENT FUND FOR USE IN THE ORGANIZATION'S NORMAL OPERATIONS. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE CORPORATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES BY 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 2011 OR 2010. PART XI, LINE 8 - OTHER ADJUSTMENTS: CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENTS 102,065. VALUATION GAIN, BENEFICIAL INTEREST IN PERPETUAL TRUSTS 149,059. PENSION LIABILITY ADJUSTMENT 118,284. PART XII, LINE 2D - OTHER ADJUSTMENTS: PENSION LIABILITY ADJUSTMENT 118,284. CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS 102,065. VALUATION GAIN ON BENEFICIAL INTEREST IN PERPETUAL TRUSTS 149,059. PART XII, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -29,542. SPECIAL EVENT EXPENSES -24,809. PART XIII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 29,542. SPECIAL EVENT EXPENSES 24,809. BANQUET 85020 77395 7625 1541 3431 3880 GOLF OUTING 44040 32380 11660 12345 3612 129060 109775 19285 13886 3431 7492 24809 -5524 X X X 0 0 0 0 0 0 0 0 0 GARY N CLOUSER 188454 0 0 0 0 0 0 0 14831 0 203285 0 0 0 LANCASTER COUNTY HOSPITAL AUTHORITY 236648018 514045ZC0 2008-01-23 122715000 CAMPUS REDEVELOPMENT 0 0 0 1850000 123551260 8584899 11199972 2410431 912759 87241091 13488750 1029786 2011 0 0 0 1 0 0 1 0 1 0.00000 0.00000 0.00000 1 0 0 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 7B PERSONS THAT ARE MEMBERS OF THE CHURCH OF THE BRETHREN, AND THAT HAVE CONTRIBUTED $100 OR MORE, ARE ASKED TO RATIFY SELECTION OF THE INDEPENDENT ACCOUNTING FIRM. FORM 990, PART VI, SECTION B, LINE 11 MANAGEMENT SUBMITS INFORMATION NECESSARY FOR TAX CONSULTANT TO PREPARE TAX RETURNS. MANAGEMENT PARTICIPATES IN THE REVIEW PROCESS PRIOR TO PRESENTING TO THE FINANCE COMMITTEE OF BRETHREN VILLAGE FOR FINAL REVIEW AND APPROVAL. RETURNS ARE THEN MADE AVAILABLE TO ALL BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY COVERS ALL DIRECTORS, OFFICERS AND EMPLOYEES WHO CAN INFLUENCE THE ACTIONS OF BRETHREN VILLAGE. ALL DIRECTORS AND OFFICERS MUST COMPLETE AN ANNUAL CONFLICT DISCLOSURE STATEMENT. THE EXECUTIVE ASSISTANT IS RESPONSIBLE FOR ENSURING THAT EVERYONE COMPLETES A STATEMENT ANNUALLY. THE CFO REVIEWS THE STATEMENTS FOR CONFLICTS WHICH ARE DISCLOSED TO THE PRESIDENT AND BOARD CHAIR WHO SHALL BRING THE MATTER TO THE ATTENTION OF THE BOARD OR A DULY CONSTITUTED COMMITTEE THEREOF. ANY DIRECTOR HAVING A POSSIBLE CONFLICT OF INTEREST ON ANY MATTER SHOULD NOT VOTE OR USE PERSONAL INFLUENCE ON THE MATTER AND SHOULD NOT BE COUNTED IN DETERMINING THE QUORUM FOR THE MEETING. REVIEWS AND DISCUSSIONS OF POTENTIAL CONFLICTS ARE DOCUMENTED IN THE BOARD MINUTES. FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE COMMITTEE OF BRETHREN VILLAGE BOARD ESTABLISHES COMPENSATION FOR PRESIDENT AND VICE PRESIDENTS. THE COMMITTEE RELIES ON EXTERNAL DATA INCLUDING AN EXECUTIVE WAGE SURVEY, SPECIFIC FOR THE SENIOR LIVING INDUSTRY, AS WELL AS OTHER COMPARABLE WAGE INDICATORS (ECONOMIC OUTLOOK, ETC.). COMPENSATION FOR OTHER POSITIONS (KEY EMPLOYEES) WITHIN THE ORGANIZATION ARE ESTABLISHED USING INTERNALLY DEVELOPED DATA (COMPENSATION RANGES) AND EXTERNAL SURVEY DATA FROM STATE ASSOCIATION AND OTHER SIMILAR GROUPS. SALARIES ARE REVIEWED ANNUALLY. MINUTES OF THE COMMITTEE MEETINGS ARE RECORDED AND FILED. SALARY ADJUSTMENTS ARE FORWARDED TO THE HR DEPARTMENT BY THE PRESIDENT WITH THE PROPER DOCUMENTATION/AUTHORIZATION. FORM 990, PART VI, SECTION C, LINE 19 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 VII SECTION A AVERAGE HOURS PER WEEK FOR OFFICERS FOR RELATED ORGANIZATIONS ARE AS FOLLOWS: GARY CLOUSER - 1 HOUR PAMELA FORMICA - 1 HOUR CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 1,445,465. CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENTS 102,065. VALUATION GAIN, BENEFICIAL INTEREST IN PERPETUAL TRUSTS 149,059. PENSION LIABILITY ADJUSTMENT 118,284. TOTAL TO FORM 990, PART XI, LINE 5: 1,814,873. BRETHREN SERVICES INC PO BOX 5093 LANCASTER PA 176065093 232293927 PROVIDES LOW INCOME HOUSING FOR THE ELDERLY AND HANDICAPPED PA 501(C)(3) 9 BRETHREN VILLAGE 1 BRETHREN SERVICES II INC PO BOX 5093 LANCASTER PA 176065093 202081463 PROVIDES LOW INCOME HOUSING FOR THE ELDERY PA 501(C)(3) 9 BRETHREN VILLAGE 1 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 BRETHREN SERVICES I P 81222 BRETHREN SERVICES II P 53273 BRETHREN SERVICES I K 83759 BRETHREN SERVICES I N 64189 BRETHREN SERVICES II K 70204 BRETHREN SERVICES II N 64189